Calling Dr. Trent... (Read 1519 times)

I'm sure Trent will need a photo to enable him to diagnose the problem. Is your name any connection with your occupation as swinging round a pole all day wouldn't help.

Thanks--and I appreciate the disclaimer. I am an athletic trainer, but can't quite seem to nail this down for myself. Somehow, fixing other people is easier Not sore on the usual suspects of ASIS, hip flexors, adductors, etc., and can't find any stretch that addresses it. Also, no change in symptoms with resistance or active motion; rather, sx increase when weight bearing is transferred from affected side to unaffected. Then it comes on strong for a while and then fades into soreness that persists. Feels better after the first couple of minutes of running, but then comes back w/ slowing/stopping. Still running, and want to stay that way! No trauma/fall/slips, or prior injury etc. Pain doesn't radiate elsewhere. Have about 1/4" leg length discrepancy--sore side is the short side. Have custom, rigid orthotics to address this. Possible that psoas issues are at the root of all of this? I'll see my orthopedist if it gets out of hand (in other words: I can't run), but I'd love suggestions to avoid it getting to that point. Already icing after activity, and sometimes 1-2 more times/day; as previously mentioned, stretching doesn't seem to impact it one way or the other. Currently running about 2 miles each MWF, biking/swimming/group fitness on at least 2 other days. Again, not getting worse...and not getting better. Definitely getting annoying, and I'd like to increase running time, but am hesitant to do so because of this. Thoughts? Suggestions? Thanks, Bethanie

SI misalignment

See a chiro regularly, as the SI issue is long-standing. Question of chicken and egg w/ leg length<-->SI...with heel lift in, adjustments to the SI last much longer, and the SI almost becomes a non-issue. But what throws the SI out of whack? Slight anatomical LLD causing SI dysfunction leading to functional LLD....which masks the anatomical LLD? Or other issues causing SI dysfunction and therby causing functional LLD? In a pt. in my office, this would be the question I would investigate, just hard to check out on myself. Only so much gait analysis one can do on self while running. Differential of ligamentitis v. iliopsoas bursitis v. psoas tightness/weakness triggering everything? Or all of the above? </-->

Pain is locally tender right on the pubic ramus, approx. midway between symphysis and the acetabulum. Soreness goes deeper and I can't pinpoint, but goes superior. Last night I stepped down off a city bus, affected side first, and found out that hurt. A lot. That last step down to the street was a long way, and was a doozy. But then the pain subsided, following the pattern as before. I'll call for an appt tomorrow. Thanks so much for your help. Bethanie

Stress fx??? Or could be a stress reaction. Certainly MRI or CT scan would rule this out??? The fact that it goes away with running makes me think it is a soft tissue issue maybe?

Saw my DO today (who just ran a HM), and XRays were normal, but we are still suspecting possible stress Fx of the pubic ramus. Dang. I really wanted to be wrong on this dx. She agrees that this seems to be linked with the whole SI/leg length issue, and that we want to fix that and see how that impacts the bony reaction. So, I'm going to PT and avoiding exacerbating activities, and will do a bone scan if things don't change pretty quickly here. We discussed doing the bone scan this week, but agreed to wait to see how it responds to PT. Thanks again for your feedback! Bethanie