Injured Glutes: Cathe Help Please

ksandvoss

Cathlete
Cathe,

I started running at 15. At 22 I started feeling a tightness/pain in my lower glute/hamstring area. I basically just lived with it until it became excruciating at around age 30. I quit running because this was obviously the cause of the initial injury. I started physical therapy, which helped a little. I have continued to do the strengthening exercises that they had me do, but this did not solve the problem. I have been to 2 Orthopedic doctors about my condition. One doctor just gave my viox and said he didn't know what it was. I went to a Sports Specialist and expected him to tell me that I had Piriformis Syndrome, but instead he said my pain was too low to be from the Piriformis. He said that 10 years ago or so I may have torn my glutes and never allowed them to heal. The doctor said I would have to stop doing any activities involving the glutes, which would mean everything except swimming and upper body strength training. So far I have modified my weight workout by doing only the Upper Body Pyramid tape and adding 30 minutes of outer thigh, inner thigh, and hamstring lifts. I had to stop doing squats and lunges because of the very deep glute concentration. I have continued doing the Upper Body Pyramid, IMAX 1& 2, and Boot Camp tapes. I saw a massage therapist who says my muscles can't still be torn. By the way the massage felt great, but did not help with the overall pain.

Do you have any advice and recommendations? I don't want to stop doing everything. I already fear that I am going to loose some of the lower body strength gains that I have made. I don't swim, so I am not sure what to do. I can't even walk because walking irritates the condition the same way running did.

PS. Icing helps! Also sitting in a car on a long trip is the most painful activity for me.

Thank you so much

Kathy
 
Dear Kathy,

I'm an exercise physiologist and may be able to give you some clues...

A sore piriformis can indicate problems in your pelvic stability. When you initially injured yourself can you remember stepping awkwardly or unusually when you were running? You may have a pelvic up/down slip where the sacrum moves upward or downward against your pelvis or your sacrum may have rotated in a way that is making your piriformis stabilise your whole pelvis, rather than your transverse abs or glute maximus and medius or multifidus muscles. You could have sacro iliac joint instability.

You should look for a physical therapist who specialises in pelvic/ low back problems for a thorough investigation. Some chiropractors also specialise in this sort of thing. Once you get the problem assessed and corrected, the best type of rehab for this area is pilates.

Hope this info helps!
Liz N
 
Cathe,

I hope you will respond please.

Liz,

Thanks for your response. I will see about talking to someone who specializes in lower body. My doctor said it was not the piriformis. I did not have trouble walking. I just have been in my glutes that is worsened by sitting for long periods.
 

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