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Hip area pain just under Iliac Crest

post #1 of 13
Thread Starter 

Was playing tennis about a week ago when after making an aggressive/quick movement I felt/heard a pop in my upper right hip area. Mildly painful at that moment, but not debilitating, so I played through it without further aggravation. The area was a little sore over the next several days, but seemed to be settling down, and was generally not aggravated by normal daily movements, or hiking, biking or inline skating.


If I palpate the area there's a very specific pain point just under the crown of the iliac crest, it corresponds more or less slightly above and forward of the black dot at the end of the line coming from Gluteus medius in the bottom picture...




It feels like something that's connected to the bone, but I don't know anatomy well enough to say what exactly. Perhaps the tensor fascia latae, or the top of the ITB?


Unfortunately experienced another "pop" today, again playing tennis, this time I noticed when making an aggressive lateral move to my left. I'm probably gonna go in and see someone, (which will probably involve a Doc visit first in order to get to PT), as I want to nip/reverse this problem before it gets any worse, but I'm curious if anyone here has been through this, and, if so, what you did to deal with it? Rest, ice, heat, stretching, ??


Any feedback appreciated.

post #2 of 13

You're going to die!

post #3 of 13
Thread Starter 

Yea, I'm in the process of making my peace with that concept.


I just hope my singles career isn't over, or seriously sidelined during this "off season".   ;)

post #4 of 13

;)  As far as what to do before seeing someone, I would probably ice but not stretch, and avoid lateral movements. Roll your ITB if you have a foam roller or a stick. That TFL is a nasty little bugger, be careful with it. But I'm sure someone more knowledgeable will chime in sooner or later. 

post #5 of 13
Originally Posted by jc-ski View Post  Rest, ice, heat, stretching, ??



All of the above, plus massage. 


I'm also a huge fan of swimming and ROM exercises in the pool.


Good Luck!

post #6 of 13

I wouldn't stretch until you know what it is, personally. 

post #7 of 13
Thread Starter 

Patient: Doc, it hurts when I do this.

Doctor: Don't do that!


Thanks, folks. Yea, I agree, first and foremost: Do no more harm! Stretching maybe down the road, but not while things are initially tender. I don't swim but do walk a lot, and that doesn't seem to aggravate things. I'm a big fan of walking, as I think it can help blood and lymph circulate, and keep stuff loose if not overdone, and that speeds healing in my experience.


Really just curious if anyone's run into this particular problem before - it's a new one to me - have never had anything "pop" like this.

post #8 of 13
Thread Starter 

Saw the Sports Med Doc today. Diagnosis: TFL strain. Recommended avoiding further aggravation, (so no singles for me for awhile), and some home PT exercises (after a little more chill time) to strengthen the TFL and other stuff in the area. Probable 6-8 weeks for total recovery. I appreciated that she didn't immediately funnel me into radiology, actually didn't get into that. Standard physical eval.


Doc has an interesting background...


Like that she's a skier!    ;-)

post #9 of 13

Muscle strain could be better in 6-8 week, could take longer. The main thing that helps these things heal is patience. 

Try not to hold the fact that your doc is an immigrant against her.:)

post #10 of 13
Thread Starter 

Yes, patience is the biggie. The one thing I can't seem to do without aggravating things further is run, particularly with quick starts. Thankfully as mentioned I can bike, hike and skate, so that'll get me through.


It's highly desirable to have a Doc who's an athlete, particularly an elite athlete who's been through a lot of this type of injury and recovery herself. Being a former member of the Cirque troupe is pretty awesome too!


And I generally like Canadians.    ;-)

post #11 of 13

Patience sucks. I managed to re-aggravate a shoulder impingement a week and a half ago. I believe I was getting PT for that 2-3 years ago. Thought it was pretty much better. Apparently, I was wrong.


Hang in there. 

post #12 of 13
Your doc practices yoga. Once healed, you should, too wink.gif
post #13 of 13
Thread Starter 

Yup, very good idea. Need to keep things strong and flexible!

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