I am 30 year old, ex elite powerlifter and lwt pro strongman. I'd love to be able to compete again someday, but physical and personal issues have prevented me from doing so for awhile.
I wanted to to share that I went to the doctor the other day for the first time in years to check up on some issues I have had for awhile. (Sleep apnea, hips killing me, plantar faciitis, get a blood lipid profile done, etc.) - My hips have bothered me for years and years, especially when squatting.
Well, when they took x-rays of my hips, I had pretty serious degeneration in both hips. Just imagine what a ball in the socket should look like....well the ball of the hip was missing a chunk about the size of half a quarter.
The socket itself had been grinded away pretty bad as well and there is alot of fluid buildup in both hips. Both hips are equally awful (the right one is a little worse, but the left one causes me more pain).
Anyway, I'm wanting to really educate myself on the subject and hope to save myself form hip replacement surgery or even a resurfacing surgery if at all possible. I'm set up to see an orthopedic surgeon in a week and I would like to email him before then with some background info and be fully educated when it comes time to talk to him. I'd much rather choose aggressive physical therapy as opposed to any form of surgery.
Here are some specifics to my problem...
1) Flexion: no problems, good range of motion when hips are in a comfortable plane. Goood ROM.
2) Extension:no problems as well when hips are in a comfortable position.
3) Adduction (toward midline) - VERY WEAK but no pain. Additionally, transverse adduction (when the hips are bent AND moving toward the midline fo the body) I am exceptionally weak, but again, no pain.
4) Abduction (away from midline) Terrible ROM, Lots of PAIN.
a) Standing, I can step laterally to only 25" from heel to heel. I can then wiggle and slowly move my feet out to 35" from heel to heel but all of it is painful.
b) Seated on floor, with legs straight in front of me, I can spread my legs to 42.5" heel to heel.
5) Transverse Abduction (hips bent and then move hips away from midline - as if I am sitting in a chair and then just trying to move my feet and knees away from body. THIS IS THE WORST! TONS OF PAIN!
a) Range of motion sitting in a kitchen chair and just picking up feet and spreading them apart, I can only get my heels 15.5" apart, and even then, it's very painful.
6) External rotation (sitting with legs crossed) - Good ROM, no pain, nice stretch on glute medius,minimus, and piriformis.
7) Internal Rotation - NO ROM at all. Painful and hips are totally locked and unable to move anywhere.
The most painful movement would be a wide stance squat, where flexion occurs as the hips are abducted and internally rotated. This is why I put my feet so close together when I squat, because I can perform flexion and abduction as long as the hips are externally rotating (which is why my feet are 12" apart, but my knees are 2.5 feet apart during a squat.)
1) Any actual hip socket issues will probably have to be addressed by my orthopedic surgeon.
2) I believe my glute medius and minimus will not fire. They will most likely require e stim and glute activation work to get them back to firing at a normal level.
3) I also believe my tensor fasciae latee are ultra tight and bound up cause some ROM issues.
4) Secondary problems: (tightness, bound up, scar tissue) in the Piriformis and surrounding muscles, and the sartorius.
1) Lose weight - I'm 264 right now and reallyneed to get down to 215-220.
2) E stim and ultra sound to the glute minimus and medius, TFL.
3) Foam rolling, (+ tennis ball, lacross, etc.) to anterior, medial, and posterior areas of the hips.
4) Oral Glucosamine and topical NSAID cream (already have this) 3-4 times daily.
5) Bodyweight glute activation work (single leg bridges, etc., as well as Agile 8 and maginificent mobility stuff for the hips.
Other thoughts? I'm open to anything. I'd really like to find a doc to give me growth hormone shots to see if we can rebuild the degenerated area, but I doubt I get lucky enough to find someone who will do that for me.
Any articles or specialists that you could send my way or give me information to, would be helpful and most appreciated.