Go Back  Bike Forums > Bike Forums > Fifty Plus (50+)
Reload this Page >

Hip labral tear

Notices
Fifty Plus (50+) Share the victories, challenges, successes and special concerns of bicyclists 50 and older. Especially useful for those entering or reentering bicycling.

Hip labral tear

Old 11-20-12, 05:49 PM
  #1  
Yen
Surly Girly
Thread Starter
 
Yen's Avatar
 
Join Date: Mar 2007
Location: SoCal
Posts: 4,116
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Hip labral tear

I've had hip pain (anterior and groin area) on and off for years but learned to live with it (I have a high tolerance to pain). It's recently worsened to the point that I'm beginning to take it more seriously and considering seeing a doctor. I researched the symptoms which sound just like a labral tear of the hip.

Recent developments include: Pain when lifting the knee to unclip on the bike (6-7 on pain scale); hip locking with sharp pain (on two recent occasions, the "lock" was released when I rode over a small crack in the street! This was during the warm-up and I considered ending the ride until it released.); lower glute pain (both hips) starting last weekend after a hilly metric; clicking when I flex either hip; mild groin pain at night; pain after sitting(!); pain after walking(!!), and poor range of motion. One very strange new development: If I wake up at night with a full bladder, the groin pain is aggravated. And, I'm beginning to limp.

I will see a doctor very soon, but I'm wondering if any 50-plussers have experienced this and escaped surgery through exercises and stretching alone. I've read numerous on-line articles and comments which suggest that PT and stretching often aggravate it, and long-term rest relieves it, and surgery is often highly successful.
__________________
Specialized Roubaix Expert
Surly Long Haul Trucker
Yen is offline  
Old 11-20-12, 07:00 PM
  #2  
Senior Member
 
MinnMan's Avatar
 
Join Date: Aug 2009
Location: Minneapolis
Posts: 5,673

Bikes: 2022 Salsa Beargrease Carbon Deore 11, 2020 Salsa Warbird GRX 600, 2020 Canyon Ultimate CF SLX disc 9.0 Di2, 2020 Catrike Eola, 2016 Masi cxgr, 2011, Felt F3 Ltd, 2010 Trek 2.1, 2009 KHS Flite 220

Mentioned: 19 Post(s)
Tagged: 0 Thread(s)
Quoted: 4218 Post(s)
Liked 2,896 Times in 1,783 Posts
I have a minor and untreated labral tear (together with osteoarthritis). In my case, it's not so bad (my impression is that the arthritis is worse, but I don't really know) and I'm not having any treatment, apart from probably too much reliance on Tylenol. My understanding is that in some cases for labral tears, arthroscopic surgery can be quite successful (they basically "shave" the torn portion of the labrum), but that it depends on the details of the tear.

Interestingly, the hip surgeon with whom I consulted said that most athletically active people eventually have labral tears, but that for the most part the symptoms are minor and surgical treatment, unnecessary.
MinnMan is offline  
Old 11-20-12, 11:31 PM
  #3  
Yen
Surly Girly
Thread Starter
 
Yen's Avatar
 
Join Date: Mar 2007
Location: SoCal
Posts: 4,116
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
My symptoms definitely don't feel minor. I'm going to resume the exercises I was doing to strengthen my core and hips, as well as ice and heat, and see if that helps. I doubt they'll cure it (if it's a tear) but should provide some relief. I don't like taking pain meds unless absolutely necessary (I think I mentioned I have a high pain tolerance) but when pain restricts or limits my favorite activities then it's time to have it checked out.
__________________
Specialized Roubaix Expert
Surly Long Haul Trucker
Yen is offline  
Old 11-20-12, 11:53 PM
  #4  
Senior Member
 
MinnMan's Avatar
 
Join Date: Aug 2009
Location: Minneapolis
Posts: 5,673

Bikes: 2022 Salsa Beargrease Carbon Deore 11, 2020 Salsa Warbird GRX 600, 2020 Canyon Ultimate CF SLX disc 9.0 Di2, 2020 Catrike Eola, 2016 Masi cxgr, 2011, Felt F3 Ltd, 2010 Trek 2.1, 2009 KHS Flite 220

Mentioned: 19 Post(s)
Tagged: 0 Thread(s)
Quoted: 4218 Post(s)
Liked 2,896 Times in 1,783 Posts
Yeah, I believe you. I don' have the locking that people say is characteristic of a serious tear. You might be a good candidate for arthroscopy, though.

In my experience, the PT - strengthening the core and so on - is of very limited aid, as is heat/ice, etc.. They are worth a try, but call me a skeptic. OTOH, hip problems definitely are diminished by shedding "extra" pounds.
MinnMan is offline  
Old 11-21-12, 06:32 AM
  #5  
Semper Fi
 
Join Date: Jan 2008
Posts: 12,941
Mentioned: 89 Post(s)
Tagged: 0 Thread(s)
Quoted: 1172 Post(s)
Liked 356 Times in 240 Posts
MinnMan,
Please be careful with the Tylenol, the medical community is finding liver damage problems with prolonged usage. I was taking Darvocet for my back injury for many years, the nurse looked at my chart one day and saw the dosage and length of use, that was cut out, right away, and now with my Stage 3B renal failure hepatic numbers I cannot have anything with acetaminophen. Just a heads up.

Yen,
I hope you are able to get the root cause of that awful sounding pain soon, best of luck.

Bill
__________________
Semper Fi, USMC, 1975-1977

I Can Do All Things Through Him, Who Gives Me Strength. Philippians 4:13


qcpmsame is offline  
Old 11-21-12, 08:58 AM
  #6  
Yen
Surly Girly
Thread Starter
 
Yen's Avatar
 
Join Date: Mar 2007
Location: SoCal
Posts: 4,116
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by MinnMan
Yeah, I believe you. I don' have the locking that people say is characteristic of a serious tear. You might be a good candidate for arthroscopy, though.

In my experience, the PT - strengthening the core and so on - is of very limited aid, as is heat/ice, etc.. They are worth a try, but call me a skeptic. OTOH, hip problems definitely are diminished by shedding "extra" pounds.
No doubt about that. I don't have any extra pounds to lose but if I did that would be the first place to start.

The locking is new and has happened twice in a handful of rides within the past couple of weeks. The glute pain is also new -- it feels like I did a lot of reverse hamstring curls at the gym, or a LOT of standing during a LOT of climbing ....... except I didn't.
__________________
Specialized Roubaix Expert
Surly Long Haul Trucker
Yen is offline  
Old 11-21-12, 09:00 AM
  #7  
Yen
Surly Girly
Thread Starter
 
Yen's Avatar
 
Join Date: Mar 2007
Location: SoCal
Posts: 4,116
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Originally Posted by qcpmsame
MinnMan,
Please be careful with the Tylenol, the medical community is finding liver damage problems with prolonged usage. I was taking Darvocet for my back injury for many years, the nurse looked at my chart one day and saw the dosage and length of use, that was cut out, right away, and now with my Stage 3B renal failure hepatic numbers I cannot have anything with acetaminophen. Just a heads up.

Yen,
I hope you are able to get the root cause of that awful sounding pain soon, best of luck.

Bill
Thank you, Bill. And +1 on the Tylenol.
__________________
Specialized Roubaix Expert
Surly Long Haul Trucker
Yen is offline  
Old 11-23-12, 02:36 PM
  #8  
Yen
Surly Girly
Thread Starter
 
Yen's Avatar
 
Join Date: Mar 2007
Location: SoCal
Posts: 4,116
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I thought for sure this injury would be familiar to more members of this forum. I now have an appointment with my GP to ask for a referral to a sports orthopedic hip specialist.

Today I am gardening and the pain became so bothersome I had to stop and do some stretches --- never had to do that before! The pain has been there for years but it was mild enough I could ignore it; now it's bad enough I can't ignore it and impedes some of my movements. I am planning a bike ride tomorrow and will see how that goes.
__________________
Specialized Roubaix Expert
Surly Long Haul Trucker
Yen is offline  
Old 11-23-12, 03:32 PM
  #9  
Semper Fi
 
Join Date: Jan 2008
Posts: 12,941
Mentioned: 89 Post(s)
Tagged: 0 Thread(s)
Quoted: 1172 Post(s)
Liked 356 Times in 240 Posts
Yen,
I had never heard of this painful sounding injury before you posted about it. What little I know about the hip's anatomy and musculature tells me it would be almost debilitating if it was a large enough tear. The locking would really bother me a whole lot, pain I have learned how to deal with in large quantities/periods of time. I'll be interested in what the orthopaedic doctor says about the condition and their recommendations. Best of luck.

Bill
__________________
Semper Fi, USMC, 1975-1977

I Can Do All Things Through Him, Who Gives Me Strength. Philippians 4:13


qcpmsame is offline  
Old 12-10-12, 10:01 AM
  #10  
Member
 
Join Date: Oct 2011
Location: Victoria bc
Posts: 39

Bikes: 2016 Giant Comax Fastroad, 2013 Norco Bigfoot Fat Bike,

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I have the same issue. PT applied traction to the hip area to create more space which gave it a release to do exercises. The ones that helps were core, lunges on a bosu ball, hamstring stretches, side stepping with Thera band. Hip is not catching anymore, though I have it pinch every so often. Biking is fine as is ant linear movements. The lateral movements are the problem.

Most recently, I have tried deep laser. Process is new and gets the hip and back heated for rapid healing. My hip is a result of a getting hit by a car 6 months ago so it is not a short quick process.
69isfine is offline  
Old 12-10-12, 02:28 PM
  #11  
Let's do a Century
 
jppe's Avatar
 
Join Date: Oct 2004
Location: North Carolina
Posts: 8,316

Bikes: Cervelo R3 Disc, Pinarello Prince/Campy SR; Cervelo R3/Sram Red; Trek 5900/Duraace, Lynskey GR260 Ultegra

Mentioned: 59 Post(s)
Tagged: 0 Thread(s)
Quoted: 651 Post(s)
Liked 879 Times in 408 Posts
Originally Posted by Yen
I thought for sure this injury would be familiar to more members of this forum. I now have an appointment with my GP to ask for a referral to a sports orthopedic hip specialist.

Today I am gardening and the pain became so bothersome I had to stop and do some stretches --- never had to do that before! The pain has been there for years but it was mild enough I could ignore it; now it's bad enough I can't ignore it and impedes some of my movements. I am planning a bike ride tomorrow and will see how that goes.
Wow. Some of your symptoms sound eerily familiar to what my wife was experiencing. She wound up with a new hip.......have they done an xray of the joint to make sure it's not arthritic??
__________________
Ride your Ride!!
jppe is offline  
Old 12-10-12, 06:38 PM
  #12  
Senior Member
 
Dudelsack's Avatar
 
Join Date: Oct 2011
Location: South Hutchinson Island
Posts: 6,640

Bikes: Lectric Xpedition.

Mentioned: 3 Post(s)
Tagged: 0 Thread(s)
Quoted: 143 Post(s)
Liked 91 Times in 42 Posts
There's a saying amongst bridge players: one peek is worth two finesses.

Sounds like you're ready for a peek.
__________________
Momento mori, amor fati.




Dudelsack is offline  
Old 12-10-12, 09:29 PM
  #13  
Senior Member
 
TomD77's Avatar
 
Join Date: Jul 2010
Location: Florida Panhandle
Posts: 572
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 1 Time in 1 Post
Originally Posted by qcpmsame
I was taking Darvocet for my back injury for many years, the nurse looked at my chart one day and saw the dosage and length of use, that was cut out, right away.
Bill
Years? Did you have to go through withdrawal?

About 10 years ago I underwent an operation and recovery that had me fairly well drugged for about two weeks and a few days. The day after stopping the pain killers it felt like I was coming down with the flu along with a very unpleasant jittery feeling. It was late in the day before I suspected what was going on and called the surgeon's office to ask if maybe I was experiencing withdrawals. The said sure I was, did I want any more to taper off? Uh, no way in H***. I wanted that over & it lasted for only about two-three days. That stuff is badly addicting.

Renal failure? Are you okay? I guess I'll see for myself when I get back from Atlanta, I'll take you up on the offer.
TomD77 is offline  
Old 12-11-12, 06:29 AM
  #14  
Semper Fi
 
Join Date: Jan 2008
Posts: 12,941
Mentioned: 89 Post(s)
Tagged: 0 Thread(s)
Quoted: 1172 Post(s)
Liked 356 Times in 240 Posts
Tom,
No withdrawal symptoms here, do not know why but I am thankful that I didn't. I went into renal failure last summer at Stage 3B, I am managing it well with a strict kidney disease patient's diet and exercise. The doctor said that I need to keep doing just what I am now doing. The bicycling is fully approved and supported.

Bill
__________________
Semper Fi, USMC, 1975-1977

I Can Do All Things Through Him, Who Gives Me Strength. Philippians 4:13


qcpmsame is offline  
Old 12-24-12, 10:48 AM
  #15  
Yen
Surly Girly
Thread Starter
 
Yen's Avatar
 
Join Date: Mar 2007
Location: SoCal
Posts: 4,116
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Update:

I started seeing a doctor who is a DC/PT and member of our bike group. He has years of experience treating sports injuries. He gave me some gentle stretches and exercises to strengthen the hip and core muscles. He cannot rule out labral tear without MRI, but did say that his patients with labral tears usually demonstrated a LOT more pain during the diagnostic tests. He now suspects an injury to the rectus femoris muscle where it attaches to the anterior pelvis. It may not explain the catch/release issue deep in the groin on the same side (toward the midline), or pain in the lower glute area on the other side. Coincidentally (or, perhaps not), there's also an almond-size cyst visible in the inguinal crease on the same side as the suspected rectus femoris pain. To further deepen the mystery: During the night, if I awaken with a full bladder there is a combination of dull and sharp pain in the groin area on that same side, suggesting that the bladder is pressing on something, but there is no numbness or tingling to suggest a nerve issue. The pain is relieved after I empty the bladder.

The most bothersome pain while riding is exactly the point where that muscle attaches, a sharp pain that worsens each time I unclip. Unclipping requires raising the knee against resistance, and I always unclip on that side, in the 12 o'clock position. Any activity in which I actively raise the knee against resistance (including gravity!) causes quite a bit of pain at that spot.

He took hip x-rays which did not show any arthritis, so he suspects soft tissue injury(s) and recommends an MRI. I have an appointment with an orthopedic hip specialist for further eval and (if necessary) an MRI in early January. And I'll continue doing the stretches and exercises, hoping to feel improvement by my appointment.

I am doing spin classes which don't seem to bother it (since I don't unclip during the ride), but I can do little other activity other than the core exercises and the frenzy of preparing for Christmas. Standing feels good (since the hip isn't flexed), and sitting stirs up a tearing-type pain along the pelvic crest on both sides.

I love a good mystery!

To be continued....
__________________
Specialized Roubaix Expert
Surly Long Haul Trucker
Yen is offline  
Old 06-30-13, 08:29 PM
  #16  
Senior Member
 
Join Date: Feb 2008
Location: Birmingham, AL
Posts: 115

Bikes: (2) CAAD 10's

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Any update on your condition? I am having similar symptoms. Thanks
BamaBulldawg is offline  
Old 09-28-14, 10:02 AM
  #17  
Newbie
 
equestnbike's Avatar
 
Join Date: Sep 2014
Posts: 1
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
Hi, I realize its been a couple of years since you posted this. My hips are killing me and I don't know what to do. I am an avid equestrian and has-been cyclist/runner, though I still mountain bike a little with my horse (he is my pony). How are you doing? Whats working, what's not? I refuse opioids for pain. I am taking nutraceuticals (omegas, glucosamine sulfate and HCL, baclofen, and NSAIDs on occasion). What exercises help? I just love riding my horse and can't seem to let it rest. Not sure surgery will prove helpful, and I don't want to go 6 weeks without riding. Help advice welcome!!
equestnbike is offline  
Old 09-28-14, 02:06 PM
  #18  
Full Member
 
Join Date: Mar 2012
Location: north Orange County,California
Posts: 241

Bikes: 2008 Motobecane Immortal Force

Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 16 Post(s)
Liked 4 Times in 4 Posts
This was the resolution. From a newer thread
https://www.bikeforums.net/fifty-plus...ring-tear.html
marquhar is offline  
Related Topics
Thread
Thread Starter
Forum
Replies
Last Post
work4bike
Training & Nutrition
27
12-06-21 05:02 PM
John Young
General Cycling Discussion
75
05-16-19 08:05 AM
humboldt'sroads
Training & Nutrition
1
08-23-13 02:57 PM
DnvrFox
Fifty Plus (50+)
1
05-29-12 04:48 PM
Runner 1
Road Cycling
7
07-17-11 09:15 AM

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service -

Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.