Yes . . . and unfortunately an MRI can show something that would appear and/or has been proven to be the source of pain when in fact you have no pain.The back is such a complicated design of nerve roots, maybe worth getting imaging if this doesn't resolve. And even imaging unfortunately show a segmental view of your back in a specific period. But it can be a helpful tool
Yes . . . and unfortunately an MRI can show something that would appear and/or has been proven to be the source of pain when in fact you have no pain.
And conversely an MRI can show ‘nothing’ while you struggle to even walk in the door.
Its like a ouija board; it can fuck with your head.
But you gotta start somewhere.
Yeah, it's coming from the ischial tuberosity, where the adductor Magnus originates.Where exactly is your pain ? Can you draw it on a human anatomy photo. Sounds like you are describing the pain at the glute ham tie in?
Sounds like you have some FAI. It could be possible the glute on that side is super tight causing the adductor to grab in deep hip flexion. It's not just the soft tissue that would need to be addressed but the pattern that the muscles are firing off at. What state are you in?So I have an odd “injury“. I use the quotation marks because I don’t remember any acute event that led to what I’m experiencing. At first I thought it was glutes and then I thought it was hamstring underneath the glutes but after analyzing where and when and how it hurts, I’ve come to the conclusion (along with my PT/chiro) that is the adductor magnus. It’s the one adductor that assists in hip extension, and that’s where my pain is. Squats, leg presses, RDLs… anything like that causes severe pain. I feel like someone has a knife and is jamming it into my ass on both sides (both adductors are experiencing this).
I’ve tried everything. Therapy, dry needling, stretching, not doing any type of pressing or hip hinging movements for the last eight weeks. I have basically been maintaining leg size with only leg extensions and curls… Frustrating to say the least!
But here’s the weird thing: the pain comes and goes. It’s not constant except for when it’s constant. I’ll wake up some days and there is no pain whatsoever. I can walk up and down stairs, I can move around lean over everything… All with no pain.
Other days, everything from the simple act of walking on an uphill grade to trying to walk upstairs is extremely painful.
Obviously, when I’m doing exercise that directly impacts these particular muscles, there is pain. I noticed when I tried presses with occlusion training, the pain abates temporarily. I noticed when I have done flossing on the area of the pain is reduced. The other thing that I noticed is, due to the nature of my work (large territory medical sales) I sometimes find myself in the car in a seated position for long periods of time, up to three hours. It is particularly painful after long periods of sitting. I experience the same thing after sitting for a couple of hours to do my biweekly podcast.
So that’s pretty much everything I can think to describe it. Has anyone experienced anything like this?
If you have, what have you done to fix it?
I just don’t know what to do. I’ve pretty much reached the point where I’m just going to say “fuck it“ and use some kind of pressure, be it occlusion or flossing, where the hamstring runs underneath the glute, to alleviate the pain long enough to allow me to train.
Oh, BPC doesn’t do jack for me, neither does TB 500, I even tried pentosan… Nothing.
So if anyone has any suggestions, I’m wide open!
Glad you are on the right path and on the mend.OK, so a bit of a general update…
First of all, I have to make a correction. Earlier in the thread, I said that my hips are in great shape. When I talked to my chiro about it, he said that he should have been more specific… My pelvis and hip joints are in great shape, but we were going to test for some tightness and some of the muscles around the hip.
When I went to see my Chiropractor/PT on Saturday. We spent a long time discussing what was going on and he put me through a battery of pushing and pulling and manipulating my hips and testing different movements and ranges of motion and, short of having an MRI done, he believes that the problem is an inflamed quadratus femoris.
I have a lot of tightness in my piriformis & psoas and there’s just a lot of internal fighting for dominance going on internally.
He said that hip tightness, and imbalances in any of the anterior or posterior muscles could lead to inflammation there, and would definitely refer pain where I’m feeling it.
He gave me a set of exercises to perform while also working on overall mobility… so I’m on the floor like an idiot twice a day with my dogs trying to use me as a jungle gym!
I’m going to try to attach screen captures of the movements. The two exercises that I’m attaching actually gave me immediate relief. I’m talking IMMEDIATE.
That first movement is with the band around my leg, just below the glute, simply hip extending against the tension. Only about a 6" ROM.
The second one is a banded bird-dog type movement.
So I will be doing these multiple times per day while I work on my mobility a couple of times a day with some more intense stretching and using that gow-awful uncomfortable pso-rite!
North CarolinaSounds like you have some FAI. It could be possible the glute on that side is super tight causing the adductor to grab in deep hip flexion. It's not just the soft tissue that would need to be addressed but the pattern that the muscles are firing off at. What state are you in?
Sorry, I neglected to mention I’m going to have that done too. In fact, there’s someone that works in my chiropractor’s office that does that so we’re (my wife and I) both going to start having that as well as a deep tissue and active release done.Glad you are on the right path and on the mend.
I still stand behind the trigger point massage. Not fun, very painful but worth every minute. Like I said, it was a game changer for me. Months and months of PT helped but the trigger point deep tissue massage turned the corner for me. I have never looked back. But . . . like all ‘things’ you gotta get the right person.
Sent you a message.North Carolina
And what is FAI?