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It’s All in the Hips

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I bit the bullet and went to see my orthopedist, Dr. I, this morning to have him take a look at my leg.  The pain has not been getting any better and if anything, it’s worsening.  I tried to walk on the treadmill yesterday and couldn’t even go for a minute without serious pain.  After putting on these very fashionable disposable shorts and chatting with the nurse, I went in for some x-rays. I was really hoping this wasn’t going to be some sort of fracture that I had to let heal for weeks or even months.  Dr. I came in, looked at my x-rays, moved my leg all around and did some strength tests.  Good news…it’s not a fracture.  Bad news…it’s Psoas Tendonitis.

What’s a psoas you ask?  Well I had no idea either, so I’ve been scouring the interwebs all afternoon trying to gather more information.  First of all, the P is silent.  I don’t want you looking silly if you mispronounce it.  I did.  The psoas tendon is under the psoas muscle, which runs from the lumbar spine into the pelvis.  It is attached to the iliacus muscle, which lines the pelvis.  So the tendon is often called the iliopsoas tendon.  These muscles are needed for sitting, walking, and most importantly running.  Psoas tendonitis is an inflammation of the area surrounding the tendon, and can be caused by running, particularly uphill.

Well this makes sense since my run on Sunday included 3 inclines.  I have to admit that most of my training runs have been on generally flat surfaces or gradual inclines.  The area around Crescent Lake in Walt Disney World has numerous steeper inclines to go over the waterways.  This was something new for me.

The treatment: steroids for 6 days and physical therapy for a few weeks to learn stretches for my psoas.  I need to rest and can’t run or do any form of exercise for a few weeks.  Lower impact activities like biking and even swimming use this muscle, so neither will help.

Steroids...

This leaves me in a quandary for the Princess Half.  I’m definitely still going to do the race.  I’ve paid the fee, have plane tickets and an awesome villa booked with my friends.  The question is do I run or walk?  I guess we’ll see how the medications and therapy help, but I’m still concerned about my cardiovascular strength since I can’t do any exercise for a while.  I’m really disappointed since I have put so much time and effort into training for this race, and now I’m just sitting stagnant.  I never thought I’d say this, but I really miss running and can’t wait to get out there again.  A lot can happen in 3 weeks, so I’m going to focus on the positive!

14 Responses to It’s All in the Hips

  1. Hope you get better by the race. At least for the most part it is flat except for a couple of places.

  2. oh wow… I hope you get better so you can run it! Did your doctor advise you on what to do for the race?

    • I’m already starting to feel a bit better. I start PT on Friday so hopefully that will help a lot. He said just to take it easy for the race. I’m sure I’ll be walking much more than I anticipated, but I’m still going to do it!

  3. […] started kicking in.  The whole time leading up to this race I was surprisingly calm considering my injury the month before and sequential lack of training.  I was really doing this.  I was about to tackle 13.1 miles.  […]

  4. […] began in October and these shoes were still working really well for me.  It wasn’t until I got injured in January that I thought there might be a […]

  5. […] been 7 weeks since my psoas injury and my recovery is taking much longer than I had hoped.  Running the Princess Half Marathon in the […]

  6. […] the Spinning classes in the off time because it could be much worse.  I also had no pain in my psoas.  I will repeat NO PAIN!  That rest thing really pays […]

  7. […] since I was cleared by my physical therapist to begin exercise after my psoas injury, I started Spinning.  It is a low impact cardio exercise that I could do to keep my endurance up […]

  8. […] confession: I’ve been hesitating to write this post because this is the route that caused my psoas injury.  Yes, I know that’s silly…part of my charm.)  I got up early one morning and drove […]

  9. […] breathe properly and I felt ultra fatigued, so I cut my run short my 10 minutes.  After injuring myself earlier in the year, I’ve learned that I need to listen to my body and not push myself too […]

  10. […] been quite the year for me in terms of injuries.  First it was psoas tendonitis, then it was tendonitis in my ankle, and most recently the posterior shin splints I’ve been […]

  11. […] two years ago, I hurt my hip while training for my first half marathon.  My orthopedist said is was psoas tendonitis and […]

  12. […] two years ago, I hurt my hip while training for my first half marathon.  My orthopedist said is was psoas tendonitis and sent […]

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