I have had so many different things injected that I can’t remember for sure but I would remember if it had been unusually bad like my elbow. I got cortisone pretty much everywhere.
Hm. I guess we will see. I feel like I was kicked in the butt! Doc said steroid is no bueno for trigger points. He’s a good dude, so I won’t worry, but I’d just really like to feel better. Might plan on getting in another round of PRP before we go to CT, I guess. Could do shoulder and hip again. Hmmm. Maybe I should just schedule that…I think I have to wait at least 6 weeks after steroid.
I felt like I got kicked in the butt before the injection so maybe that is why I don’t remember it feeling badly afterwards.
[QUOTE=Simkie;8715076]
Might plan on getting in another round of PRP before we go to CT, I guess. [/QUOTE]
Wait, what? Go to CT? We will have switched places! I wish I had had better MD/PT experiences there so I’d have recommendations for you.
Interesting to hear about your piriformis injection experience. I know I’ve got piriformis issues, and worse so post-surgery. I can never seem to make any progress with stretching. Good to know that injections might be something to ask about if it continues to be unmanageable…
It sounds strange to say, but having this group of people who’ve been “guinea pigs” in a way and tried treatments that aren’t on the baseline orthopedist checklist for labrum/hip issues or the WebMD write-ups is really tremendously useful for those of us muddling our way through a few steps behind you all.
What is CT?
And sigh on my part…PT is doing really well on getting the trigger points to shut up and get me walking properly. Unfortunately, the better I walk the more the hip hurts.
He said yesterday that that probably means that it is the joint keeping the trigger points active, and hopefully we can manage things to where they work w/o a lot of pain most of the time. And if not, he’d be suggesting THR instead of trying a scope at almost 60 yo (and I have absolutely NO intention of trying a scope again).
Then last nite - DH needed my heating pad (I sleep pretty much all nite w/ one of these on LOW, as their initial testing found it was good for arthritis:
https://www.amazon.com/Thermotex-Universal-Platinum-Radiant-Heating/dp/B0010XKA6A/ref=sr_1_1_a_it?ie=UTF8&qid=1466628713&sr=8-1&keywords=thermotex )
Today the damn hip hurts so bad I want to cry…maybe the heating pad is keeping things to a dull roar…
I guess if this doesn’t start to hurt less I’m going to need to start considering whether to try PRP (my doc said he tried it on a hip replacement doc who liked to run and it helped him a lot), or just go straight to THR.
[QUOTE=tollertwins;8716386]
What is CT?[/QUOTE]
A US state on the east coast of the country, between New York, Massachusetts and Rhode Island 
I’m sorry you’re doing so poorly, Toller 
PRP is certainly worth a shot if you can swing the bucks. Nothing to lose except the $$. I did get significant relief from it (after that flare period, whoa boy) but it just didn’t last as long as we’d all hoped. Maybe part of my painful status now is the piriformis, though?
And x-halt, yes! CT! Moving in Aug/Sept ish. My husband got transferred to Stamford. So we’re house hunting and trying to figure that out. If you have people TO AVOID, I’d love to know that, too. Or any feedback whatsoever about horse stuff, good restaurants, neat places to go…or whatever. Give me the skinny!
And no reason to not try the piriformis injections. Go for it! It’s not terrible to do, and it’s ultrasound guided. I think insurance likes to pay for it. Why not! Have you had any dry needling? I don’t know if Ryan does that (she never mentioned it when I was there) but if you can find someone who does, I’ve found that helpful for other stuff. I don’t know if you can dry needle the piriformis with the sciatic nerve right there, but you can probably dry needle around it and certainly other supporting muscles.
Hmmm. I wonder how something like this would do on sore butt muscles? http://www.tenspros.com/us-pro-2000-portable-ultrasound-du3035.html?gclid
Has anyone ever had ultrasound therapy for this stuff?
Just went to the doctor who measures your disability (even though I am not better yet) and I am livid.
I tell him I’m not even running yet and he says I will never run again. People with labral tears don’t ever run again.
He tells me that all people with labral tear correction are better and very active at 3 months and it’s very concerning that I’m not completely better yet.
He spends 5 minutes asking me basic questions and then tells me I’ll never be able to do my job again and ask if my company “likes me” and will put me somewhere else.
He does his measurements which aren’t even accurate. Because my leg is against the wall and I didn’t even get to extend it to the fullest.
After I leave I immediately call WC and demand that I see another doctor. I guess I have to talk to a couple people to get that done. They even admitted that the certain doctor has bad “bedside manners.” If you google the guy he has horrible reviews.
[QUOTE=tollertwins;8716386]
What is CT?
And sigh on my part…PT is doing really well on getting the trigger points to shut up and get me walking properly. Unfortunately, the better I walk the more the hip hurts.
He said yesterday that that probably means that it is the joint keeping the trigger points active, and hopefully we can manage things to where they work w/o a lot of pain most of the time. And if not, he’d be suggesting THR instead of trying a scope at almost 60 yo (and I have absolutely NO intention of trying a scope again).
Then last nite - DH needed my heating pad (I sleep pretty much all nite w/ one of these on LOW, as their initial testing found it was good for arthritis:
https://www.amazon.com/Thermotex-Universal-Platinum-Radiant-Heating/dp/B0010XKA6A/ref=sr_1_1_a_it?ie=UTF8&qid=1466628713&sr=8-1&keywords=thermotex )
Today the damn hip hurts so bad I want to cry…maybe the heating pad is keeping things to a dull roar…
I guess if this doesn’t start to hurt less I’m going to need to start considering whether to try PRP (my doc said he tried it on a hip replacement doc who liked to run and it helped him a lot), or just go straight to THR.[/QUOTE]
Before you do anything else, read this article sloooooowly, and digest it completely. If you’ve got trigger points, and especially if imaging studies have been ambiguous, this might account for a goodly percentage of your pain. It sure as heck is what I’VE got, and is frequently mistaken for arthritis, though the two often go together due to compensation. And doing just a few very gentle stretches (and importantly, avoiding the WRONG ones) as well as using a shoe lift, not carrying heavy loads up stairs, or unbalanced loads, in addition to following this author’s directions with regard to chair and sleeping positions, has made such a difference in just 30 days it’s incredible.
http://dralisongrimaldi.com/resources/lateral-hip-pain-mechanisms-and-management/
Apparently, LOTS of women 40’s-60’s, especially athletes, have this condition which is frequently missed by orthos and PT’s. who are focused on bone and whatever they can see on imaging. If you flunk the Trendelenberg Test (have trouble standing one-legged on your bad-side), if your pelvis feels “locked” making you lurch when you walk, and maybe also have an occasional “side order” of IT Band pain, this may be exacerbating your trouble.
The good news is, it’s mostly self-care once you know what to do! 
It is literally a “bowed tendon” in your butt, and it sure feels like it. A lot of the things they recommend for other conditions MAKE THIS WORSE, which is why I’m posting it here. If you’re not getting relief from steroid injections, this may be why. It FEELS like piriformis, but it’s actually the glute medius and it’s a BEAR!
[QUOTE=GucciJumper;8725158]
Just went to the doctor who measures your disability (even though I am not better yet) and I am livid.
I tell him I’m not even running yet and he says I will never run again. People with labral tears don’t ever run again.
He tells me that all people with labral tear correction are better and very active at 3 months and it’s very concerning that I’m not completely better yet.
He spends 5 minutes asking me basic questions and then tells me I’ll never be able to do my job again and ask if my company “likes me” and will put me somewhere else.
He does his measurements which aren’t even accurate. Because my leg is against the wall and I didn’t even get to extend it to the fullest.
After I leave I immediately call WC and demand that I see another doctor. I guess I have to talk to a couple people to get that done. They even admitted that the certain doctor has bad “bedside manners.” If you google the guy he has horrible reviews.[/QUOTE]
So sorry your still struggling and now with the dr too. Also tell him he’s full of poo on the running. My surgeon essentially told me with my tear (severity and how I did it) sx was the only way I would run again, while another friend has a smaller anterior tear and still runs with PT and cortisone. Had my sx on sept 24 and just ran my 2nd 1/2 marathon since, and I’m 95% pain free (usually only at work or really bad rainy days. No pain when I run, a ittle when I ride)
I find it terrible that instead of working to find why you are having issues still, he just writes it off as “oh you’ll never do that again” like you shouldn’t have some expectation to still be able to live your life. Hopefully you can find a better dr and PT soon.
[QUOTE=Lady Eboshi;8725215]
Before you do anything else, read this article sloooooowly, and digest it completely. [/QUOTE]
So I haven’t been able to read the whole thing yet (get up to take bus to take ferry to take bus to get to 8:30 PT and I’m THRASHED the rest of the day…).
Anyhow - this sounds like at least a bunch of what is going on, and what the PT is targeting. He took some time explaining what pain was likely the joint, what was likely NOT the joint, and what was kind of ambiguous.
When I asked how to keep the trigger points down after I’m done w/ PT his answer was ‘you have to move a lot more efficiently’. I’ve had gait issues since 2 years before the THR on the other side…
And kind of explains why a) one of my saddle chairs now hurts, and b) why I really like my reformer!
ETA: we had to nuke the clams w/ any resistance. He has a way of doing them that doesn’t torque as much as regular ones, but adding a resistance band was WAY too much…
[QUOTE=tollertwins;8725409]
So I haven’t been able to read the whole thing yet (get up to take bus to take ferry to take bus to get to 8:30 PT and I’m THRASHED the rest of the day…).
Anyhow - this sounds like at least a bunch of what is going on, and what the PT is targeting. He took some time explaining what pain was likely the joint, what was likely NOT the joint, and what was kind of ambiguous.
When I asked how to keep the trigger points down after I’m done w/ PT his answer was ‘you have to move a lot more efficiently’. I’ve had gait issues since 2 years before the THR on the other side…
And kind of explains why a) one of my saddle chairs now hurts, and b) why I really like my reformer!
ETA: we had to nuke the clams w/ any resistance. He has a way of doing them that doesn’t torque as much as regular ones, but adding a resistance band was WAY too much…[/QUOTE]
“Clams” will make you a major-league Advil eater if you have this condition; they are the best example of a MUST-NOT-DO!
How that works when you have another condition simultaneously makes it difficult; your body will generally let you know if a given exercise or stretch is beneficial or a no-go.
With the glute-medius tendinopathy, what you DON’T do is a lot more important than what you do. The good news is it doesn’t hurt when I ride, though the getting-on can be a little interesting. Higher mounting block helps.
[QUOTE=seeuatx;8725404]
So sorry your still struggling and now with the dr too. Also tell him he’s full of poo on the running. My surgeon essentially told me with my tear (severity and how I did it) sx was the only way I would run again, while another friend has a smaller anterior tear and still runs with PT and cortisone. Had my sx on sept 24 and just ran my 2nd 1/2 marathon since, and I’m 95% pain free (usually only at work or really bad rainy days. No pain when I run, a ittle when I ride)
I find it terrible that instead of working to find why you are having issues still, he just writes it off as “oh you’ll never do that again” like you shouldn’t have some expectation to still be able to live your life. Hopefully you can find a better dr and PT soon.[/QUOTE]
Thankfully it was a one time thing seeing him. He just did the measurements on if I lost any degrees of movement and had to implement his idea of me from looking at my paperwork for 5 minutes.
From my surgeon and from this board, a 6 month recovery is normal. My job is very active. I refuse to go back before I am ready.
My surgeon even stated that if I worked a desk job I would have been back a long time ago, but the nature of my job does not allow me to go back early.
The drive home from Myrtle Beach fired up my bursitis and piraformus. Holy crap how did I live like this for over 5 years?
[QUOTE=Laurierace;8732533]
The drive home from Myrtle Beach fired up my bursitis and piraformus. Holy crap how did I live like this for over 5 years?[/QUOTE]
So, what’s the answer to that?? We’ve got a three day drive ahead of us with this CT move, and I can barely make the 90 mins up to Minneapolis now…
Ox Ridge Hunt Club in Darien is the biggest operation local to Stamford for boarding, lessons, and shows. Hunter/jumper/dressage flavor. Beautiful place. Wm. Steinkraus’ farm is in Darien. All along the area north of the Merritt Parkway and north of the towns proper (including Stamford) are estates and private farms. There are polo matches & shows in Greenwich, Darien, and New Canaan, and a hunt in Greenwich. (All are near Stamford).
[QUOTE=Simkie;8733179]
So, what’s the answer to that?? We’ve got a three day drive ahead of us with this CT move, and I can barely make the 90 mins up to Minneapolis now…[/QUOTE]
Your guess is as good as mine. I called my pain doctor a few minutes ago to hopefully schedule a piraformus injection to nip this in the bud or butt as it were. I did ok on the way down there but by around Thursday I was starting to have hip pain from the crappy bed. I can only sleep in one position due to this shoulder mess. I think all that time on my side on that bad bed set up the perfect storm and the drive pushed me over the edge. So far it isn’t getting any better which is scary.
Hurts like hell to just get on my horse and walk around. any suggestions. I’m hopeful it’s just my saddle, I have heard pessoas have a wider twist.
Re long car rides…PT said to get enough wedge in the seat to get your butt above your hips. Takes a LOT of ‘stuff’ in the truck. He also said to lean the seat back if possible - anything you can do to get the hip angle open.
Helps, but I’m still limping after long trips.
Headed to the pain doctor to figure out what the heck is wrong with me now. PT hasn’t helped so far. I literally pointed to spots it hurts and had my daughter mark them with a sharpie to see if that helps them narrow this down so they can nip it in the bud (butt?)
Ugh. Injected my ishial bursa and said if it isn’t much better tomorrow he wants me to get a new lumbar spine MRI.
