Male, Presenting Problem Since: 1 day, Symptom Behaviour: Remained constant, Symptoms Worse (24hr Behaviour): Seemingly all the same, Aggravating Factors:: Hard to clarify after one day but I definitely don't like hip hinging at the moment, Easing Factors:: Haven't found anything yet - stretches dont seem to target it appropriately., No Investigations, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues
Major problem / Symptomatic Areas
Lumbar, Spine - Posterior
Hip, Gluteals - Posterior - Left
Hip, Gluteals - Posterior - Right
Hey there,
I have read the similar posts with this concern and don't feel that mine is 100% similar so I was curious for some feedback, apologies if it seems like a copy.
I was rack pulling yesterday, and did 10 sets of singles. If you think your eyes are rolling now, here's the worst part: this is my second week of 10 singles. I know, lesson learned. I felt fresh and let my ego get the better of me.
I worked up to a PB around set 6 - around 10 kilos heavier than my best full deadlift. I only did this for once set and then began working back down. However about 3 sets later i felt a twinge. It kind of felt like my right piriformis/glute med/tfl. I got the rest of my pulls done on weight that was about 45kilos lighter and didn't do any more loaded work, just some bodyweight single leg stuff.
As soon as I got home I was massaging and stretching but I couldn't find any trigger point or diagnostic clue (although I will admit to not being any kind of therapist). A few hours later I had to get the train which unfortunately involved around 2 hours of sitting down. From that point onwards my back has been sore in the areas I have highlighted.
I woke up this morning to weakness and loss of ROM when hip hinging. Also some discomfort in sit-up type movements (just to get out of bed) and standing. Fair bit of discomfort and restriction when flexing the spine/posteriorly tilting the pelvis via 4-point positions. There also seems to be a narky feeling (not pain) in the glute and lateral hip that is stronger when standing. Here's the other details I can think of:
No shooting/radiating pain, loss of sensation or function.
No previous injury in similar place except for right-side strain about 10 years ago that has never provided any aggravation since.
History of unilateral sport (left foot forward), poor ankle ROM, spends too much time sitting down.
I would appreciate anyone's feedback (bravo if you've read this far), and I would like to sound out my theories of what I think has happened:
Potential loss of neutral lumbar into a rounded position caused by overload/fatigue, leading to strain of spinal erectors - but then why the glute/hip pain?
General strain across posterior chain caused by overload and lack of build-up to high volume strength work - but wouldn't this have built up over time instead of being such a sudden incident?
Some kind of piriformis syndrome - but then where's the radiculopathy? And again, wouldn't this have a more chronic build-up?
Any response would be hugely appreciated. Looking forward to your replies.
Mike
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