But can't tell you this week's lottery numbers!
Jan 10th, 2014
David asked The Guru for the following Physiotherapy Advice:
I am a keen runner with many half marathons under my belt and one full marathon (Dublin Oct 2010 3hrs 18mins), but am now in training for the London Marathon in less than 6 weeks.
A few weeks ago I introduced hill work and speed sessions into my training but they aggravated my hips (in particular my right), a day or two of rest and I was fine again. However, 3/4 weeks ago the pain got worse in my right hip and now won’t go away. The problem has moved into my thigh and feels almost like a nerve problem. the discomfort comes and goes but won’t clear up completely.
I’ve been able to continue running on it (although I have rested quite a bit too) and the discomfort reduces when I run – only last weekend I ran a steady 11miles and felt great afterwards, now a few days later the pain is worse again. It’s difficult to pin point the pain, self massage and using a tennis ball seems to have no effect although using a roller in the gym I was able to feel a couple of acute points of pain in my thigh (front mid point).
Gym instructors have suggested it could be my hip flexor but the fact that it comes and goes suggests it is not muscular as surely the pain would be more constant.
Any suggestion you may have would be greatly appreciated.
The Guru Responded:
I agree, it doesn’t sound like a hip flexor problem but more like a (femoral) nerve issue from hill training.
The problem about hills (and you’ve already got a great pedigree for marathon running) is that you lean backward or forwards excessively, causing more shearing force around your lumbar spine – this doesn’t need to be painful.
I’d avoid stretching, unless you can stabilise your lumbar spine. I’d concentrate on form and function, especially getting more thoracic spine mobility. Running tall and not over striding is a must.
The idea about getting more thoracic spine mobility is to take the excessive load (and shear) away from you lumbar spine, the potential source of the referred pain.
If you’re using tennis or spikey balls, go for your gluts. If you’ve got a foam roller go for your thoracic spine….
T Cope – 15/09/2019 19:19:53
So pleased with my treatment and care. Friendly Physio’s was made to feel comfortable and…
JACKIE WELSH – 13/09/2019 11:59:52
MY PHYSIO SESSION WAS CONDUCTED IN A FRIENDLY AND PROFESSIONAL MANNER. I HAD TOTAL CONFIDENCE…
Malvinder – 13/09/2019 07:41:48
Excellent treatment. Both ladies that I saw - Lauren and Georgia were very professional and…
Jane – 12/09/2019 12:36:37
Very personalized in depth analysis of problem and excellent constant reviewing
Helen – 12/09/2019 12:20:13
No improvements I can think of. Location and facilities are very good, and the therapist…
Dean Palmer – 12/09/2019 11:14:46
Having been to many physios, I would say I have no complaints and feel that…
Gavin – 12/09/2019 10:38:01
Very impressive service all round. Most importantly my shoulder is improving due to the treatment.…
Annie – 12/09/2019 08:56:44
Very friendly, very helpful, dealt with the knots in my shoulder/tightness in my neck
Marcelo Spie. – 05/09/2019 18:52:22
I need to start this feedback with a big congratulation to all team from Monument…
Sophia – 05/09/2019 18:42:30
Gee is my physio and she absolutely excellent. Great communicator, has helped me understand the…
Paola Coppola – 05/09/2019 17:10:16
The massage was done in a professional way leaving me relaxed and with the stress…