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you are clearly talented and have a prosperous career ahead.
Thank you that’s kind of you to say. I’ve put you down as a referee on my CV, really appreciate it thanks!
I hope you’re able to find a solution soon. I haven’t experienced anything quite like your injury; I did strain/sublux both my shoulders as a teen - the humerus head slightly twisting or shifting out of the socket, especially when I slept but sometimes randomly, caused an onset of intense pain that would wake me up or prevent me sleeping all together. I managed it with RICE and a lot of ibuprofen gel, and +15 years later I can move my left shoulder in and out of the socket, but no pain.
Eseman
@Chopsicle
This is all super useful, thank you everyone. I wasn't expecting A solution, more just prompts, joining the dots, and insights/experience from the forum, and it's really helpful. Eseman, that's actually more engagement in the twist than I've had from professionals - you are clearly talented and have a prosperous career ahead.
So it’s a slow onset, not very localised, burning sensation when you sit, correct? yes, not sharp when I sit, but builds over 15 mins to be excruciating burning.
Any trauma? No trauma, although I will have crashed onto it at some points in the past.
Is it easy to predict or is it random? relatively predictable - to the point where if I know I'm going on a long journey (train, car), I'll take ibuprofen.
It it possibly influenced by accumulated effort or positioning during the day? Does your ITB or any muscles feel painful to the touch at rest? It doesn't seem to be - but I make sure I sit on a hard surface, and avoid regular office chairs. And no, not any actual direct pain when touched; I'd say it's similar sensation to a break, but without the sharpness when agitated.
Also v conscious the leg doesn't twist when I sleep, sometimes feels like it's coming right out the socket. I'm managing this now, but the pain used to wake me regularly, and it'd be a battle between trying to resolve or taking painkillers to sleep.
Part of my frustration is that I've been told multiple times the leg-length discrepancy isn't the cause. I estimate this to be 25mm by placing different thickness books under my left heel until hips are level. I understand the body corrects itself, and getting absolutely level isn't necessary, but @TW, @Eseman, @withered_preacher, to your points (unnatural pressures impeding regular function), I strongly suspect this is the equivalent of sitting badly/waistband pressure, causing tension. I've built up heel wedges over the last 6 months, and now wearing +15mm in my left shoe, (on my cycling cleat I've added +3mm) which has made a big difference.
Anyway! This gives me confidence that I'm on the right track. I'll do some proper ITB band work, physio to strengthen, keep on with the heel wedge. Will look into physio for the twist, although I will prob leave alone and manage with position/posture. Would hate to wreck my knee too. I'm am on a priority list for a scan, 4+ months wait, so no idea how long this will take ...but when it does, I'll know more about the inner workings/surfaces/impingement/bearing replacement from there.
Thanks all, really useful, even typing the problem out has prompted more ideas; Please all download your Hip Doctor Phd certificates from the internet.