My Labral Tear Saga: Hamstrings, Adductors, Obturators–Oh My!

This week marks 10-weeks post-op labral tear repair surgery and two-and-a-half years since this “injury” began.  I figured now would be a good time to recap my entire injury saga in hopes that someone else fighting this battle can relate. I’m not a doctor, nor an expert in hip, hamstring or adductor pain, but I will share my experiences in hopes that someone out there might find it helpful.

NCAA 1500m 2013

Senior year NCAA’s

Back in the beginning of my Senior year of track at FSU it started as pain in the high hamstring. I battled it the whole season with everything from massage, graston, P.T. exercises and A.R.T., continuing into USA’s which was further than I probably should have pushed it. Post-season I had my first MRI done which showed no signs of major damage to the hamstring, so the doctor labeled it as high hamstring tendinopathy (tendonitis).

The following fall I took several weeks off before I began working out with the NJNY Track Club. Although I would still have “twinges” of pain here and there, thanks to the help of my awesome P.T. at the time, Mike Mullaney of Mullaney & Associates Physcial Therapy in Matawan, NJ, I was able to manage it and even return to full-strength racing and running PR’s. From January to April my symptoms were nearly nonexistent, and I thought I nipped this hammy problem in the butt, but then my “butt pain” came back. Thus, May and June became a repeat of my 2013 season and by USA Outdoors I was once again barely able to get through the race.

After that season I took several weeks off, and my new coach, Juli Benson, was careful to very gradually increase my mileage when I returned to running. I was just getting my hopes up to run a turkey trot or potentially Club Cross when the pain came back–AGAIN!

Now if you’ve ever dealt with a chronic hamstring injury, you may already know they have a high rate of reoccurrence, (according to this article 2/3 of runners who strain their hamstrings will suffer re-injury within one year), and so I wasn’t completely surprised when the pain returned. However, after another non-conclusive MRI and the opinion of more doctors and therapists, I was told that the area of pain I pointed to was actually my adductor rather than hamstring. This totally threw me off…had I been treating the wrong muscle all along, or did the pain move? From that point forward I slightly shifted my therapy to focus more aggressively on glute and abductor strength, minimizing strain on the adductors (similar to the exercises mentioned in this article by Runner’s Connect).

Throughout the fall I worked with multiple physical therapists on improving hip and core strength as well. In terms of treatment–I tried EVERYTHING: extracorporeal shockwave therapy, A.R.T.(Active Release Techniques) deep tissue massage, RockTape, dry needling, E-Stim, ultrasound, laser therapy, the McKenzie Method for my lower back pain, neural stretching, and more. While some of these treatments offered relieve, the overall pattern was one step forward-two steps backwards. As the pain began to increase again to the point of easy-runs becoming a dread, we finally decided to shut down for another complete break over the Holidays.

Over Christmas I helped take care of my younger sister who had just undergone arthroscopic labral tear surgery. At the time, I hardly considered that we could be dealing with the same issue since her symptoms were more in the hip flexor region. During that busy week I was lucky to squeeze in MRI #3 at the advisory of my chiropractor. This time we decided to check the lower back to eliminate a possible herniated disk or other spinal issue. Thankfully the back looked fine, but so did the hip. You’d think that would be good news, but any undiagnosed runner knows you’d rather have them find some sign of damage than waste a whole year trying to run through mysterious pain.  After that I visited FSU for what was supposed to be my “warm weather training trip” but turned out to be another series of tests, evaluations and ultimately resulted in a PRP injection into the gracilis muscle of my right adductor. At this point, I was optimistic that I could still return in time for outdoor track. However, the problem with PRP is that it isn’t an instant fix. Thus began the waiting game which took me into late spring.

Deep 6

Deep 6

The more time that passed the more convinced I was that PRP had not resolved the underlying issue. Meanwhile, my massage therapist had identified the “deep six” muscles, particularly the obturator muscles (stabilizer and rotator muscles of the hip ) as a major source of my pain. I’m not going to lie, getting treatment for this muscle is tricky, and was probably the most pain I’ve ever endured in my life. During one treatment session I recall feeling such sharp pain it felt like someone was driving a nail through my bone. I began to wonder if it was actually the bone beneath the muscle that was causing the pain, perhaps a stress fracture. My pain had also become more of a constant, dull, achy one that would often keep me up at night. And so I decided to see another orthopedic to rule out a stress fracture/reaction.

If you’re still with me reading through this, suffering from a long, frustrating, undiagnosed injury, I encourage you to try what I did next. I walked into another hip specialist’s office for the first time with a blank slate. I didn’t tell him I had three previous MRI’s, knowing that he would instantly label me a hypochondriac and fail to give me a proper diagnosis. Instead, I let him prescribe MRI #4 and willingly went back into the tube, listening to classical music and nearly falling asleep as I often do in MRIs (yes, I know its strange I find the loud banging and clanging quite soothing!)

Here is what the report stated:
MRI Report #4When I first read it, the word “labrum” immediately jumped out at me. Although it said “minimal fraying,” I was still worried considering my sister’s labral tear didn’t even show up on a regular MRI (she was eventually diagnosed after an Arthrogram/MRI with dye). The doctor who prescribed the MRI said the fraying wasn’t a big deal and concluded that I had a stress reaction in my acetabula bone. I wasn’t sure how to handle that, especially when I was told to just “run through it but back off if the pain gets worse.” Unsettled with such a vague answer, I took the imaging to The Steadman-Hawkins Clinic in Denver for a second opinion, and I thank God I did…

Within the first half-hour of my appointment I finally had a clear diagnosis:

Femoral Acetabular Impingement and Torn Labrum

 Henry Gray (1918) Anatomy of the Human Body via Wikimedia Commons 

They gave me this nifty hand-out which explains it well. Basically when the head of the femur bone rubs abnormally in the hip socket the hip becomes impinged and the labrum (which forms a gasket around the socket) is prone to tearing.

After hearing this, I was thinking, “Cut me open right now and fix the darn thing!” Instead we tried a cortisone injection before jumping into a surgery which would take 6 months to fully recover from. After all, 70% or so of the population live with a torn labrum at some point in their life and most do not require surgery.

Unfortunately, my little labrum did require surgery. I went to the Steadman Clinic in Vail to have the procedure done by Dr. Marc Philippon who is internationally known for performing the surgery. It turned out I had both a Cam and Pincer deformity which Dr. Philippon took care of by shaving down the bone, and he repaired the labrum with several anchors.

So how did it take so long to diagnose this? You might be surprised to hear that on average it takes two years for a torn labrum to be diagnosed. That’s what made me want to get on and write all of this; not to scare you into thinking you tore your labrum, but to show that this injury can present itself in the form of many different symptoms. The theory my doctors and therapists have concluded is that my torn labrum caused my hip to be unstable, therefore forcing my hamstring, adductor and rotator muscles like the obturator to overwork.

So that brings me to where I am now, sorting out all of the imbalances by regaining the strength in my hip. Although the comeback from this surgery takes awhile, I’m  grateful to finally have answers and be moving forward.

I look forward to any feedback from other hip/hamstring patients out there. You have my sympathy and I thank you for reading 🙂

If you’re a runner dealing with a torn labrum and considering surgery, I found the following blogs quite helpful: Nick Willis’ Labral Tear Surgery , Camille Herron’s Blog and April’s blog: My torn labrum – hip surgery with Dr Marc Philippon

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  1. I’ve dealt with the same thing. I had hip pain starting in January of a track season that felt close to a hip flexor strain. It wasn’t bad enough to stop running, but kept me from running high mileage or high intensity on some days. But then it gradually got worse and worse and more into my groin. I took time off after the track season, about a month, and when I returned to running the same pain was there. I wasted time taking small mini breaks to try to relieve the pain which never really worked. I also got an MRI which didn’t show anything so my doctor just diagnosed it as overuse and told me to take 5 weeks off. What concerned me a lot was still feeling the deep groin and hip pain while sitting down for long periods of time even on my break of no running. After my break when I began running again it only took about 3 days for the pain to be right back. I went back to the doctor and had to really push for an MRI with contrast dye. The doctor I was seeing told me many times he knew there wasn’t a tear because I didn’t have all the exact symptoms but I wanted to rule it out just in case. After I got the MRI with contrast it showed a tear and I had surgery a week later. Lesson to be learned: listen to your body and how it feels despite what doctors might tell you! This injury seems to be misdiagnosed a lot, especially for runners. So if you deal with chronic hip pain without a diagnosis, don’t waste all your time on taking time off and PT if the pain doesn’t go away. Get a MRI with contrast, that’s the only way to really see the tears!

    • So sorry to hear! I know that must have been frustrating for it to take so long to get diagnosed. I had a similar realization after I took a break and saw no improvement. My last MRI didn’t actually require contrast to see my tear, but I agree its a good idea to push for that. As far as not having all of the symptoms, I certainly was an exception and didn’t have a lot of the typical symptoms. I wish doctors would understand that everyone feels and refers pain differently!
      Hope you are running healthy and happy now!:) -Amanda

  2. Checking in on you, Amanda!! How’s the recovery coming? I’m so sorry that you have had to go through all of this – UGH. I know you are frustrated. I am hoping that you are working your way back now and that you will ultimately come back so much stronger after finally getting to (and fixing!!) the root cause of the issue. I’m crossing my fingers for you!

    • The recovery is going well, thanks! I know going through all of this will make me stronger, but it certainly takes a lot of patience. Just trying to stay on top of all of the little things and having faith that the big improvements will come in due time!

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  5. A fellow Seminole! Go Noles! I live in NC now. Im actually a dancer, not a runner, but I dealt with adductor and psoas pain for over a year. I got treated for a hamstring injury and a groin strain with temporary reliefs. My PT told me I should go back and get an MRI because he thought I had a hip tear after mentioning to him one day my hip was sore after teaching the night before. I had the “C sign” symptom. The first doctor I went to did X-rays and said there was no impingements and my hip was fine. My PT wasn’t convinced, so we had my knee Doctor, who happened to work in the same practice, order my MRI. Low and behold they saw a femoral acetabulum labrum tear. I got an injection into the joint first, and although it took all my pain away, it came back in 2 weeks. So I had surgery to repair the tear and shave acetabular rim. I am 9 weeks out now. My SIJ pain is better and my hip pain is nonexistent. But I do not have full ROM because of some abductor pain. But my groin, it’s still burning as much as the day before surgery. And my flexibility is nonexistent when trying to stretch in either butterfly or straddle. So, they are giving me a few more weeks before they send me to Duke to see a specialist. Very frustrating because the adductor/groin pain was what made me get the surgery. It was so bad I couldn’t dance or do yoga at that point. Hoping things will turn around soon.

    • Amber,
      Yay, GO NOLES! Sorry to hear about your injury, but all of your symptoms sound very similar to my own experience. At 9 weeks post-op I was still dealing with chronic adductor tightness and groin/pelvic pain, so don’t panic! I found out that this is normal post-op, but what really helped me overcome it was finding a pelvic floor physical therapist to address the other muscles that were in spasm because of imbalances before surgery as well as the trauma of the surgery. Dry needling, massage and active release helped me overcome adductor/hamstring tightness. Now about 5 months post-op I’m back to running mostly pain free, have much more flexibility, and am just working on getting rid of any lingering scar tissue with the help of my P.T. who has been doing a lot of manual therapy. Remember, labral tear surgery takes a good 6 months before you’re “fully” recovered, and everyone responds differently, so just try to be patient! 🙂

    • Hi just found this and it may be you are not available anymore.. ut we have such strong similarities. I just had to ask you if you have found any resolution?

  6. Thanks for taking the time to write about your experience, very helpful… I have been suffering from High hamstring Tendinopathy for the past 2 years after training for my last Half Marathon… I have had an MRI which also shows I have a Labral Tear in my Hip… although my hip impingement hurts at certain angles, it is my chronic hamstring pain that is stopping me run for the past 2 years – I am still trying to decide if having the Hip Arthroscopy surgery will fix my hamstring as well as my hip – I fear having the surgery may just make things worse and not fix the tendinoptahy, how is your hamstring feeling post surgery please?! And how are you finding the rehab from arthroscopy surgery please? Hope you are doing well! Lisa, London, UK.

    • My worst pain was also from my high hamstring tendinopathy, not necessarily my hip. Now five months post-op that is still the case, but both issues are less painful than going into surgery. I was advised by my surgeon that having surgery could actually help improve my high hamstring problem, or at least prevent it from reoccurring as often. The surgery does not FIX the hamstring problem, however I was given a PRP injection to my hamstring insertion during surgery. I know for some people this alone is enough to get over the hamstring pain. However, two years means it’s a chronic issue, so don’t expect it to go away just because you fix the hip. Fixing the labral tear should in theory make your hip more stable and less prone to compensation of the hamstring and other muscles. Although I wish I could tell you my hamstring issue is completely resolved, it’s not. However I have been getting a lot of cross-friction massage to reduce scar tissue around the nerve and that has helped my pain subside. The rehab is very similar for high hamstring and post-op labral tears. Focusing on strengthening your glutes is key! 🙂

    • I actually got hip flexor Tendonitis/ tendinopathy after my surgery and just had a PRP injection about 2 weeks ago. Most painful thing ever! So far, not really any improvement. I’m 5 months post op and the groin and adductor pain I had before surgery is still there and now hip flexor complications. Going to see a specialist in another week at Duke for a second opinion.

  7. Thank you for this post. I was recently diagnosed with a labral tear and severe proximal hamstring tendinopathy I was a little overwhelmed at the diagnosis as my surgeon is suggesting two surgeries The first for the labrum and then 4-6 months later for the hamstring. The idea of two consecutive rehabs is mind boggling, but I’m hopeful after reading your blog that perhaps the hamstring will heal while I am recovering from labrum surgery. I hope your recovery continues to go fairly well- and although I’m sorry to read what you’ve been through, it was nice to hear someone else has the same issues.

  8. Wow I am SO thankful I just found this. I have been dealing with almost identical symptoms for nearly 2 years… Hamstring pain followed by adductor pain, PRP injection, MRI’s on the hip and low back… I am now scheduled to go in for Labral arthroscopy and to fix the possible Labrum tear that isn’t showing up on the MRI. I am a yoga instructor and my personal practice and job has been severely impacted. It’s amazing to sit here and read someone’s words who has gone through the same pain and frustrations as you because this has been going on so long I was starting to think I was crazy! Thank you so much for sharing this!

  9. Hi Amanda, and here I thought I was the only one!

    My saga is not as long nor involved but I too have gone through a similar journey,
    First of all I am not a runner. I have serious venous inefficiency due to a blood clot issue suffered 30 years ago. My labrum issue resulted from overworking hip and leg muscles to maximize blood flow. I do swim and workout five times per week.

    In June of 2013, when the pain first appeared, I went to a sports doc hip surgeon who did an xray. He said, “its your back”. Had an MRI of my back. No issue. Then pain management and PT. No help. So one day in November I asked one of my clients, who is an old time ortho doc, to look at my films. He noticed a small spur in my hip joint, worked my leg a bit and said he though torn labrum. He immediately called his buddy Dr. David Sohn at the University of Toledo Med Center. Sohn got me right in and had an MRA (the dye deal) ordered. Sure enough, my client was right.

    After surgery in December and my 12 weeks on crutches I noticed the hamstring pain was still present, but not as bad. Dr. Sohn checked me out and said I had no muscle in my hip. Gave my an injection in my hamstring and told me to strengthen my hip muscles with bands. And!!!No problem since.

    Now…I have the same problem with my other hip. Dr. Sohn injected my ham this past December and the pain disappeared until now. I see him in again in two weeks and he will probably order an MRA.

    Amanda, I hope you heal as I did. It clearly is a pain in the butt!

    • Brett,

      Thanks for taking the time to share your story. I’m glad to hear you were able to overcome your pain. Just curious, what was the kind of injection? Cortisone?

      • Hi Amanda. I am certain the injection was some kind of steroid but not sure if it was Cortisone. I have an appointment with my surgeon on Tuesday for my left hip. I will ask and let you know. Same dang problem. Awful nighttime sciatica too.

        • Hey Brett, I figured it was some kind of steroid but wasn’t sure. I’ll definitely look into that. As for the sciatica, I know how that is…not fun! Hope your appointment is helpful.

  10. Hello,
    Thanks for posting. I have been suffering with severe hamstring pain, glut pain and it even radiates down to the outside of my knee. I had 3 bad months where my hamstring pain was so bad my leg would actually give out! I too was convinced it was a hamstring issue but always felt like something was “out of place” in my hip joint. For years my hip has been known to lock or seize up and then a few days later would be fine. I’m an active person and love various activities. Running is what I was doing when the pain first began. I went for physio and massage (which was so painful!) but seemed to help. I had 2 great months where I returned back to normal activity and was doing great but in the last month all the pain is back!
    I have finally had an MRI and have been told that the cartilage of my hip is torn. So I will be chatting with my doctor and seeing an ortho surgeon to see what my options are. Like you, I am glad to finally have a possible cause to my pain. But am anxious to see what is next? Will I be able to return to my normal active life? I really hope so!
    Anyways hope you are doing well. Perhaps will send another update in the future.

    • Megan,
      So sorry to hear about your injury! The good news is that hip rehabilitation and surgery are so advanced these days that most of the time once you get the right treatment you can get back to your active lifestyle. Running still doesn’t feel 100% for me, but I’m able to do any other normal activities just fine. Whatever your doctors decide to do, have confidence in their plan and I’m sure it will go well. Feel better!

  11. Hi Amanda!
    Thank you for writing this blog. I have been dealing with the same hamstring, glute, and pain down outside of my legs for a few years……and the culprit is suspected to be bi-lateral labral tears…First surgery is 5/31 up in Denver with Brian White.
    Not a runner, years of competitive hockey are to blame…random & irrelevant, but I also grew up in OH.
    Happy to find what the cause of the pain is, nervous for the road ahead…2016 is looking to be a recovery year.
    I will keep updating on the progress as everything moves forward.
    Thanks again for writing this, gives hope to others who have similar struggles and pain.

    • Update: Have had both labral reconstruction surgeries and am 8 weeks out from the last one, 4 months from the first.
      Some advice for anyone looking into the surgery….Try and resolve as much muscle imbalance/, inflammation and tightness as you can before the surgeries….I thought they would be a fix all for all of my glute/groin/hip flexor/hamstring issues. I was wrong. I currently get deep massage twice a week, PT twice a week where they dry needle and train my muscles, and I also visit the chiro once a week. Its a lot of work and $ but you only have 1 body…..I am feeling pretty good, very anxious to be able to work out in a month….However, I am not sure the upside is worth it at this point, but who know what I will feel like in a few months. I feel for anyone going thru these or similar issues, and experiences pain daily. Good luck to everyone.

      • Hi Ellis, I hope that your symptoms have improved significantly. Has the surgery helped you at all? I have a labral tear – probably bilateral although this has not been confirmed in left hip. I have pain in hamstrings and burning pain in hip. I’m still waiting to see an orthopaedic surgeon to discuss surgery options. I’m wondering if you regret surgery or not.

        Cheers, Zoe

  12. Hi Amanda,
    Did you ever have pain sitting? I just had the MRA because I’ve exhausted every other option and the main issue for me is in the adductor magnus origin and not so much the hammys as initially thought. Every time I sit it feels like something is “pulling” in that area and for the past 6 months that same feeling exists in the as soon as I get out of bed and throughout the day with standing. My initial injury was something in the hip 2 years ago but I never got the right imaging done/saw the right people until my hamstring/adductor issues flaired up (haven’t been able to sit since). I’ve been using bands, doing core/glut strengthening exercises for about 8 weeks and I’m not really seeing any relief. A methylpred shot last week seemed to give me some relief (only standing) but the itchy/tightness is back. I was wondering if you worked through this during exercises that seem to slightly irritate it? Thanks for posting this! I’m hoping your story really does mimic mine and the hip is the root cause.

    • Nick,
      Yes, I have had a lot of pain sitting over the last few years. My physical therapist finally came to the conclusion that my sciatic nerve was being trapped by scar tissue and sitting was putting even more compression on the nerve, therefore causing worse pain. I am still not 100% pain free sitting, but I will say that doing nerve glides and getting massage or Active Release Therapy helped alleviate some of my pain. As for working through pain, I would consult with a doctor before you push through anything painful. Best of luck 🙂

    • Hi nick, your case sounds very similar to mine. I have a lot of pain with sitting and standing and walking. There is definitely something wrong in my ishial tuberosity area. It’s where the adductor and hamstring muscles attach. I am getting surgery soon for Labral tear and impemgement. I hope this fixes it. Let me know if you want to share ideas. THanks. Hope you get better.

      • Shane, how did you make out with your surgery for your hip? I pretty much have all of the symptoms that you had prior to surgery including a labral tear in my hip.
        Did your other issues change at all post-surgery?

  13. Hi, I am waiting for an MRA (with dye) for my right hip (looking for a labral tear). The reason I am having this is because I have bilateral pain in hamstrings, adductors, hip flexors and IT band. Do you think a labral tear in one hip could affect both legs? Thank you. Zoe

    • Zoe,
      Its possible you have an injury (such as a tear) in one leg, and because of your pain you are compensating when you walk or run which can cause pain on the opposite side. It’s also possible to have tears on both hips. I met several other patients who had bilateral tears, when I had surgery. However, not all tears require surgery, so don’t panic! The MRA will help your doctor determine if there is a tear and whether or not it needs surgery. But before you jump into getting surgery I always recommend getting a second opinion to rule out other possible conditions such as muscular tears, tendinitis, bursitis, or IT band syndrome. I’m not a doctor, but I hope this helps!

    • Many times if you let an injury fester and your muscles have been in a contracted or overused state for long periods of time the pain will develop myofascial pain or trigger points. If the hamstrings have trigger points the quads and adductors will develop trigger points as well. These can be very deceptive for pain sources. Keep this in mind even if you do find a labral tear.

      • Thank you for your replies; I appreciate them greatly. I had an MRA done on my right hip and sure enough, I have small focal detached labrum at 3’O clock (I’m assuming that is to the right of my hip if I am looking down) and I have CAM FAI. As I am in Canada it may take some months before I finally get to see a surgeon. My sports medicine doctor was, I’m afraid, pretty unforthcoming with what I should be doing in the meantime, so I don’t know what activities I should or should not be doing. I have stopped yoga and I certainly cannot walk as fast I used to. I’m seeing a kinesiologist soon and hopefully she’ll help me. Any advice would be highly appreciated. Thank you.

  14. Hey there glad I found you!! I’m coming up on 11 months post-op for a labral repair and resection of the femoral head and I’m trying to get ready for my last season of college football but I still have a lot tightness/pain in the front of my hip and it’s hard for me to determine if the surgery was a success or not? How long did it take you to be able train hard and be okay after. I feel like I can partake in intense exercise but then I’m sore and limping around after praying that it’s just muscles acting up and not the labrum itself

    • Sean, Sorry to hear you’re still in pain. I am not a doctor, but from my personal experience it’s possible that you still have some scar tissue lingering in the area. I would recommend seeing an Active Release Techniques specialist or sports massage therapist to see if they find any scar tissue. You could also schedule a follow up with your surgeon and even do another MRI to verify that the labrum is fully healed. I myself still had some pain at the 11 month mark and was told that this can be normal. After all the surgery’s recovery time takes 12 months to full recovery. So maybe try some ART for a month and see if it improves. Best of luck!

  15. Hi Amanda,
    Thank you for sharing your experience and struggle to get a hip diagnosis! I have been struggling through the same thing for 2 years now. How are you feeling now that you are a little over one year out from having had the surgery? Has it helped with your pain levels and enabled you to return to training like wanted? Thank you!

    • Hi Kathleen,
      Sorry to hear of your struggles! Since having the hip surgery my hip joint has healed well and looked healthy in a follow-up MRI, so I would consider the surgery a success for the hip joint itself. However, I am still dealing with a separate pain that has lasted for the last 2 years. I’ve had to go through a lot of physical therapy to address some hamstring tendonosis, sciatica and pelvic floor dysfunction, so unfortunately I haven’t completely returned to normal pain-free training yet. That being said, if you’re considering labral tear surgery, I suggest getting several opinions and making sure you don’t also have other issues going on in the hip/pelvic region. I don’t regret the surgery, however it wasn’t a simple “fix all” as I had hoped it would be. Hope that helps!

      • Thank you, Amanda. That is all really helpful information and advice. I am sorry to hear you are still not back to 100%. All the best to you!

  16. Hey Kathleen,
    I too have suffered the same tear and high hamstring tendinitis with significant sciatica.

    In 2013 I had surgical repair performed on my right hip and it did not completely alleviate the hamstring issue or the sciatica. I stopped all aggravating activities and it finally healed.this was after 10 weeks on crutches!

    January I discovered via MRI that I have a tear in my left labrum. The doc does not want to surgically repair it. This past Spring my tendinitis was so severe I could hardly walk. He gave me a shot of cortisone and said gently stretch the ham and don’t aggravate it. Today I have no pain or discomfort. However, I am not a runner. I mostly swim but have reduced my kick board workouts. ( I am 64 and no longer give 110% in anything 😉

    Hope this offers some insight.

    Brett Mentzer

    • Thank you very much, Brett, for sharing your insights! This is such a wonderful community of people on here that are so willing to share their experiences. Glad I found your site, Amanda!

  17. I’ve been dealing with a partial hamstring tear for over six months. I don’t run much due to past knee surgeries, but I like to stay active and hike (we just moved to Hawaii so how can I not?). Physical therapy has been able to address particular points of pain, but it seems like as soon as one source of pain is resolved via Graston and PT, a new part of the muscle group becomes inflamed. I saw another PT the other day, who found an extremely sore spot in my hip flexor which he believes is a labral tear. He theorized that an old labral tear (that spot had been sore off and on for years, but never severe) had forced my hamstrings to overwork, leading to the tear and inability to get those muscles to stay relaxed during rehab.

    Your story sounds like exactly the same sort of root problem and symptoms. Thanks for sharing, I’m going to make sure to share with my orthopod and see what he says. I hope your recovery is going well and you’re able to kick the hamstring problems with that new stable hip!

    • Brett,
      Thanks for the comment. I’ll be honest, for me the labral tear surgery did not fix my hamstring pain. I still deal with very similar hamstring pain to this day, and my surgery was over a year ago. However, if the instability in your hip is what caused your hamstring pain, then yes it’s worth considering addressing the hip of course. Just know that you may need additional treatment to get the hamstring back to full health. Best of luck!

      • Oh no, I’m sorry to hear that! :/ My doctor has recommended against labral tear surgery unless that area starts giving me pain, so hopefully I can avoid that procedure. I hope your hamstring pain gets resolved!

  18. Amanda, really glad you posted this story. I was finally diagnosed this winter after years of high hamstring tendinopathy. I had surgery for FAI and torn labrum on March 3rd, in NYC, at HSS with Dr. Nawabi. I was on the waiting list with Philippon. (He had reviewed my films for a second opinion).
    I am 6 months out and beginning to run a bit. I breezed through all stages until now. I am having tightness in the groin. I have heard that some people end up with adductor or posts surgery, too.
    I hope you are still doing well and able to compete, again.

  19. Have had the same issues as most people here. Lots of adductor magnus, hamstring and glute pain. A lot of the pain most of us get is from trigger points that form due to a structural imbalance in our bodies so basically if one part of our kinetic chain gets overused another part gets underused. If our glutes become inactive, which is quite common, then the hamstring and adductor magnus take the brunt of the work and then get strained. Eventually this will lead to myofascial pain which is hard to understand unless you have dealt with it. Been my experience so far is to really focus on your glutes being active and hip flexor stretches. Sometimes doing the hip flexor stretches for awhile will take quite a bit of strain off your hamstrings. Also if you have an anterior pelvic tilt the hamstrings can become very tight.
    Another thing to check if you decide to get the MRA to check for a labral tear. Pay attention to where the tearing has taken place. If it is around the 2-3 O’clock position there is a good chance you have an iliopsoas impingement which caused the tear. Most tears can be around the 11-2 position.
    You HAVE to look at the start of the pain and the WHOLE kinetic chain to make a correct diagnosis. If you go saying this part of my body is hurting the majority of the treating physicians are going to treat the pain spot and NOT look at the whole picture. Would recommend turning a camera on your walking gait and hanging a string in front of a mirror and LOOK at your body alignment. Can be very telling and save you a ton of money before you go having the doctors start guessing at what is going on. Pelvic floor issues are very difficult to figure out and when you add the back, hip and everything else is very challenging for us to figure out but can be done!
    Hamstrings are a bear too. If you can address the injury fairly early the collagen will lie down correctly as it heals but many times we let it go and it lays down a lot of scar tissue. Eccentric Stretching, ART, Graston and PRP can help break up the scar tissue too. One thing that seems to work really well for high hamstring tendinopathy is walking or running backwards. Activates the hamstring in a different way and is supposed to help remarkably well. Have been doing it for awhile and it did help. Just know that hamstring pain takes awhile to go away and don’t overdo the stretching when it is injured. Lots of ice!
    Well hope I can help a little here. Still dealing with my pain too fit the last couple of years. Know the feeling well! Best of health to all!


  20. Hi Amanda,
    Thank you for sharing your experience – it sounds oh so familiar. After two years of pain and 3 MRIs I was diagnosed with hamstring tendonopathy and ischiofemoral impingement. Physical therapy and massage did not help and the pain progressed; my therapist was certain I had a torn labrum. She recommended a hip doctor who actually trained with Dr. Philippon at Steadman. I had arthroscopic surgery to repair a torn labrum and Cam impingement, however, the hamstring pain is still there and making it difficult to recover from surgery. It’s a long journey but I appreciate knowing I am not alone.

    • Hi Julie, I have had pain high in the hamstring for two years now and recently the pain has increased to include my groin area -I say “groin area” because I really don’t know if it’s the hip or the muscles around the hip. I’ve been through plenty of PT (currently still going) and have been to lots of chiropractors/docs to get this fixed. I had an MRA and have seen a hip surgeon recently. He told me he doesn’t see a tear, but some Pincer impingement. He let me know that often times an MRA won’t reveal a tear even if they are there. The hard part is in regards to the hamstring pain he referred me a different doctor ,which I feel like is a bit of a problem as these issues have to correlate don’t they? Have you recovered fully from your arthroscopic surgery? Have your hamstring issues gone away? I am so confused as to what to do next. I am holding off on surgery until I see a few more docs to try and figure out the bigger picture.

  21. Thanks for writing this. I’m 34, a soccer player and run 2-3 times per week as well and for a year and a half have been dealing with consistent hamstring, adductor and glute/buttock pain. Rest periods, stretching, strengthening had not helped.

    Finally decided to escalate my treatment and was very lucky that my doctor referred me to a very good sports doctor who on hearing my various ailments straight away said he wanted to xray and MRI my hips. I was initially surprised as I did not have any hip pain but immediately after the scans had him talking me through what the labral tears on both sides and FAI (Cam and Pincer) meant and how these were nearly certainly the cause of my other problems.

    Now to start non surgical treatment and see if it can progress that way. I can empathise with others pains that have been outlined here, but appreciate Amanda writing and others sharing their stories to read how others have handled their own labral and FAI obstacles.

    • Hi Jamie. How did your recovery go? I’m a similar age and a soccer player and I’ve been trying to get through a similar issue for 11 months now.

  22. My 15 year old daughter had surgery to correct FAI and a torn labrum in February. We were so pleased with the results until 6 weeks ago when she was cleared to go back to training for the upcoming soccer season. One week into light training she was diagnosed with bursitis. After that cleared strained TFL, Sortorious and Gluteous Femoris (I probably spelled that one wrong). It has been 4 weeks of pure hell with that. She is in constant pain, back to limping, no training, having trouble just sitting in class again. We see the surgeon again this Wednesday. I am hoping for some good news, some kind of remedy for this.

    • April,

      Sorry to hear about your daughter’s pain. I have still been dealing with post-op pain myself and have realized that there are often secondary issues present with most labral tears. I’ve found some relief by working with a pelvic floor therapist as well as getting Active Release Therapy for the high hamstring, adductor, and hip rotator muscles.

  23. I’m glad you posted this, it makes me hopeful that I might finally have an answer to my problems as well. I’m also a track athlete… just finished my last season last spring, although I was a pole vaulter/sprinter. Towards the end of my season I was getting buttock pain on my left side that felt like really tight glute muscles.. no matter how much I foam rolled though it wouldn’t go away. I never had a problem while running though, but then again I only ran a maximum of 400 meters :). Anyway, fast forward to this last summer I went to PT when the pain came back after a 4 week recovery. PT all through the summer for supposed hypermobile SI joint and by the end of the summer I had pain all over my pelvis including the high hamstring area, and the worst pain in my low back. Since then I’ve had a low back MRI, x-rays, steroid injections, seen 3 therapists, a chiropractor, and still I have this pain. MRI and x rays are normal. Also about a month ago I started walking a mile every day (thats all I can do anymore) and have since had pain through my symphysis pubis and now have pelvic floor dysfunction as well. Basically I have horrible pelvic instability at this point, but the question is, what was the original cause of it and why does my low back hurt so freaking much? We’ve now found that I have femoral acetabular impingement hip morphology based on a pelvic xray, so I am getting a MRA to check for labral tears, but I don’t really have hip pain just pain in my back and grion/pelvic area. You do mention in this article a little bit about back pain… was that a major symptom for you? Was it relieved once you had your surgery?

    • Mikenzie,

      I’m sorry to hear about your pain. Your symptoms do sound very similar to mine. However, I am actually still dealing with chronic pain and have not been able to return to competition. For me, labral tear surgery was not a fix to my problems. Although I still don’t have all of the answers, I now believe that my hamstring injury was the original problem. My latest diagnosis is “hamstring syndrome” which is basically when high hamstring tendonosis becomes very chronic and the scar tissue irritates the sciatic nerve, causing pain down the leg. Sometimes low back pain occurs with this as well. Of course, I am not saying that this is what YOU have. But if you asked me today if I would have still done the hip surgery after everything that I know today, I would say that I definitely would have waited a bit longer and focused more on treating my HHT (high hamstring tendinitis). Here is a good bit of info on hamstring syndrome btw:

      Another thing to consider is getting an EMG to rule out any sciatic issues coming from the spine. I would also recommend consistently seeing a pelvic floor PT.
      I wish you all of the best. My younger sister had labral tear surgery and has had great recovery and went on to become All-American in cross country afterward, so don’t let my negative experience deter you if your MRI shows significant tears.
      Good luck!!!

      • Hi Amanda, for the past 2 years I’ve been going through the same type of pain you are going through and after having surgery to repair a torn labrum and CAM impingement I’m still trying to find relief. I have been diagnosed with chronic hamstring tendonopathy (HHT) with ischiofemoral impingement. The doctors say it is a difficult area to heal because of the poor blood supply, and the only relief I’ve found (which is temporary) is a combination of Graston, ultrasound and E-Stim. This takes a significant amount of time (and money) and it only provides short-term relief. It is nice to hear your story and know that I am not alone. I hope you are seeing some improvement.

  24. Wow so glad I came across this site. Amanda thanks for sharing all the info. I’m 4 weeks post- op my initial labral tear was from 11:00 to 5:00 yes pretty big tear with a vertical tear btw 1-2:00 as well. I believe it all started with a strained hamstring which ended up becoming a torn hamstring. I think although my hamstring had healed it was weak when I started back to running. I’ve been having a lot of groin hip flexor pain post up and was very stressed about it. Reading your site has helped – for now at 4 weeks it’s still quite normal which has easier my mind. Sometimes its nice to know you’re not alone. Recovery is slow but it will eventually get better . Hope you’re getting better as well.

  25. Hi Amanda, I hope your recovery is continuing to come alone. I happened to find this on the internet while i have been dealing with a similar injury for almost a year now and have decided to have surgery next month. I am having surgery for a labral tear and cam impingement. I think it is bound to help my symptoms but i dont know if it will fix them all. I have pain on outside of hip si joint hurts down into sacrum and goes underneath around perineum and then goes down the inner thigh. There is all this butt pain and pain with sitting and walking. Cant run anymore.I have had xray mri and arthrogram and all they show is the tear and impingement. Doctors have said no muscle tears. I have pain around the oburterator and where the leg connects to the torso in the crease, and then it goes down the inner thigh. There is this tightness when that leg goes back during walking. I have done tons of pt and every kind of alternative therapy. I am at 10 months now and in pain just walking around the house. I am feeling very hopeless and dont know what to do. I hope the surgery fixes my problems but i dont know. The doctor said he hopes the pain in those other areas will be improved and come along after the surgery and rehab. I am seeing Dr. Andrew Wolff in dc. What do you think? Any info would be appreciated.

    • Shane,

      I am glad you were able to get a diagnosis after dealing with this for so long. My experience was similar, however my labral tear repair did not necessarily fix all of my problems. My advice would be to make sure you have a good post-op PT plan lined up. Addressing things such as proper glute activation, and overall hip strengthening is key. Also, I found pelvic floor therapy to be very helpful, specifically for my obturator muscle spasms. Eventually I had to resort to nerve blocks of the pelvic floor to eliminate some of my lingering pain, but hopefully your surgery is all that you need. Best of luck, and take your comeback nice and slow!

  26. I forgot to mention that all of the problems resulted from a hard fall while running on the concrete. I was in excellent shape before this accident.

  27. Shane et al,
    I have been experiencing the same pain for a year and finally had a MRA confirm my labral tear and CAM impingement. Still a little worried about the surgery but I have done a ton of work trying to strengthen the glutes to no avail. Recently my adductors flair so much I’m beginning to have knee/ankle pain. I know it’ll be a lot of PT to get back but the constant tightness in the hip has to go.

    Did anyone have any success or relief with the cortisone injections?

  28. Hello Amanda,
    Just wondering how your hamstring and adductor problem is coming along? Do you have anything that you could recommend.? I feel like I have tried everything and I am stuck. Sitting makes it hurt, exercising make it hurt. It’s like everything agrevates it. I don’t know what to do. I am having this surgery in 2 weeks for the Labral tear and cam impingement. I hope it helps. My main pain is with the adductors and hamstring. It’s at the ischial tuberosity and Also goes down to the knee. I have had this for a year now. It is very disabling . What do you think? I hope you are doing better. Also how long did it take for you to feel like you were recovered well from the Labral repair surgery?

  29. Very interesting reading this. I had an injury a few years ago after a doing a workout and some heavy back squats. Had a bad pain in the front of my hip that ended up getting better but then my low back started to give me issues. Had an MRI on my low back and it was fine but doc didn’t seem interested in my hip so I tried rehabing myself over the last 3 years with periods of
    feeling better but never %100. I started doing lots of mobility work this year and I was stretching my hip flexors and I ended up getting a weird sensation in my outer thigh followed by numbness(femoral nerve impingement)I also have a loud pop when flexing my knee above 90 degreesju(have had this since the original injury) and I have some high hamstring and glute pain as well. I saw an orthopedic surgeon today and my x-rays looked good but the doctor ordered an MRI on my hip, so we will see what they find just lots of weird pains in my hamstrings nothing awful just annoying. I believe this has also affected my foot as well or maybe that’s where it all started. Very frustrating injury because the pain always seems to show up in different locations. I was hoping this could be resolved with PRP. I will just have to see what the doctor says.

  30. Anyone have pain in the perineum. I have bilateral laberal tears but the doctor just dismissed them. I am in constant pain and have a hard time sitting. I have pain in the butt, literally. Pain in the groin region as well. Waiting for an arthrogram.

  31. This is a great discussion!
    I have a labral tear as well as femoral-ischial impingement. I have a doctor I am working with but we at the very beginning of the process. I am curious about the surgery and recovery time. Also if anyone OVER the age of 43 has had success with this surgery.
    I am an avid cyclist- its really all I want to do! But this thing is really rearing its ugly head and putting me back quite a bit.
    Also wondering about cortisone? Any luck there? My piriformis and hammy are def inflamed and in what feels like constant spasm. Sitting is horrible (but who wants to sit anyway) running is impossible and cycling tolerable only because I am a complete addict.
    Also curious about other cyclists experience with this… bit fit and saddle an issue?
    Thanks so much for any input on this!

  32. Pingback: Hamstring Syndrome Surgery-A Runner’s 4-Year Struggle with Injury - Amanda Rego

  33. Dear Amanda,
    I had torn labrum surgery in 2014. I still exercise with the clams and sciatica stretch and also water aerobics. I am not completely pain free, but at least I can walk without aide of a cain or walker and have been like this for two and a half years. The pain flares when the weather is changing and I wear pain patches. I was wondering if you could recommend exercises that have helped you remain pain free since your surgery.
    Thank you so much for your time.

  34. Hi Amanda,
    I just wanted to post and say thank you. Your blog might have saved my life. I had been misdiagnosed for the past 5 years. I had a bad car accident in 2012. Shortly after that I began experiencing mild hip pain and back pain. The main mystery that I began experiencing was pelvic burning, bladder pain, and pelvic floor issues. After finding your article and a few others, I pushed my doctors to give me a hip MRI. The MRI didn’t find a labral tear. So, I pushed and my doctor almost said no…but I begged and he ordered me an MRA. The MRA showed a significant labral tear. WIth that I moved on to the Vincera Institute in Philly. They specialize in all hip and pelvic injuries. After another MRA of my other hip and a full pelvic MRI I was diagnosed with bilateral labral hip tears and bilateral FAI. The tear on the right side was so bad that it was bleeding into my joint and was discovered to be the main cause for my nerve irritation in my pelvis. Since these injuries went on for so long, my abdominal muslces tightened to protect my hip joints and eventually ripped open. On top of the bilateral hip labral tears I also had bilateral core muscle tears. Parts of my rectus abdominus muscle and adductors were torn off of my pubic bone and hanging by threads internally (outwardly I looked fine). And 60+ doctors told me I was, “fine.” “Lots of women have pelvic pain,” they said.

    I’m so grateful that all of my injuries have been repaired. I shared my story here in case any of your readers are interested:

    Again, thank you so much for posting. I’m finally seeing the beginnings of getting my life back. This was a godsend. <3 Megan

    • Megan,
      Wow, what an incredible story. I’m very sorry you had to go through all of that, but am happy you were able to get it all resolved! I hope you continue to heal and feel better!

  35. I too went to the vincera Institute in Philly if you want to stop guessing they give a complete AP MRI and MRA they were so excellent there if you look for articles about William Meyers you will see he is the guru of core muscles he works with Dr Roedl he performs imaging and Dr Coleman who also is the top surgeon(for the NYMets)at Hospital for special Surgery in Ny. My Horizon Blue Cross covered imAging and consults. On Feb 24 I had a left labrum tear fixed and two cam impingement burred off Dr Coleman also performed a repair of gluteus medius by removing bursa and stitching muscle(I had that done at HHS since I am closer to NY where he works also)He is a wonderful surgeon. I am currently doing pt and my hamstrings and. core muscles and pelvis hurt when I go back to see him on June15 I will discuss this with him. Also since he works with Dr Meyers if the problem does not resolve I plan on going back to Vincera and have them imAge again what still is unresolved. I am not an athelete but Vincera is where all the top athletes go for their surgeries. It is a treasure there is no pressure staff is great. It’s a hard recovery hip arthroscopy I have complete confidence in them. I am not in anyway related to them am just a patient.

  36. Hi, i have a tear in both hips but my pain is more in my back (for now) and my physical therapist thinks it is a muscle imbalance causing all my pain – not the tears. Anyway, you stated that 70% of people have labral tears and don’t require surgery. How did the doctor determine that you definitely needed it?

    • Sam, based on my MRI, X-rays that showed my hip impingement, flexibility tests done at my office visit, and consulting with two different hip surgeons is how I ultimately decided on surgery. Usually the MRI is the biggest indicator of how severe the tear is. However, I was like you and did not have the typical “groin pain” in the front of my hip like most people do. And actually, my labral tear surgery did not fix my low back pain, or adductor/obturator/hamstring pain. So I would listen to your PT and try addressing the muscle imbalances before you jump into surgery. If you have muscle imbalances already, surgery may not fix those issues.

  37. Wow. Hits home. Very similar, don’t even need to tell my story;). Labral tear -> streets fracture _-> rectus femoris tendonitis -> adductor hamstrings gripping on for dear life. Can’t get the surgery bc I have hip dysplasia;(. Sucks. There is a POA 8 hour open surgery w a year recovery I can’t bring myself to do. No guarantees anyway. 4th PT has been helping, he’s a hip specialist. Rules but second I try to swim or be active I’m screwed in the over compensating muscles. Trying to keep my head in game and focus on PT growth. HIGHLY recommend coupling PT w Feldenkrais. Look into it. It creates new neuropathways and giving me hope. The body needs to unlearn over protecting the injury. Try it. Then try it again good luck.

  38. As a physician (my specialty is in musculoskeletal MRI), I’ve noticed that a lot of very particular and difficult diagnoses end up throwing everyone for a loop. My colleagues have mentioned this before, regarding various injuries that aren’t even necessarily as controversial as FAI, an entity that may cause problems for some but is definitely present in others who have NO symptoms. So take the coming advice for what it’s worth, Amanda et al:

    Consider taking a LONG time off, something similar to what you would be forced to take off if you had the surgery. My colleagues and I (we are not orthopedic surgeons so we are far less invested in the game, and no I’m not saying there is a conspiracy, just using my brain) suspect that people that do long term stressful activity like you long distance runners, may possibly be doing things by definition the body isn’t designed to do or has a hard time accommodating. As a result, you rush back in to training or competing way too early (weeks isn’t enough). When this pattern continues, and you don’t give yourself enough time off (competitors and westerners are impatient, thinking a fix should be guaranteed) you end up resorting to surgery. I suspect for a lot of people having a surgery is a way to force people to take time off, and that is actually what the surgery gets you — the time you needed to heal. I know it sounds awful, but think of it — after the surgery did your pain go away? Sounds like no. That leads us to two conclusions, you need to take a really long time off …. or … we weren’t made to run those distances at that high of an intensity. Or, you in particular weren’t. Sorry if this is bad news, but if I prevent someone from going under the knife and he heals because of patience, I feel like I’ve done my brother a service.

    Best to all

    • Dr. X,
      Thank you for your advice, however, I did take 6months of rest pre-surgery, and also waited 4-months post-op before I returned to running. This was even more rest than my surgeon advised. Once my pain returned, I took another 4-months straight of rest. In my case, complete rest always made my pain worse, and not better. But of course that’s just MY case. For others out there, a long period of rest certainly might be the best thing, and I agree that this should be attempted before rushing into surgery. However, in 2015 I did “rush” into surgery because I am a professional athlete and was trying one last attempt to make the Olympic trials. In my case, I knew there was a chance the surgery wouldn’t fix everything, but I was willing to take the risk and honestly have no regrets, scars and all. Professional athletes do rush surgeries all the time because this is their job. For an athlete who competes for fun, this may not be the best advice. Obviously one must consider both the pros & cons, along with the risks and make the best decision for their individual self in the long run. As far as an athlete not being designed to run these distances, I disagree. Of course there are cases out there when an athlete must come to the realization that their body is no longer able to do what it used to. But I know several athletes Who have undergone this surgery and went on to become Olympians, all Americans and even medalists.

  39. Wow Amanda! This made me cry! Your story is nearly identical to mine except mine is 7 years in, and FINALLY yesterday a 2nd physiatrist and she makes this the 4th orthopedist said she needed to give me a Labrador tear injection to see if this is the source. This makes about the 6th or 7th injection I’ve had since 2014 to help me. The pain started in 2010. I was given an MRI on my back in 2012. Suffered horribly and was told by loved ones I’m annoying because after a lifetime of pro modern dance, recreational dance, Afro Haitian dance, aerobics, step, yoga, hiking, biking, rollerblading and passionately snowboarding I could barely walk 6 city blocks!
    Nothing on the back MRI. In 2014 I convinced my husband to move out of NYC to a house in CT for several reasons, 1 I never confessed was so I could be in a car rather than walk and stand all day.
    As soon as we moved in Jan 2014 i went to a neurologist in Greenwich CT he prescribed PT, went back months later still in pain he realized it was hip bursitis prescribed more PT. went back again months later still pain riddled & there he realized I have no hip MRI. Sent me for an MRI & called me the same day to say I have a huge mess in there and I need to see his best hip Orthopedist. He said I needed PT and injections to find the source of the pain in that mess of, ischeal femoral impingement, hip flexor impingement, hamstring rip, bursitis, Labrador tear (seen without dye) and a LOT of scar tissue. Through a benefits service, we had a prominent Dr at Mass General look at my case last year and he recommended a labral injection but it wasn’t done right away. Then I went to a CT Hospital for Special Surgery surgeon who had a terrible bedside manner, talked dirt about my 1st surgeon from the other practice and at 1st look at an X-ray he insisted on my having, he said “nothing remarkable here.” I cried right there, he softened. Then the following week or 2 I paid for another MRI, though he was given the ones done 2 years earlier, and he said again, “looks the same, no surgery to be done, go to Physiatrist.” I cried! But now I have this other Physiatrist at the practice I’ve been going to and she seems to recognize more than anyone the issues. She’s given me a hamstring injection and a piraformas injection (latter 2 x’s) hamstring worked for almost 2 months, piraformis only lasted 3 weeks both times. Yesterday was the FIRST time I got a LABRAL tear injection and the FIRST time a Dr said, “this tear is bad! Look here…” she showed me the MRI and said, “typically we need dye to see this but yours is very clear, see the white? You have a major tear here.”
    This morning was the 1st time I looked up ” hip labral tear surgery” and found your story!
    This I cried! Thank you for writing this! I’m taking a copy to my Dr and to my PT because the most striking thing you spoke about was the massage experience. The original surgeon I saw, Dr Green, prescribed myofascial release at PT & there’s only one guy who does it. He’s reallly doing trigger real ease more than anything. Since I’ve been a weekly patient there since 2014 ( over 3 years now) my screaming in pain from the massage has become a joke , even for me. Though I’ve said I think this is making things worse with the inflammation, I’ve been told that I’m wrong. But when I told Dr Kessel yesterday about that, she said I am right they are wrong and if I cry out, they need to back off, I should never feel pain from the massage! I love my PT so, now I have to speak to them both about this. Dr said she send a note.
    I find it all overwhelming quite frankly! And I’m trying not to be resentful towards the medical field since I feel years have been wasted of my previous life. Decisions have been made based on my chronic pain and a lot of people think I’m being dramatic and cranky for no good reason. But no doubt, I’m super cranky when the pain goes past a 7 out of 10! Which has been too often in the last 7 years.
    Sorry! Your story here inspired me to blab away! This is the 1st time I’ve done this!
    Again, your story was very cathartic for me!
    Thank you again and I’d love to hear about your progress!!!!
    Eve in CT

    • Eve,
      I am sorry I missed this comment initially. I am so happy to hear my blog was helpful to you. I hope you were able to talk to your doctors and find a solution. Best of luck and let me know if you have specific questions for me!
      Amanda 🙂

  40. Scheduled for labral tear surgery on10/3/17 at Greenwich Hospital!!!! Fingers crossed! Never been so excited to get surgery before.

  41. Hi there: I am 50 and have been running for 35 years. I was recently diagnosed with a labral tear. I have been in severe pain for 2 years. Of course, because they diagnosed it with so many other things, I continued to run. I have had 6 cortisone shots, 3 in my spine. I’ve had PT, ice, rest, massages, x-rays, MRI, and now, I have a torn labrum. The pain in my hamstring is excruciating, and now they believe they are related. I thought I had separate injuries going on…my hip, and maybe a back injury. I went from running 50 miles a week during peak training, and 35 miles a week during normal training, down to 5 miles a week. My doctor does not want to do surgery, and I am not sure why. He said that my bones, tissue and meniscus are like a 30 year old, so I am not sure why the reluctance. I want to run again and I understand it will never be like before, but to not run at all, is also depressing. Can I get your thoughts?

    • Hi Candy,
      First off, I’m not a doctor, but I do know that not all labral tears are severe enough to require surgery. Your doctor may be smart in advising against surgery unless you’ve tried everything else. It certainly sounds like you’ve tried a lot, but have you tried eccentric exercises to strengthen the hammy, what about shockwave therapy or PRP? Did the MRI show any damage, inflammation or anything else at the hamstring attachment? The reason I ask, is because I honestly did NOT get hamstring relief from my labral tear surgery. If you read my most recent blogs you’ll realize I actually had much more success after my hamstring was operated on. It’s impossible to know if I also needed the hip surgery, or if the hamstring surgery is really all that I needed all along. But because your main issue could actually be the hamstring, I would be hesitant to jump into labral tear surgery if the doc isn’t keen on it. In the end, getting a second opinion can be very helpful.

  42. I am 3 weeks post-op for FAI and psoas release. And I’m crazy frustrated. When I read your story, it reminds me of my pain that I dealt with for over 2 years before them saying I needed surgery, but I was also mainly dealing with the high hamstring pain. I had also been diagnosed with high hamstring tendinopathy. When my surgeon operated on me, he did shave down both the femoral head and the socket. He said that my labrum had turned to bone and couldn’t do a repair so he shaved that down as well. However, I’m 2 weeks into my physical therapy, and my therapist had me try some hamstring curls on the ball, and to my frustration I experienced that same hamstring pain. Here I am wondering what the heck I did and unbelievably frustrated. I never had groin pain, and if the surgery doesn’t help the pain that was actually giving me problems, then all of this feels like I should have never gone this route. I voiced this concern several times before surgery and was assured that this “should fix the problem”. I am extremely doubtful at this point that it will fix it and I am going to continue to be in pain. I’m a competitive triathlete and this surgery that is feeling extremely unnecessary, has knocked me out of competing for a year. Thanks for letting me vent.

  43. Hello there! I am so happy I was researching “can hip surgery cause hamstring pain” low and behold I find your article. Thank you sharing. I have degenerative joint diease so I always have pain. August of 2016 I fell out of bed. Felt like I broke my entire leg. After several unsuccessful tests and treatments, my hip specialist reluctantly did exploratory hip surgery. Come to find out I also had a labrum tear repair and shaving of hip bone. I had surgery this past June. I was not informed of the healing time. I was Soo frustrated from how slow it was going. End of August I started swimming. I now am suffering from hamstring pain due to exercising. Since I have this diease I am assuming I will have to be prepared for future pain. But I will tell you now that I walked 16 miles in three days in Vegas. I am proud to say I am healing. How long did they tell you to expect complete healing? I was told about a year. Eight more months to go. Lol loved what you shared. Tyvm

    • Heather,
      I’ve heard a huge range of time for “normal” recovery from labral tear surgery. Everyone is different, so I wouldn’t put an exact number to it. Just take your time coming back slowly. For me, I had a lot of residual pain from compensation over the years, some of which I am still dealing with now. Patience, you’ll get there!!

  44. Amazing blog ! 2 months in from hip arthroscopy and adductor pain is JUST letting up significantly and spasms near pelvis have stopped. Doctor said it was normal in some patients ….though.. nice to read this and feel validation. =)

  45. I noticed hip pain in July. After about a month of severe pain and unable to walk at times (or sit or lie down) due to the pain, I went into the orthopedic surgeon. X-ray was fine but he suggested I may have torn my labrum. He recommended PT and if it still hurt to let him know and would would order the MRA, or whatever that’s called with the contrast dye. The pain has been affecting my sleep, hurts when I sit etc so I called and have the appt on Friday (12/15/17). I came across this post because now my hamstring and glute on the same side of my hip pain have started hurting for a couple of weeks. I’m so curious what the diagnosis will be after reading this blog and the additional comments.

    • Doctor called me today. He confirmed significant labral tear and some form of detachment. My question for those who went through the surgery is what did you feel like a month out of surgery, if you remember? I have a trip planned to London with my sister-in-law at the end of January. Thanks in advance for your information.

  46. my symptoms are very similar to Shane’s post on 12.15.16 I am wondering how he made out with his surgery? I have been through 17 doctors to date and the only thing diagnosed thus far has been a “small labral tear in left hip” after 3 MRIs (1 for sports hernia, 1 for hip, and the last for lower lumbar) I’ve had this injury for 8 months now after falling off of my mountain bike on a long distance ride. I’ve gone through most conservative treatments (PT, injections, accupunture, nerve blocks, etc) I’ve had two consults with hip surgeons both were pretty dismissive about my hip overall and neither want to touch my labral tear without another injection as a diagnostic test. I’ve had one cortisone shot to the hip joint that didn’t go so well so I am reluctant to get another one. The most recent consult I have coming up soon is with a general surgeon for a possible soft tissue tear near my left inguinal ligament. The MRI did not show a hernia in that area so I’m not sure what if anything will come out of that consult. I do have quite a bit of muscle issues/ pain all over the left trunk area (groin, buttock, PSIS, ASIS, perenium, SI joint, lower back, as well as neuropathy tied to all areas noted). My activities have been quite limited the last few months as I tried to “play hurt” which led to only more pain so I stopped doing most of the activities I love to do, (i.e. long distance cycling, trail running) which most people on this blog understand is complete hell. I really was considering surgery but after reading how long it takes to recover and also to date as no surgeon will even consider performing surgery on my tear I’m stuck with pursuing more conservative care while the clock keeps ticking…….I am convinced at this point that surgery will eventually happen after “kicking down more medical doors” and checking box after box to rule out all other possible diagnoses. Pretty frustrated at this point as most of you can relate to…..if anyone has any suggestions or input lmk

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