hey yellow, I'm glad to hear you're doing well, other than the pain issue. I know you prob want to stay off the forums as much as possible, but reading your diary was really helpful for me as I'm sure they are for others, so I do appreciate the updates even if they're just once and a while.
Quote from: YellowSpike on January 05, 2017, 05:16:05 PMEvery so often (and I’m sure bodybuilding – deadlifts, squats, etc. has exacerbated it, and that is on me), my right leg will tense up so much that it’s painful to the point where I temporarily cannot put weight on it. When I get these episodes, I feels like an intense throbbing pain, and I can even see my muscles contracting/twitching when this happens. And oddly, even just taking long airplane trip seems to make it act up as well. Hot baths, ice packs, OTC pain meds, and elevation seem to help, but sometimes it takes time to get relief from any of these.
Sounds just like the muscle strains I used to get early on during my recovery. I had 2 bad quad strains I can remember. once from lowering the seat on the stationary bike and doing high resistance to try to build back up my quads, and my weak and overstretched quads just weren't ready for that at all. the other time was also just from sitting in an airplane seat for for a couple hours. I think something about the plane seat made an awkward stretch on my inner quad for too long. both times I had intense throbbing pain in my quads and couldn't walk without pain in my knee too until after a couple hours. the best way to recover from the strain was just rest. honestly, I'm surprised muscle strains don't get mentioned in diaries more often during recovery.
muscle strains can be caused by bad flexibility or muscle strength imbalance (like if your hamstrings are way stronger than your quads). I agree with what your PT said and my guess is that it's a combination of both for you. you said you still have tight hips/quads and are doing body building (with heavy weights?) which is probably making your flexibility and muscle imbalances worse. I feel like it really takes years for the muscles to recover and adapt from LL and you might still be pushing too much and too soon. I think you need to be careful because continuing to push too hard could lead to something even worse like a muscle tear. I've just kind of accepted it's gonna take awhile for my leg muscles to recover fully so I've stopped pushing myself so hard at the gym and focus more on stretching and doing only embarrassing amounts of weight on the machines. since then I haven't had any additional strains or leg pain at all really. the downside though is that my legs are still a little weak, but I'll get them strong again eventually
If I were you I'd take a break from body building for awhile, workout those weak areas very gradually, and stretch stretch stretch any remaining tight muscles (quads, hip flexors, IT bands for me). that's my non-professional opinion at least