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Debilitating Hip Pain

Jueves, 29 Noviembre 2012 00:00   |   Escrito por 
Alexander Hevia

My first experience of the debilitating pain was on Thursday, May 31st, 2012. As soon as I had fully cooled down from training at home, after taking a shower and eating dinner, I noticed significant pain coming from my left leg’s groin area when I stood up.  I had to limp, since applying any pressure onto the leg was very painful. I proceeded to treat it that night by irradiating a point on my groin with the Delta’s medical terminal at 5Hz for 2 minutes and at 50Hz for 3 minutes. I also did the hip joint arthritis treatment.  I continued to do these treatments over the weekend.

The problem was that I had torn my hip labrum, and from the experience I share below, hip labral tears can become very serious when not properly taken care of from the onset. The warnings were there. For example, halfway through my track season I already started to feel an uncomfortable sensation around my left leg’s groin muscle. I didn't always feel it, and anyway after warming up the sensation would be unnoticeable. Because of this, I wasn’t initially concerned about the discomfort. Another symptom I ignored was when my left hip would catch sometimes during my post practice hip stretches. This was very painful causing me to immediately move out of that particular stretching position.

These were some of the initial warning signs I just shrugged off as I continued to push forward to reach my season’s peak performance shape. With hindsight, as soon as I noticed these symptoms I should have taken proper remedial steps with the Delta Laser’s hip joint treatment. The result is that I have now been off the track for two weeks.

By Monday, June 4th, I was feeling much better, so I decided to give the hip a try at practice. Bad idea! I don’t know about you, but I am a stubborn athlete, especially when a major competition is coming up and I want to perform at my best. So, after the warm-up run, (where I felt stiffness in my hip), track drills and stretching, I finished a moderate-paced 600m in 1:44, (I pushed through it even though the first steps were tight on my hip). Then I did a 400m in 61 seconds, (by this time I was running with no discomfort), 3x150m averaging 18 seconds each, and after that I was supposed to do 4x200m - but by the second 200 I limped in. Starting somewhere around the earlier 2nd 150m effort, it felt like the head of my femur bone was grinding against the acetabulum.  My hip felt like it needed oil!  I knew once I got home and when all the endorphins had dissipated I was going to pay for my stubbornness! My earlier labral tear seemed minor compared to this one; later on that evening I was crawling against the wall just to support my weight when walking. The entire hip area was on fire and sleeping was very uncomfortable for the next three nights.   

I had started off with a minor labral tear and then turned it into something more severe. There aren’t many effective non-invasive treatments for labral tears, as the common approaches range from over-the-counter medications to arthroscopic hip surgery. The average repair time for many people after arthroscopic hip surgery is between 4 to 6 months.

I am writing this on Monday, June 18th, and today I did my morning Tai Chi joint loosening exercises and Form training. I also did 13 miles on a bike to the track, doing walking track drills (e.g. A and B skip without the skip, LOL!), core exercises, and I rode back the same distance.  I am now 60% better!

From the 31st of May, I did different daily coMra treatments to support my body back to health. The 2 I found most supportive for my specific condition were Universal 3 and also the hip joint arthritis treatment from the Delta Laser User Guide. Without having to take harmful over-the-counter medications, injections of corticosteroids, expensive physical therapy sessions, and/or arthroscopic hip surgery, I am well on my way back to running. My coMra treatments are free from any side-effects and all of them were done within the comfort and privacy of my own home. As a recommendation for range of motion exercises, you can find a local qualified Tai Chi or yoga instructor, where you can gain experience in learning range of motion movements that can be practiced anywhere and at anytime.


 


 

Follow-up on my Hip Joint Injury progress:

Note: I continued doing the hip joint arthritis treatment, and sometimes UNI 3 when my hip felt tight, restrictive and stale, all the while training in the way I will describe below.

I started weight training on June 29th of this year to work on isolating my legs and focus on the stabilizing muscles of the injured leg. My first run back was on the 3rd day of July, and here I did an easy 800M warm-up run and a slow mile at 9:35. My hip was still restrictive and I compensated, not wanting to put too much pressure on the joint complex. By the 11th of July, I was feeling ready for another try and after a mile warm-up I ran 2.33 miles in 17:09.  I walked my 800M cool-down as I could tell that I might have pushed too soon.

And this was exactly what turned out. Because I am working closely and intensely with coMra-Therapy in my training, I felt at liberty to try and see how far I could push as soon as possible. However, I would recommend others treating similar joint issues to make sure that they only gradually increase their workloads, and not to attempt to push themselves hard until they know 100% that they are fully healed.  

After this last set-back, I waited until I did not even notice that I had an injury in the first place. This wasn’t until the 27th of August, where I ran 2 miles straight without feeling any pain, resistance or tightness. And one thing I noticed while stretching on this day is that I didn’t lose an inch of range of motion. Two days later, I decided to run an all out fast 2.2 miles. There was no issue during the run, but while stretching I could feel a uncomfortable movement, so my run back over the same distance, as a cool-down, was done easy, so as not to worsen any damage already done.

I suffered other set-backs after this day, but each set-back was less intense, meaning that I didn’t have a painful limp and it didn’t last as long as before. September 3rd, I did 3 miles, feeling weakness and resistance, but was able to run. Two days later, I did 5.5 miles at a slow pace with a strong stale sensation while running, and I was definitely compensating. Needing to take some time off running I didn’t return until the 17th of September. (Mind you, during this whole time I continued weight training, worked extensively on my core, swam, rode bike and did various Tai Chi movements). 

On the 17th, I decided to run barefoot on an infield of a track, doing a 1 mile warm-up, 2 miles of figure eights and a mile cool-down. This day was the turning point, as now my injury wasn’t restricting me from running. Before, during my set-backs, I would develop a limp, but now the pain wasn’t restrictive; just uncomfortable. I did this same regimen 3 days later on the 20th, and on the 23rd I warmed-up with an 800M, did some dynamic drills and pushed hard for 3 miles, barefoot. I did feel some resistance in my hip after this week, and as I was traveling and representing RLT in the Berlin Vital event that is featured around the Berlin marathon, I took time off.

On the 4th of October, I started my training program again and on the 13th, competed in my first 5K in over 6 years. I was happy to finish in 21’20” and I look forward to my progress from here on. Over and above the hip joint arthritis treatments I was doing throughout, I sometimes did the knee joint treatment for a day or two when the leg extensions and leg presses would tighten up my right knee.

I am very happy to say that I am now officially again running at high intensities.


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  • Viernes, 22 Junio 2012 19:07   |   publicado por Alexander Hevia
    Alexander Hevia

    @Andres Thank you for your well wishes! I am feeling much better since this Monday, the improvement is almost exponential.

    To answer your question, I spent hours each day, after June 4th, researching and comparing my symptoms to the various hip conditions that I felt could have been the culprit. Out of the 3 that seemed most likely (i.e. a hip stress fracture, osteoarthritis of the hip joint, and labral tear) my symptoms closely matched a severe labral tear. In retrospect, those warning signs I share in the post looks like I could have been impinging my hip all the while and my first major experience with having to take remedial steps, the night of May 31st, was probably when I tore it beyond a functioning point. After pushing through my practice on that Monday, I feel I might have damaged other important anatomical parts as the hip labrum plays a role in limiting expression of fluid from the joint space as well as containing the femoral head from extreme ranges of motion.

    From my research, diagnosing hip pain conditions can be quite difficult even with modern imaging techniques. With the exception of hip arthroscopy, but as it is an invasive procedure it wasn't an immediate option for me. All that really matters to me is that I am improving and rapidly so! :) I will do a follow up post once I am 100% running my intensive efforts again.

  • Jueves, 21 Junio 2012 21:39   |   publicado por Andres
    Andres

    Alexander, impressive story! hope you get your 100% soon!

    I'm wondering how did you realized that you had specifically a hip labral tear?

Sobre el autor:

From the age of 5 up to my present age of 31 I have always competed in sports. One of my greatest joys has been exploring the limits my heart, mind and body reaches while living in the moment of competition. Out of all the sports, my favourite was and still is Track & Field, and I presently compete in running the 400 meter dash in the open and sub-masters divisions. Using coMra-Therapy to maintain homeostasis during training and having first-hand experience of treating strained muscles, joint issues, shin splints, and many more conditions has shown me time and time again that the Delta Laser is an invaluable support for all athletes.