[quote]CJT wrote:
[quote]On the arthritis part, you will not get your doctor to ever say this leads to it. Mine in a roundabout way hinted at it, but when I asked directly said “theres no long term conclusive evidence”. When I said “Well, if 2 bones keep slamming into each other and rip up the cartilage, pretty much sounds like a receipe for arthritis to me” he said he shared that view. Even though he did, he says it is a bad idea to operate on my left hip since it is showing no pain symptoms.
I personally believe this condition leads to arthritis, but odds are you will not find a doctor who will recommend this surgery if you do not have pain. But since you have pain, I think the doctor will be more then happy to cut you open assuming he is qualified. Not a lot are because it is a relatively new procedure. My guy sent me to one of 3 in my state that is qualified.[/quote]
Yeah I know what you’re saying about they’re not going to tell you decisively that it can lead to arthritis but they wouldn’t hesitate on cutting you open. I’m going to try to get in to see the doctor soon and get some results.
I squatted today, first time squatting since I discovered it was a bone/cartilage issue rather than a muscle/tendon/ligament issue. So I cut my stretching/dynamic warmup in half and the squats felt the same, painful. But I think I can live with this pain and keep doing squats. I have this pain that’s only been occurring the past few weeks, it’s almost directly behind where the impingement pain is, right in my glute. Is this related to the hip impingement or is it just an ass strain?
Also is there any chance of stretching or physical therapy work that can reduce the pain? I know surgery is needed to actually go in and shape the bones to fit but is there any chance of reducing the pain other than surgery?
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I have a pain in my glute when I do RDL’s. Not a lasting pain, not even that much of a pain, but it is there. I know its two of my bones hitting each other or sliding off each other, because this is a slight click I can feel if I do them weightless and focus on the area. When I asked my doc about it he showed me on the x-ray I actually have a pincer impingement on both the top/front and the bottom/back, the bottom/back one is more rare but is likely the cause of the glute pain/clicking. It is not fixable by arthroscopic procedure, so the only fix would be open surgery. My doctor does not think that is a great idea from my symptoms, as it does not cause much pain just clicking.
That could be what you have, without an x-ray it is impossible to know. From what I understand, if that pain is not severe/a lasting issue, the trouble of fixing the glute pain is much more bothersome then the normal impingement. And thats saying something, cause fixing the normal impingement is a pain.
I had the same thought about non-surgical treatment. The doctor said there wasn’t really much you can do with your muscles/tendons to fix this. If you have an impingement, it does not matter how loose/tight certain muscles are, when you go through a certain range of motion (squat, leg press, deadlift) the bones will hit. So if you wanted to do non-surgical, it appears that you would have to alter your lifestyle to avoid flexing (squat, leg press, deadlift) movements.
To reduce the pain, only thing seems to be an prescription anti-inflammatory long term. I hate the idea of constant medication, so that was out the window. Plus I ran the meds for 4 weeks and while the pain was reduced it was still there, though I was not allowed to do squats or leg press during this time so it is possible if I did those the pain would be equal.
From my view, even if you did that your day-to-day life would still cause you to go through the range of motion that would put you in flexation (is that a word?) so it would still hurt sometimes, though likely no where near as much as an active lifter would have.
Im all for lifting through the pain and living with it. I did it for 2+ years, but eventually after 3x a week leg lifting for a while I realized this wasn’t normal. I would say look into the procedure. I love lifting, it is the highlight of my day and has been for years, but I also want to walk when im 30. If this surgery allows that, im in. Just realize that taking a 6 month setback IF you need this surgery is not the end of the world. If I can take almost 2 years off upper body lifting from injuries, you can take 6 months off for lower.
Long post, but I want to help others with this. This (plus my wrist injury) has pretty much f’d up my life for 2 years and I would rather not have anyone else suffer any longer then they have to.