Outer Thigh/hip Pain - Diagnosis Help

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jbrew
New Member


Date Joined Sep 2009
Total Posts : 1
   Posted 9/7/2009 9:55 AM (GMT -7)   
about three 1/2 months ago I developed pain in my upper outer thigh/lower hip.  I am an avid runner and triathlete, and I will admit that in the course of my training sometimes I overdo and don't rest enough.  I live in an area with lots of hills, so am always running hills it seems.  The pain seems worse after I run, and I can feel it during the run when my leg impacts the ground.  After an easy day or two, my leg feels better so I go for a run but by the end of the night my leg stiffens and I start limping alot.  It also seems worse after a nights sleep, and only with a lot of walking does it start to loosen up and not be so stiff.  It seems to be okay during cycling and elliptical machine exercising.  Does anyone have an idea of what could be causing this, and what kind of rehab I can do? 

John

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2283
   Posted 9/7/2009 2:02 PM (GMT -7)   
John,
Welcome to HW! Sorry to hear about your leg pain. There are so many things that it could be & none of us are doctors here. I would recommend scheduling an appointment to see an orthopedic specialist. S/he could take a look at it & order any films if necessary. In my experience, for simple things the doctor can usually tell you directly what kinds of exercises would help to heal/strengthen/stretch the area. If it's something more involved, they might send you to a sports PT. They specialize in helping athletes to recover.

Usually orthopedic specialists can get patients in pretty quickly, from what I've seen a few days. When you call to schedule your appointment, maybe ask what they would recommend you do in the meantime. I know that sometimes ice is better & other times heat is better & yet other times you're supposed to alternate between ice & heat, but I really don't know which is which for other people's pain. Resting probably is the safest bet until you are able to at least call the doctor's office.

Hope everything turns out well for you!

Frances

solar powered
Veteran Member


Date Joined Nov 2007
Total Posts : 538
   Posted 9/7/2009 4:24 PM (GMT -7)   
Hi John and welcome. Like Frances, I am not a doctor but have pain issues similar to yours. I am not a runner or athletic at all but the pain got so bad in my hip that at one point I would have stabbing pain with each step. Not fun. I would also get pain down the IT band. I went to physical therapy many times without any improvement. My ortho guy finally sent me to a chiropractor that specializes in muscle rehab among other things. He diagnosed me with a long standing condition called lower cross syndrome which is basically a pattern of muscle imbalances which can and does cause pain such as bursitis, etc. It can cause faulty body mechanics which I imagine would be very bad for a runner. After proper treatment which included active release and Graston therapies I am doing much better. I'll never be a runner but at least I can walk now usually without pain and that makes me happy. Please do talk with a sports medicine orthopedic doctor and maybe take it a little easy until you do. Good luck and I hope you get a proper diagnosis with an easy fix very soon. Lisa
If I can laugh at it, I can live with it.


jbrew
New Member


Date Joined Sep 2009
Total Posts : 1
   Posted 9/8/2009 9:50 AM (GMT -7)   
France and Lisa thanks for your advice and sharing your experiences. I will definitely make an appointment, it's long overdue. I was procrastinating because I couldn't determine which type of specialist to see. Some friends of my have said I should consider seeing a Sports Physiotherapist. I went on Wikipedia and it defines Orthepedics as a branch of surgery concerned with conditions involving the musculature system. I am concerned that I may be directed to having a surgical procedures, which can be very risky.

When should I see a PT or an Orth, or should I see both. What are the pro's and cons of each. Can a PT prescribe pain killers?

Also, is film a MRI and X-Rays? What can the medical practitioners assess when they look at the test results and are there other Diagnostic procedures I should consider?

Lisa, how long was your treatment and how long did it take to start seeing results? Was it trial and error?

John

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 9/8/2009 9:58 AM (GMT -7)   
Go see the Ortho first as he/she can prescribe pain meds and assign you for PT,
but befroe starting pt maybe getting mri's done to make sure, your knees are okay..
good luck in what you decide to do...
lots of soft hugz....
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bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 9/8/2009 11:34 AM (GMT -7)   
Depending on your type of insurance you may need to have a referral from your family physician first. Mine doesn't require one for a specialist but I do need one for PT. Have you tried over the counter anti-inflammatories? I noticed you asked about pain meds and normally tylenol or advil or the equivalent are tried first depending on the severity. I've never had a PT prescribe pain meds and neither did my chiropractor. Good Luck!
---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


solar powered
Veteran Member


Date Joined Nov 2007
Total Posts : 538
   Posted 9/8/2009 5:15 PM (GMT -7)   
Hi again John. For me treatment took a good couple of months before I saw the start of improvement. I know that sounds like a long time but my pain issues had been going on for years before the proper treatment, not months as in your case. It took me 48 years to get that bad so will probably be an ongoing process for me. It has been over a year now since I started with the chiro and I go back to help keep things going in the right direction. Please don't wait any longer to see a doctor especially if you are going to keep training on your "good" days. I wouldn't be concerned about seeing an orthopedic surgeon/ sports medicine specialist. These are the guys who know what they are talking about with these types of issues and in my many experiences with them (I have multiple orthopedic issues) they generally are not knife happy. Conservative treatment first seems to be their motto. Tests could be anything from x-rays to CT scans to MRI's with or without contrast, etc. They are looking for any abnormalities such as bone defects, inflammation, muscles/ tendon/ligament tears, etc. As far as seeing a PT, in most states you have to have a script from a doctor to see one. Like Jag said, PT's and chiropractors aren't allowed by law to prescribe meds. Hope that answers some of your questions. If you have more please just ask. Lisa
If I can laugh at it, I can live with it.


solar powered
Veteran Member


Date Joined Nov 2007
Total Posts : 538
   Posted 9/8/2009 5:20 PM (GMT -7)   
Oh I did forget to mention that of course not every problem is going to show up on a diagnostic test. For me my muscle imbalance issues didn't show up making it a little bit more challenging to diagnose. My hip MRI results were so clean you could have eaten dinner off of them! Lisa
If I can laugh at it, I can live with it.

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