Hello All,
I have had sciatica like symptoms on my left side. The symptoms onset after a leg day at the gym, where I did hip abductors and a ton of stretching (splits included). The next morning, I woke up in a weird position (after a night of tossing and turning, but without pain) and my hip was killing me, once I got out of bed. It has not left since then. That was mid-August (3.5 months ago). I have gone to PT about 6 times and do the exercises at least once per day (usually twice).
The pain starts inside the left hip and travels down the nerve to my calf (and usually to the bottom of my foot). I cannot sit down for very long, and touching my toe is impossible half the time. This is beyond the worse injury of my life. I stand up all day at a standing desk (bought it just because of this).
I am a 27 year old male, healthy (triathlete). This is beyond my comprehension, PLEASE HELP!!
So I've seen this topic come up in this subreddit before where people say that subacromial impingement syndrome (SIS) is essentially just a myth that is no longer supported by research and should stop being given as a diagnosis. I'm a new grad so the idea that something as "fundamental" as SIS (which I just learned about in school less than a year ago) not being supported by research seemed kind of crazy. However, after watching a few videos on the topic it does seem like that is what recent research is indicating, which is kind of throwing me for a loop.
The findings that keep coming up that don't seem to support the diagnosis of SIS are:
-Fraying of the supraspinatus tendon is almost always found on the underside of the tendon rather than the top where you would expect it to be if it were rubbing against the acromion
-Research doesn't show any link between acromion types and symptoms associated with SIS. If SIS was "legit" there should be an increase of pain reported with type 3 acromions.
-And the biggest one is that after subacromial decompression surgeries are performed there is no significant difference in reduction of pain levels/symptoms compared to sham surgery or PT on its own.
Physiotutors - Shoulder Impingement Myth Busting
E3 Rehab - Shoulder Impingement Myths (Rotator Cuff Tears | Posture | Surgery | Pain)
Shoulder Impingement Myth: Why you should not use the term Shoulder Impingement anymore.
This obviously conflicts with a lot of what I was actually taught in school and about a million other videos and articles that are out there. So I guess my questions are:
-What are your thoughts on this topic/do you agree with the points brought up in the research mentioned above?
-Do you still educate your patients on SIS in the "traditional" sense?
-If you don't consider it a legit diagnosis anymore, then how has it altered your treatment strategies for when you treat a patient who was referred for shoulder impingement and has been told that that is their issue?
I have hEDS and have had terrible knee pain after taking a longer than usual walk this past January. MRI just came back saying I have “infrapatellar fat pad impingement from abnormal patellar tracking” which apparently occurs when you hyper-extend your knee. The fat pads get pinched and swollen, causing pain that is difficult to get rid of. Curious if anyone else has experienced this and what, if anything, has helped.
Hey guys, I was recently diagnosed with Hoffas Syndrome a few months ago where basically the fat pad behind the patellar tendon is inflamed, so on either side (mostly left for me) hurts. It’s extremely painful in the mornings and tends to be worse on full extension. I’ve tried icing and meds and they haven’t really solved the problem. Only thing that helps is stretching hamstrings, quads, and hip flexors but that’s very temporary. I tried some of the exercises on the zero program and they don’t hurt while doing them but after the fact it does cause my knee to swell up and hurt more than before.
I was curious to see if anyone else has ran into a similar issue and if they found a more long term solution. Anything would help, thanks!!
TL;DR at bottom
Does anyone else have this? It’s a compressed nerve in your neck, either the greater or the lesser occipital nerve (or both, even) that rest just at the base of your skull/very tip top of your neck.
I developed this in the past year, following a CSF leak, and a lot of trouble with my neck in general (bone spurs and foraminal stenosis, perineural cysts all over, and general muscle tension/spasms). I also had increase in migraines.
It’s mainly on the right side. There’s a constant pressure there and despite not being able to figure any out any specific movement or position that triggers the pain, I’ve become so afraid of it and so frequently plagued by it that I’m terrified to move my neck, shoulders, and torso very much at all.
It’s developed into a constant pressure right there at the base of my skull and regularly turns into a stabbing/burning ache that shoots to my right eye and then eventually to my cheek/jaw (TMD doesn’t help this). It’s a disabling pain, and can last for hours, even days. My eye and cheek even become tender to touch eventually. It’s different from a migraine, and my migraine medication doesn’t help.
I have insurance but the doctors available to me are limited in EDS or anything outside of standard medicine. They seem unsympathetic and even unknowledgeable. I’ve been offered PT (which hasn’t helped), and told to use heat. That’s it.
TL;DR: I’m familiar with pain (aren’t we all) but this prevents basic things like reading, sitting, lying down, moving my head, and getting out of bed (happens with other pain, but this is so, so frequent). I’ve read a nerve block might help but I’m in such a situation with my doctors that asking for specific treatments gets me the side eye, so when I do, I need it to be worth it.
If anyone has had trouble with this, has anything helped? What do you do? If you‘ve had a nerve block did it help enough that you’d recommend I pursue it?
(Side note: I cannot take NSAIDs at all, and the only pain medication they’ve prescribed me is the lowest dose of tramadol. It does not help most of my pain, let alone this.)
About a year ago I bought a new car. Everything was great with it up until 5 months later when after a long 7 hour car ride the right side of my butt started to really hurt. My fear is its my new car. I thought it was piriformis syndrome and went to physical therapy. PT wasn't helping so I went to my orthopedic surgeon. They took xrays and I was diagnosed with CAM hip impingement. He believed the butt pain was probably piriformis or sciatica related. I had an MRI of my lower back and hip which showed 0 issues with my lower back but of course, moderate CAM hip impingement. At this point my orthopedic surgeon thinks it's possible the impingement could be causing the butt pain. It acts up a lot more after I do "leg day" at the gym. I definitely get occasional groin pain but never really thought much of it. My dad has the same issue and has had one hip replacement.
Hello,
So ive been experiencing shoulder impingement for a year and it mostly comes back when i start exercising. Its like after 2 weeks of not doing anything, the pain will kinda go away but after i do like 3x10-15 push ups, the inflammation/pain will come back
10-15 reps to me is actually relative easy, but after around 12-15 reps, i could feel my injured shoulder being sore and there's like burning sensation so i would never force it, but just like that, the pain would come back the next day when i raise my hand at a certain angle.
Any good/affordable supplements could i get to improve joint recovery? I heard glucosamine is useless, and I really dont wanna spend money on something ineffective nor paying 50-100 dollars per session on a physiotherapist becoz im just a student.
Im thinking about fish oil and i heard type 2 cartilage is good? Is the cartilage supplement a thing? I'm going to the pharmacy tmr and get them.
Hello All,
I have had sciatica like symptoms on my left side. The symptoms onset after a leg day at the gym, where I did hip abductors and a ton of stretching (splits included). The next morning, I woke up in a weird position (after a night of tossing and turning, but without pain) and my hip was killing me, once I got out of bed. It has not left since then. That was mid-August (3.5 months ago). I have gone to PT about 6 times and do the exercises at least once per day (usually twice).
The pain starts inside the left hip and travels down the nerve to my calf (and usually to the bottom of my foot). I cannot sit down for very long, and touching my toe is impossible half the time. This is beyond the worse injury of my life. I stand up all day at a standing desk (bought it just because of this).
I am a 27 year old male, healthy (triathlete). This is beyond my comprehension, PLEASE HELP!!
