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I'm hoping this might be a relatively simple issue for the more experienced members! Firstly I should say I haven't had a dynamic fit due to not knowing anyone reputable in my area, but I will look into that if I can't sort it myself.
I've been riding for about 8 years and never had any injuries, until about 2 months ago. For no apparent reason I've developed a pain in my right piriformis/glute sometimes spreading into my right ITB, only present when pedalling quite hard and never hurts off the bike and my right leg 'feels' shorter' No pain on the left at all.
I have noticed my right thigh rubs the nose of the saddle more than the left, and my saddle is square because the frame has an ISP. (can't be twisted)
I asked my training partner to watch me pedal from behind and he says I'm pretty square on my saddle, but if anything slightly tilted to the left.
So, after reading Steve Hoggs stuff, I suspect my left leg is shorter and my body is tilting to protect the shorter leg, causing more rub on the right inner thigh and straining the right lower back/piriformis? Perhaps I should try shimming the left cleat but concerned about doing damage when I don't know for certain?
Any advice would be much appreciated
Try and stretch out your hip flexors well after each ride as riding causes tightening of the hip flexors, especially if you have an aggressive postion on the bike.
I had to stretch 3 or 4 times per day for many weeks before the symptoms went away for good.
Thanks also to the advice via PM
I've spend ten's of thousands of dollars on this, and only in the last 18 months did I find an amazing PT who suggested that the issue lay with my S/I joint being out of alignment which then causes problems all the way up the spine and down the legs.
Twice a week PT and massage therapy over the past year certainly helped, but what really fixed it for me was 5 rounds of PRP (Platelet Rich Plasma) in my hips and spine to really stimulate connective tissue repair, followed by a disciplined and daily routine of stretching (hip flexors, IT Bands, quads, hamstrings and lower back, and rubber band exercises to strengthen my lower back.
So far so good. Heck I've even started running again.
.Andrew69 wrote:Ive had SIJ problems as well (on the other side) and it feels very, very different to ITB/Piriformis/glute pain.
Not for me. The same (or very similar) symptoms, which is why I was falsely diagnosed. Just shows the dangers of pontificating and making blanket statements via the internet.
To the OP. Glad you're feeling better. Good luck the with recovery.
Initally it does feel like illiopsoas, glute, hamstring or piriformis type pain (lower back/hip pain), but chronic SIJ disfunction is a very different animal and manifests itself as pain radiating from the lower back around into the groin like youve been kicked by a donkey.
I (obviously) have no idea what level of SIJ disfunction you suffered, but mine was debilitating and it felt nothing like the other pain I have felt in my hip/groin/glute area.
Maybe you are just a touch soft?? Damn, that was a blanket statement via the internet wasnt it?
Here ends the pontification
To the OP, keep up with the stretches and Gl with the recovery.
I had a similar issue off and on for about a year.
The pain would move around a little.
Finally my wife made me go to a Doctor. X-Ray's were good on the hip.
My SI joint had gotten a little crooked, I went to a physical therapist.
I was impressed with the lad and think PT has improved quite a bit.
He had graduated from a reputable college.
He pulled my leg back out, it popped a little which was a concern, and gave me a lot of strengthening excercises and stretches.
It took 2-3 months before they really started working and the pain was gone.
No running or jumping, just excercises and cycling.
I still do a lot of them 2-3 times a week.
Giant rubber band sets, some Bosu squats, and side core work.
I am convinced the excercises are mandatory, as I am aging.
Cycling is a continuous repetitive motion which leaves some muscles neglected.
I think this causes some problems.
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