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Female runner pelvic and groin pain

 

Question: Female runner pelvic and groin pain

I am 39, jog 6.7 mph, 6 miles, 7 days per week. A few days ago I felt a slight pinch in my pelvic area as I ran and I pushed through it. The next day, the pinch returned, and then a very sharp pain in my left groin area. Now I am unable to run at all, walking at an incline or walking fast is very difficult. I have no pain while sitting, but putting on clothes, lifting heavy weights from the floor, and a lunge on that side are very painful.
A PT today said my hips were not aligned--one side is higher than the other. She did some rotating on the left hip, but still I cannot begin to run without severe pain.
How long will this take to heal? Do I need to see a sports doctor, or just rest and ice?

Answer:

I know how you feel. I ran the goofy challenge in Florida in January and have not been able to run since. I took two weekf off ( I know that was not enough time) and tried to run around the block. I got a sharp pain in my left groin and a very tight lower back. The pain was piercing. I took some more time off, tried to run through the pain than could not walk at all. Even getting in and out of the car or a chair hurt. I have been to many people for treatment and have been told I have a strained psoas muscle. I have tried rest, hot and cold techniques and spent tons of money and getting nowhere. I am beyond frustrated and really want to start running again. I have been told it could take months to get better or even years. Not happy with that answer. Have you found ANYTHING that is working for you?? Anyone have any suggestions??

Answer:

Have a PT fix the pelvic obliquity and try a SI belt x one month.

Answer:

Hello,
I agree with the pelvic possibly out of alignment. Runners can experience tight flexors of the hip and symptoms can show up as a pinch in the hip, groin, etc. There are nerves that lie on top of the major hip flexors and when these muscles get irritated they can present as numbness, tingling, sharp pain or weakness in the muscle. This is known as a nerve entrapment. Not normal, but very common. The tight muscle(s) needs to be released with soft tissue treatment if this is truly the cause. Active Release Technique is the gold standard in treating soft tissue injuries. To learn more about the technique and where you can find a certified ART provider I will provide a link to the website. Good luck with everything and I wish you the best. http://activereleasedoc.com/art/

Answer:

LIVE TODAY

I have been getting ART treatment for almost 2 months with no help. What is this SI belt?? I have never heard of it before. At this point of not running for EVER, I will try anything. Another other suggestions please pass them on!!

Answer:

Have you had any x-rays or scans for this problem? If you havn't then the sharp pain in the groin could posibbly be a labral tear of the hip. In my experience many 'groin pains' can be this injury and go mis-diagnosed for many years. It may be caused by Femoroacetabular-impingement (FAI). I advise anyone with debilitating groin pain to at least rule this out by seeing an orthopaedic surgeon to get an x-ray and MRi scan, as if it does go untreated, you could line yourself up for a hip replacement in the future! Hope this helps. (This injury happened to me and I beleive people should be made aware!)

Answer:

I also had a similar 'groin pain'. Origially I was diagnosed with a groin strain/sprain because the initial MRI didn't show anything. After 3 months of physical therapy my orthopaedic surgeon ordered a contrast MRI that showed a labral tear. I did some research and found that doctors have only recently been able to diagnose & treat this type of injury. Unfortunately the only way to 'fix' it is through hip arthroscopy surgery. Alex Rodrigues of the NY Yankees, Carlos Delgado of the NY Mets and Kurt Warner of the AZ Cardinals have all recently had this type of surgery done. I can now add myself to that list since I had the surgery in November, 2009 & the 'groin pain' was gone right away. It's been a slow recovery, but the doctor believes I'll be up & running again very soon. My only recommendation to anyone who plans on having this type of surgery is to research the doctor since not all orthopaedics can do it. Good luck!

Answer:

LIVE TODAY
Thanks for your advice. I have been power walking and attempted to jog little bits at a time and have no pain when doing so. NOt sure the reason for it but at least it was something. I am still going to therapy but wondering now what to do. Should strengthening be a part of my routine and if so what should I be doing?? I have to be careful as if I do too much bending my hip hurts.

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