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Snapping Hip Syndrome
DESCRIPTION
AKA: Popping hip
Characterized by snapping of the hip can be caused by several reasons. The two most common causes are due to a tendon rubbing across bony areas. The iliotibial band that travels from the pelvis to the can can snap over the hip bone (greater trochanter). The second cause is inflammation of the iliopsoas tendon can rub over an area of pelvis (iliopectineal eminence). Other causes include loose pieces of bone or cartilage within the hip joint
COMMON SIGNS & SYMPTOMS
- Snapping of the hip, often without pain
- Felt on outer part of the hip if the ITB is involved
- Felt in the groin or front of the hip if the iliopsoas muscle is involved
- Tenderness over the outer hip if due to iliotibial band
CAUSES
- Repetitive motion (bending, flexion and extension) may lead to inflammation of the tendon as it passes over the bony area, leading to thickening and scarring of the tendon
- Iliotibial band inflammation may caused by a direct blow like falling on the hip
- Biomechanical abnormalities of the spine and pelvis, leg length abnormalities, joint laxity all resulting in excessive stresses
- Excessive movement of the foot (hyperpronation) rolling inward that causes the foot to drop or flatten causing the leg to slightly rotate inward causing stress on the hip musculature
TREATMENT CONSIDERATIONS
- Use of ice to control pain and reduce inflammation and swelling
- Stretching of the involved muscle (iliotibial band or iliopsoas)
- Proper footwear to match foot structure to allow proper movement and support of the foots arches (see shoes)
- If contributing factors are due to hyperpronation (rolling inward) of the feet causing the biomechanical alternations then custom made Spinal Pelvic Stabilizers (orthotics) should be considered to the support the arches of the foot and control excessive movement
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