Q:

I've had with an adductor/hip/inner thigh pain for 13 months now! I can't run or walk without being sore. Help please!

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Answers (14)

EXPERT
Michelle Davidson (Physical Therapist) answered
So unfortunately there are a lot of things that can cause or contribute to inner thigh pain or tightness--if it has been going on that long without relief I would recommend getting it checked out just in case (and your doctor will probably just refer you to PT...)
--but in the meantime, some of the things that I would recommend trying would be

-Starting with a light core stability program. If you have instability at your lower back or at your hips/pelvis because of weakness around your back or core it can cause some pain in weird places! Start just by drawing in your lower abdominal muscles like you are sucking in to put on tight pants (because we have ALL done that!) and hold for about 10sec. Once you feel like you can control that and breathe at the same time, try marching your legs in place or sliding one leg out at the time without releasing those core muscles.

-My favorite hip strengthening exercises are side lying leg lifts (think Jane Fonda) but keep your core muscles tight and raise and lower your legs slowly

-Then stretch out your inner thigh while either laying on your back or sitting up--that old frog position stretch you used to do in gymnastics works great--hold for about 30sec at a time and remember not to go into a painful range--just stretch!

Good Luck!
 
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EXPERT
Michelle Davidson (Physical Therapist) answered
sorry---hit anonymous!
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EXPERT
Michelle Davidson (Physical Therapist) answered
Though frustrating to hear, I would still say that another evaluation and a combination of exercise, and manual-based techniques from PT sound like they are going to be helpful for you.  The good thing about Pennsylvania and New Jersey-both convenient to you--is that Physical Therapy is direct access, meaning you can go to certain licensed therapists for an evaluation without needing a referral/prescription first if you really didn't want to have to go back to another physician. There are some great orthopedic clinics in the South Jersey area--and if you are willing to go to Philly, the Rothman Center has orthopedic surgeons as well as some great Physical Therapists so you can kill two birds with one stone.
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Anonymous answered
Casey--
It does seem like if it was just a "groin strain" like you had said, it would be better by now--if not by all those other techniques than just by time alone. I have seen a number of women in my clinic with anterior hip or groin pain because of low back problems or instability in their back or their SI joint (the place where your low back/sacrum and your hips meet) and unless that is properly diagnosed and treated with a stability program or other techniques, the problem doesn't really go away. 

Does that help at all?
If you need any guidance or advice on anyone else to maybe see or other possible exercise options let me know and I will if I can give you a start in the right direction! 
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Casey K. answered
Thanks Michelle.  I've done PT, trigger point stimulation, Graston technique PT and it all helps temporarily but as soon as I go back to doing something (anything physical) the pain and soreness comes back.  It gets to a point where I don't even want to shop (GASP!) because I know I'll be sore from walking around the store!  I have to think it's something bigger than just a "pulled muscle" or groin strain.  Wouldn't it have healed by now?
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Casey K. answered
It very well could be my back and or hips.  I have pain in my left rear side and find myself sitting/leaning to one side to avoid sitting on that bone.  I live in South Jersey and have not found an orthopaedic that seems to be concerned with getting me better.  I've had three doctors so far!  Should I try a chiropractor for this?  Any suggestions you can give would be greatly appreciated.  
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mchic commented
Hi Casey, Did you ever get a diagnosis for this or treatment that works? Your story sounds EXACTLY like mine. I did get a steroid shot that worked for a few weeks, but then back to having the same problem. Two chiros have not made much difference. It gets better, then I do something with impact- even walking, and it is back to horrible pain.
BAILEY224 answered
I have been living with groin/and outer hip pain for 7 months now. I had arthroscopic surgery that made it worse, and am 51 yrs old and scheduled in April for a hip replacement. Good luck to you. Let me know how you make out! - Barb
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Debie answered
I have had pain with almost the same exact symptoms.  My problem has been going on three years now. There have been several times where I feel I am improving, but it gets bad again. I, like you, have tried the trigger release specialist, but it returns.  I have came to realize my problem has to do with sitting for long periods of time at a desk, in the car, etc.   Naudi Aguilar with Functional Patterns in San Diego has been extremely helpful to me. I do not live in CA, so I go to his website, watch his videos, and have purchased his new E-book.  He has so many great recommendations for stretches. He has helped me a lot. He understands how muscles work with each other to cause this imbalance and how to repair it. I believe that sometimes, Dr.s are too quick to operate, when it could just be a muscle imbalance to blame. Stretching is key.  Good Luck with your quest to get back to normal.
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Anonymous answered
I have had the same symptoms as you describe for about 6 years now.  The only thing that relieves the pain is rolling on a tennis ball on the direct spot which is my gluteus minimus area.  Oddly I can run without it hurting but not walk.  Shopping for long periods of time is not an option, nor are long car rides.  I put a small pillow under my left glute to keep the pressure off.  Message and the tennis ball seem to help when it is really inflammed.  So frustrating! 
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mchic answered
I think I finally have a diagnosis for my issue- gluteus medius tendonopathy with bursitis.  Mine is considered "recalcitrant" because strengthening exercises, PT, and a cortisone shot did not fix it (cortisone shot worked only for one month).  Because of that, I am facing either PRP therapy or surgery to remove the bursa, and puncture the IT band.  I have an appt. with Sports Med. Dr. at the end of the month, and will most likely have a hip MRI at that time to confirm the diagnosis.  We will then discuss treatment.  Here is an EXCELLENT video with an ortho explaining the problem and treatments:
http://www.youtube.com/watch?v=ZDBLdEpsvvk

Also, I have a newer mattress that is very firm (my husband's choice).  I took the advice on the above video and bought a memory foam topper from Costco.  OMG- what a difference.  This pain was waking me up all night long, and I didn't realize until I saw the video that a hard bed can actually CAUSE the problem.  I have been getting great sleep at least!  I still cannot run or walk for exercise.  Extended walking at a mall, for instance, will bother me too.  Anything with impact.  Elliptical and cycling is ok.  It would be my greatest hope to be able to run again, although my drs all tell me not to run after age 40!  (I am 45).
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kgreenawalt12 answered
I'm a little late on this but I would definitely push for an MRI! I had the same pain a few years back during field hockey season and was diagnosed with a groin strain...went through PT but just seemed to get worse...finally a month later I got an MRI (after practically begging my doctor that something more was wrong) and they found a stress fracture in my hip...it can cause referred pain down the leg and all around the butt and hip area.
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Anonymous commented
What treatment did you get to fix your pain???
cemclean001 answered
I had an MRI and it confirmed that I have torn my gluteus medius and had a bad sprain. I walk with a cane so I don't limp around it has been about a month now. They tell me it can take 10 months to fix, but it will by itself, anyone know anything I can do to help this along?
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mchic answered
I was able to get relief for my gluteus medius tendonosis/sprain.  There may have also been a tear, but no MRI was done.  I finally went to my old Sports medicine dr.  after trying physical therapy and a steroid shot.  He's great, and takes care of a local college's sports teams.

Anyway, he diagnosed me using ultrasound imaging that he had in his office.   He said there could be a tear too, but it didn't really matter because the treatment was the same.  First step was phys. therapy, but the RIGHT kind of phys therapy.  I was sent to one of his preference, with a detailed prescription for what to do.  I went, but had no faith whatsoever since I had failed phys therapy before.  This was different.  First, to get me out of pain, TENS and ultrasound therapy was done.  The therapist also said that the IT band was involved in this syndrome, as well as the tensor fasciae latae.  He also did a move where he gently adjusted my pelvis, which he felt was misaligned.  Now I don't remember exactly how he did this, but I have had 4 chiros try to do this in various manners and never worked.   This did, and I could feel the difference right away.  Once I wasn't in pain, I had to build the muscle.  I did one legged side leg presses (laying on the opposite side).  Those KILLED at first, but got easier.  I also did clamshell exercise with a leg weight on the affected leg.  I can say that these two exercises worked miracles for me.  I was able to power walk, no pain at night, ready to start mini-jogging again.  All was good until I had a fall in the garage on Christmas eve :-(  I re-injured the area, which is, of course, prone to re-injury if assaulted.  I am better, but need to start PT over again.  If I had failed PT, my dr. was going to do PRP on my glut (platelet rich plasma).  I had it on my achilles before for a partial tear, and it worked- kept me out of the OR. 

So, my best advice is to find a good SPORTS MED dr. My first dr. was a reputable ortho, and he tried to help, but it did no good.
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