Hey all, I had my Left hip Labral repair and FAI (pincer type) removed in May. Still in PT, and things seem to be going fairly well. My surgeon did say I ended up being a bit complicated in that...
1. my labrum got fairly thin upon repair.
2. My psoas seems extraordinarily tight.
So we are working on all this in PT, but my adductor tendon which was irritating me before is still very irritating (mostly at the insertion of the iliacus). I thought with all the rest my body got after surgery that any tendonitis would simply heal, but this is not the case.
My PT has me doing gentle stretching.
Is there anything else that could help this area? Ultrasound? anything.
I am clearly not going to do anything that is not on the recovery protocol, but I have very few rotational limitations now, so I was wondering if someone might know of something I could try to relieve the tightness in my adductor tendon, it is very aggravating!
Post by Len Macrina MSPT, SCS, CSCS on Jul 12, 2011 15:57:34 GMT -6
Sounds like you're doing well. Chronic tendonitis, aka tendonosis should be treated by heat, continuous ultrasound, stretching, and eccentric strengthening. That has been shown to best allow the tendon to heal after a chronic pathology. Also, core strengthening of the hip and trunk stabilizers should also be addressed. Hope this helps...
As my rotational limitations were reduced I started to be able to rest with my leg abducted about 45 degrees, which gave a gentle continuous stretch. Warm soaks, and supine "clamshells" It is starting to be much improved.
I'm starting to feel more and more recovered...I wish I could get to use the US on the adductor, but the PT seems to feel because it is "not related" (ha!) to the surgery that he doesnt need to deal with it... But lucky for me, it is resolving...