Hip Flexor Injury

#1bballmomfan posted:

Well this year has not started as we had hoped.  3 weeks ago, before the first game son injured his hip flexor gunning a runner down from left.  He heard a loud pop and fell to the grass.  He was not able to walk off the field on his own accord.  They sent him to the training office to be evaluated.  They diagnosed him with a Hip Flexor Strain (saying they didn't know if it was 1,2,or 3 and strain pretty much covered all of it) and he has been doing therapy on it daily since.  They had him do some pool work, massage, heat, tinge, stretching and he actually managed to do a light jog.  Majority of his pain has been in his lower abdomen attachment point with some obviously in the groin area.  There was no bruising that he could see.  HC said they would treat it conservatively for a few weeks and see how he heals.  HC sent me long text msg basically saying it was his experience that if this didn't take care of itself with minimal treatment it usual meant he would be medically unable to play for an extended length of time.   Therapy has helped but the trainer feels he is not healing quite as well as they would like to see.  They are sending him to the sports orthopedic rehab docs tomorrow for an evaluation.  Can anyone tell me about medically redshirting in NAIA?  He was never able to play an actual game as his injury was in an intersquad  game.  Has anyone any experience with this injury? What is the general outcome returning to 100% with this type of injury.  He's a speedster and he's a little nervous about his ability to return to full speed and frankly we are all a little on edge.    

Please go see the doctor!!  Son heard similar pop while running and it was a Pelvic Avulsion Fracture.  It can take from 6 weeks to 6 months to heal depending on the type of athlete, severity of fracture or if surgery is required.

CatsPop posted:

#1bballmomfan posted:

Well this year has not started as we had hoped.  3 weeks ago, before the first game son injured his hip flexor gunning a runner down from left.  He heard a loud pop and fell to the grass.  He was not able to walk off the field on his own accord.  They sent him to the training office to be evaluated.  They diagnosed him with a Hip Flexor Strain (saying they didn't know if it was 1,2,or 3 and strain pretty much covered all of it) and he has been doing therapy on it daily since.  They had him do some pool work, massage, heat, tinge, stretching and he actually managed to do a light jog.  Majority of his pain has been in his lower abdomen attachment point with some obviously in the groin area.  There was no bruising that he could see.  HC said they would treat it conservatively for a few weeks and see how he heals.  HC sent me long text msg basically saying it was his experience that if this didn't take care of itself with minimal treatment it usual meant he would be medically unable to play for an extended length of time.   Therapy has helped but the trainer feels he is not healing quite as well as they would like to see.  They are sending him to the sports orthopedic rehab docs tomorrow for an evaluation.  Can anyone tell me about medically redshirting in NAIA?  He was never able to play an actual game as his injury was in an intersquad  game.  Has anyone any experience with this injury? What is the general outcome returning to 100% with this type of injury.  He's a speedster and he's a little nervous about his ability to return to full speed and frankly we are all a little on edge.    

Please go see the doctor!!  Son heard similar pop while running and it was a Pelvic Avulsion Fracture.  It can take from 6 weeks to 6 months to heal depending on the type of athlete, severity of fracture or if surgery is required.

He goes tomorrow.

#1BBALLMOMFAN, I just sent you a PM.

Yes.  Son heard a pop in fall ball his college freshman year.  Got an MRI and it was a labral tear due to hip impingment.  (It was bilateral, and is usually inherited). 

The backstory was that every spring in high school baseball  he had hip issues and did therapy, stretches, etc.  It helped some, but it wasn't until he heard the pop that something could actually be done about it.

He played all college freshman year injured.  The following summer he got the 'full tune-up' and had both hips repaired one month apart.  After 6 months of PT and he was back on the field for sophomore year.

As far as redshirting, for D1 I think if you play less that 30% of the games you can get a medical redshirt.  The trainers and coaches were watching son closely freshman year to see if he needed to redshirt.  He elected to played through the pain.  Since the damage was done, it wasn't like it was going to get worse.

GET AN MRI!

btw....in high school that is what the doctor's kept telling him...."it is your hip flexor; do exercises".  

PM me if you have questions.

keewart posted:

Yes.  Son heard a pop in fall ball his college freshman year.  Got an MRI and it was a labral tear due to hip impingment.  (It was bilateral, and is usually inherited). 

The backstory was that every spring in high school baseball  he had hip issues and did therapy, stretches, etc.  It helped some, but it wasn't until he heard the pop that something could actually be done about it.

He played all college freshman year injured.  The following summer he got the 'full tune-up' and had both hips repaired one month apart.  After 6 months of PT and he was back on the field for sophomore year.

As far as redshirting, for D1 I think if you play less that 30% of the games you can get a medical redshirt.  The trainers and coaches were watching son closely freshman year to see if he needed to redshirt.  He elected to played through the pain.  Since the damage was done, it wasn't like it was going to get worse.

GET AN MRI!

+1 

X-ray and MRI should be done. 

keewart posted:

btw....in high school that is what the doctor's kept telling him...."it is your hip flexor; do exercises".  

PM me if you have questions.

I can relate..he's battled a nagging leg for many years but nothing this severe. We are hoping our appt. tomorrow will shed a lot of light on what's going on.

keewart posted:

btw....in high school that is what the doctor's kept telling him...."it is your hip flexor; do exercises".  

PM me if you have questions.

Yeah, I don't mess around too much with hip flexor injuries before sending them off to orthopedics. We'll typically give it a couple of weeks and see how things go. But continued pain warrants an X-ray and evaluation by the orthopedic surgeon. From there, MRI arthrogram may be warranted if no improvement. FAI is the most common cause of labral tears. FAI is considered to be a congenital condition that over time can lead to the labral tear. 

keewart posted:

 

As far as redshirting, for D1 I think if you play less that 30% of the games you can get a medical redshirt.  

What I should have said was  ".... declare medical redshirt before 30% into the season...." 

keewart posted:

keewart posted:

 

As far as redshirting, for D1 I think if you play less that 30% of the games you can get a medical redshirt.  

What I should have said was  ".... declare medical redshirt before 30% into the season...." 

You can redshirt up to midway through the season.  He just can't play in more than 30% of the seasons games and any game beyond halfway through the season.

Well still perplexed slightly.  He and his dad just left the doctors office.   Took several xrays in many angles and  position and said based on those and the exam they think it is just a really bad strain.  Said if in 2 more weeks it is not still improving they will order an MRI, but that he needs to continue the therapy he's been doing.  The one thing the doc said that boggles my mind is the doc said if he really wanted to he could continue activity as tolerated pushing himself even when it hurts slightly because he wasn't going to hurt it more..........but then said if not better in 2 weeks come back for the MRI.  Does that sound right?  I'm getting this second hand from the hubs so I can't elaborate more then what was told to me.  Guess we have another 2 weeks to wait it out.   I would just think you could cause more problems if you attempt to do more things with it already being hurt. I sent questions to his dad to ask about the Pelvic Avulsion Fracture and  Gilmore Groin.  Doctor said he wasn't concerned about any type of fractures based on his evaluation and xrays.  Would love feedback from anyone having dealt with this before if this sounds normal.  Thanks for all your information so far.

#1bballmomfan posted:

Well still perplexed slightly.  He and his dad just left the doctors office.   Took several xrays in many angles and  position and said based on those and the exam they think it is just a really bad strain.  Said if in 2 more weeks it is not still improving they will order an MRI, but that he needs to continue the therapy he's been doing.  The one thing the doc said that boggles my mind is the doc said if he really wanted to he could continue activity as tolerated pushing himself even when it hurts slightly because he wasn't going to hurt it more..........but then said if not better in 2 weeks come back for the MRI.  Does that sound right?  I'm getting this second hand from the hubs so I can't elaborate more then what was told to me.  Guess we have another 2 weeks to wait it out.   I would just think you could cause more problems if you attempt to do more things with it already being hurt. I sent questions to his dad to ask about the Pelvic Avulsion Fracture and  Gilmore Groin.  Doctor said he wasn't concerned about any type of fractures based on his evaluation and xrays.  Would love feedback from anyone having dealt with this before if this sounds normal.  Thanks for all your information so far.

If he felt a pop, it may be a soft tissue injury which wouldn't show up on the x-ray, right? Why wouldn't he just order the MRI now?

Protocol for insurance to pay for the MRI is several weeks of therapy, with no relief of pain.  At least it was in our case with the college's insurance footing the bill.  If self pay....do what your pocketbook can pay for!

Call around. An MRI can be done for $400 or so.  You decide if you want to wait on insurance to pay.

Son injured hip flexor as a youth and couldnt walk well for a week or so.  It took weeks to (mostly) fully heal.  Had issues with it though for couple of years.  I think it was walking lunges that helped for therapy?? cant remember.

I think a contrast MRI may be more expensive? 

Whoa, I just pulled son's files....MRI with contrast was $2950.00 for anyone who cares.  That did not include arthrogram, injections, drugs, ....

keewart posted:

I think a contrast MRI may be more expensive? 

Whoa, I just pulled son's files....MRI with contrast was $2950.00 for anyone who cares.  That did not include arthrogram, injections, drugs, ....

Ouch!

Thankfully at this point school is footing the bill and we were told they would continue to for the course of the treatment.  We anticipate a MRI in the coming weeks based on how he's progressed over the past 3 weeks.  I really appreciate all the information and recommendations from everyone.  We will definitely make sure to get MRI with contrast if we end up having to do that route.  I did clarify that what the doc meant by activity as tolerated was during therapy and all and that he wasn't released to get on the field and play.  Coach was very compassionate and he, son and trainer agreed if he wasn't 100% he wouldn't return and would save his eligibility.  I have heard so many horror stories of uncaring selfish coaches, but I have to say we have been blessed with an incredible coach who really does care about his boys and does try and do the right thing by them.  We are very thankful for this.  He has no applied any pressure to son what so ever and has encouraged the resting and rehabing.

hshuler posted:

#1bballmomfan posted:

Well still perplexed slightly.  He and his dad just left the doctors office.   Took several xrays in many angles and  position and said based on those and the exam they think it is just a really bad strain.  Said if in 2 more weeks it is not still improving they will order an MRI, but that he needs to continue the therapy he's been doing.  The one thing the doc said that boggles my mind is the doc said if he really wanted to he could continue activity as tolerated pushing himself even when it hurts slightly because he wasn't going to hurt it more..........but then said if not better in 2 weeks come back for the MRI.  Does that sound right?  I'm getting this second hand from the hubs so I can't elaborate more then what was told to me.  Guess we have another 2 weeks to wait it out.   I would just think you could cause more problems if you attempt to do more things with it already being hurt. I sent questions to his dad to ask about the Pelvic Avulsion Fracture and  Gilmore Groin.  Doctor said he wasn't concerned about any type of fractures based on his evaluation and xrays.  Would love feedback from anyone having dealt with this before if this sounds normal.  Thanks for all your information so far.

If he felt a pop, it may be a soft tissue injury which wouldn't show up on the x-ray, right? Why wouldn't he just order the MRI now?

 

The reasoning was that even though he wasn't progressing as fast as they would like he was still progressing and getting better.  They want to give it a few more weeks and then will decided if an MRI is warranted.  What I'm hearing is they have to prove it's medically necessary since the school is covering the costs......

keewart posted:

keewart posted:

 

As far as redshirting, for D1 I think if you play less that 30% of the games you can get a medical redshirt.  

What I should have said was  ".... declare medical redshirt before 30% into the season...." 

In this case it would be a medical waiver, classification not granted until after the championship season and NCAA approved.

Just find that there is confusion at times for some.