Hi Guys,
Just thought I'd update.
Went to the Physio for initial assessment yesturday. He took a detailed history and on examination found that I had about 10 degrees int.rotation on my affected left hip. Ext.rotation was 60 degrees. On the good side he noted that int. and ext. rotation were both about 40/45 degrees which he said is a little reduced, but I have no problems here whatsoever, so class this as normal.
He said I have a "capsular pattern" of pain/restriction in my left hip. Extension is also less.
He has provisionally given me some stretches with the hip in extension, however there are a few things I was wondering.
Being 23 it seems that having restricted painful Internal rotation with a loss of extension is a bit suprising. Obviously I don't have the experience you guys have with things like this. Should it be possible to expect to gain full ROM in this hip through stretching (and perhaps strenthening)? The physio suggested that stretching the hip capsule is very difficult to do and maintain. Is there anything I can do to increase ROM. Also he mentioned that this could have occured following being in plaster for a knee injury (2005) having lost muscle mass, and thus any compensatory mechanism for a hip that has always been a bit restricted? Having been extremely active all my life, I would have though I may have had symptoms before the knee injury?
Thanks again for your advice. I really appreciate it.
Guy