Gas station without pumps

2019 June 30

Hip osteoarthritis is a pain in the butt

Filed under: Uncategorized — gasstationwithoutpumps @ 13:44
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As many of you know I stopped running in April after getting a diagnosis of hip osteoarthritis.  This week I went to see a physical therapist to see what I could do

  • to prevent further deterioration of the hip joint and
  • to learn to run without doing further damage.

The half-hour appointment cost me $503, which counts toward my insurance deductible, but no fraction of which is otherwise covered.  I was prescribed five stretching exercises to do daily to prevent further deterioration, but not given even a hint about whether I could run without doing further damage.  I’ll do the stretching exercises, but I’m considering not bothering with the followup appointments (one of which is already scheduled)—the price seems a bit too high for the small amount of information gained.

If I were on the UC Care health plan, rather than the UC Health Savings Plan, some of the physical therapy would probably be covered, but that plan would cost me an extra $337 a month (an extra $1101 a month while on leave without pay), so I’m still better off with the low-price plan that lets me save money in an HSA account.

So far, the best advice on running with hip osteoarthritis seems to be from https://nirunning.co.uk/should-you-run-with-hip-arthritis/:

If you have been diagnosed with mild to moderate hip OA, Apex Clinic recommends the following tips to help prolong your running life:

1) Reduce your land based running frequency to two or three times weekly and reduce the distance.

2) Substitute road running with running on a softer surface such as grass, bark, sand or treadmill where possible. The higher shock absorption of these surfaces is kinder to joints.

3) Change your running style to a forefoot to midfoot strike, to reduce the load coming upwards to the hip and reduce your stride length to reduce load.

4) Change to a maximally shock absorbing shoe and consider a shock absorbing insole. Whether shock absorbing insoles are effective or not is debatable, but we hear from runners that they appear to help.

(They have eight points to their recommendations—go to their site for the whole story.)

The big questions are

  • whether I can change my running style to a shorter stride and a forefoot strike and
  • whether that is enough to avoid further damage.

I suppose I can practice changing running style on a treadmill at OPERS, since I want to learn how to run on treadmill anyway—the only treadmill running I’ve done is a few minutes for my stress electrocardiogram test last December, and I felt unsteady on the treadmill, even when I had not gotten up to full speed.  I’d like to get more familiar with treadmill running so that the next stress electrocardiogram I get will be one where I can put out full effort without worrying so much about balance.

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