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Joining the hip pain club

[QUOTE=Sparkybella;8228045]
So, my advice to anyone reading this, is to seek out a first-rate PT–or a dressage teacher specializing in biomechanics–and try this before surgery. This work probably won’t help with the labrum tears, but for my basic FAI (big cam lump and pincers), it was a game-changer for me. [/QUOTE]

Thanks for sharing your story! I’ve been lucky enough to work with some truly excellent biomechanics-oriented dressage trainers, so I can appreciate how big the changes that little adjustments in one’s position can make. Yours is a good reminder to stay mindful of alignment when off the horse too. I’ll try to think about your bowl imagery now and then during my daily life.

For me, experiencing sharp pain when my leg/hip/body is in a correct position has actually got me wondering if maybe riding dressage how it’s supposed to be ridden with a body that is not exactly ideally conformed for the discipline has contributed to my own problem (which seems to be limited to the labrum, not the femur or acetabulum). Perhaps it’s not coincidence that this started when I got to a level where I was sitting mediums, and not during the years when I was working on the very basics and riding with less precision…

As for a straight labrum tear, I do have a friend who tore her’s walking down a flight of stairs in high heels. She’s a serious runner and was not happy. She fixed her labrum with surgery. She had about a three-month recovery, and is back to running, completely pain free.

So, sometimes surgery for tears is absolutely the way to go.

And sitting mediums on big-moving warmbloods is not easy! If my horse is not collected enough in the mediums, I get bounced all around and it is rather an awful thing (sort of a joke). If he’s more collected in the mediums, I at least have some place to sit.

And dressage as it’s “supposed to be ridden” can be sort of fungible. Sometimes what works for you may not work for another. So some can ride with a totally straight leg, while others do better with a shorter stirrup with more bend in the knee. Some ride deep with their seat and practically lean backwards, and others train their horses to go off the leg and keep a more forward or upright position. I do know that, at least for me, once I took the bend out of the lower back, engaged my lower abs, the hips greatly improved. And there are so many different body types doing dressage–and doing it well–that you should be able to keep going.

I used to have to do all these yoga stretches (practically as soon as I dismounted). I don’t need to any of that anymore. Wishing you a good outcome–life and riding are SO much better pain free!

[QUOTE=Sparkybella;8228673]
And dressage as it’s “supposed to be ridden” can be sort of fungible. Sometimes what works for you may not work for another.[/QUOTE]

Absolutely! By “how dressage is supposed to be ridden” I meant only the crudest principles that are fairly universal. For example, any way of riding that allows my horse the balance and suppleness in her back that she needs to do the movements we’re working on at the moment is going to create sharp pain in my hip with every stride. No adjustment of stirrup length, core engagement, or upper body balance changes that motion-related pain. The alternative – tight and unbalanced – is not how dressage is supposed to be ridden. At least according to the comments I’ve gotten from judges over the years. :lol: Given how many fellow dressage riders with labrum tears have come out of the woodwork, so to speak, since it hit my radar I do wonder if the mechanical stresses involved in this sort of riding cause more wear and tear on some of us due to our joint morphology or tissue properties or more general mechanics. My horse is awesome, in my ever so humble opinion, and I’m not a terrible rider, so keeping going is not a question, much to the dismay of my ortho doc. :winkgrin: Whether we’ll both stay sound in harder work, however, might be.

Thanks!

[QUOTE=x-halt-salute;8228794]
Absolutely! By “how dressage is supposed to be ridden” I meant only the crudest principles that are fairly universal. For example, any way of riding that allows my horse the balance and suppleness in her back that she needs to do the movements we’re working on at the moment is going to create sharp pain in my hip with every stride. No adjustment of stirrup length, core engagement, or upper body balance changes that motion-related pain. The alternative – tight and unbalanced – is not how dressage is supposed to be ridden. At least according to the comments I’ve gotten from judges over the years. :lol: Given how many fellow dressage riders with labrum tears have come out of the woodwork, so to speak, since it hit my radar I do wonder if the mechanical stresses involved in this sort of riding cause more wear and tear on some of us due to our joint morphology or tissue properties or more general mechanics. My horse is awesome, in my ever so humble opinion, and I’m not a terrible rider, so keeping going is not a question, much to the dismay of my ortho doc. :winkgrin: Whether we’ll both stay sound in harder work, however, might be.

Thanks![/QUOTE]

The reason for so many dressage riders with labral tears may be that people are trying to ride with too long a leg FOR THEM. If trying to ride with that very straight drop from the hip causes an impingement, there’s a recipe for labral tearing right there! I for one couldn’t ride that long, and by the same token could not kick higher than my head no matter HOW hard and long I stretched back when I was doing karate. My hips simply aren’t hung on that way. To know for sure, have a sports medicine specialist take a look at your X-rays; that may be most of the answer right there!

Google “Cadre Noir de Saumur” and take a look at the very jumper-like leg those guys ride with, up to and including the most collected movements. They get it all done with a very comfortable “balanced seat,” no extreme stretching required. What works for Isabell Werth doesn’t necessarily work for all of us, so try riding with a more hunt-seat leg and see if it makes a difference!

The point I was making earlier is it may NOT be the labral tear causing your pain. For one thing, an actual “injury,” in us as in our horses, has a certain expected healing time; one should have significant improvement doing what you’ve been doing–“stall rest” in effect. Idiopathic referred pain from the lower back, however, can disable one for YEARS without regard to a normal healing curve; because the consensus now is that it is not actually in most cases an “injury” per se. It would be a bummer to go through surgery for the tear, and find the pain still with you anyway. I totally understand if you are “decades younger” you’re not ready to give up riding, etc. any time soon. It’s just that the medicos are shooting in the dark most of the time, and you need to know that going in if you opt for surgery. Sorry the news isn’t better!

I think the damned humid weather’s a factor, too–more people than usual seem to be “achy-breaky” to the max these last couple of months.

1 Like

[QUOTE=Lady Eboshi;8229623]
The reason for so many dressage riders with labral tears may be that people are trying to ride with too long a leg FOR THEM.

I think the damned humid weather’s a factor, too–more people than usual seem to be “achy-breaky” to the max these last couple of months.[/QUOTE]

Interesting theories. Not sure I buy them.

they used to call it ‘cowgirl hip’. there is another thread on here somewhere…

even if you have no FAI your overall conformation may pre-dispose you - esp. if your horses are wide.

am trying to get a new saddle balanced right now. I can tell when we ‘get it’ because of the sharp pain in the groin on the right when I start lateral work - and my guy is like riding a 2x4!.

i was ‘double jointed’ - double whammy…loose connective tissue and lots of things that would bend past ‘anatomic normal’. mary lou retton had to have early hip replacements due to beating the hips up in gymnastics…

[QUOTE=x-halt-salute;8229687]
Interesting theories. Not sure I buy them.[/QUOTE]

It must be a cold day in hell because I am going to agree with LE. :wink:

Riding with a long straight leg stresses the hips much more than riding with a shorter stirrup. I had to quit riding in a dressage saddle and buy a close contact in order to continue riding.

[QUOTE=Bristol Bay;8230785]
It must be a cold day in hell because I am going to agree with LE. ;).[/QUOTE]

:lol:

Seriously, though, not all of us ride dressage with a long straight leg. I have no business making generalizations about the riding positions used by the vast and diverse spectrum of dressage riders, so Lady E’s theory holds no interest for me. I should have realized that musing about my own poor physiological adaptation to the discipline and the sport’s potential for surprisingly high joint impact would invite a lot of speculation about these things.

Thanks for sharing your experience, though, Bristol Bay. Your perspective may come in handy if I end up having to go under the knife (er, under the scope?) and have to re-jigger my riding on the other side.

[QUOTE=tollertwins;8230356]
am trying to get a new saddle balanced right now. I can tell when we ‘get it’ because of the sharp pain in the groin on the right when I start lateral work - and my guy is like riding a 2x4!.

i was ‘double jointed’ - double whammy…loose connective tissue and lots of things that would bend past ‘anatomic normal’. mary lou retton had to have early hip replacements due to beating the hips up in gymnastics…[/QUOTE]

I’ve got a saddle fitter appointment on Monday and I’m pretty sure I’m going to be experiencing that same sensation as I try to find something that works for me and my narrow-as-a-rail horse! But I’ve still got my fingers crossed that the fitter will have the holy grail of hip pain saddles on the truck: a sublimely narrow-twist monoflap with a less bucket-like seat than some contemporary models. Oh and in the right seat/tree size and used. A girl can dream, right?

Its funny you mention gymnastics, too, as I did a ton of it as a youngster and have always had a lot of flexibility (well, at least until this hip started acting up). I suppose I can’t complain about any potential negative impact youth gymnastics may have had on my adult dressage life, though. As much as it sucks to have an injury, the residual balance and proprioception (and coachability) from my early gymnastics days do come in handy as an adult ammie.

Yeah - I started yoga at about age 10. Could put both feet behind my head up till i was in my 20’s. Cool at the time - NOT cool for long term hip health…

Quick question for those of you who’ve been through this:

I’m scheduled for the cortisone injection Tuesday morning.

Will I be fully able-bodied when I walk out of the hospital after the injection? I drive about an hour to work, park about a mile from my office, and will have to walk about another mile from there to the hospital for the procedure. So if I’m going to have a hard time walking and/or driving a moderately long distance that day I should probably start making alternative arrangements…

Thanks for any insights!

Walking a mile and then driving an hour? I’d find help for that.

I had my hip done maybe 2 months ago and it wasn’t painful, really, and they do block the joint (yay anesthetic!) but I still found the 30 minute car ride home uncomfortable. I would not have been game for walking a mile.

If you can’t find help, I think you can probably do it safely, but it might not be fun and adding all that to the insult of the injection might not set you up for the best results.

[QUOTE=Simkie;8231506]
Walking a mile and then driving an hour? I’d find help for that.

I had my hip done maybe 2 months ago and it wasn’t painful, really, and they do block the joint (yay anesthetic!) but I still found the 30 minute car ride home uncomfortable. I would not have been game for walking a mile.

If you can’t find help, I think you can probably do it safely, but it might not be fun and adding all that to the insult of the injection might not set you up for the best results.[/QUOTE]

Thank you! This is very good to know!

ooowweeeee!!

first - radiologist are VASTLY different in how much you hurt during and immediately after the injection

secondly - the put some anesthetic in there along w/ the cortisone - which is total bliss for a few hours…then it wears off and your joint starts complaining about the fact that somebody put a big, long, needle in it.

also, they really want you to stay off the leg to keep the meds in the joint where they belong…kinda like resting your horse after injections.

i walked on mine quite a bit once (no real choice), and not only did it hurt like all get out, that injection didn’t really work.

[QUOTE=tollertwins;8231567]
also, they really want you to stay off the leg to keep the meds in the joint where they belong…kinda like resting your horse after injections.

i walked on mine quite a bit once (no real choice), and not only did it hurt like all get out, that injection didn’t really work.[/QUOTE]

No walking for me then! It’d be 2 miles from the hospital to my usual parking spot, so I’ll just plan on driving directly to the hospital and then parking at a meter outside my office for the rest of the work day. The hour drive, I’m afraid, I can’t avoid.

I’m hoping that if it works its effects will kick in in time for my trip “home” to Colorado the following weekend. The mountains are calling, as John Muir once said… it would be a pleasant surprise to be able to hike a little while I’m there. Though again, I’m pretty good at wishful thinking.

If you can at all swing someone driving you home, I’d encourage it. Just being able to shift and move and lean the seat way back could be a really welcome reprieve. Are you going straight home home following the procedure? I found the block to be active for about two hours after (they used bupivacaine, IIRC) but things were ouchy after that through the rest of the evening.

How long do you have between the injection and CO? (Say hello to Colorado for me! Oh, how I miss it!) I’d say it’s pretty reasonable to assume the steroid will kick in by day 5-7, if not before?

Interesting for me to come across this thread, as I’m going through hip pain, also! I’ve had back pain for years and my hip has gradually been bothering me but now it is at the point where I’ve already been to the ortho once and been through PT and am now going to go back to the ortho again. His dx based on xrays was FAI, more in my left hip (where I hurt) than the right, although he also said he sees it in the right. I’m going to see another doctor next time because I didn’t really like this guy that much, so we’ll see if he orders a different xray view or an MRI or what… It is starting to affect my riding more, though, and even after just walking today I’m in some pain. Boo hoo.

[QUOTE=Simkie;8233016]
Are you going straight home home following the procedure?[/QUOTE]

My boss is rather unsympathetic, so I’m supposed to put in a full work day afterward. :frowning: I’m more interested in being able to drive home safely than in keeping my boss happy, though, so if it starts hurting I’m going to take off and suffer boss’s wrath on Wednesday. It’s my right hip, so if it’s ouchy the drive is not going to be fun.

I’m flying out Thu and will be in CO through the following Tue, so maybe I’ll be able to hike a little toward the end of my trip. I miss it too! I love my trainer and equestrian community here on the east coast, but Colorado is home. I’m trying really hard to move back (just applied for a job in Ft. Collins that I have a decent shot at).

[QUOTE=Pocket Pony;8233184]
Interesting for me to come across this thread, as I’m going through hip pain, also! I’ve had back pain for years and my hip has gradually been bothering me but now it is at the point where I’ve already been to the ortho once and been through PT and am now going to go back to the ortho again. His dx based on xrays was FAI, more in my left hip (where I hurt) than the right, although he also said he sees it in the right. I’m going to see another doctor next time because I didn’t really like this guy that much, so we’ll see if he orders a different xray view or an MRI or what… It is starting to affect my riding more, though, and even after just walking today I’m in some pain. Boo hoo.[/QUOTE]

Sorry to hear you’re going through this too, PP! I hope you find answers and relief.

Had the injection this morning. If they could just invent some sort of port so I could inject my hip with lidocaine before every ride/run for the rest of my life I’d be a happy woman. Feels better than it has in ages! Too bad it needs to be rested today – I’d love to ride a horse or go for a run before the local wears off!

Fingers crossed that the steroid is equally effective…

Yay for block! I’m with you on that…can’t they just put that on some sort of constant infusion?

Hope the steroids work for you :slight_smile: Best of luck with the gig in FTC–that’s where I was before.