The last two weeks of running since having to stop halfway through a trial 8 miler were a grand total of 8 miles. I get on the treadmill every few days and start off running and feeling great. My stride is more balanced, my leg seems straighter, and my foot points forward. I get to the first mile and think it will be a breakthrough day. Then I start getting twinges and the inside and front of my hip starts hurting and feeling like it is pulling, so I have to stop. The last four runs were 1.62 miles, 1.89 miles, 1.89 miles again, and then 1.70 miles. That is my limit, after that my hip hurts for a day or two. I was wearing an SI joint belt for runs since January and didn't wear it on the 2nd to last run which just made my lower back hurt too.
Today I went back to the Physiatrist to see what he recommended. In January, he wanted me to have another cortisone shot, this time in the si joint. I didn't have it because my physical therapy was going so well. I also told him that if I put a kettlebell on top of my quad and did leg lifts that my left leg struggled with this (getting weakness and pain in the same spots) and I would get a clicking in the hip each time the weight descended. He thinks it is time for an MRI again (I tried twice in the fall, but bailed out due to claustrophobia). He thinks there is an impingement in the hip, that the labrum is torn, or a piece of the labrum is torn off causing the troubles. I agree as this has gone on for more than half a year. It is not a simple muscle injury. I think that the orthotics and PT have helped fix my stride, but the structure of my hip can't handle it (and maybe that is why my stride went wonky in the first place).
I have no problem with the thought of getting surgery if that will fix things, but I have a major problem with getting into a casket-like MRI and remaining still for an hour. Hopefully this time I can make it through. He is going to give me some meds, but I'd prefer to be knocked out completely. The good news is he is prescribing an MRI with contrast injection. One thing I have read about torn labrums and MRIs is that the doctor needs one with the contrast injection to get a good read. The previous two did not have that prescribed, even though I asked for it, and I knew that if I made it through the MRI they would just have to do another one anyhow with the contrast solution to get that good reading. So I will sit and wait for a call from the hospital to schedule a date for the MRI. As much as I want to get running again, that is balanced by how much I dislike the thought of an MRI. Maybe they need to do an MRI of my brain!
This new book from the author of The Entrepreneurial Patient blog is a must read book for anyone with hip problems and is thinking about about arthroscopic hip surgery or has had arthroscopic hip surgery for a labral tear or FAI.