Discussions By Condition: Muscle conditions

Hip injury 18mo ago. Still in agony

Posted In: Muscle conditions 3 Replies
  • Posted By: Anonymous
  • February 5, 2010
  • 09:32 PM

Hi, I just thought I would post to see if anyone has an opinion on what has happened to me and possible causes.

I have hx of hypermobility (7 on beighton score) and as a child I suffered with subluxation of the left hip. I also have a shallow socket on the left (which I found out about last week).

Throughout my life I have felt a 'popping and catching' on the front of my left hip. It wasn't always painful but sometimes it would catch when walking and make me stop, regroup and then carry on. It would then remain sore for a while.

I would also have to crack my hip sometimes to get relief. I'd sit straight-backed in a chair and lean forward at the hips. I'd go so far and feel it 'catch'. I'd carry on and then a loud clunk or crack could be heard. Without doing that I'd feel like my hip was sorta stuck and needed to be released.


On June 10th 2008 I did the splits down the the stairs. My right foot slipped and as I went down, my left knee caught the step meaning that my leg was wrenched behind me and my foot ended up by my head.

Spent 9 weeks in hospital in agony and stuck in a wheelchair due to extreme pain. I was kept in for physio and pain relief.

All xrays, CT and MRI were NAD according to orthopods (who happened to not notice the shallow joint).

They diagnosed nerve injury and put me on gabapentin QDS.

I have been under physio since discharge (over 1 year now) and made some progress but seemed to plateau slightly. Still unable to weightbare on (L) and limited ROM.

Last week I paid to see another specialist and he disgnosed the shallow socket and said that the most likely dx was tendonopathy. He decided that an injection of LA and cortisone into the tendon/joint - he mentioned injecting the tendon but during procedure it appeared to go into the actual joint. Injection was done through the front of my hip.

Had that done this wednesday and felt a degree of improvement.

Now, my question is:

When I did the splits it's assumed that I damaged the tendon.

My hypermobility is quite pronounced so my hip went backwards a ***l of a lot more than a normal persons would, without a #NOF or #femur.

I have looked into internal snapping/clicking hip and that sounds a lot like what I have experienced all my life.

Could the damaged tendon be the one getting caught over the front of my hip? Thus meaning more pain and less healing?

I asked my physio about it today but she dismissed it saying that it's the wrong area and that its over the great trochanter. She was talking about the iliotibial band and not the iliopsoas tendon and I only realised once I was in the car on the way home (I'd had a rather intensive session and in pain so it slipped my mind).

I hope that's all clear. I tried to explain it as clearly as possible.

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3 Replies:

  • I'm the original poster. I realised that I hadn't joined the forum after posting.
    joannemojo 2 Replies
    • February 6, 2010
    • 01:03 PM
    • 0
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  • Hi, I just thought I would post to see if anyone has an opinion on what has happened to me and possible causes.I have hx of hypermobility (7 on beighton score) and as a child I suffered with subluxation of the left hip. I also have a shallow socket on the left (which I found out about last week). Throughout my life I have felt a 'popping and catching' on the front of my left hip. It wasn't always painful but sometimes it would catch when walking and make me stop, regroup and then carry on. It would then remain sore for a while. I would also have to crack my hip sometimes to get relief. I'd sit straight-backed in a chair and lean forward at the hips. I'd go so far and feel it 'catch'. I'd carry on and then a loud clunk or crack could be heard. Without doing that I'd feel like my hip was sorta stuck and needed to be released. On June 10th 2008 I did the splits down the the stairs. My right foot slipped and as I went down, my left knee caught the step meaning that my leg was wrenched behind me and my foot ended up by my head. Spent 9 weeks in hospital in agony and stuck in a wheelchair due to extreme pain. I was kept in for physio and pain relief. All xrays, CT and MRI were NAD according to orthopods (who happened to not notice the shallow joint). They diagnosed nerve injury and put me on gabapentin QDS. I have been under physio since discharge (over 1 year now) and made some progress but seemed to plateau slightly. Still unable to weightbare on (L) and limited ROM. Last week I paid to see another specialist and he disgnosed the shallow socket and said that the most likely dx was tendonopathy. He decided that an injection of LA and cortisone into the tendon/joint - he mentioned injecting the tendon but during procedure it appeared to go into the actual joint. Injection was done through the front of my hip. Had that done this wednesday and felt a degree of improvement. Now, my question is:When I did the splits it's assumed that I damaged the tendon. My hypermobility is quite pronounced so my hip went backwards a ***l of a lot more than a normal persons would, without a #NOF or #femur. I have looked into internal snapping/clicking hip and that sounds a lot like what I have experienced all my life. Could the damaged tendon be the one getting caught over the front of my hip? Thus meaning more pain and less healing?I asked my physio about it today but she dismissed it saying that it's the wrong area and that its over the great trochanter. She was talking about the iliotibial band and not the iliopsoas tendon and I only realised once I was in the car on the way home (I'd had a rather intensive session and in pain so it slipped my mind). I hope that's all clear. I tried to explain it as clearly as possible.Have your treating practionners considered a labral tear as a potential diagnosis? Might be worth discussing with your treating physiotherapist - these aren't always picked up on investigations, are often misdiagnosed and often cause clicking / catching pains in the hip.Good luck,PhysioAdvisor
    PhysioAdvisor 93 Replies
    • February 18, 2010
    • 01:24 AM
    • 0
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  • Have your treating practionners considered a labral tear as a potential diagnosis? Might be worth discussing with your treating physiotherapist - these aren't always picked up on investigations, are often misdiagnosed and often cause clicking / catching pains in the hip.Hi, Yeah a labral tear was ruled out by the hip specialist and my physio. The degree of pain and constant nature of it apparently doesn't tie in with that diagnosis. To cortisone injection was into my psoas tendon. I saw another physio (double appt. with my own) and she's suggested an injury to my SIJ from the fall and that groin pain can arise from that. She did some lenthening technique on my (R) leg which is slightly shorter now from compensating in order to realign things better. Things just seem to be getting complicated now with the two members of the MDT appearing to have differing opinions. re: snapping hip. I was able to flex and extend my leg far more the other day. When extending from a flexed position my Mother was able to hear a loud crack/snap. I felt pain but it was dulled considerably compared to pre-injection. It's right at the front of my hip. I did mention internal s/h but my physio didn't seem to be bothered by it again. I don't want to mention it again as I don't want to appear as a pushy pt. I am actually a staff nurse so she knows I have more knowledge than the average pt. but I don't want to push it. I don't want to appear to be undermining her. I'll speak to the doctor about it when I see him in around 1 month and see what he says.
    joannemojo 2 Replies
    • February 18, 2010
    • 02:16 AM
    • 0
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