Dec 21st, 2016
In October 2015 (yes, more than a year ago!), I had a nasty fall
from a horse, landing butt-first on hard ground. A round of x-rays and an
afternoon in A&E left doctors almost convinced (though they couldn’t see for
sure on the x-rays) that I’d cracked my left Ischium and I was told to take a
couple of weeks off sitting and skip the sports until I could walk a mile or
more without discomfort.
After eight weeks of hobbling around, I returned to
riding more or less normally (and largely without discomfort), but now suffer
from persistent hip pain when sitting for prolonged periods of time. My
doctors say the bone is fine and they suspect the source of the pain is soft
tissue of some kind, but no one has been able to locate the problem or give
me tools for dealing with it, apart from a dose of painkillers which is
obviously not a good long term solution.
Clearly some physio is in order, but I’ve just changed jobs and am waiting for
my new insurance to kick in. Any suggestions in the meantime?
Dec 21st, 2016
Hi Alison – yes!
Some doctors are too 1 dimensional – you’ve had a (possible) fracture, it’s still painful and so the pain therefore must be related to the original injury….even a year after it occurred!
I think the pain has nothing to do with the old fracture, but I do think it’s from the knock on effect of what you’d have done to your back during the fall and more importantly the post injury compensatory movement patterns you’ll have developed.
Time to go back to basics and really concentrate on getting more movement through your thoracic spine and less through your lower spine, but learn/coach yourself to get better control and endurance through your gluts.
Don’t be tempted to chase the pain away, but deal with the reasons as to why a year down the road it’s still painful.
Alison replied immediately…
I know it’s too early to draw permanent conclusions, but wow. I tried your recommendations last night and while the first two didn’t seem to do much (I’ll keep trying though!), the third one provided almost instant relief…I wish I’d reached out to you months ago!
This particular spot has been almost constantly painful since the original injury in October last year, and nothing I’ve tried has managed to reach (stretch?) that spot, but the third video with the ball on the wall was brilliant, particularly the hip hitch. Is there any way to achieve something similar without the ball? (I’ve got one at home but don’t normally travel with one…though maybe I’ll have to start!)
The Guru replied:
The first 2 bits of rehab are to deal with the cause, and not for symptom relief (initially) the 3rd just makes you feel better, but doesn’t actually get you any better in the long term!!
Keep going with the rolled towel one – it’s ace for lots of things.
Anything firm, with round soft edges is good.
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