WAG Name that pain?

[gymbeam]

I'm trying to consult Dr. Google about pain my daughter has been experiencing the last few weeks and just can't seem to narrow it down to the correct muslces. She's discussed it with the coaches and they are modifying activity with this injury in mind, but I still like to do my own "investigating."

So, when I ask her where it hurts, she points to her lower, inner buttock. Switch leaps really exacerbate it as well as just kicking her leg. It has been bothering her for at least 3 weeks.

I'm just confused which muscles this likely involves. I always think of hip abductors as causing frontal pain.

Anyone have guesses or want to ask more questions to help identify where the problem may be? THANKS!

 

[Splash123]

Take her to her GP or ortho. They will be able to look at it and see if the problem is there or if something else is injured causing pain there and give required treatments (PT etc).

All I can advise is that she avoids doing anything that causes pain. And maybe make a list of movements that cause the most pain to take to the doctors with you

 

[GYM0M]

Not a dr. But I get pains in that area, it's my sciatic nerve. Most of the time it's like a shooting jolt, but if I agitate it enough, it does get pretty sore

 

[gasrgoose]

Take her to a Dr. It might be the tendon pulling away from growth plate. The pain is bad but tolerable enough for a gymnast to push through. However it is a serious injury. If it pulls away surgery is required. Our gymnast missed an entire season doing physical therapy. If she's an optional and she starts treatment now she might be ready for the season. It is a common overuse injury in gymnasts, we've had 3 the past 2 years, luckily no surgeries.

 

[sce]

I agree, go to the doctor. Dr Google is not sufficient.

 

[mommyof1]

I would go straight to ortho or sports medicine and skip the pediatrician/primary care doctor, unless your insurance requires a referral. I took my daughter to the pediatrician with a gymnastics injury and she was completely unhelpful, and the referral she gave us was not useful so I ended up having to find a pediatric sports medicine specialist through Google. It was a huge waste of time and money to start with the pediatrician. We absolutely love this pediatric practice otherwise, but they just don't have the knowledge or resources necessary to deal with sports injuries.

If ortho gives you a referral to PT, ask PT whether a foam roller would be appropriate. My daughter loved the foam roller.

 

[gymbeam]

Take her to a Dr. It might be the tendon pulling away from growth plate. The pain is bad but tolerable enough for a gymnast to push through. However it is a serious injury. If it pulls away surgery is required. Our gymnast missed an entire season doing physical therapy. If she's an optional and she starts treatment now she might be ready for the season. It is a common overuse injury in gymnasts, we've had 3 the past 2 years, luckily no surgeries.

Do you remember what tendon?

 

[gymbeam]

I agree, go to the doctor. Dr Google is not sufficient.

I just might, but even so I like to do a little preparation before doctors appointments so that I go in with a basic understanding of the anatomy, physiology and potential problems in a specific area. I've had several experiences with myself where doctors weren't asking the right questions, but luckily I provided info that helped the diagnosis be made.

 

[Seeker]

Sending you a PM

 

[2gymmies]

Could be the origin of the hamstring?

 

[gymbeam]

Could be the origin of the hamstring?

Ahhh you may be onto something.

 

[gymbeam]

Found it! She said her coach described it as "Sever's of the butt" and if he is correct, I believe it is called Apophysitis.

Here's the article that first helped me figure it out. There are, of course, plenty more good articles out there.

Fortunately, it does seem that most cases are self-limiting (although she could have recurring issues all throughout growth periods of adolescence).

I think for now we will keep monitoring and modifying activity. If it worsens or stops improving then I may go for imaging.

Thanks again for the replies!

 

[txgymfan]

Glad you found an answer.

 

[GymCMLA]

Here's a good photo of the tendon at ischial attachment
http://www.richardtregarthen.co.uk/category/tendonitis/

page 7 yellow arrow is the site (there's good avulsion photos as well) http://www.ucdenver.edu/academics/c.../Adolescent Apophysial Hamstring Injuries.pdf

 

[munchkin3]

OUCH!!! DD teammate has a serious case of this! You can see it when she walks!!! PT relieves her pain substantially.
Your poor DD!!!

 

[gymbeam]

OUCH!!! DD teammate has a serious case of this! You can see it when she walks!!! PT relieves her pain substantially.
Your poor DD!!!

so far hers isnt to that degree. that was a question i asked her today if she ever limps from it and she said no...i havent observed her limping either. i read that is a sign of it progressing to an avulsion so definitely will be paying attention to that. PT is something im considering too. better to be proactive than reactive!

 

[gymbeam]

Here's a good photo of the tendon at ischial attachment
http://www.richardtregarthen.co.uk/category/tendonitis/

page 7 yellow arrow is the site (there's good avulsion photos as well) http://www.ucdenver.edu/academics/colleges/medicine/sportsmed/cusm_events/2014-Extreme-Sports-Medicine-Congress/Documents/Presentations/Adolescent Apophysial Hamstring Injuries.pdf

thanks for the link!

 

[duyetanh]

Omg I am so sorry. I have never even heard of this. How does this happen...does the body just choose where the pain goes, and most get severs in the more common area? Off to read your article...

 

[duyetanh]

I can't read the link. It kicks me out every time!

 

[gymbeam]

well, in my daughter's case she did just make a jump in hours and also moved to a different group doing HOPES training- therefore a lot more stretching and conditioning. i think they broke her with all the extras that got added in a relatively short amount of time.

but seriously, from what i've been reading could be several reasons that area got injured- could be pelvic misalignment, or weaknesses that create more pull on the tendon-bone complex like weak glutes or abs and tight hip flexors.

and for some reason that article i linked is now requiring that only members of the site can access it. but there are plenty of articles out there if you google "ischeal apophysitis" here's one http://www.aoasm.org/default/assets/File/OMED2012/KORNOELJE - Apophysitis.pptx.pdf