02/29/2016
High school cross country runner comes in to be evaluated after suffering an avulsion fracture of the inner hamstring attachment to the pelvis. No surgery necessary, but they now have impingement of his hip when raising the leg or bending forward.
Are these 2 separate injuries? Likely not. Found his hamstrings weak and quads overworking (as expected), causing his pelvis to tilt forward (anterior). This hamstring tightness due to under activity likely lead to the avulsion fracture. The hip capsule on that side was also extremely tight towards the back, stressing the hip forward. This combination limited the amount of space the hip has to flex, leading to pinching in the front.
Released his hip capsule and quad, activated his hamstrings, and brought his hips back to neutral. Simple exercises at home tonsils strength around these changes. After 2 visits he is back to running pain free with better motion in his hip. If you know how the body is supposed to work, and more importantly how it "cheats," the pain will naturally go away, and stay away.
Treat dysfunction, not pain.