Injury question...

I have this nagging pain in my glute area. It is sometimes on the top right between my back and glute...this hurts when I go to sit down sometimes or turn over in bed. On the same side when I hit 9 or 10 miles in a run I get a pain in the same glute right between the thigh and glute.

This area has been nagging me since before the marathon and I'm sure the race exacerbated the situation. I did take some time off...and it was feeling good. Now that I am back in my routine and running 10-13 miles as my long runs...the pain has returned.

My question is do I go to a doctor? If so what kind? Whats keeping me from going is that I just don't know what a doctor could do for me. The pain is subtle and I can totally deal with it...I just don't want it to get worse.

Just wanted to see what some of your opinions are.

Thanks for listening.

Re: Injury question...

It sounds to me like an SI problem. I just went through it recently. I would definately go to a physical therapist...or, even better, a sports therapist. He/she will give you stretches and exerces to strengthen the area. I think it's just a nag and not so much an injury. But you don't want it to turn into an injury, so I would definately go and get it taken care of.

Good luck!

Re: Injury question...

Here is a little something about it that I got from this website: Sports Injury Clinic

Inflammation of the sacroiliac joints and associated ligaments are very common, especially following pregnancy where the hormone relaxing is released and this results in the relaxation of ligaments in preparation for childbirth. In most cases the causes of sacroiliitis are mechanical, however there may be other medical inflammatory conditions present such as Ankylosing Spondylitis as well as others which will need attention.

Symptoms include:

Pain located either to the left or right of your lower back. The pain can range from an ache to a sharp pain which can restrict movement.
The pain may radiate out into your buttocks and low back and will often radiate to the front into the groin. Occasionally it is responsible for pain in the testicles among males.
Occasionally there may be referred pain into the lower limb which can be mistaken for sciatica.
Classic symptoms are difficulty turning over in bed, struggling to put on shoes and socks and pain getting your legs in and out of the car.
Stiffness in the lower back when getting up after sitting for long periods and when getting up from bed in the morning.
Aching to one side of your lower back when driving long distances.

Specific assessment tests:

The Stork test - to assesss whether the sacroiliac joint is moving correctly.
Leg length difference measurements - both straight leg and bent leg assessments.
Ilia rotation - this assesses whether the ilia is rotated on one side creating imbalance.
What can a sports injury specialist or doctor do?

Use diagnostic tests to discover the cause of the problem.
Eliminate medical diseases such as Ankylosing Spondylitis.
Treat the cause as well as the symptoms.
Prescribe anti-inflammatory medication (e.g. ibuprofen) and rest.
Use electrotherapy equipment to treat affected tissues.
If indicated and safe to do, level the pelvis via manipulation.
Articulate sacroiliac joint and restore normal function.
Sports massage will help relieve any soft tissue tension in the area.
Use injection therapy.
Advise Ice and cold therapy to reduce inflammation.

***Disclaimer*** I am by no means a professional. But I had this problem while I was pregnant and just last week had to sit out for 3 days because of a flare-up.

Re: Injury question...

Thank you for that information!! Sounds exactly like my symptoms. I think I will go to a sports MD and get referred from there.

Thanks again for that great information!

Re: Injury question...

Posted by robynfs

Thank you for that information!! Sounds exactly like my symptoms. I think I will go to a sports MD and get referred from there.

Thanks again for that great information!