[fit45]

I've been dealing with ASIS (anterior superior iliac spine) tendonitis for several months... kept thinking it would heal on its own, but finally went to the orthopedist this week. I'm now doing PT 2-3x/week for several weeks, hoping for improvement.<br><br>
What I've learned is that I am a mechanical mess. The tendonitis began when my weekly mileage reached about 40. According to the PT, my legs were strong enough to carry me that far, but at that point, they couldn't handle any more and the rest of my body wasn't available to help.<br><br>
I have extreme hyperlordosis, and the lower part of my spine is functionally fixed in a C shape. It moves as a unit, in that shape. I have no abdominal strength. According to the PT, this gives me no shock absorption above my hips, so they take the brunt of things. Additionally, I have a 2cm leg length discrepancy (shorter left leg; side of tendonitis), so running on the proper side of the road (against traffic in the US) exacerbates the discrepancy, AND I strike hard on the outer edge of the left foot, creating further imbalance.<br><br>
The PT is treating the tendonitis with ultrasound and electronic stimulation, and I have various back flexibility and ab strengthening exercises to work on. She says that if I didn't want to run again ever, she'd probably only treat the tendonitis, but that if I want to run, I have a lot of work to do.<br><br>
Her idea is that, once the acute inflammation of the tendonitis is gone, she'll have me start running 2 miles at a time a few days a week, since that seems to be the maximum I can run at this point without pulling the tendon. (This morning, she had me on the treadmill for only 5 minutes, and I got sharp, hot pain on the left ASIS at 4:30.)<br><br>
Does anyone else have any experiences with ANY of these various conditions/problems?

 

[merigayle]

is your leg length discrepancy muscular or are the bones different lengths?<br><br>
I'm gonna send you a PM.

 

[joplus]

I have no advice for you (sorry), but the condition you describe is very interesting. One question, if you please: ASIS is not a muscle but a bony landmark of the ilium. So it doesn't have a tendon, although I can think of at least one muscle that attaches to it. When you say "ASIS tendonitis," which muscle tendon are you referring to?<br><br>
If you don't mind, please keep us posted about your condition and treatment. I'm no doctor, just a massage therapist who is <i>very</i> interested in assessment and treatment of these kinds of things. If you don't feel like sharing every detail in this forum, PM if you like.

 

[fit45]

Merigayle - Verdict is still out on the leg length discrepancy. Going in assumption is that it is functional rather than bone length, possibly related to healing from a tailbone break 15-17 years ago.<br><br>
Joplus - That's a good question, I don't know that a specific tendon has been mentioned. So much information and so many new things have been thrust at me over the last several days that I have probably missed some important things along the way. I feel like I'm learning a whole new language.<br><br>
I should add that x-rays show no signs of stress fracture, either current or healed, and no bone chips. Referral to PT was based on orthopedist's inferrence from x-rays; if PT isn't bringing improvement within a couple of weeks, I'm to head back to the orthopedist for an MRI. I follow up with the orthopedist in 4 weeks, regardless.<br><br>
Thank you both for your replies & input. I'll keep you posted!

 

[corrade]

good luck fit, if you're patient, the PT will pay off.