Orthotic

[andycambo]

Bit of a long shot but does anyone have any knowledge on this?

About 6 weeks ago I stopped running because pain in my hips. I've rested all this time but I am still getting aching around my hip area and quadriceps. I've been for an X-Ray on my hips to see if the tendons were swollen and that has come back all clear, which is good. This still leaves me with an ache though.

At the moment my quadriceps feel tighter than usual and my knee is sore when sitting. Sometimes the aching returns to my hip (for no apparent reason) and I have to use a heat pack to relieve the pain a little.

I was looking around the internet for some recovery tequniches and on a website the above was mentioned and I eventually came across this.

http://www.trueshopping.co.uk/product.php?utm_sour...

Does anyone have any knowledge about this? It was mentioned somewhere that if the balls of your feet get sore this can help, mine do. This could possibly be the problem?

In June 2009 I hate a pretty nasty ankle injury, started running in Oct/Nov and started to get pains in Jan. I think this all may have been brought on my a impaired running techunique?

[Bill]

andycambo said:

pain in my hips.

Where in the hips?

TBH it's hard to assess people over the interweb so you really need to go and see a physio

[bales]

Do you over-pronate?

Do your trainers wear unevenly down one-side?

To be honest there are so many things that it could be I would go to a podiatrist or a physio.

Going from experience I would say go to a decent physio first, I went to a podiatrist initially and paid a lot of money for some orthotics only to find a year later that I have a hip/glute instability that is the cause of my issues, and strapping on some orthotics wasn't going to solve anything.

Usually orthotics are an end of the line treatment if you can't sort the problem higher up that is causing the pain, you may have flat feet/over pronate but equally it could be something completely different.

[andycambo]

Bill - Down the side (if that makes sense). Where the tendon runs to the leg. I think that is how to describe it anyway. The GP thought it could the swollen tendons, hence the X-Ray. He also asked me if my hips click. The strange thing is, the one that's sore doesn't click much but the other clicks quite badly. I'm 23 so I shouldn't have too much wear and tear.

Bales - Thanks for you advice, just what I needed to know. I had just got some new running shoes before the injury (didn't even manage a run in them). However my work shoes, which I wear the most often, are worn down on the outside of the sole.

I do fancy going to a physio but I can't really afford any extra cost (I know it's my health etc. but I haven't got the cash to go). Can you get a physio though the NHS? Will I need to be referred through my GP?

I planning to enter a triathlon in May but I think that boat may have sailed now.

Edited by andycambo on Monday 15th February 15:35

[bales]

andycambo said:

I do fancy going to a physio but I can't really afford any extra cost (I know it's my health etc. but I haven't got the cash to go). Can you get a physio though the NHS? Will I need to be referred through my GP?

Yeah you have to see your GP first, its fine going through the NHS but it just depends on the luck of the draw to how soon you can get seen and how good the physio is. I went private because of the time issue but mainly beacuse the guy I see is well recommended from my athletics club and has a lot of experience with athletes.

[andycambo]

If you don't mind me asking...how much does that cost you per session?

[bales]

andycambo said:

If you don't mind me asking...how much does that cost you per session?

Think it is £33 for the first session which lasted about 30-45mins then £30 for each subsequent I think which is a 20min session.

However to be fair after my first session he gave me lots of exercises and stretches and said come back in 3 weeks and after that I expect it to be relatively sparse appointments depending on how I get on. So I wouldn't expect it to be something like 2 sessions a week for weeks on end which would cost £££'s!

[Bill]

andycambo said:

Bill - Down the side (if that makes sense). Where the tendon runs to the leg. I think that is how to describe it anyway. The GP thought it could the swollen tendons, hence the X-Ray. He also asked me if my hips click. The strange thing is, the one that's sore doesn't click much but the other clicks quite badly. I'm 23 so I shouldn't have too much wear and tear.

I hope something's getting lost in the translation regarding the x-ray as they only show bones. It sounds like ilio-tibial band problems which can be caused by tight and/or weak glutes.

Either way the best thing to do is scrape the £40-50 together to get an assessment and exercise programme from a physio. Failing that go back to the GP and get them to refer you to physio, it'll probably be a 3 month wait so get the ball rolling ASAP.

[andycambo]

Bill said:

andycambo said:

Bill - Down the side (if that makes sense). Where the tendon runs to the leg. I think that is how to describe it anyway. The GP thought it could the swollen tendons, hence the X-Ray. He also asked me if my hips click. The strange thing is, the one that's sore doesn't click much but the other clicks quite badly. I'm 23 so I shouldn't have too much wear and tear.

I hope something's getting lost in the translation regarding the x-ray as they only show bones. It sounds like ilio-tibial band problems which can be caused by tight and/or weak glutes.

Either way the best thing to do is scrape the £40-50 together to get an assessment and exercise programme from a physio. Failing that go back to the GP and get them to refer you to physio, it'll probably be a 3 month wait so get the ball rolling ASAP.

X-Rays can show other things than bone (they can show up tumors for example), but not tendons or anything such as that. I guess he was hoping to see an abnormality in the area but didn't.

I've found a Physio about 15 mins walk from my place / 2 mins from my place of work. £33 for a session. I haven't got much disposable income at the moment but I think I will just have to spare £33 for comfort!

You guys have been a great help.

Thanks for all your advice so far. If you have any more keep it coming!

[Vron]

Have you thought about a Hip Arthroscopy - see whats going on inside the joint?

[Bill]

andycambo said:

X-Rays can show other things than bone (they can show up tumors for example), but not tendons or anything such as that. I guess he was hoping to see an abnormality in the area but didn't.

They'll show bony tumours, certainly

Hope you get it sorted pronto.

[andycambo]

Just a little update.

3 1/2 weeks ago I woke up with a bad back after a weekend of relaxing. I could hardly walk or move as the bottom of my back was so stiff and sore, and if I was to move much it would just spasm. I ended up being prescribed Diazepam 5mg and Synflex (anti inflammatory) tablets and I was diagnosed with a pulled muscle.

Still suffering with it now, albeit I can physically walk properly now but it is still aching. I haven’t tried any exercise yet.

Anyway, the GP never suggested Physio so I booked myself in for a session tomorrow. Hopefully they can look at my back, hip and ankle and help me out!

[E21_Ross]

Bill said:

andycambo said:

X-Rays can show other things than bone (they can show up tumors for example), but not tendons or anything such as that. I guess he was hoping to see an abnormality in the area but didn't.

They'll show bony tumours, certainly

Hope you get it sorted pronto.

do you mean they'll only show up bone tumours, on the tumour front?

you know what diagnosis this will lead to?



not stalking you just the thread popped up in the forum

edit:

Bill said:

I hope something's getting lost in the translation regarding the x-ray as they only show bones.

errrrr.....no! they show up a hell of a lot of soft tissue! anything calcific for starters, so you can see atherosclerosis which has calcified, calcified aortic aneurysms. why would you say they only show up bone!!!!!!!???

you aren't always just looking at the "white stuff" (radiolucent) either the "black stuff" (radiopaque) can tell you a hell of a lot of detail too. muscle tissue, trachea (tracheal deviation can obviously be seen on x-ray), and very importantly, joint spaces. metabolic/depositional disorders too such as hydroxapatite deposition disease.

after you try slating me for a few minor errors or even just not explaining something clearly...for you to state something so wrong as that is, quite frankly, a shock!

if you need any evidence of this, i'll be more than happy to get some x-ray images up for you.

Edited by E21_Ross on Wednesday 17th March 19:52

[Vron]

E21_Ross said:

Bill said:

andycambo said:

X-Rays can show other things than bone (they can show up tumors for example), but not tendons or anything such as that. I guess he was hoping to see an abnormality in the area but didn't.

They'll show bony tumours, certainly

Hope you get it sorted pronto.

do you mean they'll only show up bone tumours, on the tumour front?

you know what diagnosis this will lead to?



not stalking you just the thread popped up in the forum

edit: bill - you said earlier x-rays only show up bone. errrrr.....wrong! they show up a hell of a lot of soft tissue! anything calcific for starters, so you can see atherosclerosis which has calcified, calcified aortic aneurysms. why would you say they only show up bone!!!!!!!???

you aren't always just looking at the "white stuff" (radiolucent) either the "black stuff" (radiopaque) can tell you a hell of a lot of detail too. muscle tissue, trachea (tracheal deviation can obviously be seen on x-ray), and very importantly, joint spaces. metabolic/depositional disorders too such as hydroxapatite deposition disease.

after you try slating me for a few minor errors or even just not explaining something clearly...for you to state something so wrong as that is, quite frankly, a shock!

if you need any evidence of this, i'll be more than happy to get some x-ray images up for you.

Edited by E21_Ross on Wednesday 17th March 19:24

You have got radiolucent (X rays travel through)(black) and radiopaque (X rays dont travel through i.e bones)(white) the wrong way round.

[E21_Ross]

Vron said:

You have got radiolucent (X rays travel through)(black) and radiopaque (X rays dont travel through i.e bones)(white) the wrong way round.

doh! its been a long day, i've had 3 osce exams

i know it really

i do at least know they show more than bone

[Vron]

E21_Ross said:

Vron said:

You have got radiolucent (X rays travel through)(black) and radiopaque (X rays dont travel through i.e bones)(white) the wrong way round.

doh! its been a long day, i've had 3 osce exams

i know it really

i do at least know they show more than bone

Lets hope you got it the correct way round in your exams

[E21_Ross]

Vron said:

Lets hope you got it the correct way round in your exams

haha, that would have been first year stuff! next radiology osce not for another 4 weeks. dreading it. unbelievable how much there is to learn, oh how tumours can look very very similar to infections!! so similar some times you must include them as a differential!

grrrr

Edited by E21_Ross on Wednesday 17th March 21:57

[Bill]

E21_Ross said:

if you need any evidence of this, i'll be more than happy to get some x-ray images up for you.

Gosh, thanks

That was a gross over-simplification on my part. It would have been better if I'd said I hope something's getting lost in the translation regarding the x-ray as they don't show swollen tendons.

[E21_Ross]

Bill said:

E21_Ross said:

if you need any evidence of this, i'll be more than happy to get some x-ray images up for you.

Gosh, thanks

That was a gross over-simplification on my part. It would have been better if I'd said I hope something's getting lost in the translation regarding the x-ray as they don't show swollen tendons.

no worries, it was just that, coupled with the statement which sounded like they'll only show up bony tumours....

i guess in a 'spur of the moment' type situation, i did find it funny how you comment on the little things i say (even if they aren't truly wrong - like i said i didn't want macp's mrs doing the extension exercises that 996 said [lying prone and pushing up.....!!!]) and then you said that i was erm, surprised. you're a clever chap, you know your physio stuff, but i know your x-ray interpretation is not good as it's not taught in physio which is fine i have absolutely nothing against that. why would you need to read them! that's why i didn't expect you to say that.

FWIW...that poor person had pancreatic cancer which had metastasized to the lungs poor sod can't imagine the prognosis for that was any good. shame

cheers

Edited by E21_Ross on Thursday 18th March 09:39

[Bill]

E21_Ross said:

like i said i didn't want macp's mrs doing the extension exercises that 996 said (lying prone and pushing up.....!!!) and then you said that i was erm, surprised.

I think we're going to have to agree to disagree on that, particularly as there's every chance the physio who has actually seen her may well have recommended them

E21_Ross said:

why would you need to read them! that's why i didn't expect you to say that.

To be fair, I do actually know better than that.

Edited by Bill on Thursday 18th March 09:56