Calf muscle pain ?soleus?

[guy909uk]

Hi Jayyappanbpt!!
Thanks for your reply.
I havn't ever had any significant hip trauma. The only time a can recall hurting it a little was 2.5 yrs ago when I was skiing and fell, forcefully externally rotating my left hip. It was sore for a few days and then settled down. I managed to play half a season of rugby without even thinking about it after that. The season was stopped prematurely though, when I had a knee injury. I had a grade 3 tear of my left lateral collateral and tore bicept femoris from the distal intertion. I had these repaired surgically and was in a full leg cast for 6 weeks.

Whilst rehabilitating from this I was free from hip pain for about 6 months. I was pushing rehab quite hard for the start of the new season. It started insidiously as I started running again. Don't know whether the running caused it or that I just didn't notice it whilst in cast etc. The pain was anterior and I had reduced internal rotation (have about 15 degrees). The hip pain has been there since (about 18 months/2 years). I do not get any pain whilst cycling or swimming, but running is uncomfortable, although bearable. When I stop training it is more sore and feels "tight". It seems to be when I reach extension whilst walking that it becomes painful and feels like it is "catching".
I recently I have been trying to increase the ROM especially int. rotation although these stretches seem to aggrevated in the short term (settles down when I stop stretching after a short while).

I know have pain intermittently on twisting or internal rotation, as well as dicomfort on extention whilst walking. I am not sure whether there is any intra-articular pathology, although MRI arthrogram has suggested no labral tear. I do realise that the arthrogram is about 80% specific.

Could this be a muscle imbalance thing? I would like to get this sorted as it has gone on for the best part of 2 years and is beginning to wear me down a bit! Ideally I would like to restore the lack of int.rotation, although efforts so far have been fairly futile!

I am sorry for the long ramble, but I am trying to give you as much info as possible. Please let me know if you would like to know anything else.
Many thanks,
Guy

[jayyappanbpt]

thanks guy ,,

i read ur replay,,, now iam come to my conclusion,,,,,,

i think u have 1st grade articular pathology,,thos may due to either previous trauma or abonormal adaptation or muscular imbalance......i rule out you didnot have any soft tissue pathology because u didnot having any pain while u did cycling or swimming..u have pain only jumming and walking this indicate when hip joint have intraarticular compression increased pain also exist.....u have any other lower limb abnormalities ?,better u compar to normal limb....

my opinion;
continu u r treatment protocol,,,,,,
u improve u r hip joint muscle power....then correct u r hp joint abnormalities.......u can apply wax before u r treatment..........

thanks guy......take care........thanks for u r replay

[guy909uk]

Thanks for your help guys. I have taken your advice and have booked a doctors appointment for physio referral on Friday morning. Thanks again,
Guy