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  1. #1
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    Major problem / Symptomatic Areas

    Lumbar, Spine - Posterior

    Hip, Groin, Pelvis - Anterior - Right

    Very rotated pelvis post surgery. severe muscle imbalances

    Physical Agents In Rehabilitation
    had a labral tear surgery 3 years ago. I was a powerlifter and very good all around athlete. im 25 now. The operated leg never became 100% barely even 50%. my symptoms are this.

    Left leg (the non operated leg) severe tight/strong/overactive TFL. With very weak glute. And have virtually 0 external rotation in that leg.

    right leg ( the operated leg ) very weak tfl, slight pain/discomfort during straight leg raise. strong glute great mobility.

    si joint pain in both sides of my back. and noticeable trunk rotation during hip hinging.

    seems pretty obvious. tissue work on tfl. strengthen glute. on my left leg. and tfl work and tissue work on glute for my right leg. combined with core work should balance out no? The tfl on my left leg is almost 2-3x the size of the tfl on my right leg. will more glute strengthening improve the external rotation of my left hip?

    I am seeing a hip specialist therapist soon. my insurance isnt the best so it isnt too ez

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  2. #2
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    Re: Very rotated pelvis post surgery. severe muscle imbalances

    Hey!

    Sorry to hear about your issues!

    First off, how have you come to the conclusion that the TFL is weak/strong and that the glutes are weak/strong? Are we talking glute max or med/min? You seem to know what your’e talking about about so I won’t elaborate but feel free to ask q’s of what I mean!

    What type of work have you been doing with you’re glutes? Having been a powerlifter I find it hard to believe that the lack of external rotation in the left (non operated) leg is due to glute weakness. More likely a severe tightness in the TFL or some type of ”mechanical” issue.

    /Eric
    www.nordicathletics.com


  3. #3
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    Re: Very rotated pelvis post surgery. severe muscle imbalances

    Quote Originally Posted by Nordic Athletics View Post
    Hey!

    Sorry to hear about your issues!

    First off, how have you come to the conclusion that the TFL is weak/strong and that the glutes are weak/strong? Are we talking glute max or med/min? You seem to know what your’e talking about about so I won’t elaborate but feel free to ask q’s of what I mean!

    What type of work have you been doing with you’re glutes? Having been a powerlifter I find it hard to believe that the lack of external rotation in the left (non operated) leg is due to glute weakness. More likely a severe tightness in the TFL or some type of ”mechanical” issue.

    /Eric
    www.nordicathletics.com
    Well the noticable size difference in tfls, as well as glutes. And im referring to glute med.
    Tfl on the left side is chronic in ache/tight and sore, any rotation of my leg forces a TFL contraction. And what ive been doing is serious TFL tissue work. And leg extension and 1 legged deadlifts with kettle bettle as well as monster band walks. The weak TFL is noticeable cause there is next to no TFL contraction on external and internal rotation of my leg. Doing weight internal rotation movements, Very controlled leg press pushing through heel as well as quad work is helping the weaker TFL. All in all i feel much better, But im guessing years of being in this situation will take more than a week to sort out


  4. #4
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    Re: Very rotated pelvis post surgery. severe muscle imbalances

    Quote Originally Posted by raze1225 View Post
    Well the noticable size difference in tfls, as well as glutes. And im referring to glute med.
    Tfl on the left side is chronic in ache/tight and sore, any rotation of my leg forces a TFL contraction. And what ive been doing is serious TFL tissue work. And leg extension and 1 legged deadlifts with kettle bettle as well as monster band walks. The weak TFL is noticeable cause there is next to no TFL contraction on external and internal rotation of my leg. Doing weight internal rotation movements, Very controlled leg press pushing through heel as well as quad work is helping the weaker TFL. All in all i feel much better, But im guessing years of being in this situation will take more than a week to sort out
    Hey,

    Glad to hear you're doing better! Just like you said, being in this situation for years, it's going to take some time to sort it out..

    Since you're improving I usually go by "if it's not broke, don't try to fix it", what you're doing is obviously working for you.

    My best tip would be to not forget stretching the other internal rotators (the adductors) along with strengthening the glutes to improve external rotation.

    Best of luck to you!

    /Eric
    Sjukgymnastik, personlig träning, massage & akupunktur i Karlskoga

    Eric Wahlander
    Lic. physiotherapist
    www.nordicathletics.se


 
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