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xeladragon
11-12-2013, 01:51 PM
Not sure if this thread belongs here or in the Bike Fit sub-forum, but here we go...

Before I make an appointment with my PCP to get a referral to see a PT who may or may not be able to help (I've previously seen a PT for shoulder issues, and unfortunately, it was a waste of my time), I thought I'd pick the brains of my fellow cyclists, some of whom have probably experienced and conquered the same hip mobility issue I'm dealing with now.

Basically, I'm having issues with left hip mobility; I've had this problem for quite some time now, and no amount of strength training or stretching has helped (although it's quite possible that I'm not doing the correct exercises/stretches to target the problem area). If I'm sitting down, leaning back slightly (let's say torso at 45 degrees), then raise my knees towards my chest (thighs remaining parallel with one another), my left knee stops about 1.5" farther away than my right knee. My self-diagnosis is that it's probably a tight hip flexor? The psoas maybe? In this same seated position, if I use my arms to forcefully pull my left knee towards my chest, then I definitely feel some impingement in the inner hip/outer groin area. Also, if I'm doing a basic squat -- feet angled a few degrees outward, knees tracking over my feet -- then my left hip has the same ROM as my right. So yeah… this is only an issue when I'm keeping my knees in and thighs parallel, which, of course, affects my ability to ride!

Has anyone else had this issue? If so, how were you able to fix it? Help greatly appreciated. Thanks!!

Bkat
11-12-2013, 04:24 PM
Are you experiencing any pain? Or does it just feel "tight" which would account for the mobility issue?

cachagua
11-12-2013, 05:19 PM
Do you know the runner's stretch called the hurdle? My running coach years ago taught me that one for groin/hamstring/glute flexibility. If you're already doing it and it's no help, well that's that, but if you want to try it I'm sure there are diagrams somewhere online. Or I can describe what I do if you want.

merlincustom1
11-12-2013, 06:34 PM
Get an x-ray. Limited ramge of motion could be arthritis.

Fixed
11-12-2013, 07:04 PM
Lay on the floor on your back bring Knees to chest on an exhale you can use hands to help ,extend leg on the inhale with feet up so your are in an L position go slow with a deep breath repeat for eight slow long deep breaths through rhe nose .
Try this see if it helps after 40 days remember to go slowly breath and relax .
Cheers

nrs5000
11-12-2013, 07:18 PM
I recently had a few one on one pilates sessions focusing on mat work and got a number of good exercises that helped with my hip range of motion, loosening psoas and IT band, and the like. Now I have a few effective exercises I can do at home to keep things working right. Might be worth looking into.

xeladragon
11-12-2013, 07:19 PM
Pulling my knee to my chest, the pain/tightness is fairly minimal. When I then also start to pull my knee cross-body, the pain/tightness increases. If I had to describe the sensation as pain or tightness, I guess I'd go with pain. It doesn't feel like something that stretching alone would fix.

I already do the hurdle stretch. Thanks!

Gonna go see my PCP on Friday... maybe get an X-ray then.

oddsaabs
11-12-2013, 07:44 PM
You seem to be describing the test we use to evaluate patients for an anterior hip labrum tear, or anterior capsule injury. You might be best served to seek out an evaluation with a sports medicine Dr. (MD or DC) to rule in/out an injury to these structures. Quite easily diagnosed by someone who knows what their looking for and equally easily treated either with conservative care or surgical intervention if necessary.

xeladragon
11-12-2013, 08:28 PM
You seem to be describing the test we use to evaluate patients for an anterior hip labrum tear, or anterior capsule injury. You might be best served to seek out an evaluation with a sports medicine Dr. (MD or DC) to rule in/out an injury to these structures. Quite easily diagnosed by someone who knows what their looking for and equally easily treated either with conservative care or surgical intervention if necessary.

Thanks for this. After doing some additional reading, it could definitely be a hip labral tear.

John H.
11-12-2013, 08:44 PM
Google FAI hip or FAI hip surgery.
FAI is super common in aging athletes.
PJN, Firerescufin, and I have all had that surgery.

firerescuefin
11-12-2013, 08:51 PM
http://forums.thepaceline.net/showthread.php?t=87812&highlight=Fai

xeladragon
11-12-2013, 09:20 PM
http://forums.thepaceline.net/showthread.php?t=87812&highlight=Fai

I remember reading that thread a while ago but completely forgot about it. Thanks! Anyone know/recommend a hip specialist in Boston?