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Sportzhub Newsgroups  |  Other Discussions  |  Training & Injuries  |  Topic: quad/glut pain
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Author Topic: quad/glut pain  (Read 2693 times)
kgb
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[-] quad/glut pain
« on: 11 Apr 2010, 12:31:23 pm »

Hoping someone can help!  for the last 5 years I have had this pain on and off and have tried every possible help I can get my hands on, but still have this injury.
I don't recal anything causing this injury, just noted pain one day running and then it's been on and off since - mostly on! 
I have a pinching feeling in my left glut, the area where a back pocket would be.  This is a sharp pinching pain.  Then I get pain down the front of the left quad.  The pain can be either a line straight down the front of the quad, or its more on the bottom, other times it is more up the top towards the join of the quad/hip.
Treatments I have had include, massage, accupunture, stretching, Cortisone (into periformis), bowen therapy, local anesthetic from a muscular skeletal pain specialist, MRI and CT scans, been to three or four sports physicians, muscle balance testing etc.   Nothing has showed up, although some have said sciaticia, others periformis syndrome, others just tight muscles, then the next person says my muscles are fine etc.  Very frustrating!!! 
I've tried running through pain, time off etc.  Recently having my first child I had 1 year off, am now back running and the pain is back again.  In the past I have had pain whilst cycling, where it gets to the point my leg just feels heavy and I have no power, however at this time the pain is only in running as that is all I am doing.  I feel like my right leg/side wants to take off and my left leg just has this pain/ache, feels heavy, pinches etc. 
For the last 4 ironman I have only finished one due to this pain...
Any help, advice, anyone experienced this??? 
Sorry for the lack of technical terminology, it's a hard pain to explain! 
Thanks
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multisportman
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Posts: 108


[-] Re: quad/glut pain
« Reply #1 on: 12 Apr 2010, 08:32:39 am »

Hi, I have also had the same problem. My left leg now feels like it has a flat spot when cycling i.e. I don't get equal power throughout the pedal rotation. Same with running.
Initially I had about 6 months of pain right up in my left glut where the hamstring attaches - mainly at night when lying down. Finally diagnosed as having torn my hamstring about halfway between glut and knee and the scar tissue that has formed prevents the muscle "firing" properly and contracting and lengthening as easily as before.
It was very hard to pick up on xrays and ultrasound. I can't do anything about it now - will always have it unfortunately.
It is worse when I don't exercise for a while and then start again. What I found interesting about the injury is that the pain was in a place away from the actual injury site.
Also while I think that I am not producing the same power in the left leg when cycling, it is actually the same as the right leg - been tested in a lab - but it is about 3 -4 % less efficient at maintaining even rotational force on the pedal. So in effect my left leg has got a bit stronger to compensate for being less efficient throughout the pedal rotation. Is very annoying though as it feels terrible. Good Luck.
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kgb
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Posts: 41


[-] Re: quad/glut pain
« Reply #2 on: 13 Apr 2010, 04:59:58 pm »

hi thanks for the reply, yep certainly a frustrating injury that has put me out of a number of races!  Keen to get it right but just not sure where to head and who can help as seems I have tried everything all ready! 
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multisportphysio
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[-] Re: quad/glut pain
« Reply #3 on: 13 Apr 2010, 07:10:10 pm »

It certainly does look like you have tried everything.

What you are describing is def. Nerve inj/impingment symptoms. Unfrotunatly your brain always assumes the injury is at the nerve ending which it often isn't. The only thing we can saftly assume is that the injury is between where you feel the symptoms and your brain, or where the nerve roots exit the spine and where you feel the symptoms.

The other thing that is normal for nerve type symptoms is that the nerve becomes irritated where it passess over/around a bone or through very stiff tissue. Which is why people have been looking at piriformis. As the routing of the sciatic nerve sometimes goes through this muscle which can cause irritaion if the muscle decides to spasm.
The other likley place is the nerve root as it enters the spine, I am guessing ct mri rulled out a disc issue, although the nerve sheath can still cause irritaition in this area.
Advice is going to be pretty ltd given the amount of testing you have already been through, you don't actually mention in your list that you have had physio, although the muscle bal testing may have been as it was flavour of the month a whille back with physio's.

but the short answer is that if the people you have seen havn't made a difference try someone else,  very frustrating I know.


I'd put a dollar each way on the problem being around the spine, but it's still only a guess. I'd ask google next he seems to know stuff and would at least give you information to judge the information you have already been given.
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kgb
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[-] Re: quad/glut pain
« Reply #4 on: 14 Apr 2010, 10:40:00 am »

Thanks - yep have tried physio and google.  when I explain the feelings most physios etc have striaght away said sciatica/periformis, however MRI Scans etc have all come back clear, and the physio has me lie on the bed, stretches my leg out and tells me to bend forward.  Then I am suppose to tell when I am in pain, but this doesn't make the pain any worse, so they say it is not sciatica.   Last night lying in bed I could feel the pinching in the glut - infact it has  been like this for the last few days.  Google says sciatica pain goes down the back of the leg, but mine is mostly the front of the quad ache/pain etc and then the pinching in my glut!  Very frustrating and it's upsetting when all tests are coming back clear yet I know something is not right! 
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multisportphysio
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Posts: 291


[-] Re: quad/glut pain
« Reply #5 on: 14 Apr 2010, 08:16:27 pm »

yes dead right on the fack it is not sciatica, as the sciatic nerve does indeed go down the back of the leg, however a number of med type people use it as an explaination for any nerve refured pain in the leg, sciatica has always been a very poor name as the majority of symptoms occor in the spine at a nerve root level before they combine to become nerves.

the area you have described is supplied by the nerve roots exiting L2and L3 (not including the buttock pain.)

however just to confuse a little we normally refer to 2 types of pain referal radicualr (from a neral tissue) and somatic from a joint/muscle etc. Somatic can be harder to narrow down as it doesn't follow a pathway like a nerve does. your symptoms still points to a lower back disfunction spinal joint or nerve adhesion. I would keep loking in this area.
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Jane
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[-] Re: quad/glut pain
« Reply #6 on: 14 Apr 2010, 09:56:34 pm »

Have you talked to a good chiropractor? I haven't had the symptoms as you, but have had all sorts of odd things going on with my lower back/pelvis/glutes etc and it seems that chiro treatment generally seems to improve things. Also, active release technique/ART (google it) can also help with nerve issues. One of the ART courses that certified practitioners do is specifically for the nerves. ART definitely improved a strange neural affliction that I had in my legs that scans, doctors, phyisios and a neurologist couldn't work out. If you are in Christchurch, there are ART practitioners at Sportsmed and Active Health at QE2. Not sure if there are any elsewhere.  May not assist you in your case but might be worth checking.
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ts11
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[-] Re: quad/glut pain
« Reply #7 on: 15 Apr 2010, 10:56:42 am »

I'd definitely agree with seeking a chiropractic opinion on this one ( but then I would as I am a Chiropractor...). What you describe is the sort of thing we deal with very frequently, and we should be able to work out quite quickly if it is or isn't a chiropractic problem.
If you are near Tauranga I'd be happy to do an assessment visit for you (at no charge). If not local, I might be able to recommend a colleague closer to you.

I hope this helps,

Todd Smythe

07 578 4507 or 021 021 021 57.
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kgb
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Posts: 41


[-] Re: quad/glut pain
« Reply #8 on: 15 Apr 2010, 12:23:44 pm »

really appreciate all the feedback.  I visited a chiro once but years ago, so maybe worth another try.  I live in Papakura Auckland so any recommendations of chiro/ART in this area?  Will need to google ART...never heard of that. 
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ts11
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Posts: 11


[-] Re: quad/glut pain
« Reply #9 on: 16 Apr 2010, 09:49:44 am »

I'd recommend Paul Needham, a chiro in Manurewa.
236 Great Nth Rd,  09 2672670.

Regards, Todd.
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kgb
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Posts: 41


[-] Re: quad/glut pain
« Reply #10 on: 17 Apr 2010, 08:06:47 pm »

thanks Todd much appreciated.  Will let you know how I get on
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