There’s not much to report as far as the riding is concerned, as September has been dedicated to fixing the problem with my hip to enable me to ride effectively when I eventually start increasing my time in the saddle again, as I’ve had to reduce the riding drastically. Since the last blog in which I published for August, I have been diagnosed with bursitis, which is basically inflammation of the fluid sac that acts as a cushion between the joints, bones, tendons and muscles.
Bursitis can be caused for overactive muscles, and in my case, I’ve been using a muscle called the ITB band too much to compensate for me not using my glutes enough seeing as my right side is weaker. Bursitis can be treated effectively by rehabilitation to learn how to use all the correct muscles, and in worst case scenario a steroid injection.
Now in theory this diagnosis is good, because with the right input in terms of physio and enough effort put into rehab, it means no operation is needed like we initially thought. However, I have had bursitis in my left hip, and the pain I’m getting through my right hip is far worse, as well as the fact the tender trigger spots for hip bursitis isn’t really showing when I’ve had trigger tests from not one but two physios.
This in turn suggests to me and the physios I’m working with, that it isn’t bursitis and is in fact an impingement in the hip, and without more in-depth tests, there’s no way we can be sure, so whilst I have a diagnosis, we aren’t one hundred sure whether it’s a correct one. Nevertheless, the rehabilitation for a hip impingement is more or less the same as it is for bursitis, so I’ve gone back to an old physio called James, who I’ve worked with on and off for the past few years since being referred to him when I had problems with the left hip back in 2015 seeing as he specialises in hips.
I’ve had about 4 or 5 sessions with James so far, and we’ve put together a rehabilitation programme to do daily in-between our sessions. On reflection, I’ve changed a lot since I was 19/20, as I’m taking my rehabilitation work a lot more seriously in comparison to how I used to, which I guess in James’s case makes it a lot easier to do his job, as I am now doing the exercises without argument as opposed to my former self, so we’re getting a lot more out of our sessions.
However, due to the fact my right side is so much weaker means that rehab is going to be a lot more time consuming, as it’s a lot more difficult to get correct formation, and use muscles correctly because of tone and spasms in which my disability incurs when the right side actually has to work.
That being said, after starting the rehab work, I have noticed a significant improvement already, as my hip is nowhere near as painful as what it has been the past few months! I’m no longer riding as defensively as I was in case a small jolt puts me in agony, and I’m even trotting again, so whilst it’s still not one hundred percent, and I’m still not riding as much as I’d like to, it’s actually starting to become bearable to ride again.
I’m also planning to slowly increase how many times a week I’m going to the gym to start increasing my fitness again for when I’m back on form with the riding, but with my hip on the edge of tipping point, I need to be extremely cautious about what I’m doing, because if I overdo it even in the slightest, it could put me straight back to square one again. I’m hoping over the next month, with enough effort, I can continue the progress I’m making in improving my hip pain, so that I can get back to myself again and make a full recovery, rather than having to be careful with everything I do,