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Thread: HIP Pain...HELP

  1. #1
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    HIP Pain...HELP

    I rock climb, skydive, used to race motorcycles, mtb, road ride, etc. -- I've had a few diggers but nothing major. Fell off a building about 15 ft when I was in college. I'm 28 and have been having some hip pain. It's when I first get up from a chair -- but after a few steps it goes away and isn't there when I wake up in the morning.
    Riding doesn't make it worse -- but all I do now is ride (and rock climb occassionally). Ibuprofen seems to help -- so I'm thinking bursitis. Is there any other ideas out there as to what could cause this. If I stretch it seems to make it a little better as well. Am I just riding too much and not stretching enough?
    Anyone else have this?
    thoughts?

  2. #2
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    What part of your hip? Front, side or back? Under or above which bone/joint?
    Does it hurt while sitting in your car?

    Stretching is always good. Stretch those hip flexors. What are you stretching to make it feel good?

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    front and side -- deep. If I stretch my IT bands that helps -- and lunge type stretches. It hurts when I get out of the car if I've been driving for a while -- but it doesn't hurt while I'm sitting/driving...

  4. #4
    jgk
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    I'm not familiar with pain in the front of the hip, only the back. I'd see a doctor and have him prescribe some physical therapy. The Doc will give you a list of places. Ask for one that specializes more in sports injury.

    If stretching helps to relieve some pain, then get on a regular routine.

    In the long run, at age 28, it won't hurt to take a break from riding for a couple of weeks to see how it responds to rest.

    Good luck

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    if the pain persists get checked out by a hip specialist. I used to have the occassional hip pain and it turned out the be an impingement (often misdiagnosed). Now 2 major surgeries later I should be back to biking this spring. best of luck

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    What type of impengement? Nerve? I'm thinking chiro and rolfing. I have a goof friend that is a rolfer..definitely going to get on a good stretching routing...it's weird though because riding doesn't really affect it. I think it actually helps to loosen up and stretch but yeah, I probably need to take a little break. I'm just loving this fall weather -- but when it starts getting cold my motivation slows down a bit. Probably more swimming at that point.

    Thanks for the info..if anyone else has anything else to add to this...please chime in.

    cheers

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    Hard to say over the net, but it sounds similar to myofascial pain. Muscles love heat, rest, stretching, a good nights sleep and vitamin D3. Have a trusted massage therapist or chiropractor examine you and determine which muscles are involved because each muscle needs a specific stretch. Doctors are notoriously poor at diagnosing myofascial pain. All they want to do is write prescriptions or do surgery. And someone needs to teach the proper stretches. Some physical therpists are good at this, some are not.

    If it is bursitis or a ligament problem, Prolotherpy will help. See
    www.highsierramedical.com for reliable info.

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    thanks so much. I have a good friend who is a rolfer -- he's worked on me once thus far - he's out of town otherwise it would be a weekly thing. He is also a mountain biker and rock climber so he understands my history..haha...
    Anyway, thanks again for all of the input -- hopefully it will get better soon. I want to start riding hard again. I went skydiving this weekend and it felt ok -- a few hard openings might do the trick..haha..jk
    Cheers

  9. #9
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    Your Hip

    I'm glad to hear that you have found something that seems to work.
    A quick laundry list of hip pains may include: Hip joint degeneration, Referral pain from the SI joint, Referral pain from Lumbar spine, hip impingement and poorl seeding of the hip joint. Muscular imbalances around the hip could also contribute to issues as well.

    It is always difficult giving medical advice over this forum as I/We cannot put our hands on you to test certain things. If your pain does not resolve I would find a good sports med trained MD and a manual theapist PT who is a cylcist to help you out.

    Good luck
    BoiseBoy

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    there are two types of hip impingement (femoro acetabular impingement).

    CAM (most common in men)- there is a bump (extra bone) on the femoral neck, usually in the front. During flexion (even sitting) this bone rubs up against the articular cartilage in the hip causing labral damage (leads to arthritis).

    Pincer (more common in women)- there is an over coverage of the acetabular (hip socket). This extra bone limits ones range of motion.

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    thanks for the info...hopefully I can get it looked at soon. I have a good friend in Narrows VA that is a chiro -- but it's 3.5 hours away -- so I might have to settle for something here in Charlottesville -- I know a good PT as well.....
    It actually feels like it might be getting better (marginally) -- but I still want someone to look at it. I have some curvature in my back and I'm sure I'm out of alignment (one shoulder is about 3/4 in lower than the other -- which could lead to some pelvic misalignment I guess -- I'm no expert but hope I'm not slicing through my hip labrum -- I already tore my shoulder labrum in 3 places last year from a wreck -- that wasn't fun. Cortizone shots helped but I don't want to rely on that stuff....
    Ok, thanks again everyone. I really appreciate the feedback.

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    Does anyone have any experience with acupuncture and hip pain?
    I just joined a gym (club) that has an acupuncturist. I thought it might be worth a try. I don't think it's bursitis because riding/running/walking/climbing doesn't seem to make it flare up or make it worse, etc. -- I really hope it's a pinched nerve -- I really need to get to the bottom of this so I can start training again....
    thoughts? If it is a pinched nerve, I'm guessing only chiropractic will be able to treat it -- but am not sure..

  13. #13
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    I have studied and practiced acupuncture. It is an excellent way to go. Almost impossible to screw you up and 85% chance you will get better. I'll spare you the technical details and theories. It works.

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    excellent -- I'll give it a whirl. Thanks for the input. I'll post on here how it turns out.

  15. #15
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    You ever consider your bike set up? Your saddle could be a half an inch too high. Sometimes you really don't notice your pain while riding but later you feel it. You may be wasting your time with treatments and doctors if you are continuously hurting yourself while riding. I would have your bike setup checked first. Then move on if you need to.

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    that's a good point. I have only had my mt bike for a year. It's my first full suspension and I'm not used to it. I may have it a touch high -- but that's something to consider. I usually don't get to ride much these days but have ramped up significantly in the last month with a few big weekends -- mt festival in Hburg where I rode 6.5 hours Sat and 5 Sun on huge mountains that I"m not used to...then the following weekend in Blacksburg VA at the ROWDY DAWG race..so..
    My roadbike setup hasn't changed in a few years but I started riding to work a few months ago...so...good suggestion. I'll try and get it checked out.

  17. #17
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    Try this. Set your bike up next to a mirror somewhere so you can see. Clip in and find the bottom of your pedal stroke. That will be in line with your seat tube not perpendicular to the floor. Make sure you are centered in the saddle and with your foot parallel to the floor you should have a slight bend in your leg. And not so slight so you can barely tell there should be a visible bend. if your leg is straight or darn near straight then it's too high. If that is the case adjust it until it looks right. If it's too hight I guarantee that is your problem. Even when corrected it won't get better right away. But in a few weeks you'll notice it.

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