Yet Another Cycling Forum

General Category => The Knowledge => Health & Fitness => Topic started by: Frenchie on 19 May, 2009, 09:35:40 am

Title: "Hip" injury
Post by: Frenchie on 19 May, 2009, 09:35:40 am
I have been off the bike for nearly 4 weeks; well, when I say off the bike, I mean for serious rides out at least, as I still do short, slow commutes as agreed with the GP. She is not totally sure of what I have but has prescribed anti-inflammatories for what she thinks could be bursatis or some tendonitis (?). It has been better last week and I stopped taking the drug (which is quite strong), but I was in pain again at the WE. Better today but not great. It is uncomfortable, very painful at times, and getting to be frustrating; in particular as I may be suffering from bike-withdrawal syndrome!  :P

Anyone has had similar pain, "inside" the hip?
Title: Re: "Hip" injury
Post by: MSeries on 19 May, 2009, 09:37:45 am
Anyone has had similar pain, "inside" the hip?

yes. Pain in the hip, tell me about it.
Title: Re: "Hip" injury
Post by: hellymedic on 19 May, 2009, 09:53:26 am
I have not had a hip problem but I'm at a loss to know much about you pain. I'd like to give the matter some thought.
Hip pain means so many different things!
Is your pain in the groin, knee, buttock or where?
When do you get this pain?
Is it shatp, dull, achy, worse on movement etc?
Title: Re: "Hip" injury
Post by: mike on 19 May, 2009, 09:56:53 am
have you been to a sports injury clinic?   There may be one attached to the university (there is in Cambridge)

I had a pain in my hip a couple of years ago, it was more on the outside than inside, but it felt like it was in the joint and they taught me some stretches that fixed it. 
Title: Re: "Hip" injury
Post by: MSeries on 19 May, 2009, 09:58:15 am
I manage my hip pains with stretches and minimise them by doing weight lifting
Title: Re: "Hip" injury
Post by: hellymedic on 19 May, 2009, 10:38:16 am
I manage my hip pains with stretches and minimise them by doing weight lifting

Yebbut I can almost guarantee that Frenchie's hip pain and yours are entirely different in cause and nature. They might then well need different treatment.
Title: Re: "Hip" injury
Post by: mrcharly-YHT on 19 May, 2009, 10:51:28 am
I have a malformed joint - only a very slight malformation - so I get arthritis in one hip. It's a pain directly in the joint, a deep ache sometimes, and a very sharp pain when pressure is on the joint.

Stretching helps - it helps to keep the joint open.
Title: Re: "Hip" injury
Post by: Fi on 19 May, 2009, 10:57:30 am
 I have had hip bursitis off and on for years, caused by a combination of reasons including very tight illiotibial bands.  You need to discover what's causing it in you first of all. If it's a bio-mechanical problem NSAIDs, should get rid of the inflammation, but unless you address the root cause of that inflammation, it will return.  If I were you, I'd talk to your doc about futher investigation and whether physio would be appropriate at this stage.
Title: Re: "Hip" injury
Post by: Frenchie on 19 May, 2009, 11:31:18 am
Hi

The only thing I have changed this year are my TT bars; this could explain an injury as I am stretched further this year. Since I ride fixed I rev' at fairly "high" numbers for 25' on a 10. I thought this could be another explanation, together with a high saddle and some lack of stretching maybe. These are definitely the two leads I have. But the GP was not very clear although I tried to be very precise in my description and in my description of my activities. She said she could refer me to a sports colleague this week if it doesn't go away. But I have to wait.

The pain is very much inside the hip, at the joint it seems, but is also "diffuse" (I couldn't point out where it is precisely at times as it seems my buttock and calf also feel some "burn"; Illiotibial band?). Today is much better; it has been since I returned to Naproxen. I haven't been riding my TT bike for a while; mainly my Dahon bike since I could step into it when I was really in pain. Interestingly cycling was never painful.

If it is still painful by Thu I plan to request a specialist appointment as my GP hinted she could do. The thing is I feel so much better today! Therefore did I stop my course of Naproxen too early? Did I do any activity to make the pain come back? (such as paddling a kayak?)
Title: Re: "Hip" injury
Post by: nuttycyclist on 19 May, 2009, 11:44:19 am
I find that when my legs / hips/ etc hurt that a dérailleur and gears help  :demon: :demon: :demon: :demon: :demon:


Seriously, I don't know what's up and can't help.  However as a thought, I am seeing a chiropractor at the moment for all my back pains, and wonder whether you have trapped a nerve in your back that is giving the "inside hip" pain?    I know I get a pain, similar to sciatica, after some rides on the motorbike.  I'm sure that's down to spinal issues.
Title: Re: "Hip" injury
Post by: phil d on 19 May, 2009, 11:46:50 am
If my position is anything to go by, hip pain must be very difficult to determine just where the problem lies.  I have had hip pain for 10 weeks following my "off" (so clearly different cause to yours, Frenchie) but my dear wife, a GP of many years experience, has been unable to pinpoint quite where the problem lies, despite frequent examination.

I can ride my bike quite happily, but walking hurts still.  I went to see an orthopaedic surgeon yesterday (ironically it was the most pain-free it has been since the accident!) and am having a scan on Thursday - even he was unsure where the problem is, but that is hardly surprising when it wasn't hurting while I was with him.

It will be nice to find out where precisely the problem lies, so I can better manage the final recovery.
Title: Re: "Hip" injury
Post by: Frenchie on 19 May, 2009, 12:17:35 pm
PS At its worse I could hear my articulation making noise as I was lifting my leg (rising my knee) upward (in the sat position).
Title: Re: "Hip" injury
Post by: Frenchie on 21 May, 2009, 08:49:34 am
Much better today. It is interesting to note that I had a slight discomfort to the front of the upper leg yesterday though. But what a difference today. Fingers crossed.
Title: Re: "Hip" injury
Post by: MSeries on 21 May, 2009, 08:55:31 am
Much better today. It is interesting to note that I had a slight discomfort to the front of the upper leg yesterday though. But what a difference today. Fingers crossed.
Good. Seriously though, perhaps you ought to think about  trying some weight lifting to strengthen your core and hip area. Since I started doing it my injury site has been much much quieter.
Title: Re: "Hip" injury
Post by: mrcharly-YHT on 21 May, 2009, 09:40:16 am
PS At its worse I could hear my articulation making noise as I was lifting my leg (rising my knee) upward (in the sat position).
A grinding noise, or a single dull click?
Title: Re: "Hip" injury
Post by: Ian H on 21 May, 2009, 09:48:39 am
A qualified sports physio is the way to go. A good one should be able to diagnose where and what the problem is, and help you alleviate or cure it.
Title: Re: "Hip" injury
Post by: Frenchie on 21 May, 2009, 12:12:50 pm
PS At its worse I could hear my articulation making noise as I was lifting my leg (rising my knee) upward (in the sat position).
A grinding noise, or a single dull click?

The latter.
Title: Re: "Hip" injury
Post by: mrcharly-YHT on 21 May, 2009, 12:28:11 pm
Ah. That says a lot.

Those sorts of dull clicks (sometimes more of a thump) are almost always caused by a tendon or ligament catching, then coming off, a bone protrusion. They are pretty common in the spine (lots of pointy out bits) and can come and go.

There are lots of ligaments running around the pelvis, I'd bet it is one of these.

Careful gentle stretching, and physio will sort you out.
Title: Re: "Hip" injury
Post by: Frenchie on 21 May, 2009, 10:16:17 pm
Spot on Mr Charly about the dull thump. Thank you very much for the feedback. I am better but I think I will consult a sports physio.
Title: Re: "Hip" injury
Post by: matthew on 21 May, 2009, 10:33:13 pm
frenchie

I also suffer from a simmilar clicking in a hip, though mine is agrivated by walking rather than cycling. The physios have me doing exercises to strenthen the area but also realised that there is ~15mm difference in my leg lengths. Fitting a raise in my left shoes has relieved the problem.

Matthew
Title: Re: "Hip" injury
Post by: mrcharly-YHT on 21 May, 2009, 10:34:10 pm
Yes, do. If you ever get really 'stuck', a warm bath can work wonders
Title: Re: "Hip" injury
Post by: Frenchie on 21 May, 2009, 10:39:37 pm
Cheers everyone. I am glad I posted this here.

I am better but not able to stretch onto my race bike yet and a bit weary about getting back on too soon (yet wanting to get back...). Riding my folder and ATB is quite okay. Still a visit to the physio awaits ASAP before I try too hard again.
Title: Re: "Hip" injury
Post by: Frenchie on 26 May, 2009, 09:03:54 am
Definitely better. Managed an easy jog and a run over the bank holiday WE!
Title: Re: "Hip" injury
Post by: phil d on 28 May, 2009, 01:45:25 pm
Pleased to hear your hip is improving, Frenchie.  Hope it continues.  Wish I could say the same about mine.  >:(

Got a phonecall from orthopod yesterday - he had my scan results.  Turns out that I have a crack in my pelvis going right through the socket (and also tendon damage).  He's banned me from cycling or any other exercise for a month.  Which is pretty depressing, to say the least, especially as cycling is the one activity that doesn't hurt.
Title: Re: "Hip" injury
Post by: Frenchie on 28 May, 2009, 01:57:41 pm
Humm...Sorry to hear!

Mine is still not perfectly sorted but I am not comfortable doing most things and am awaiting my phsyio appt. I am taking it easy but going back to doing exercise. I run 30 min. last night again and plan a 25 Mi ride tonight.
Title: Re: "Hip" injury
Post by: rafletcher on 02 June, 2009, 03:31:14 pm
I have been off the bike for nearly 4 weeks; well, when I say off the bike, I mean for serious rides out at least, as I still do short, slow commutes as agreed with the GP. She is not totally sure of what I have but has prescribed anti-inflammatories for what she thinks could be bursatis or some tendonitis (?). It has been better last week and I stopped taking the drug (which is quite strong), but I was in pain again at the WE. Better today but not great. It is uncomfortable, very painful at times, and getting to be frustrating; in particular as I may be suffering from bike-withdrawal syndrome!  :P

Anyone has had similar pain, "inside" the hip?

My wife has been plagued with this sort ot pain for a couple of years, and has  had various diagnoses, including oseo-arthritis. But latest (from consultant) is something to do with tendonitis to a tendon deep within the buttock, and he gave her a cortisone injection. It seems to have had a generally good effect, but the hip is still painful from time to time. So she has Tramadol painkillers to help in that situation. Practamol doesn't really do it, and she can't take ibuprofen with her litium.
Title: Re: "Hip" injury
Post by: Frenchie on 03 June, 2009, 10:59:57 am
I have been off the bike for nearly 4 weeks; well, when I say off the bike, I mean for serious rides out at least, as I still do short, slow commutes as agreed with the GP. She is not totally sure of what I have but has prescribed anti-inflammatories for what she thinks could be bursatis or some tendonitis (?). It has been better last week and I stopped taking the drug (which is quite strong), but I was in pain again at the WE. Better today but not great. It is uncomfortable, very painful at times, and getting to be frustrating; in particular as I may be suffering from bike-withdrawal syndrome!  :P

Anyone has had similar pain, "inside" the hip?

[...] But latest (from consultant) is something to do with tendonitis to a tendon deep within the buttock, and he gave her a cortisone injection. [...]

Yes, that is consistent with what I had. I can report that I am much better now, although I still feel some very low level discomfort. I am able to run and to cycle, as well as walk normally.