Forums General Femoral Retroversion / SI pain

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    • #71698
      AvatarAlex Hill
      Participant

      Hello all,

      My
      problems include when I squat I have a pinched feeling in the front of
      the left hip.  I also have it when doing leg press. I am a golfer and I
      also have dealt with significant pain in my left hip / iliac crest
      region when I do any kind of rotation to that left side or lateral
      shift.

      I have little (around 5* maybe) internal hip rotation.  My
      PT says I have femoral retroversion which is causing my problems.  I
      think he is right because if I duck my foot about 45* or more I don’t
      have the impingement.

      But I know Kelly says keep feet facing forward so our arch doesn’t collapse and we can create torsion.

      I have very flat feet to begin with.

      My
      PT doesn’t think I can change my retroversion.  Is that true?  MY PT
      also thinks I have a labral tear.  I had a MRI and it showed no tears. 

      I’ve
      been to 3 sports doctors/hip specialists and 2 PTs.  This most current
      one is the only one who has ever told me about the retroversion.

      I also have SI pain and my arthritis doctor has me on several medications.  His belief is my hip problems are coming from the SI.

      Thoughts/advice?

      Thanks

    • #76663
      AvatarPatrick Thomas
      Participant

      Walking with a significant foot turn out is a symptom of femoral retroversion.
      Flat feet are a symptom of femoral retroversion.
      With a significant toe turn out when walking flat feet develop or worsen from walking through the arch and not over the ball of the foot.

      What is your balance like?
      Running?
      Femoral retroversion is usually bilateral.
      Is on only on your left side or both?
      If it is only on the left side hip dysplasia must be ruled out.

      This is a rotational deformity of the femur and tibia.
      Primary treatment is to attempt to stretch the muscle group in the hip to improve internal rotation.
      It is usually corrected in kids when they are learning to walk.
      A few episodes to check out.
      Episode 230: Squatting With Turned Out Feet? Hey Duck Squatter, IR Yourself.
      Episode 249: Improving Hip Extension (And Internal Rotation) for Running
      Episode 166: Ninja Recovery and Some Shoulder & Hip Love
      Episode 142: Tight IT Band and Hip Flexor Fix: Runners?

      SI Joint
      Episode 118: SI Area Pain, The Basics
      Episode 22: Strong Goats, Orlando Style: Low Back, Hips, and Groin

      Flat Feet
      Pro Episode #3 – The Flat Feet Solution
      Rebuilding Your Feet With Brian MacKenzie
      Rebuilding The Feet, Part 2
      Rebuilding the feet, part 3

      Working on these areas can help improve what you are experiencing.
      You don’t know if you can make improvements until you start working on it.
      Getting it in the best possible place given the situation.

       

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