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Thread: Steroids or surgery

  1. #11
    Senior Member
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    Itís good to know that you are seeing improvement. Iíd caution to really take your time to ensure itís really sorted. As for me itís the same old same old. The steroids didnít do much, still uncomfortable and achey. Iím seeing the consultant again and will ask about other options (surgery!?).

    Iím trying to ignore all the races and running/cycling my friends are doing and really focus on climbing. But itís just not the same!

  2. #12
    Senior Member Old Whippet's Avatar
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    Ah well. The benefits from the steroid injection are now history, and I'm as sore as ever. Got a couple of months driving more comfortably, but that's all history.
    Any running results in me feeling as if I've been hoofed in the arse by a horse.
    Been doing loads of strengthening work and barely run at all, with no let-up in symptoms.
    So.... I've just written to the specialist to ask for a referral for surgery.
    Did you get any joy with that?

  3. #13
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    I’ve been meaning to update this. The consultants were massively reticent about surgery. The guy I saw played up the complications massively (potential nerve damage, drop foot, the potential to really feck the leg up). So I’ve really gone off the idea. He also said that actually it would eventually get better but could take a couple of years (surgery rehab was 1yearish).

    So, I’ve opted not to pursue it, definitely for the moment. I also began to see a different physio (a lad called Eythan at Gosforth wellness and physio) who reckoned as it hurt when I didn’t run anyway I might as well try a bit of running to get the endorphin release. Also been working on my pelvic tilt, lots of quad stretching, and been dry needling my hamstrings. Started the rehab cycle again with easy single leg deadlifts and bridges etc. And for the first time in over a year it feels like progress is being made. It’s damn slow and a little bit 2steps forward one back but I ran round simonside for 1.5hours on Thursday, it wasn’t perfect but it’s better than 2months ago.

    Also I’ve started doing mindfulness meditation to try and stop fixating on whether it hurts or not and that’s been a big help with the stress/anxiety. I think realistically I’m still a fair way from training properly but feel like I can begin to see an end.

  4. #14
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    Aug 2010
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    Had the results from the second MRI... improved from 2016 but still inflamed... sigh, itís been sore this week which is disappointing considering Iíve had a month or so of improvements (with some running and everything!). I have another appointment in to see the consultant in 2 weeks so will discuss further then. Physio is confident that itíll get better, stronger glutes, better hip flexor flexibility and better adductor strength are all on the cards.

    I might enter the ROC MM and walk round just to keep in practice...

  5. #15
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    Aug 2010
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    Just to update this invade anyone is following/reading.

    Back up to 30+ miles a week with generally no pain. Started taking collagen supplement and doing 10min of rehab exercise. Seems to be working well.

  6. #16
    Interesting Thread and very relevant to me. More than a year ago I developed many of the symptoms described above. (Very painful and raw feeling below my left bottom bone making sitting down and running difficult/impossible).I didn't get much joy from initial visits to a physio and a massage therapist. They and I thought my problem was an injury to a hamstring. No improvement on the back of their treatment. 6 months ago I spent some money, visited a specialist, had an MRI and the problem was diagnosed as ischial tuberosity tendinopothy i.e. damage to the tendon which attaches a hamstring to my bottom bone (on the left hand side). The specialist gave me 2 options - physio or steroid injection. I elected for the former as I wanted to avoid intrusive treatment of any sort. I've had 6 visits to the (new) physio who focused me on exercises gradually increasing the load and strengthening my glutes and hamstrings. I very gradually increased the length of time I ran (starting with walks then 10 mins very gentle running) avoiding speed and hill work as they exacerbate the injury. I also use an ischial tuberosity cushion (one with 2 big holes in it for your bottom bones to relieve pressure in that area) when I drive, am on the train and sit for long periods e.g. at work. I now run for up to 1.5 hrs on the roads with little discomfort. One thing that has helped I think is changing my running style and taking shorter strides especially on the left meaning I don't stress the tendon too much. My problem has definitely not gone - I get a lot of pain whilst sitting for long periods - I need the cushion. I have also stopped stretching my hamstring on the left for the same reason. Hoping to get onto the fells again once we're on top of Covid19. Hope what I've said helps others in some way. If there any updates or tips from others incl. those who have posted then it would be good to hear back. I'd like to get back to 'normal' e.g. being able to run quicker and push harder on hills but I think it will take time. I guess the best remedy would be to stop running altogether for however long but, well you know!

  7. #17
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    Just so you know there is a light at the end of the tunnel. MY symptoms have settled down massively (it's take 3-4years! and I'm still not on a bike), but I even had a month of 40-50miles per week last month. They do flare up every so often but no way near as bad.

    SOme things that I've found that helped:
    Easy reps of single leg deadlifts every day. I also take colagen supplements 30minutes before doing it. There is some evidence for this, I'll see if I can find the links and coaches who recommend it and you can make up your own mind.

    I started deadlifting heavy weights twice a week (sorta 5 sets of 6 at rpe 7), this seemed to really help until I thought it was a good idea to go big and tweaked it abit setting a PR, anyway it's settled now.

    Also trying to be less aware and stressy about it was a massive thing. Going out, running and focussing on other stuff was really benificial. It being chronic it's really easy for it to be the complete focus of a run, waiting for it to hurt so be mindful of other things as well. I developed a mantra "sensation is not pain" and when it began to tweak or feel I would repeat that.

    Hope that helps and if I think of anything else I'll let you kno.w

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