I have been building my base so that I can train for the Mini In Indy in May. I was running a 6 mile easy day when I was forced off the road and felt a little of tweak in the groin when getting back on the road. I iced skipped my next run and it wasn't to bad a little tender. For the next two weeks it gradually got worse I took a week off and tried it again but it was back again. I went to a chiropractor who also does ART therapy he worked me over and said I could run I just need to keep it iced and no hills. I ran four the next day and it started hurting at about the 3 mile mark. I did have some bruising a day or so later but I believe it is from the ART because I didn't feel any real sharp pains. I am now schedule to see a PT early next week. I feel like I am in better hands with experienced runners please share if you have any advice.
"To everything there is a season, and a time to every purpose under heaven."
An injury incurred while side-stepping off the road, that results in apparent strain in your groin that leads to burning hip pain, is most likely going to be hip adductor muscle strain. The chiro's OK to run would pretty much confirm this, except the credibility is somewhat suspect, because the use of ART therapy to address it, is in my view inappropriate to such an injury.
ART is focused on breaking up adhesions between connective tissue due to improper healing of a past injury or other overuse syndromes. It is not the right therapy for addressing a muscle strain. Whether that was the therapy actually used is not stated, but the bruising is pretty good evidence. As they say, to one with a hammer, everything's a nail. Chiros favor ART, but an adductor strain deserves more respect than that.
Most adductor muscles also serve as hip flexors, so an adductor strain, a major symptom of which is a burning sensation from groin to hip, is not well served by continuing to run. I don't know why practitioners so often feel the best approach to roughed-up connective tissue, is to rough it up some more. Ditto for any prescribed exercises. The strain was caused by exercise (hello), so they shouldn't be making you do more.
Light activity is a better option to keep adhesions from forming, but continuing to train for a target race, despite an obvious injury, is not a good idea. Sometimes, you have to know when to fold 'em, jono2013. Take a break and let this heal. There will be plenty more races down the line, that will not set you up for more therapy in the future.
Sorry about the running incident. I work in sports medicine as well as being a triathlete. I agree with the chiropractic approach of ART and continue to exercise. ART is shown to be most effective with sprains and strains. I have worked with many professional athletes who have not had the option to take a day off of work. So i agree with a limited training regimine as opposed to stopping altogether.
I am from the school of thought that a "TEAM" approach works best. I would suggest going back to the chiropractor and seeing if another session of ART would help. The pain might not be gone completely, that doesn't mean the ART didn't help. Physical therapy to strengthen/ stretch the muscle imbalances would be a good idea. Best approach is to have your practioners talk with each other so they can compliment each other.
Good luck with the upcoming season. It comes up fast!
This sounds very similar to the symptoms I recently experienced. I saw a sports chiropractor and went through two weeks of ART. When it did not improve, I had an MRI scan that revealed a stress fracture of the femoral neck. If your pain continues, seriously consider an MRI to rule out structural issues.
That stinks about your injury. I was running the Frederick HM this past May when I injured my groin during the race. I took some time off shortly thereafter to let it heal but it continued to nag me - symptoms came in the form of VERY tight hips (IT bands) and a sore groin. I researched several stretches for my hips and that helped during my runs but my groin pain persisted to the point that my 3-4 mile every-other-day runs dropped to 1-2 miles when I felt up to it.
NEW YEARS RESOLUTION: Take better care of myself - getting in to the docs when needed and not ignoring pain/persistent injuries.
I have an MRI scan scheduled for tomorrow (1-12) and am hopeful that the results will shed some light on what's going on... I also dropped my two indoor soccer teams and am hitting the stationary bike and rower in lieu of running - it's actually not a bad substitution. I just tell people I'm cross training
As for the chiro - I visited one weekly as a result of a major back injury (back seized up out of no where). Long story short, I agree wiht James Johnson as he's provided some helpful insights to my various aches and pains-related posts.
As for ART and your chiro, I won't step onto my soapbox and bore you with why I don't think chiros alone are capable of resolving your issue so I'll just say that you should really consider seeing an orthopaedist and getting an MRI. The xrays you get at your chiro are simply cursory checks and really don't identify underlying issues related to soft tissue, etc. Moreover, aside from a glaring issue, I'm not completely sold that they know exactly what they're looking at - oops, I tripped over my soapbox.
Hate to tell you this but you need to back off your running. As an avid runner I HATE having to do that but some injuries require several months away from your favorite path/trail Also be sure to seek more specialized treatment (i.e., MRI).
2011 Frederick Half 1:53:15
Thanks for the response. I have been working with a PT in regards to streching and strengthing execises for the past couple of weeks. I am still having the buring sensation off an on. The main focus from the PT involves stretching the hip and building some core strength within the hips and the transversus admonius. I am currently allowed on the eliptical and stationary bike with adding in some pool running early next week. I go back to the Ortho doctor next Friday(20th) and have been told to give running a try the night before and if I have issues the next plan is an MRI. I am a little apprehensive because of the burning sensation that I am still having. It isn't severe enough that I can't run but more of a fear of set backs if it is not ready. I am wondering if I should stick with the biking and eliptical for a couple more weeks which would still give me time to complete a training program for the mini. I was up to running 4 days a week before this occurred running basically one tempo run or intervals day, 2 low mileage easy days and a long day. Long days were ranging from 6-8 miles at about an 8:45 pace. I hate it because I just got back into running about 6 months ago and have changed everything in regards to eating and have lost 36 lbs.
Do you feel I just need to get over the fact that I am not going to be ready to train for the mini in May? I just don't know how long to expect for this to heal.
Right now I would treat running as a diagnostic tool to inform your doctors of your condition, and strongly consider backing off from your training schedule as Dave suggests, since we really don't know anything for sure until the MRI results are in.
If it turns out you have a fracture like Johnny's, you would want every bit of that training back. Some injuries don't heal right during training, and can be a source of chronic pain for years to come. Better to err on the side of caution, since there will be a lot more races where that Mini came from, but you only get one set of legs. Besides, even soft-tissue injuries can be complicated by ongoing training, when you start to develop compensations that can lead to other problems, and can be hard to unlearn.
If you have recovered from the ART treatments, your PT should be able to identify any soft tissues or muscle groups that may have been injured. They are trying their best to help you stick with your schedule, since that's what you want, but their job becomes a whole lot easier when you delay your goals until they know for sure what they are dealing with.
I was released to ease back into running and I am still in therapy. Doctor felt the MRI wasn't necessary at this point. I am not feeling it in the groin at all but a lot of tingling in my front hip and down my leg. I am basically being told to continue strengthing activities and stretches and running. So far since starting back I have done basically every otherday. I ran 1 mile three different days, 2 miles two days, 3 miles one day. I am debating on demanding the MRI any thoughts.
i presently have a slight twinge inside my upper left leg it hurts into my 3-5 mile i feel i strained it when preforming a hip-flexor strech a few days before, i am icing it now and slowing down on my miles
Grab a tennis ball, and try some self-massage to the hip flexors, using this excellent video (scroll down about 2/3 page) from Pinnacle PT as a guide...http://pinnaclept.wordpress.com/2010/04/12/self-muscle-massage-series-pt-6-anterior-hip/
If you are short on time, here's a quick view of the technique...
If in doubt about the amount of pressure you can use, seek professional care, as the article suggests.
Well I'm not sure if you can demand something - I guess you could. If you really feel that you need an MRI to effectively diagnose your problem and your current doc doesn't feel comfortable I say switch docs; although I know that's easier said than done if you are in an area with a limited number of specialists. It really also depends on how long you've been battling your various aches and pains. An MRI may be the next step if your exercies don't work. Be honest with your exercise routine so if, and when, you're still in pain and you have to go back to the docs you can honestly say that you've implemented what s/he suggested with mixed or poor results. Also keep a journal of what you're doing and the aches, pains, improvements you're seeing.
To update all with my hip/groin issue: I went for an contrast MRI a couple of weeks back, met with my doc yesterday and got the following results:
1) Sports hernia
2) Femoroacetabular Impingement (FAI) [cam]
3) Labral tear
To your point, none of these were diagnosed via a normal xray so that certainly lends credence to your thought of pushing for an MRI. I've had the sports hernia for years now - pain comes and goes. Groin pain started last May and it looks like it's more an issue of the FAI than a strained groin. ALSO, my lower back pain that I've had since late May could be tied to the FAI... Once again I'm reminded how how seemingly unrelated parts are ALL related...
Doc says full recovery time for the FAI and labral tear is 9 months (1 month on crutches, couple months of rehab) to fully participate in sports again. Per the doc, there is some proven efficacy in rehabing my hips w/o surgery but that could take 3-6 months and it doesn't work for everyone. Sports hernia procedure doesn't seem nearly as invasive and the recovery time is 4-6 weeks. Given that I just found out about all of this yesterday, I have a lot of homework to do over the next three weeks before I meet with the doc again to ask final questions and plan next steps.
Keep us updated on your progress. Hopefully this thread is helping others.
2011 Frederick Half 1:53:15
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