I realize you don't have time to answer many replies, but I have had hip
pain in my right hip on and off for as long as I can remember. I have
orthotics and pronate more on the left than the right. The PT said I "toe
out" on the right foot when I run. He recently reduced the medial support
in my right orthotic but the pain continues and migrates to the inner knee.
It's more stiffness in the knee than pain. My right leg is a tiny bit longer
but a heel lift a few yrs. ago caused all kinds of problems. Do you have
any ideas as to what could be the problem with my hip? It hurts in cross
training, and an elliptical trainer at times especially aggravates it. I
would be incredibly greatful for advice, as I have read nearly all of the
questions and answers in your column and the depth of your knowledge is
quite impressive. I only wish I lived closer to your practice.
Sincerely,
Susan, thanks for your kind words. Naturally, it would be easier to help you if I could assess your biomechanics, but given that this is the medium. . . Hip pain, at least the way you describe your pain, is more than likely related to the bursa and the ITB. Usually, if you are abe to do some things but not others, then the ITB is a player, and if the ITB is a player, then the bursa can't be far behind. If your orthotics helped some, then rather than decreasing theme dial post, I might INCREASE the medial posting. Most people (practitioners) make devices that could afford to be more aggressive, especially for active people. I often increase the correction to a much greater degree to make a marginal device more effective. As far as stuff you can do is concerned - daily stretches and but strengthening exercises are of value.
Good Luck!
