Is an old hip injury contributing to my current pain?
A columnist reflects on a painful sports injury from high school

Last week’s column about my hip pain got me thinking. I badly injured my right hip when I was 16 or 17 years old, before my diagnosis of Ehlers-Danlos syndrome (EDS). I’m not sure if I had hip pain prior to that, but I’ve had issues with it ever since.
On the day of my injury, it was pouring rain. I remember sitting in class, hoping soccer practice would be canceled so I could have a day off and go home. Instead, we wound up being the only outdoor sport to practice that day.
The field had several inches of standing water, and it’s the only time in my life I had to deal with a ball floating as I dribbled. It was still raining, too, and I was soaking wet from top to bottom. As I planted my right foot to send a kick with my left, I felt the ground underneath me give way. I immediately knew I was in trouble, but there wasn’t anything I could do to stop it.
As my leg slipped, my hip just kept going, and I felt an exceptionally painful stretching around the front of my hip down the bone. As I hit the ground with a cartoon-worthy splash, I was certain I’d injured myself badly.
Unfortunately, I was right. After being carted into the athletic trainer’s office by golf cart since I couldn’t walk, I found out that I’d likely torn part of my hip flexors, a group of muscles that allow you to bring your legs up and forward.
It felt like my hip took forever to heal and was always susceptible to irritation after that. If I’d known I had Ehlers-Danlos syndrome, it would’ve made a lot more sense! Additionally, my EDS helps to explain how it happened in the first place. While anyone can sustain an injury, it’s unusual for a highly fit teenager to injure their hip.
Years later, at the appointment where I was finally diagnosed, the doctor was quizzing me about where I had pain. One of many places I mentioned was my hip. He told me that wouldn’t be common in someone so young (I was 22 at the time), but that he’d check it during the physical exam.
He said that what most people think is hip pain actually isn’t, but I’d know if it was when he palpated a certain spot. Boy, did I ever. I nearly launched off the table at the resulting pain! The doctor apologized and said that, yes, clearly I had true hip pain.
I don’t know whether that injury has played a role in my recent hip pain, but it wouldn’t surprise me if it did. My whole life, injuries seem to never truly go away. They’ll settle down, improve, and even appear to heal completely for a while, but in the right circumstances, they’ll always pop back up. Now that I understand that EDS makes it more likely for me to injure and re-injure myself, this pattern makes much more sense.
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Chelsea Kenna
I very much identify with this post. My worst joint is also my hip! I had a labral tear in college, due to an injury (followed by a year of walking on it because the first dr I saw told me my pain was due to ”anxiety”…of course 🙄) and it has never been the same since.
I had a few years of it being okay after I had surgery to repair it…until I LIGHTLY bumped it on the corner of a wooden table one day, and it inexplicably went right back to being excruciating. This time the MRI didn’t show any obvious injuries, and I was diagnosed with a femoroacetabular impingement, and had yet another surgery to reshape my hip joint so it ideally wouldn’t “pinch”. After that, other than a slightly longer-than-expected recovery, everything seemed fine again for a bit.
A few years later, I had a baby. My chronic hip pain returned AGAIN, and this time it never left. Scans didn’t show anything obvious but I was eventually referred to a doctor who looked at my FULL medical history, my obvious hypermobility, and FINALLY diagnosed me with EDS. Looking up the list of symptoms for the first time was like reading my own medical records.
It’s been 10 years since my pregnancy and my diagnosis, and I’ve had issues with various other joints (a previously dislocated shoulder that subluxes and flares up now and then, an often sprained ankle full of scar tissue, knee arthritis and eventual instability, several bulging discs in my spine, various subluxations, etc) but the one that remains the most persistent and constant, regardless of recent injuries, is my hip. Yet my last 2 scans haven’t revealed any obvious reason why so my dr assumes it’s referred pain from my spine. But it’s the exact same pain I had prior to my 2 hip surgeries.
I’m told my pelvic joints are permanently loose/out of alignment because they didn’t “bounce back” all the way after my pregnancy but I have no clue if that would cause this. I do suspect I sublux this hip often, and I know that to perform my 2 hip surgeries, the surgeon would’ve had to actually dislocate my hip temporarily, which I assume increased my risk of subluxations (especially given my then-undiagnosed EDS). In any case, it’s a mystery, especially given that it recently started worsening for no apparent reason, after a year of actual improvement. What is it with hips? ¯\_(ツ)_/¯