3 months ago after a fairly long ride i had a really sore left hip. I initially thought it was just an inflamed glute medius as mine are pretty weak. So i gave it a few days rest then embarked on a period of strengthening work. I tried a 10 minute ride and it was again really sore - deep inside like in the socket maybe. I gave it another month off and then another. I started to run again with no problems. Then i had 2 days of walking about 10 miles a day around Paris at the Olympics and so now both hips were seriously raw and painful. I gave it another week off and i can run again but if i try 30 minute easy rides on the trainer i get that worrying soreness deep inside both hips again.
Has anyone ever had this? Any ideas? I read somewhere that COVID can cause joint problems. Could that be related as i think i had that fairly recently (with no symptoms)?
[for context: M53, 75kg, 4.3 w/kg]
Could be sciaticaā¦.i am currently struggling with it. Came on out of nowhere and I also thought it was just a strained glute muscle. The indicator for me was when it hurt if I coughed or sneezed.
Two weeks ago, I had a kidney stone and when they did a CT scan to confirm the stone, they scan also revealed severe degenerative disc between L5 and S1. I am seeing a spine doc tomorrow.
Iād recommend getting an appt with an ortho, regardless since it has been going on as long as you said and rest has not resolved it.
See an orthopedic doctor.
My guess is it might be a bursa sac inflammation. Happened to me.
A bursa is a closed fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. āBursaeā is the plural form of ābursa.ā The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.
When a bursa becomes inflamed, the condition is known as ābursitis.ā
My suggestion would be to see a hip specialist. There are too many unknowns here. It could be arthritis, a labral tear, bursa sac inflammation, or a muscular issue.
I developed hip pain about a year and a half ago (Iām 36). Like many issues in the past I thought, āoh, I should just stretch it more.ā So I started this daily stretching regimen to really work on my hips.
Turns out, thatās the worst thing in the world I could have done. I had an impingement between my femur and socket and also a torn labrum. All that stretching just made it worse.
I eventually had surgery just under a year ago where they shaved down the bone causing the impingement and repaired the labrum. Itās much better now. Not perfect, but much improved. The impingement is a genetic thing and Iāll likely get my other hip done some time down the road.
āGenerallyā I would agree that good strength training is still a best bet, but would definitely suggest figuring out whatās wrong before it gets worse.
Or the psoas? I had this so bad one year, I was having problems walking, and sitting. It hurt so bad I really thought I broke something. I was referred to physical therapy, and to get an ultrasound. (The later found a liver cyst that everyone freaked out about and lead to a disastrous surgical excursion) Eventually, through intensive physical therapy, my psoas settled down, and I found stretches that I could do to keep it at bay.
It hurt so bad, I was convinced that I had a hip problem. (That would come a number of years later)
But nerve impingement syndrome pain tends to start in the knee and radiate down the leg. I had it and was positive it was a knee replacement coming, but was shocked that it was a genetically abnormal hip. Had it replaced, the nerve freed up, and no pain in the knee or down my leg at all.
What makes me think psoas is that it is really common, and can be really painful and hard to locate the source. Any physician or insurance company isnāt likely to send someone to a specialist without some basic tests, and likely a physical therapy visit (at least in America) unless you have a relationship with an orthopedic surgeon and even still, they are likely to want a PT eval. And if you do get to see a surgeon first, remember they are being paid to cut, and cutting doesnāt always fix things. (In the dark ages, they used to actually REMOVE the psoas muscles, and then walking became a huge chore, with people either left unable to ever walk again, or so unstable they were pretty much useless for anything)
It is also a fact that soft tissue injuries can hurt worse than broken bones. And oh yeahā¦ OUCH!!
I agree about the nerve injuries radiating elsewhere. Iām speaking of a different type of impingement. Itās fairly common for people to have the somewhat misshapen bone portion you see near the ball of the femur that grinds against the socket/labrum over time. That is exactly what I had, which caused the tear. When they repaired it, they also shaved that section of the bone down.
There could be a lot of different things contributing to the OPās injury. My suggestion may not be accurate (we are all just guessing here without an MRI), but his symptoms are exactly what I had (deep pain inside the hip). Just another thing to keep in mind.
Thatās interesting about nerve problems referring the pain elsewhere. I have had ongoing SI joint pain which iām trying to deal with. Iāll put a bit more focus into thinking about the big picture of the whole system of back/legs etc and see how i go.
Iām hesitant to bother going to a doctor as i am in the UK and long ago cancelled my medical insurance. So i can get it fixed on the NHS in time for my 100th birthday.
TBH itās served as a handy excuse over the summer for not going out riding on the roads and running the gauntlet of the anti-cycling culture wars we have going here these days. Trail running is far less stress.
I mentioned ājoggingā to my ortho after my hip replacement, and he wasnāt wild with the idea. He lectured me (again) that the two best exercises for the joints are biking and swimming. Jogging/running isnāt on that list. I had to be honest that ājoggingā was flat out running (on a treadmill) for me so decided to do it sparingly. (Running from the wife, etc. ) I also have crap ankles, so trail running might not be a good fit, for me.
But that impinged nerve gave me lots of painful moments for sureā¦ And as I said earlier, was CONVINCED I needed a knee replacement.
) I also have crap ankles, so trail running might not be a good fit, for me.