One of two things: you can either get sharp pain during running in the time of the injury, or you can get a dull toothache sort of dull pain afterwards and that can occur either that evening or over the next few days.
How do you know you’ve injured your Hip while running?
What happens within the hip…
the hip is basically a ball and socket joint, if you’ve got a slightly egg-shaped oval hip, as the socket moves up into – as the ball moves into the socket,
you can get jarring and that can cause labral tears or cartilage damage and that can give sharp pain immediately at the time of the injury.
With repetitive movements, you get swelling and bruising in the area which gives you pain later on.
So, you’ve got to be quite careful of how much running you do and the sort of activities and avoid injuries.
There’s also different distributions of pain and hip injuries.
during running if you get sharp pain in the groin crease or the skin crease of the pelvic region, that is typically internal hip pain.
Some patients get pain on the outside and outer buttock area and that can be a gluteal tendon pain or also referred hip pain.
How does running cause hip injuries?
Hip injuries in running can occur if one hasn’t been taking enough time to prepare correctly for running.
one of the key things is to make sure you have a good bio-mechanical assessment for running shoes, insoles and preparation in planning for the running time itself.
Also you have to make sure you go to a good running school, you get someone to look at how you’re moving, how you’re running so that you get good habits.
You develop the right habits in your running style.
Within the hip itself, there are problems inside the hip that can cause running injuries.
There are problems on the outside around the bone and around the muscles and tissues.
Within the hip itself, sometimes the ball can become a bit more egg-shaped and that can give rise to labelled tears and injuries.
Something like that here, you get an anterior extra bit of bone which can jar up against the socket causing labral injuries.
That’s another cause.
If that’s delayed, you then get cartilage lesions and problems with early wear and tear arthritis.
Patients who ramp up the running too far and don’t address some good nutrition
bone health can get stress fractures in the femoral neck region sometimes, also if you have imbalance and your bio-mechanical assessment is not correct,
you can get core gluteal tendon problems like trochanteric bursitis and ITB syndrome problems.
What can you do to treat it at home?
Required to educate and empowering people who running daily,
so that they know the most about their condition,
what you want to do, that’s very important.
In order to try and prevent injuries, we think forward planning for the run is important.
Making sure you have the correct gear, you’re in the best of health, you’ve got good nutrition, all of these things help.
Having a good running plan with a 10% rule and building things up slowly also helps.
Also, not just running and being a dedicated runner but actually having a varied exercise plan will make a big difference.
That you need to keep a dynamic exercise regime as well as muscle and bulb toning.
There’s a lot of evidence that physiotherapy also helps in patients for prevention of hip injuries and there’s been two very big publications in The Lancet and the British Medical Journal last year
which show that physiotherapy will also help in treating these hip injuries.
Best Treatment for Hip Injuries
Treatment is needed when patients basically hit a brick wall.
When all the self-help treatment and conservative management treatments have not really helped.
If physiotherapy is not getting you to the goal, that’s the time that a surgeon gets involved.
A lot of the times within the hip, the ball and socket,
the ball is supposed to be round and it’s supposed to be moving in a socket in an infinite way,
but sometimes what can happen is the socket is either overhung or the ball is slightly egg-shaped and that causes impingement and jarring of the hip as it moves around and that can cause tears and damage within the hip itself.
If this is left, it leads to premature arthritis and that’s a major problem.
Coming sooner rather than later is very important.
I am able to then assess this with an MRI scan, give you an idea of how much damage there is.
Doctor’s always do their best to preserve
the cartilage and the joint for as long as possible.
They can address the primary problem by removing the bone, repairing the labrum.
Also they should have biological scaffolds and collagen scaffolds to repair cartilage and keep you functional and natural for as long as possible.
How do you prevent hip injuries while running?
Having the correct kit is very important.
Having a good plan for running and an exercise regime is also very important and then having good nutrition and general body health is very important.
Those are really the key features.
Not building over too quickly and ramping up your running exercise, listening to your body,
being aware of any minor injuries and taking time to address those issues and actually having a consult sooner rather than later will also prevent hip injuries.