Hip joint pain

[Kihap]

Hello,

I'm 18 years old male, active in running(1-2 times a week, 3-4 miles, comfortable pace), gym and most of all Taekwondo and I think that's where my problem started. About month and a half ago my left hip joint started to hurt when performing middle section and high kicks and moves that require turning in hip joint, slow moves are much more painy than those fast ones. No swelling or redness evident, leg tends to be a bit warmer than other one. Pain is not consistent and disappears quickly, comes back with kick or turn in hip joint. My master suggested drinking more tap water as I don't drink that much, about 1 litre a day, would 2 litres be more suitable? I do drink a lot of juices though. So, this is my story Any advice welcomed. Feel free to ask any additional info please.

Thank you
Kihap

[Dr Damien]

Hip pain in young men or boys who do a lot of sports. There is a condition perthe's disease, its not so much a disease so dont be too scared.several differentials may be the possible cause, i need to know if the pain is reffered anywhere in the affected leg, if you have problems with range first.we will start from there...

[Kihap]

I'm sorry but I don't quite understand you?

[linbin]

hi buddy
what he mean is so many causes can be found for the hip pain like yours.which movement when performing are causing you pain.bending the leg,taking it to side,back or turning in and out.
do you experience click sound in the hip joint expecially when coming from sitting to standing.or while any other movement
does you feel that the pain starting in the hip spread to leg or back
keep informing about your problems in detail,then only we will be able to help you friend

[Kihap]

I understand now.

YouTube - Revolution of Kicking - Side Kick

You can see anantomy of a side kick in this video, mostly from 01:00 to 01:40
Pain comes when I extend my leg and also a silent click. I can feel the pain only in hip joint, nowhere else in my leg.

Another kick that is causing pain in left hip joint is the middle section front kick (between waist and chest). I can hear quite loud click in my left hip joint when performing this kick but, only if doing it slowly.
ist2_1038357_karate_front_kick_mae_geri.jpg < this is the front kick


Ask for more info if you wish. Thank you
Kihap

[linbin]

hi friend
according to the description and analysis of the video and pic,i feel there might have occured some injury to the labrum.it is the structure which enhances the stability of hip.mostly it might have injured in the posterior aspect of the joint.this is my hypothesis and hope other physios will also share their views regarding this

[physio.smith]

Agree, this does sound like a labral injury. If you are seeing a physio there are a couple of test which they should be able to do to check this (p.621 Orthopedic Physical Assessment, Magee).

The only other thing that springs to mind is psoas weakness (muscle controlling hip movt) from a possible overstretching injury during a kick. This causes a similar clicking, would notice if laying on back and lifting leg up then lowering back down (with leg straight)(click tends to occur on lowering) (obviously not definitive test). Does tend to be more noticable with slow control movement. Again physio should be able to check this for you (can correct momentarily with maximal hip suck type exercise, which can confirm whether this is a problem) if it is then needs retraining.

Best bet is to see a good sports physio and get a more definitive diagnosis / steer as to what needs to be done / how you can improve things.

Having done some kickboxing and karate myself don't be tempted just to ingnore the problem and just do quick kicks (because they are not so problematic), if you can't preform slow controlled kicks then chances are you are aggrevating the problem further with quicker kicks (as they are generally less controlled and snapped in and out). I carried on training with a hip problem for a couple of months (despite being a physio...i buried my head in the sand and ingnored it), then needed to take out more time than I should have to sort my resulting back problem out!

Good luck