Mary, 54, has been an avid, pain-free runner for several years until the recent onset of pain in her right hip. During her initial visit, she couldn’t identify a single instance in which she started to experience pain — it came on gradually over several weeks. She could get warmed up and feel pretty good, but she was sore after sitting for a while and had a lot of achy pain at night.
After evaluating her with both a functional exam and force plate analysis a couple of things became very apparent.
Mary did suffer from trochanteric bursitis as well as gluteal tendonitis. The reason for this was that she wasn’t efficiently stabilizing her pelvis over her femur while in the stance phase of her running gait.
She did most of the work on her right leg, which was shown by asymmetrical force production while running on the force plates.
Her inability to stabilize the pelvis over the femur and overuse of the right leg was due to the following.
- She wasn’t using her hamstrings and abdominals as efficiently as we would want.
- The imbalance was leading to the position of the pelvis that centered her mass over the right leg.
Her treatment included six (6) visits over five (5) weeks in which we used a combination of:
- Dry needling
- Active release technique
- Exercises based on dynamic neuromuscular stabilization
- Normatec a compression recovery device
After treatment, Mary was able to continue running without pain. She was also armed with three different sets of home exercises that we videoed on her phone, so she can rotate them to help make sure her body can maintain good posture while running.
DR. TYLER IDEUS
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