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  1. #1
    Join Date
    May 2010
    Location
    MD
    Posts
    164
    Thanks for the replies everyone. I will definitely follow up with at least one PT session. Hopefully I can continue with it beyond that at home on my own...

  2. #2
    Join Date
    Jan 2006
    Location
    Marin County CA
    Posts
    5,936
    I'd second the suggestion of going to a sports med doctor - and I would suggest doing that before jumping into PT. I had very similar presentation (pain on the upstroke of the pedal when the hip is bent 90 degrees or more as you describe) - I had low level on and off pain for 10+ years, increasing in frequency and intensity over the last year to where I really couldn't cycle anymore. Turned out to be femoral acetabular impingement (basically a big bone spur leading to a large hole in the femur and a torn labrum) and I had surgery in July. I'm on the road to recovery and the hip honestly felt better the day after surgery than the day before.

    So, anyway, I hope yours is simply a muscle imbalance, but it wouldn't hurt to get get really checked and get an x-ray because if I had tried to heal my issue with PT alone, I would have done a lot more damage to the hip joint and the femur.
    Sarah

    When it's easy, ride hard; when it's hard, ride easy.


    2011 Volagi Liscio
    2010 Pegoretti Love #3 "Manovelo"
    2011 Mercian Vincitore Special
    2003 Eddy Merckx Team SC - stolen
    2001 Colnago Ovalmaster Stars and Stripes

  3. #3
    Join Date
    May 2007
    Location
    San Francisco, CA
    Posts
    564
    Look up: anterior femoral glide syndrome

    I felt like the clouds had parted and the sun finally shown through when I discovered this.

    -- gnat!
    Windsor: 2010 S-Works Ruby
    Pantysgawn: 2011 S-Works Stumpjumper 29er
    Whiz!: 2013 S-Works Crux (Singlespeed)
    Boucheron: 2009 S-Works Tricross
    Haloumi: 2013 Tern P7i
    Kraft: 2009 Singlecross
    Gouda: 2005 Electra Betty
    Roquefort: 1974 Stella SX-73

  4. #4
    Join Date
    May 2013
    Posts
    25
    OMG !! This possibly explains the pain that I had last July for about a month. The first week was no fun .. sharp pain where the leg /torso connect making it difficult and painful to raise/move my left leg especially in the morning the first week. Biking actually helped. I thought it was related to the back surgery/issues .. maybe not. I am fine now.

    http://singaporepersonaltrainer.blog...alk-rehab.html

    Click image for larger version. 

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  5. #5
    Join Date
    Dec 2006
    Location
    Columbia River Gorge
    Posts
    3,565
    Quote Originally Posted by maillotpois View Post
    I'd second the suggestion of going to a sports med doctor - and I would suggest doing that before jumping into PT. I had very similar presentation (pain on the upstroke of the pedal when the hip is bent 90 degrees or more as you describe) - I had low level on and off pain for 10+ years, increasing in frequency and intensity over the last year to where I really couldn't cycle anymore. Turned out to be femoral acetabular impingement (basically a big bone spur leading to a large hole in the femur and a torn labrum) and I had surgery in July. I'm on the road to recovery and the hip honestly felt better the day after surgery than the day before.

    So, anyway, I hope yours is simply a muscle imbalance, but it wouldn't hurt to get get really checked and get an x-ray because if I had tried to heal my issue with PT alone, I would have done a lot more damage to the hip joint and the femur.
    Going to a Sports Med Doc is never a bad choice. Having said that, in general unless the issue is severe with significant bone defects (as was the case with maillotpois) you will usually be sent for conservative PT treatment first. Unless you get a really sh!tty PT, they shouldn't make it worse. If the PT doesn't work, then it's back to the doc to discuss other options.

    I've seen a lot of people with this type of injury, I'd say that more than half of them manage really well without surgery. Of the surgery clients I've seen, about half of those do extremely well. Of the ones that are left you'll occasionally see one that is actually worse after the surgery than they were before and usually that's because they ignored some serious precautions after the surgery because they wanted to get back to cycling too early.

    So yes, you want to explore the treatment for all your muscle imbalances, weaknesses etc before jumping in to surgery but sometimes it's inevitable and when it is, surgery is often a glorious relief.
    Living life like there's no tomorrow.

    http://gorgebikefitter.com/


    2007 Look Dura Ace
    2010 Custom Tonic cross with discs, SRAM
    2012 Moots YBB 2 x 10 Shimano XTR
    2014 Soma B-Side SS

  6. #6
    Join Date
    Apr 2013
    Posts
    130
    Try the couch fleoxr stretch http://www.youtube.com/watch?v=-ZX1QMTdAC4 this is an OMG for me, I am one unstretched human being.

  7. #7
    Join Date
    Dec 2006
    Location
    Columbia River Gorge
    Posts
    3,565
    Quote Originally Posted by Skippyak View Post
    Try the couch fleoxr stretch http://www.youtube.com/watch?v=-ZX1QMTdAC4 this is an OMG for me, I am one unstretched human being.
    OMG, I want to hate this video so much because the guy is such a... I want to say douche but that might not be the right word for this forum. But I have to say that it's a good stretch and good advice, if you can get past the douchiness of it all.
    Living life like there's no tomorrow.

    http://gorgebikefitter.com/


    2007 Look Dura Ace
    2010 Custom Tonic cross with discs, SRAM
    2012 Moots YBB 2 x 10 Shimano XTR
    2014 Soma B-Side SS

  8. #8
    Join Date
    Jan 2012
    Posts
    96
    Quote Originally Posted by Wahine View Post
    OMG, I want to hate this video so much because the guy is such a... I want to say douche but that might not be the right word for this forum. But I have to say that it's a good stretch and good advice, if you can get past the douchiness of it all.
    So agree. I'm glad he's made flexibility "cool", but he is a total douche. Excellent choice of words IMO.

  9. #9
    Join Date
    May 2010
    Location
    MD
    Posts
    164
    Update on my hip flexor: doc thinks it might be a torn labrum and basically told me I'm SOL if that's the case. Said it would be time to move to "low impact" activities, although I'm only 29 and cycling is pretty darn low impact, so I wasn't real impressed with that. I'm getting an MRI in a couple of weeks and then we'll see -- if no tear, I'll go to PT, so here's hoping....

 

 

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