Hey, looks like I have a new injury for 2004

[musclebobbuffpants]

Way to go Hogg, you started talking about hip pain, and now I've got it. (Not joking). It started last week on box squats. I started to get a lot of pain from the inside of my left hip, that ran down the top of my quad to the top of my knee. I've had adductor pain before, but not like this, which I know is from going wide and not have the flexibility.

Anyway, this is what I'm going to do that I hope will help.

1)That faggy girly machine that works the adductors you talked about. Yup, gonna start doin' them as pre-warmup.

2)Get under the squat bar with 95-135lbs and sit at the bottom, slowly widening my stance each time. Probably 3-5 sets of 10-20secs.

3)Start wearing my shoe lift on squat day. I got it from my chiropractor, it's basically a hard piece of rubber formed to fit the inside of your shoe. He took an x-ray of my low back/hips and noticed that my left hip is about 1/4" lower than my right side. You may want to have your chiro take a picture of your hips, quite possible that you are running into the same thing.

4)Wear my PowerPants when I do any kind of squating.

Hopefully, this will help. I'll let you know how things go after Fri. which is my DE Squat day.

MBBP

 

[Neodavid]

How's your recovery going?

a very good idea......the added support might help.

 

[Hogg]

How's your recovery going?

Its not. Unfortunately, I decided to take a week off of leg work and concentrated on stretching. I gave a lot of consideration to what Einzel said while I was going through my routine tonight...if you call it that.

I started with a full free bar squat, bar first, then a plate. I could already see my right side packing up and I was not going ass to floor, I had a good femur parallel squat and the right side was definitely jocked up about an inch or so. My stance was not even close to normal either but I couldnt get my stance right without flaring the damn thing up. So I went about dead shoulder width, toes out, and started feeling it a bit too much on my patellar tendon - a clear sign that my groove was bad. Still my hip was not bothering me at this point.

Between sets, I found an easier way to stretch my rotator. Stand up straight, find a surface about waist high. Now grab your right foot and put it on this bench such that your leg is folded up in front of you and parallel to the floor. Now grab your knee and pull it in to your body = external rotator stretch.

I added a quarter and did another set. The load seemed to correct the position problem a little and that is typical because we see a lot of lifts where you cant even evaluate technique without enough load. things were feeling ok.

Went to 2 plates, still not my normal squat stance and still not a full high bar squat. I started to feel the thing aching and felt strange sensations in my hip. I shut it off and did some romanian pulls from the # 1 pin and experimented a little bit with my pulling form. i went light and shut it off early.

Off to the leg press, started with 2 plates a side and worked up to 5 trying different back rest positions and close to shoulder width foot placement. My quads did not feel like they got much out of the movement until I let my shins cross the 90 degree mark. It could be, once again, a lack of load. I was disgusted and went to the smith machine to try the feet-together hack squat.

I was doing ok up until 275. The line of pull across the knee cap feels very unnatural but my quads were actually getting a little load so I moved from 2 plates to 275. After this next set, my hip knotted up and that was the end of my night.

I think I am going to follow einzel's advice and work up very slowly while emphasizing stretching and cycling in ultrasound 3 times over 2 weeks, then 3 weeks off, repeat so as to not build a reliance on external therapy methods.

If you see a pussy squatting 2 plates at Gold's and holding his ass between sets, you found me.

 

[Hogg]

Also, I think I am going to get a pair of Rehband neoprene shorts. The Rehband wraps did a world of good when I had quad problems so I am figuring a little support and heat from the shorts will probably help out quite a bit.

 

[alsmith]

Hogg,
It sounds like you may have what is called piriformis syndrome. Here is some info about it that I remember off the top of my head. Let me know if you think this applies to you.

Piriformis syndrome is often characterized by pain and instability. The location of the pain is often imprecise, but often located in the hip, coccyx, buttock, groin, or distal aspect of the leg.

The function of the piriformis muscle is to externally rotate and abduct the thigh. The sacral plexus is closely associated with the anterior surface of the piriformis muscle. The sciatic nerve passes inferior to the piriformis. Although no general concensus exists regarding the etiology and pathophysiology of piriformis syndrome, it is generally attributed to a mechanism regarding the sciatic nerve. Dysfunction of the piriformis may cause signs and symptoms of pain in the sciatic nerve distribution including the gluteal area, posterior thigh, posterior leg, and lateral aspect of the foot. Piriformis dysfunction may be due to piriformis hypertrophy from certain sports specific/gait biomechanics leading to entrapment of the sciatic or from inflammation of the muscle from gluteal trauma or spasm.

Common presenting symptoms are chronic pain in the buttocks that may radiate to the lower leg and worsens with walking or squatting. It may imitate lower back pain. Pain exacerbated by hip adduction and internal rotation. Pain when getting up from bed, and pain with sitting.

In piriformis syndrome, the only true-positive sign is tenderness over the gluteal region. The pain can be reproduced with maximum elongation of the piriformis muscle in flexion, adduction, and internal rotation of the hip. Weakness can be observed with resisted external rotation and abduction of the hip. It is differentiated by sciatic pain by the absence of a neurologic deficit.

Here are some other signs that have been described by various authors:

Lasgue sign: Pain is present in the vicinity of the greater sciatic notch during extension of the knee with the hip flexed to 90, tenderness to palpation of the greater sciatic notch is noted.

Pace sign: Pain and weakness are present on resisted abduction-external rotation of the thigh.

Freiberg sign: Pain occurs with passive internal rotation of the extended thigh when the patient is supine.
Robinson, who first described the syndrome, stated that piriformis syndrome had 6 cardinal features:

Positive Lasgue sign

Sausage-shaped mass over the piriformis muscle

Gluteal atrophy in chronic cases

Trauma to the region

Pain in the sacroiliac joint region, gluteal muscles, or greater sciatic notch

Pain exacerbated by lifting and relieved by traction on the affected extremity
Beatty reproduced the pain of piriformis syndrome in the following way:
The patient lies with the painful side up and the involved leg flexed.
The knee of the affected side rests on the table. Pain in the buttocks is reproduced when the patient lifts the leg and knee slightly above the table.