Medial Hip Pain

[sarahkelly]

Hi there,
About 2 months ago now I got really bad pain in my hip which came on without an incident, and when it came on, it left me limping and it was more comfortable for me to externally rotate the hip.

Initially weight-bearing aggravated it and taking teh weight off it completely 100% removed the pain

The pain is getting better, i am trying to walk daily within my pain so as not to aggravate it.

The pain is in the medial part of the hip, but also posteriorly and in the early stages I was getting alot of pain on the anterior part but that is gone now.

I got an x-ray the other day (I had suspected avascular necrosis considering my history of steroid use). But it looked fine (as far as I could see anyway, still awaiting official x-ray report).

I used to run daily (approx 1mile) on hard concrete surface daily (for about 6 years now)

No issues from the opposite hip, or either knee (I wear expensive runners) but I do have a little pain in the part of the heel thats closer to the toes when i press on it.

straight leg raise: right=left
range is fine bar some pain(slight) on end of external rotation

Also noticed more wearing in the part of the shoe under the ball of my foot on the affected (left side).

I am still awaiting a physio review,

Does anyone have any idea what it could be?

Thank you

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[neurospast]

1st thing which comes to miind is overactive hipflexors. In your case likely Psoas. This muscle ought to pull the Illiops out of the way of the joint. In case of a slight impinchment of the capsula of the hip joint (which should be prevented by the Psoas). This can cause anterior hip pain. Test: hipflexor length. In case of hypertone hipflexors should investigate in pelvis aligment (well actually hypertone muscles pulling the pelvis out of position) and Low back problems. After my opinion these sort of problems seem to coincide with poor gluts strength, tight piriformis, tight hamstrings (less than 80% hipflexion).
Hopes this helps. Understand that i have just pointed out some possibilities.