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Old 06-22-2012, 12:42 PM   #1
Karl Gray
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Glute/Hip pain

Curious as if anyone has any suggestions to help anything that would help a recovery. Initial injury I thought was piriformis overuse injury appx 1 year ago. Pain in right side glute and small amount of numbness for about 45 days. Once fully recovered I did a lot of core strengthening.

Approximately two months ago while power cleaning, I hurt the hip/glute - kind of a weird movement my hip went too far forward and hit the bar. Initial pain for 2-3 days was immense, but ice ibuprohen and foam rolling really seemed to help it out. Was back to crossfit in about a week. After this I mainly had full ROM and strength to do any exercises. I would have full days of activities crossfit 5x a week and not have a problem. The pain would come every morning when I would wake up or if I sat down for more than an hour and stood up, I would have to stretch it out. It did hurt to do situps - that was the only exercise that it hurt to do.

Also had a weird kind of crooked spine thing going on that would come and go - went to the chiro a few times, but it never totally went away.

So June 9 I did Crossfit for Hope, and a 5k Trail/obstacle run. When I woke up on the 10th, the glute pain was more severe and over the next couple days the numbness got worse. I went to the Dr about 9 days ago - prescribed Prednisone and Flexerol. Have been on those for that time and followed as RX. Have also been stretching/myofascial release every day to the entire lower body.

I am feeling improvement every day, just wondering if there is anything I am missing to speed along the recovery. Everything I read and the trigger points I feel point to this being piriformis injury or gluteus minimus.

Also when should I return to intense exercise? As I said I feel fine when I am up and moving around its just when I sit for a period of time and then get up.

Thanks for any advice you may be able to share.
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Old 06-23-2012, 01:45 PM   #2
Steven Low
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Re: Glute/Hip pain

Quote:
Curious as if anyone has any suggestions to help anything that would help a recovery. Initial injury I thought was piriformis overuse injury appx 1 year ago. Pain in right side glute and small amount of numbness for about 45 days. Once fully recovered I did a lot of core strengthening.

Approximately two months ago while power cleaning, I hurt the hip/glute - kind of a weird movement my hip went too far forward and hit the bar. Initial pain for 2-3 days was immense, but ice ibuprohen and foam rolling really seemed to help it out. Was back to crossfit in about a week. After this I mainly had full ROM and strength to do any exercises. I would have full days of activities crossfit 5x a week and not have a problem. The pain would come every morning when I would wake up or if I sat down for more than an hour and stood up, I would have to stretch it out. It did hurt to do situps - that was the only exercise that it hurt to do.

Also had a weird kind of crooked spine thing going on that would come and go
It sounds like you potentially slipped or rotated your SI joint.

A rotated SI joint will change the orientation of the sacrum to the pelvis, which can cause the piriformis which bridges across from the sacrum & pelvis over to the femur to seize up and get tight. This will be especially prevalent when standing or sitting when you can get the twisting/bending spine sensation when you don't have any type of scoliosis, and it can be aggravated in sit to stand movements and in flexion of the lumbar spine as it will put compression forces on the sacrum/pelvis area.

A tight piriformis, therefore, does not always indicate piriformis syndrome and can often be misdiagnosed even by professionals, not to mention laypeople.

Get yourself to a competent physical therapist or chiro.

It sounds like the chiro you went to wasn't very good if he/she didn't pick up this potential issue, especially if you mentioned the twisting spine sensations and/or if you have a leg length discrepancy or rotated pelvis from this.
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Old 06-23-2012, 02:18 PM   #3
Karl Gray
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Re: Glute/Hip pain

Yes I definitely told him and showed him the spine being crooked - had front/back pictures and was also off when I went and saw him. He only adjusted lumbar spine one way the first time and the second adjustment after inj he adjusted it both ways, but neither one fixed the orientation. The only thing that seems to straighten my spine up is to work out the trigger points.

I will definitely search for a new chiro - what should I look for so I avoid the same problem as this one? Is there a certain method of Chiro that is better than another?

Thanks for the reply. I really appreciate it and will read more about SI joint

Karl
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Old 06-24-2012, 04:12 PM   #4
Steven Low
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Re: Glute/Hip pain

It's not a certain method of chiro or anything.

It's that there's good and bad practitioners in any profession.

Check around with your friends/family to see who have had PT and if there's anyone they recommend, or call up your local sports team and see who they use.

Additionally, if you know any chiros or PTs personally you can ask them who they use when they have issues.
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Old 07-05-2012, 10:53 PM   #5
Karl Gray
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Re: Glute/Hip pain

Just to let you know I went to a spine specialist, who referred me back to a physical therapist for piriformis syndrome. The PT says that it is likely caused by lack of strength in my medius which made the piriformis work harder so currently adding adductor strength to the crossfit workout. Its amazing that about 4 days of that work has really knocked the numbness down and the muscle spasm is the lowest its been in months!

Thank you for the response. The Spine spec. said that its likely not SI because I could sit easily without pain or numbness - the numbness was from seated to standing. He said my numbness was presenting in an area consistent with L5 which is consistent from piriformis syndrome
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Old 07-14-2012, 08:05 PM   #6
Steven Low
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Re: Glute/Hip pain

Glad to hear you're doing well with the specialists

Quote:
Thank you for the response. The Spine spec. said that its likely not SI because I could sit easily without pain or numbness - the numbness was from seated to standing. He said my numbness was presenting in an area consistent with L5 which is consistent from piriformis syndrome
There are a lot of different types of SI slips and rotations and some don't hurt when sitting so it's not always going to be that way.

But yeah, it's hard to tell on the internet if certain things are issues and where...

Always best to see a professional who can check you out in particular
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