HUMP DIESEL wrote:
I have some tenderness around the IT band area where it crosses the trocantor, like the bura sac there is a little bruised or something. Really is a weird feeling and I have had it happen before.
Have any of you guys or gals experienced this before? Is it due to the muscle not being activated for a couple of days? Would it be beneficial when I get a couple of days like this each month to have a massage scheduled?
Could it be a blood flow issue?
**** The orthopedic symptoms you describe could be a number of things. It could simply be greater trochanteric bursitis from your long ride coupled with sitting for extended periods at work with your hip flexors and other muscles in a shortened position. If it is simple stiffness, a good massage therapist can break up a lot of the adhesions in the area and make you feel like superman again. A good massage therapist can feel and mitigate many kinds of muscle stiffness with a variety of techniques.
It could also be something a bit more complex like an issue of instability in the foot from your hard climbing ride causing a problem higher on the kinetic chain. A collapsing arch, worn cleat or shoe with inadequate support or other such issue can force the foot into a bit more forefoot valgus than you might be used to and thus throwing off the normal trajectory of the leg enough to stress the hip at the trochanter area.. Also glute activation issues in the hip, or other hip stabilizer problems can cause symptoms as you describe.
Since you mentioned your age - it is also possible you have some kind of FAI issue (femoral acetabular impingement) - either pincer, cam, or mixed type developing or simply manifesting itself clinically now for whatever reason - position on the bike, your body forming the impingement through bone remodeling at the femoral/acetabular junction, etc..
It could also be a blood flow issue, a disk or other back nerve problem (degenerative disk disease, ankylosing spondylitis, etc..). Although exceedingly unlikely - it could also be an aseptic avascular necrosis type issue from a hard fall, cartilage damage, etc.. leading to FAI described above... like what a certain former TDF winner that was stripped of his title had.
Obviously, the info above is worth what you paid for it so if your symptoms do not improve, and none of the equipment issues above relate to your situation - please consult with an orthopedist. There are a number of simple tests that can be done in a few minutes to rule out some of the above, and at least narrow down the problem.
If the affected leg does not feel better with rest, or the problem starts to slowly get worse with longer and longer recovery between hard rides being needed, etc.. It might be worthwhile to have a doppler type scan on the blood vessels in the hip area to rule out scar or other odd growth in the leg arteries, and/or a scanogram to rule out FAI and other possible issues that happen in cyclists due to the nature of the activity - especially more radical positioning on the bike with tight angles in parts of the hip, etc..
Sorry for the detail, and I hope you figure this issue out in a way that allows you to continue riding strongly and competing successfully at the level you have become accustomed.