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dave9988

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Anyone have experience with hip (SI) injuries?  Any "real" diagnosis or medical advice other than "no structural issues, rest it?"
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prancer

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Hi dave9988. My husband has significant SI issues, and after years of trying everything, his best solution is to strengthen the core muscles. The stronger is core is (abs, obliques, and lower back) the less likely he is to have hip pain.  

Isn't this kind of news frustrating? I almost posted the same about a hamstring injury. Its nice to know there are not structural issues, but knowing this doesn't help with pain or even how long to rest.
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judie

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Yes. My daughter has horrific hip flexor issues. Years of therapy, terrible to try to diagnose. She just lives with the pain.
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cram

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My DD15 has a tear in her labrum in her left hip. It took over 2.5 years to diagnose after we switched specialists and asked for a second and third opinion. The first one did try to find out by sending her to Xrays, ultrasounds, bone scans and regular MRIs. His assistants would all say she had a tear and he would say no she doesn't.
As soon as we switched to a better specialist (who specializes in hips, the first one I found out specialized in knees) he sent her for an Arthrogram. A regular MRI will not show the tear. You have to do an Arthrogram which is when they inject a dye into the hip joint and then do the MRI which shows the tear. Took 2.5 years of pain to get to that point. So now, on the surgery wait list to have it repaired and crossing our fingers for a good rehab and recovery. 6 months to fully recover before going back to sports/dance. If you or  your DD is having serious pain just make sure you exhaust all means to have it checked as we learned the hard way. Also, her friend went through the same thing so I guess it is not just us, it must be hard to diagnose. BTW, she tried the goop stuff (not cortisone, it is hyaluronic acid) they injected in her hip to cushion and it lasted 2 days.

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dancer456

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Also, see if you can find an orthopedist who specializes in dance. Makes a huge difference. You can contact your local professional ballet company, and they should be able to give you a name. 
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dave9988

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Quote:
Originally Posted by cram


So now, on the surgery wait list to have it repaired and crossing our fingers for a good rehab and recovery. 6 months to fully recover before going back to sports/dance. If you or  your DD is having serious pain just make sure you exhaust all means to have it checked as we learned the hard way. Also, her friend went through the same thing so I guess it is not just us, it must be hard to diagnose. BTW, she tried the goop stuff (not cortisone, it is hyaluronic acid) they injected in her hip to cushion and it lasted 2 days.


Oh my gosh, I'm sorry you and your DD went through that.  And are STILL going through it - a surgery waitlist?  Ugh, I'm guessing that you aren't in the US?

We do believe we have a competent orthopedist who is familiar with pediatrics and dance, but we'll probably search out other opinions.  Not that the pain is "severe," but we'd like to keep it that way!
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cynmckee

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My daughter started out with popping and hip pain.  We went to a sports doctor who could see hip impingment in both hips (XRAYS.)  That is where the bones don't fully fit into the hip sockets and run against the edge of the hip sockets and is at high risk for hip tears (simplified description.)  We went to a physical therapist that specializes in dance.  On the first visit, she said she thought dd had tears already and wouldn't see her again until she had an MRI.  So off we went to get the dye injected MRI...and waited.  But glory be...no tears.  Then off to the surgeon who said, even though no tears, it would only be a matter of time and said he could go in there and shave down the bone....ah, nope....not going to do that.  Then 6 months of physical therapy where the majority of the time was spent on understanding personal alignment issues and knowing when to say no in class when they are asking you to do damaging things.  Also some altering to how some ballet positions could be done.  This helped some with pain.

Then one day a new ballet guy came in and pulled dd over and told her she needed to see a doctor because she had scoliosis.  We found an amazing chiropractor where we went in a couple of times a week in the beginning and she got her to the point she didn't have pain anymore.  Also she was incredibly more stable and had much better balance. Now she goes once or twice a month to keep her in line.  She went to a convention last weekend that was heavy in contemporary and knocked herself so out of alignment that she was barely moving.  Deep tissue and a couple of corrections have helped.

Our next thought was to try Rolfing.  It is supposed to break up connective tissue problems and is not for the faint of heart because it hurts.  It helped.  He spent a lot of time with her making her aware of how she stands and even sits while she watches TV.  Back to paying excessive attention to alignment.  Rolfing was going to be our miracle fix....solving all pain issues.  What we have come to realize is that there is no miracle fix.  Because of her bone structure, she will have to be constantly working to maintain proper alignment.  The chiropractor has been her best resource.  Together they work on strengthing her hip muscles that normal exercises (Psoas, etc) don't seem to touch.  He told us he is going to a physical therapy seminar with week and he is going to bring her case there so they can devise a plan for her.
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cram

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Reply with quote  #8 
Quote:
Originally Posted by dave9988


Oh my gosh, I'm sorry you and your DD went through that.  And are STILL going through it - a surgery waitlist?  Ugh, I'm guessing that you aren't in the US?

We do believe we have a competent orthopedist who is familiar with pediatrics and dance, but we'll probably search out other opinions.  Not that the pain is "severe," but we'd like to keep it that way!


Thank you for your kind words. Yes, we are in Canada. Her pain did not become severe until year 2 where she felt it was ripped when dancing so it was a clear sign, and the popping and clicking. I hope you don't get to that point for sure:-)
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prancer

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Reply with quote  #9 
Long term injuries are tough.  Sorry to hear about the struggles.  My dd recently saw a sports medicine doctor (pediatric and dance focus) for ongoing hamstring tendon issues.  All is good structurally.  He said the problem is in the muscle, but the muscle feels strong.  So we are left with strained tendon, that doesn't heal well, and this sort of problem isn't inflammatory so no meds, shots, or even ice will really help. Just PT -again and only if she they find something new to address.

I think dd is a little depressed knowing that this will be an ongoing issue.  I'm hoping as she stops growing, the tendon will be under less strain, but otherwise, she will have to decide how much discomfort she wants to tolerate.  

Wishing all of you and your dancers the best.  
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DanceMomLaura

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My DD15 is currently going through this.  She has had hip pain for about a year and a half.  She's doing her second round of PT.  We saw a sports medicine doctor, in the hip preservation program who is also the director of Dance Medicine in Boston Children's Hospital.  An X-Ray revealed dysplasia.  She's scheduled for a bi-lateral MRI and ultrasound of the hip on 2/22.  The PT is to strengthen her quads and also for stretching.  After a convention weekend she is in so much pain it even hurts to walk.  The doctor didn't want her to stop dancing, activity is good.  But hoped she could cut back some.  Unfortunately we're coming up to our comp season so that isn't possible. 

I'm not sure what the MRI/ultrasound will reveal but it could lead to surgery.  We'll wait and see. 

For this and other reasons, my DD has decided to stop competitive dancing at the end of this season.  [bawl]

One day she said to me, I just want one day where I'm not in pain.  Broke my heart.
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prancer

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Reply with quote  #11 
DanceMomLaura, sorry pain is driving her from dance.  That's rough to hurt everyday.
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BCdancemom

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Reply with quote  #12 
It's so sad that sometimes the very things they love to do, can injure them. My dd has a few ongoing issues with hamstring, hip flexor and also her ankle that flare up with over use. I try to get her to strengthen more and stretch more and dance a bit less. Good luck!!
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DanceMomLaura

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Quote:
Originally Posted by prancer
DanceMomLaura, sorry pain is driving her from dance.  That's rough to hurt everyday.
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DanceMomLaura

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Thank you ... we are taking it day by day and hopeful the MRI gives us positive news.
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dave9988

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Quote:
Originally Posted by DanceMomLaura

One day she said to me, I just want one day where I'm not in pain.  Broke my heart.


That line is a killer.  I'm so sorry.
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DanceMomLaura

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Quote:
Originally Posted by dave9988


That line is a killer.  I'm so sorry.


yeah, it really stinks ... thank you
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dave9988

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Reply with quote  #17 
Quote:
Originally Posted by prancer
Hi dave9988. My husband has significant SI issues, and after years of trying everything, his best solution is to strengthen the core muscles. The stronger is core is (abs, obliques, and lower back) the less likely he is to have hip pain.  

Isn't this kind of news frustrating? I almost posted the same about a hamstring injury. Its nice to know there are not structural issues, but knowing this doesn't help with pain or even how long to rest.


Prancer, hope it's working for your husband.  That's my DD's plan of attack; build up the core muscles to protect and stabilize the SI.  The local Drs noted that there is a partial sacralization, but had discounted it as a source of pain.  The Drs with NYU's dance program exclaimed "discount nothing!"  Maybe a person with "normal" levels of activity wouldn't notice any pain, but it's a logical source of back/hip pain for a hard core dancer.  So DD is now easing back into dance, and continuing to work her core.
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ballerinamom13

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Reply with quote  #18 
I agree with strengthening the core.  Pilates is amazing for helping hip and core issues, along with almost every other part of the body.  Also, correct technique is so important.  Using the wrong muscles to turn out can cause huge hip problems.
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cram

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Reply with quote  #19 
Quote:
Originally Posted by DanceMomLaura

One day she said to me, I just want one day where I'm not in pain.  Broke my heart.


I am so sorry. I know how helpless that feels. My DD has said this to me as well and I know how helpless you must feel. Sometimes I feel like I should be telling her not to dance anymore, even after she gets the surgery but I can't bring myself to do it. I hope the surgery will fix the pain aspect at least. I truly wish your DD renewed health and hope the problem becomes at least manageable.
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