Elitetrack: Sport Training & Conditioning

I have had pain in my hip flexors/abs for about one year now. I think it came because of overuse. Pain has not been too bad, but now during more intense training it has became worse. I have tried one week off without good results. I have much pain when sprinting and espesially sit ups. Also painful to do a knee lift. Squatting feels ok.

Pain is on both side on my lower abs, but more on one side. Pain is starting just under spina illiaca anterior superior and goes medial.

Does anyone know how to get rid of the pain? I cant afford a pfhysitherapist.
I have quitted sit ups, because it too painful.

I have been having pain in my hip for about one year now.
the pain has not been intense, but always been there limiting my top speed and training joy.

The pain is very close to the pubic area. Maybe its the piriformis muscle? Its not that painful to flex in the hip, but doing a adduction is quite painful.
easy jogging doesent hurt that much, but painful with full sprints. I think its a overuse injury that maybe have turn into a chronical state. I am very stiff in my hips so I have started to strech out every day. espesially the hip flexors.
I have also tried some self massage of the area.

I have now taken 3 weeks off, but with only minor improvements. I think I might need to go to get some treatment.

Do you know what this injury is? And how I can get rid of it?

piriformis is in your butt.  not that.

does it hurt doing a traditional hip flexor stretch?  how about when you do an adductor stretch (like a side squat)?  pain or just really tight?

yes hip flexor stretch is painful. Adductor strech is not painful but I am really thight in the adductors.
I also have most pain when accelerating, less pain after reaching to speed. squats and sit ups also painful

If it’s still pain after a year I would definitely go see someone.  Where are you located?  Does it hurt more if you do a hip flexor stretch with your back leg out to the side a bit (abducted) and rotated inward?

It’s hard to diagnose online because you say “Its not that painful to flex in the hip, but doing a adduction is quite painful. “ then say “hip flexor stretch is painful. Adductor strech is not painful”.

If a treatment sounds expensive, it’s really not considering the duration of your pains not to mention the money most young people spend anyway on unnecessary things.

I live in europe.

“Does it hurt more if you do a hip flexor stretch with your back leg out to the side a bit (abducted) and rotated inward?“

Yes!

I meant that its painful when using my adductor muscles to do a adduction. Stretching is not painful, but when I try to do a adduction with my leg against a resistance (my hand) its painful.

Yes I will strongly consider treatment but I need to know that they have knowledge about athletes injuries. I dont trust all PT that they know about sports injuries.

Again it’s hard to say.  Could be obturator externus or sartorius.  If the injury is deep (obturator) it will be more difficult to treat.  Definitely need someone who knows sports injuries.  Try to ask around for a good reference.  I would try to help find someone but “Europe” is a rather big place

when I do the adduction against a resistance its feels like the pain is deep inside. I will try some forums here. I am from Norway.

Can it be sports hernia? my symptoms are the same. pain in lower abdominals, espesially hurtful to sneeze/cough.

Possibly.  “Sports hernia” is often the diagnosis when know one knows specifically what the hell the problem is

I was diagnosed for hernia today. The PT was very sure about it.

mortac8 - 27 July 2008 04:13 PM

Possibly.  “Sports hernia” is often the diagnosis when know one knows specifically what the hell the problem is

I’ve noticed the exact same thing. And what’s worse, the “sports hernia” is becoming more and more prevalent.

Taake-
Where’s the site of the hernia and what are the docs recommending you do? Any family history of hernia?

The hernia i located on the lower part on my left side abdominal. close to my bladder. PT said its not dangerous to train hard. He said it will not get worse. Is this really true?

He said if I am serious about training I should do the surgery. I have not been to a doc. I went to a PT with 2 years additional education (master) He has also been to seminar with Gilmore, so I guess he have some clue about this I hope. He did som palpation tests and was quite sure.

But the dilemma is this. this clinic I was on is private. So very expensive. The PT said only 2 people in my country do this surgery so he recomended me one. Isnt that abit weird? only 2 person that can do this surgery?
If I take the surgery at a private clinic, the waiting time will be short 1-2 weeks maybe. But price will be around 2300 dollars. If I take the surgery at a “state” hospital it will be free, but waiting time maybe 6 months!!

So I must choose between these 2 options. Frustrating.
It possible for me to train almost as normal, but my speed sessions suffer because of the pain. So maybe I will just train to keep my shape untill I can get the free operation. not sure.

One of my guys had the term ‘sports hernia’ thrown at him.  We basically ignored all the surgical recommendations and he went on to improve by about almost foot in the LJ with the groin pain being ever-present.

That being said, if it is severely affecting your training, then maybe look into more aggressive treatment options.  Not to say your PT is like this, but a lot of clinics love surgery because surgery = $$$$$.  Remember that successful groin/hernia surgery is far from guaranteed.

“clinics love surgery because surgery = $$$$$“
Yes I got that impression.

Problem is mostly pain, and hard to run fast on speed session because of the pain. Also Its hard to do strength training for the legs. Is there anything I can do bymyselfes to heal the pain/groin or whatever it is? Rest? massage, strengthening of the core?

I read that the it was a high success rate for sports hernia surgery. 95%.