I am a male runner age 33. I have been running for most of
my life, sometimes competitively and sometimes not. I am 5
feet 10 inches tall and 140 pounds.
Two years ago, I developed plantar fascitis and was
prescribed orthotics to correct what was described as
flattening of my high arches on impact. I've been using
them for about a year. In October, I had surgery for an
inginual hernia on my left side. I took off about a month
prior to the surgery and about a month after the surgery
(the time off cured the p.fascitis!). I then resumed
running by running and walking then running all the time,
building my weekly mileage by about a mile a week or less
until this time. I was back up to about 25 miles a week
with my longest run being 10 miles.
During this re-building period, I felt slight numbness and
then pain in my left groin, where the hernia pain was
hurting before. Inexplicably, that symptom went away around
February. In the last five weeks, however, I have a new and
much more aggravating pain in my extreme upper thigh/hip. I
do not feel this pain walking. But, around the 15 minute
mark in running, the pain begins. If I run up to 35
minutes, the pain becomes about 5 or 6 on a scale of 10.
Trying a 10 miler would be folly at this point.
It hurts when I lift my leg, so, going up hill or running
faster hurts more. The pain progresses after the run and
into the next day. Within 48 hours of not running, the pain
is basically gone. But while it hurts, it hurts to lift my
leg toward my chest. When it is at it's worst, I actually
can't lift my leg without extreme pain.
I have noticed that if I am standing stationary when I lift
my leg very high and then lower it down, there is a "click"
feel as it is lowering to the ground. Lift up quiet, then
down and about half way back down it something in the
extreme upper thigh/hip clicks. If I press hard on the
hernia surgery sight, it seems to lessen this clicking,
though it still occurs.
My primary care physician has been very helpful to me in
helping me through some running ailments (p.fascitis, shin
splints, the usual suspects). But he is at a loss regarding
this one (I don't blame him). Whatever insight you might be
able to shed would be just great. Thanks for taking the
time to consider this one.
Mike - I have seen someone with almost exactly same symptoms as you have. He also had an inguinal hernia repair, and had pain that came on with activity in the same location. After much fiddling about, we came to the conclusion that he had scar tissue associated with the surgery that failed to function in an elastic fashion. Much "myofascial release technique", active and passive stretching, and the passage of time seemed to provide relief. You need to perform stretches that challenge the psoas and rectus femorus. Also, do abdominal stretches. See a PT who has good hands, and get some deep tissue release work. Build up to distance running by working on sprinting to overload the region. I believe that the overload will likely improve your scar tissue response to strain. Hope this helps. Neil.