Glute, Hip, Ankle Pain

[mtbguy]

About 3 weeks ago left work with seized up low back with some pain. There was no lifting or trauma of any kind. I got my mobility back within 3 days but am left with a stabbing pain in my glute and an ache that goes in my hip, skips my thigh and knee and again in my ankle. I have been stretching like crazy and using tennis ball and going to massage but it is still there. It is getting better slowly. I am an avid cyclist. I commute 20km a day and mountain bike a few days a week. Does anyone have any history or suggestions with this. I need to get back on my bike.

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[yowsy123]

Hi mtbguy,

Just from the description you gave its one of those ones that would be much easier to diagnose through seeing it and performing a full assessment. From what you said with the fact your back seized up, the pain stabbing pain in your gluts and ankle ties in with the fact your a keen cyclist. flexion at the knee and plantarflexion at the ankle coincide with myotomes L5-S1 and S1-S2 respectively and those are common repeated moves while cycling.

With cycling being apparently your main method to keep fit (unsure of your day job, do you work at a desk, have an active job?) and the description you have given, id suspect you have quite a stiff lumbar/sacral region and most of your movement probably comes via your hips or even Tx region. Id have a look at your SI jt and suspect that mobilizing Lx/Sx and following this up with rehab to maintain this would give you some relief.

Sorry its not very specific...advice is go and get yourself properly assessed.

Ross

[mtbguy]

Thank you very much for your reply. Although my pain is improving daily i still have a lot of questions. My pain seems to be worse when i am lying on my back in bed, or when i am in a chair and i look down or when i stick my hip out. I have a little tingling in my left foot and i dont know if it is in my head but it feels like a little bit of pee comes out every once in a while but it doesnt. Maybe i have been on the internet to much as my doctor doesnt seem to concerned.

As for my job I am on my feet installing equipment 50% of the time and driving or at a computer the other 50%. How can you tell if it is muscular or disc? My xray wasnt cause for alarm for my doctor.

[physiobob]

I have to agree with yowsy123's comments. It seems to be like neural in origin as some of the movements you mention tension the nervous system. I good clinician should be able to use that to diagnose your problem segment. It could be that some musculature may be involved in the gluteal region such as piriformis but the symptoms do not sound like a muscular issue. I'd go for a one off assessment and home mobilisation plan and see how you get on with that as a starting point.

[ultracarepro]

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