Sore hip

[Sue]

Anyone any advice about a sore hip. Do net feel any pain during a run, but next day is very sore particularly when climbing stairs.

Soreness seems to be on the boney bit.

thanks.

[Sian Osborne]

Hello,

A little more info if you dont mind.
Have you changed anything when running? - mileage, terrain, footware, clothing, etc
Is there any other symptoms apart from pain? - redness, swelling, etc and is the pain present when the hip in stabalised? - still and supported.

Thank you,

[Sue]

Hiya,

No change in running. Have changed to new shoes which are the same as old ones.

No redness or swelling and no pain when the hip is stable.

Feel a little niggle when running but it is not stopping me from running.

The soreness seems to be limited to exiting car after driving or stair climbing on the downard pressure. Sounds really silly and pathetic I know, but the pain is making me use wall or banister when climbing steps etc.

thanks,
Sue.

[mbeveridge]

@sue,
I think Sian is better qualified to answer than me, but based on what you've said and what I had earlier this year :

If it's a dull pain (rather than a sharp one, that may be the hip itself) you could try stretching the ITB directly at the hip, or you could search for clues that the pain there is referred due to tightness elsewhere...

People told me that mine was a piriformis issue, and I then had treatment on the lower back several times, to try and release it (without real success). But I found a point tenderness in one glute, and used the 'tennis ball massage' there and nearer the hip, and the hip soreness gradually went (over days/weeks)

[www.youtube.com/watch?v=O-RHcAXULi0&feature=related] : I don't do it like this, but there doesn't seem to be one 'best' way

[Sian Osborne]

Difficult to say without seeing it but, ...

I'd too be inclined to look first into any tightness in the glutes (good idea about the tennis ball massage) and piriformis.

Failing this I'd look to add/abductor issues. Primarily tightness.

I agree with the previous though. Try rolling on tennis balls and see if it's relieved at all. If so Sports Massage will be able to get abit deeper in there.

[ben]

Sue I'm Ben one of the massage therapists at MOTI, as with all problems its very difficult to diagnose via the internet. From your clues it could be a tight hip flexor in particular the psoas muscles which when tight can cause hip and groin problems. Tight gluet muscles can inhibit the psoas causing the problem. Try stretching the gluets and psoas twice a day for a few minutes each, I have some stretches on my website which might help www.bentolson.co.uk/newsletters_4.html I would also advise going to see John or Alex at MOTI for a free 15 minute consultation.

[alexosteo]

Hi Sue,
Alex Prince here, Im the Osteopath at Moti.
I thought I would let you know my thoughts...Ben and Sian are absolutely right, it is very hard to start diagnosing without a full picture of the history and an examination.
If it is something that has been troubling you for more than a week or two it is probably worth having it looked at...Leaving it too long can compound an injury and cause compensatory problems.
Your injury may well be any of the issues Ben and Sian have highlighted; Hip Joint, Hip Flexors, Gluts.
I also see quite a bit of Bursitis (inflammation of fatty pad that cushions the hip area). Whatever the structure causing your pain, it is likely that you have some kind of biomechanical imbalance that is causing the problem. This ideally should be identified and corrected.
Let me know if I can be of further help.
Regards,
Alex Prince. Osteopath

[Sue]

Thanks for all your advice, have made an appointment with Osteopath.

thanks,
Sue.

[Tracy]

Hi Alex,

I have similare hip pain. Would it be worth me undergoing your gait analysis, and how do I book a 15min free consultation with you please.

thanks,
Tracy.

[mbeveridge]

@tracy
I'll answer these in reverse order, in case you want to see Alex ASAP

You can book a 15min free consultation (or longer appointment) on a day when Alex is in (Weds evening or Thurs afternoon) and not already booked-up. Do this via www.mymoti.com/bristol/bookings/ or call Moti Bristol shop [0117 973 7000] and ask them. I think there are currently slots on both days next week

Moti uses video gait analysis as one of its tools to "identify your perfect run shoe" ...but the run specialists (which don't include Alex) wouldn't use it as a diagnostic tool for injury. I mean that although a therapist may occasionally use the treadmill/video to see you run, getting it done separately from a treatment session probably wouldn't be a big help to the therapist

Update :
Actually, I see that www.mymoti.com/bristol/shoefit.php says "we are able to save your gait analysis video so that one of our therapy team can use it to assist with a diagnosis", so your question makes sense. If you're buying shoes soon, I guess there's no harm in asking for it to be saved (if Alex hasn't answered). But I doubt that the therapist would rely on it much

[Tracy]

Thanks,

Is there a therapist that offers free 15 minute consultation in the Cardiff store?

Tracy.

[mbeveridge]

@tracy
I'm not the best person to answer this, as I've never dealt with the Cardiff shop. However, assuming the Cardiff website is up-to-date and reliable...

www.mymoti.com/cardiff/therapies.php says to call the Cardiff shop [02920 090800] or use the Cardiff booking system www.mymoti.com/cardiff/bookings/

Leon Vaughan (physiotherapist) has sessions on Thurs evening, currently with free slots

Cardiff booking system says :

Treatments
Initial consultation £45 usually 45 minutes
Further consultations £35 usually 30 minutes
Open Clinic Free 15 minutes

So, to answer your question : It seems that any therapist in the Cardiff store will offer a free 15 minute consultation, and currently Leon is the only therapist there

[richcardiff]

Leon does indeed offer a free 15 minute session from the Cardiff store.

Rich
(Moti In Store Run Specialist)

[physiojohn]

Hip pain - Anterior Hip Impingement -
Physio at Moti Bristol here! - Responding to the above, I thought it worth writting a few lines on this particular type of hip pain.
WHERE
The pain is usually deep in the hip behind the hip crease (Inguinal line) It is caused by the ball of the hip rocking forward in the socket (acetabulum) and pinching the nerve rich tissue (labrum) around the front lip of the hip socket.
WHEN
The pain will tend to come on during a run and remain quite sore for 12-48 hours afterwards. You may also get jolts of pain crossing the sore leg over the other, or standing on the sore hip while turning the trunk towards the sore side.
WHY
The problem is a muscle imbalance problem and will get worse with increased training unless addressed with suitable retraining. Relative over-training of the quads and anterior hip muscles creates forwards pull on the ball of the hip, if this is not balanced by adequate backwards pull by the "gluts" anterior impingement and pain will occur.
TEST
Bring the hip joint into maximum flexion (knee to chest)- Sweep the knee across the body maintaining the flexion. Typically there will be slightly less flexion with an acute pinch pain as the knee is swept across the midline of the body.
ASSOCIATED
We routinely find tight quads (rectus femoris) and weaker gluts on the affected side.
PLAN
Get a professional opinion - You can do this free at Moti Bristol and Cardiff with a 15 minute "open clinic" - You need to find out why the imbalance has occured.
TREATMENT
This will include muscle retaining, to sort the muscle imbalance, and may involve some spinal manipulation to get the gluts firing again.
RECOVERY TIME
Typically 3-6 weeks - My last client who had this problem was keen on running and climbing - Both brought on the pain. She is now 95% better after two treatments over 10 days.
Physio John