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Anyone ever experience this? My MRI of my hips (the right one was giving me problems) showed tendonosis, which was explained to me as being tendonitis which never fully healed, so then the tissue changes and becomes...well, like...dead. I just had a cortisone injection and now all the pain is completely gone, but I don't know how long it will last, and I'm not getting another cortisone shot. I'm looking at prolotherapy (mixture of sugar water and some kind of other more natural substance), which encourages collagen production and actually helps to rebuild the tissue fibers involved. It's administered by a series of shots, and my orthopedic wants me to not "be in season" so to speak if I decide to try the prolotherapy. Which is like never, with my dance schedule...I've already lost so much $$ by taking off so much time from dance. Now I'm back to restaurant work and teaching, taking it easy, but as I say don't have any pain because the cortisone did its job.....I have added appropriate physical therapy exercises to help correct my muscle imbalances. When I had the pain at its worst, it feels like pain/strain coming from a combination of illio psoas, quadratus, and something right over the iliac crest. Not deep but more superficial, all over the side of the hip and sometimes the front of the quad and also some right lower back. (My ortho really thinks the glute medius is also mostly involved.) I know....I'm to' up; right! But again, the cortisone has me just fine for now.....I had a cortisone shot in my left knee (pes anserine) after ACL reconstruction and I developed patellar tendonitis (common after effect of the surgery). That shot was 7 years ago and I've never had another problem, so I'm hoping this hip shot will do the same, but I'm also looking into everything else I can. Any advice/experience, anyone?
Thanks!!
Thanks!!
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Atlanta
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Re: Tendonosis of Hip / Glute Medius
Sat, May 26, 2007 - 8:09 AMI had a student last session who disappeared after a few classes, and when I saw her recently she said the reason she stopped is she'd been experiencing hip pain. The problem she described sounds a lot like what you're describing. I wish I could offer something helpful, but she's been having massage therapy that hasn't helped her. I'll be interested to see what answers others give and maybe pass the info on to her.
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Re: Tendonosis of Hip / Glute Medius
Sat, June 2, 2007 - 1:28 AMI've been experiencing a similar pain in my left hip...mainly when I've been doing a lot of hip lifts or movements where I am pushing my left hip outside my body line. At times my hip has seized up and I have been unable to continue without noticeable limitation in movement - and considerable pain.
I have actually been quite slack in getting it diagnosed but have found that deep tissue remedial massage has provided some relief. My muscles tend to hold a lot of tension and this definitely assists with loosening the fibres and encouraging greater blood and oxygen flow to the affected area - essential for the healing process.
I'm a big believer in addressing the cause of the problem first so am currently working on specific Pilates stretches and strengthening exercise to target my own weaknesses and attempt to restore muscular balance to my body. Have you been assessed for any muscular skeletal imbalances? Has your physio prescribed any specific exercises to help you address the root of the problem? If not, it's like buying a new tyre without getting a wheel alignment. You may have something similar occur down the track.... -
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Re: Tendonosis of Hip / Glute Medius
Sat, June 2, 2007 - 10:08 AMHi there. I am posting because I too have suffered with this kind of pain and have found relief through chiropractic care. I believe that strengthing the muscles, and encouraging flexibility is key, but also addressing structural issues that could actually be in the spine and thus affecting the hips. I have been seeing my chiropractor now for about 5 months and my right hip pain is almost completely gone and I have full range of motion now! I too depend on dance as a career, and if I had one recomendation it would be to consult a doctor of chiropractic.
Any pain in the body is not fun, I have been there and I am still recovering......
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Re: Tendonosis of Hip / Glute Medius
Sat, June 2, 2007 - 1:29 PMI totally agree with Stef. I too have been going to a chiropractor and have great results. It has taken months to get to it but he hasn't had to adjust my hips the last two time! (Yahh!) At the time I started going, my hips were tilted to the front and also crooked...no wonder it hurt. Anyway, it's taken time but it is really nice to be able to dance again.
Hope you feel better!
Peace,
Karen -
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Re: Tendonosis of Hip / Glute Medius
Sat, June 2, 2007 - 11:47 PMMe too. Provided you find the right one, someone who works soft tissue and myofascial aspects as well as just focusing on dem bones. Nice thing is they are usually covered at least partially by insurance. For many of us that's huge!
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Unsu...
Re: Tendonosis of Hip / Glute Medius
Sat, June 2, 2007 - 3:25 PMInteresting that you had knee pain and then developed hip pain. The hip and knee work together!
Check out www.egoscue.com
Buy the book Pain Free by Pete Egoscue and read the first three chapters, then the hip knee and back chapters. There are simple exercises that will change your life.
Feel free to contact me if you have any questions - I'm an Egoscue Therapist and used this method post spinal fusion...used to walk on a cane, now I run and hike. It's simple, logical, cost effective and it works!
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Re: Tendonosis of Hip / Glute Medius
Sun, June 3, 2007 - 2:55 PMThanks everyone. Yes, I do regularly see a chiropractor and have been getting massages as well. I do have an underlying slight scoliosis (don't know if I mentioned that before) as well as muscular imbalances and bad habits such as doing the same stuff over and over again dancing in the restaurants. I have worked in some Pilates (with the apparatus) sessions as well as changed alot of stuff in my dancing, so we'll see....so far so good; the cortisone shot is still holding....looking at prolotherapy; doing some research on that this week.....I will check out egoscue below. Thanks everyone! -
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Re: Tendonosis of Hip / Glute Medius
Sun, June 3, 2007 - 6:26 PMGina,
You just described exactly the pain and issues I've been experiencing for the past 3 years or so! I have not had an MRI of the hip. Regular massage and chiropractic did nothing for it. The only thing that's given me any relief is called 'Active Release Treatment" or ART. You can google it and find information. I found a chiro that works with the San Diego Chargers (I live in SD) and it has been a godsend. At first I went two to three times a week and now I go as needed. I was never a professional dancer and now I've had to pretty much quit dancing as it constantly aggravated it. Maybe I should look into cortisone shots.
I am definitely going to check into tendonosis. It would be nice to at least have a name for the issue I've been experiencing. Good luck to you and keep me posted on your progress.
Hang in there! -
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Re: Tendonosis of Hip / Glute Medius
Fri, June 8, 2007 - 3:12 PMWow; thanks!
It's a chronic overuse injury basically .....my question is, once the tissue changes, does that mean I can't heal??
I'll keep you posted,
Gina -
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Re: Tendonosis of Hip / Glute Medius
Wed, June 13, 2007 - 1:08 AMGina, going out on a limb (or three) here as I am not a healer but have been a frequent recipient of healing including of crud that's been scarified. The scar tissue can be broken down, loosened up and new tissue can grow and take over. Don't let anyone tell you once it's "dead" it's lost. It does however take a long time sometimes and can require maintenance once you get better.
Don't even think of giving up!
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Re: Tendonosis of Hip / Glute Medius
Tue, June 19, 2007 - 5:10 PMHi Gina,
Tendonitis is definitely an overuse injury that creeps up on you. Rest, ice and anti-inflammatory drugs are usually what's recommended. Rest is the biggest factor - and the one we dancers *least* want to hear! Tendons take longer to heal than other body tissues because they don't have as much of a blood supply as say muscles or skin.
I agree with Shira, cortisone is risky business. You could wind up doing more damage to yourself simply because you can't feel the warning signs from pain.
Once you've taken the time to heal up, you'll probably always need more of a warmup in that area before dancing though.
Take care,
Mahin -
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Re: Tendonosis of Hip / Glute Medius
Fri, June 22, 2007 - 10:33 AMI just tore a tendon in my hamstring 3 weeks ago (snapped like a rubber band during a jazz class) and am finally starting some scar tissue treatment. My PT used a dull blade-like tool to massage out my ham and I could feel and hear all the lumpy scar tissue being worked (she certainly couldn't have felt all that with her hands). Since scar tissue lays itself in a very disorginized manner - it needs to be organized through manipulation to help prevent it from "balling up" and being prone to further/chronic injury. This was he first time I had ever had a tool like this used and with just one treatment so far there has been an AMAZING difference!!!! Aside from a bit of skin sensitvity - I could actually walk without my crutches the next day! I can't wait to go back and see how I progress.
There's always hope! : )
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Beware of cortisone shots!
Wed, June 13, 2007 - 11:03 AMI realize that orthopedists widely use cortisone shots to relieve pain, but before agreeing to get one, PLEASE make the effort to research what, precisely, the cortisone does to your body!
Basically, cortisone "confuses" the nerves in area of the injection so that they cannot interact with the brain any more. The best analogy I can think of is that the nerves kind of go into a coma, no longer able to respond/interact to the world around them.
After I learned that, I decided I will NEVER have a cortisone shot. Sometimes the treatment is worse than the illness!
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Re: Tendonosis of Hip / Glute Medius
Tue, June 12, 2007 - 10:15 AMWow, this seems more common than I knew! I had this problem (or a very similar one) last spring. I treated it with chiropracic care & massage therapy.
I also did an ice massage twice a day (once after work & once before bed) and applied arnica gel as often as I could, like every time I went to the restroom--kept the tube tucked in my purse. (Ice massage = rubbing an ice cube on the spot until the ice cube is gone!).
When I did the ice massage without the arnica afterwards, or if I forgot my tube of it at home for a day, I could feel the (negative) difference.
These things all improved my state immensely--though it was a new injury, not an old one like yours, Gina, so I'm not sure how that compares.
Oddly, what finally solved my problem was changing my shoes. I had been wearing some very nice sneaker/hiking shoes from North Face since I thought that would be the best thing for my body. But my feet & hips hurt at the end of each day so eventually I switched to Teva flip flops (yes, I like my shoes comfy) and... voila! No more pain! Wacky.
I wish you the best in your healing!
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Re: Tendonosis of Hip / Glute Medius
Fri, June 22, 2007 - 11:52 AMGina, thank you so so much for this post. This is exactly the syndrom I have in my right hip and I don't belly dance! I'ts amazing that all of you have this same set of symptoms. I'm going to print out this thread and take it to my doctor.
I have sciatica, a result of a disc rupture and removal. I have been told this pain is a result of the swollen sciatic nerve passing thru the gluteus maximus and irritating it. I've had years of physical therapy, cortizone shots (yuck!), electro-something-or-other that left black spots on the arche of my foot. All only worked once or twice, by the way... So now I can hardly walk. When I tried belly dancing last winter, it showed me how to separate and move exactly those muscles that were frozen. All the PT I've had-- useless. It just irritated it more and pulled the muscles in artificial directions.
So here is my theory. Once this syndrome starts, it's self perpetuating, so something's gotta change. For dancers, watch out for your discs. Over extending can easily cause a pinch of those spinal nerves. For me, I've just got to learn how to keep all those muscles moving. Thank you all for responding. I believe there is a crack in my universe... -
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Re: Tendonosis of Hip / Glute Medius
Sun, June 24, 2007 - 12:53 PMWow....all the posts are fascinating.......I'm still holding strong but there is now a tightness (not pain) in the front of my hip and the usual quadratus tightness. It responds to stretching and arnica gel. I'm working on losing a few pounds also; figure it couldn't hurt. -
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Re: Tendonosis of Hip / Glute Medius
Mon, June 25, 2007 - 4:01 PMThese posts are amazing...at least I know I'm not alone out here:) Hope everyone is on the path to healing. Must go get som arnica gel.
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Re: Tendonosis of Hip / Glute Medius
Sat, November 7, 2009 - 12:35 AMjust a tip. water intake is more important than most think. if you are not drinking half your body weight in ounces of water per day, then you are not flushing out toxins and dehydrating the body. look into water therapy for your condition, talk to a dr. and see if that can help.
good luck -
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Re: Tendonosis of Hip / Glute Medius
Sun, November 15, 2009 - 8:46 AMGina - rest is one of the main treatments for tendonosis. Another method has to do with the laying down and organization of scar tissue, and sounds like something that was stated here - deep friction massage. I never learned deep friction when I was a massage therapist, but in PT school we do it a lot. It involves a relatively uncomfortable session of very deep pressure across the fibers of the tendon with almost an Indian burn sensation. It is used to help align the scar tissue and breaks down adhesions that may be causing pain.
I also think that your previous ACL injury could be contributing to it, as your hip muscles have to take on a new synergy pattern. And considering your cortisone shot in the knee - which did not solve the problem, but just made you not feel it - you could have inadvertently retrained your muscles in a poor or unequal synergy pattern.
If you have a scoliosis, that could be altering the hip and leg muscle lengths and therefore the action and capability of the muscles. Leg length discrepancy could do the same thing. Something as simple as different shoes or a small lift in one shoe can totally change your gait pattern and muscle length issues if this is the case. Another possibility is that you could have rotated your sacrum or one of your hip bones forward or backwards - in that case an orthopedic PT or chiro may be able to help you pop it back into place. But it is common with longstanding issues like that that the muscles will want to pull that hip bone back out of whack because they are used to it, so you may need to repeat the process many times with mobilization, manipulation, muscle retraining and stretching.
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