Hip Socket Pain After Seated Rows - Anybody else experience this?

[Bio]

I agree with everything you're saying.



Were you able to recover to 100% after the tear?


This all did start when I started hitting PRs. Good point, I actually forgot about that. What is SI issue? Im not familiar with that term.

Yeah, I recovered. Did some PT and then just watched what I did and avoided things that put pressure on that area.

 

[TrippplePPP]

Where exactly on your body do you hurt? The front, side, back of the hip area? Does the pain travel anywhere?

Hip socket issue usually presents a front of groin and front of thigh close to the groin. The hip joint gets pissed when you internally rotate the femur or turn the position of your leg with toe posted toward your center line. When you do seated rows you squat to get the bar with your leg externally rotated. One thing comes to mind is getting into position you must extend your spine under a load to get into position to do the row. Most can row more weight than we can extend our spine in that position so it can overload your spine in an awkward position. So I also wonder if its your spine barking rather than your hip. I agree with those above who say see an orthopedic doctor over your PCP unless your PCP visit is required by insurance to see the orthopedic.

 

[Hyperemia]

I obviously am struggling this AM with the advanced technology of posting messages on a forum haha
Yeah, that sounds like could be an actual hip joint problem. If you could palpate it on the lateral aspect of your hip then its not the joint. Feeling it in the groin or "within" like you're describing is consistent with the actual joint. Doesn't sound like SI but sometimes assessing that whole region can reveal subtle problems that could be contributing to the main symptom you are experiencing

Does it bother you at night? Like sleeping? From what I've read that can be classic for labrum tears, shoulder or hip

The first day I felt the pain, it wasn't major, but I could feel something was wrong. Didn't really inhibit me at all but I got slight discomfort when I stepped on that side. The next day pain exploded in the hip and my lower back. I actually screamed getting out of bed and my heart was racing. It was brutal. I decided to take time off the gym and let things heal. Eventually things got better, but I still felt a little sore in the hip area. Ended up going back to the gym and was fine until back day. Pain returned, but just to the hip. I eventually figured out it was the cable row that was inciting the pain so ive laid off that til now.

I am going through some bad issues with my hips. I hope you start feeling better soon. I know how annoying it is and I was in constant pain but mine have improved. Hopefully we are both gtg soon.

Thank Elvia and i'm sorry to hear that. Do you know how you injured it?

Where exactly on your body do you hurt? The front, side, back of the hip area? Does the pain travel anywhere?

Hip socket issue usually presents a front of groin and front of thigh close to the groin. The hip joint gets pissed when you internally rotate the femur or turn the position of your leg with toe posted toward your center line. When you do seated rows you squat to get the bar with your leg externally rotated. One thing comes to mind is getting into position you must extend your spine under a load to get into position to do the row. Most can row more weight than we can extend our spine in that position so it can overload your spine in an awkward position. So I also wonder if its your spine barking rather than your hip. I agree with those above who say see an orthopedic doctor over your PCP unless your PCP visit is required by insurance to see the orthopedic.

It feels internal but if I had to narrow it down id say mostly back and side. Initially the pain traveled up to my lower back, but that went away after the first week or so. Ive got to see my primary care first. I picked the earliest time I could and that unfortunately is a video visit. Im going to try and get my primary care to order imaging tomorrow and go from there.

 

[Fa Seeshus]

Sounds goofy as shit, but Victor Martinez would put something like a 40lb DB on the bench and sit on that while doing his cable rows. It does give you a more comfortable angle.

 

[Hyperemia]

I had to go get an X-ray before they send me off to a specialist. Radio imaging is next and waiting to make an appt with the specialist.

This was on the notes of the X-Ray

Ill-defined 3.4 cm sclerotic density with central lucency proximal right femur.

Dr Google keeps popping up Tumors when I searched those terms. Not getting worked up yet until we get better imaging and I see a specialist.

 

[TrippplePPP]

Give the whole report. Not just that. But that could also be nothing like a hemangioma in the bone.

 

[Hyperemia]

Give the whole report. Not just that. But that could also be nothing like a hemangioma in the bone.

It’s the only thing noteworthy so far. They told me to come back in right away for more imaging of the femur. Just did that. This is the full report below. Don’t have the report of the follow up imaging yet. Primary care sent referral to Ortho already, so hopefully will get some answers soon.

Normal hip.

Ill-defined 3.4 cm sclerotic density with central lucency proximal right femur. Consider right femur radiograph for further characterization.

Arthritis score: No arthritis (Tonnis O).

Action required. +

XRAY RIGHT HIP

** HISTORY **:

PAIN WITHOUT TRAUMA

** TECHNIQUE **:

1 view of the right hip and 1 view of the pelvis acquired.

COMPARISON: None available.

** FINDINGS **:

No acute fracture or dislocation.

No significant degenerative changes.

Ill-defined 3.4 cm sclerotic density with central lucency proximal right femur.

 

[Pheedno]

sclerotic density are areas of hardened bone tissue. it can be malignant but very rare and they are more common in heavy load trainees. I've got a couple in the hips.
Looks like this is good news so far. As long as it's not a spinal issue then you're probably looking at soft tissue repair. My bet is still on an imbalance that inhibits hip external or internal rotation or a tightened hip capsule. Do you lean forward to create more stretch with the cable rows? Do you freeweight squat still?

 

[Hyperemia]

sclerotic density are areas of hardened bone tissue. it can be malignant but very rare and they are more common in heavy load trainees. I've got a couple in the hips.
Looks like this is good news so far. As long as it's not a spinal issue then you're probably looking at soft tissue repair. My bet is still on an imbalance that inhibits hip external or internal rotation or a tightened hip capsule. Do you lean forward to create more stretch with the cable rows? Do you freeweight squat still?

While I might not lean forward on the stretch side of the row, I’m definitely not 100% perpendicular to the seat either. I had to give up squats after I was hit by a car on my road bike. It wrecked my knees.

While seeing this stuff on the X-ray is far from what I expected, it’s not the worse outcome. Not looking forward to another surgery but it is what it is. We’ll see what Ortho says and go from there. I’m waiting on a call for the MRI now, probably hear something on Monday.

 

[Hyperemia]

Report of the femur imaging.

Somewhat ill-defined lucent and sclerotic lesion involving the proximal right femoral diaphysis. This is a nonspecific finding. A partially ossified fibroxanthoma could have this appearance. An aggressive lesion is considered less likely but not excluded. Recommend MRI of the proximal femur with and without contrast for further evaluation.

Action required. +

XRAY RIGHT FEMUR

** HISTORY **:
Sclerotic density noted on right hip Xray

** TECHNIQUE **:
2 view(s) of the right femur acquired.

COMPARISON: Radiographs 8/4/2023, 12/2/2006

** FINDINGS **

No acute fracture or dislocation.

Somewhat ill-defined lucent and sclerotic lesion involving the proximal femoral diaphysis measuring 3.5 cm in greatest dimension. There is posterior endosteal scalloping secondary to the lucent portion of the lesion. No evidence of periosteal reaction, cortical disruption or associated soft tissue lesion.

 

[Hyperemia]

An Update. 2 things.

1) Pain is coming from a torn labrum, which explains why the pain felt internal and not on the exterior. Have an appointment with the Ortho Surgeon next month. They were going to get me in within a few weeks but I decided to hold off a little longer for a specific ortho surgeon. I was able to be placed near the top of the list. He's got a waitlist of hundreds and people fly in from all over the country to have him operate. Im sure any board certified surgeon would have been fine but why not go with one of the best if able?

2) The lesion is a benign tumor. Not what I hoped for but definitely better than it being malignant, so thats a win in my book. I don't have any prior imaging that the lesion can be compared to, so we don't know if its been there 20 years or 20 days. Right now it's a wait and see situation. We want to see if it's growing or if its stagnant. The concern is that if it's growing it can quickly compromise the integrity of the femur and lead to larger complications. The plan is to have imaging done in 3 months, 6 months, followed by yearly imaging moving forward. If there's any sign of growth, we'll be moving swiftly with surgery to remove it.

So I'm actually happy I tore my labrum, as strange as that sounds, otherwise I wouldn't know about the tumor and wouldn't have been keeping an eye on it.

 

[qbkilla]

An Update. 2 things.

1) Pain is coming from a torn labrum, which explains why the pain felt internal and not on the exterior. Have an appointment with the Ortho Surgeon next month. They were going to get me in within a few weeks but I decided to hold off a little longer for a specific ortho surgeon. I was able to be placed near the top of the list. He's got a waitlist of hundreds and people fly in from all over the country to have him operate. Im sure any board certified surgeon would have been fine but why not go with one of the best if able?

2) The lesion is a benign tumor. Not what I hoped for but definitely better than it being malignant, so thats a win in my book. I don't have any prior imaging that the lesion can be compared to, so we don't know if its been there 20 years or 20 days. Right now it's a wait and see situation. We want to see if it's growing or if its stagnant. The concern is that if it's growing it can quickly compromise the integrity of the femur and lead to larger complications. The plan is to have imaging done in 3 months, 6 months, followed by yearly imaging moving forward. If there's any sign of growth, we'll be moving swiftly with surgery to remove it.

So I'm actually happy I tore my labrum, as strange as that sounds, otherwise I wouldn't know about the tumor and wouldn't have been keeping an eye on it.

Damn that's what I thought it may be, labrum, more common in the shoulder. He definitely recommended surgery vs trying pt first? I had a small shoulder labrum tear but was reccomend or as the recovery is quite long and no blood flows into a labrum, glad I chose pt they strengthened everything around it so no surgery needed.

 

[Hyperemia]

Damn that's what I thought it may be, labrum, more common in the shoulder. He definitely recommended surgery vs trying pt first? I had a small shoulder labrum tear but was reccomend or as the recovery is quite long and no blood flows into a labrum, glad I chose pt they strengthened everything around it so no surgery needed.

The Radiologist and Ortho PA is recommending surgery. I’ll be starting PT shortly while we wait for my appt with the surgeon, we’ll see what he says. I was told healing is a little tricky with the hip labrum because it’s tough to keep stress off of it. I’m hoping some PT will be enough but I’m not too stressed on the surgery as I hear it’s a fairly simple arthroscopic procedure.