Snapping Hip Syndrome

Snapping hip syndrome

Last Updated December 20th, 2021

Snapping hip can affect people in different ways. Many people do not need a medical treatment and recover with rest. On the other hand, snapping hip can cause problem in day to day lifestyle. In such a scenario, you need to visit a doctor to who could prescribe some physical therapy that can help with the symptoms. In severe cases, surgery may be required to treat this condition.
Snapping hip can treated both surgically and non-surgically. In majority of cases, nonsurgical treatments can help relieve the symptoms. Some of the non surgical treatments include resting. It is important to rest if you suffer from snapping hip and try to avoid motions that can trigger your hip to snap again. Other measures such as steroid injections, physical therapy, and use of pain relievers in the form of NSAIDs can be used to help with symptoms associated with snapping hip. When the above symptoms are not helpful, your doctor would suggest a surgical intervention to treat the condition.
Snapping hip test is performed to confirm the diagnosis of snapping hip syndrome. The diagnosis of snapping hip is done by performing three important orthopaedic tests. These include FABER test, Thomas test, and Milgram’s test. Apart from these orthopaedic tests, your doctor may also order an MRI to check for any inflammation or fluid near the tendon to confirm the diagnosis. A general way of testing for snapping hip includes first placing the hip in extension. Next, the hip is rotated if a pop sound is heard it confirms the diagnosis.
Iliotibial band stretch is one of the exercises for snapping hip. First, lean sideways on a wall. Next, stand on the leg where the hip is affected. Now, drop on to the side of the affected hip against the wall. Stay in this position for 30 seconds. Repeat the same maneuvers 3 to 4 times for the hip to align back into position.

Overview of snapping hip syndrome

A vast majority of the professional athletes, swimmers and dancers complain of injuries of the bones, muscles, and joints. The rigorous stress and strain on a regular basis subject their musculoskeletal system to immense pressure. Hence after some point in time, different parts of the joints and muscles show signs of injury. “Snapping hip syndrome” is a very common injury in professional athletes.  Nearly 5-10% of the athletes suffer from snapping hip syndrome. Accurate diagnosis and treatment are necessary for the early stages of the disease. Failure to do so may result in hospitalization or permanent immobility.

What is snapping hip syndrome?

Snapping hip syndrome xraySnapping hip syndrome or “coxa saltans” is a disorder of the musculoskeletal system wherein a sensation of snapping or breaking of the hips occurs during hip movements. A cracking or popping sound occurs even during normal hip movements. This is more prominent during rigorous flexion and extension of the hip muscles. The two primary conditions that lead to snapping hip syndrome are the presence of minor bony outgrowths in the pelvic region or inflammation of the tendons. Presence of cartilage fragments in the pelvic joint or imbalance of the fluid present in the joint can also cause a snapping sensation during normal locomotion. Normally this condition is not painful. But the repeated occurrence of the symptoms can cause pain and discomfort.

What causes snapping hip syndrome?

Multiple etiological factors such as structural or functional problems in the muscles and joints can cause snapping hip syndrome. The major contributing factors are as follows-

  • The tightness of two sets of muscles namely- iliopsoas muscle and the tensor fascia lata
  • Friction between the tendons and the bony protrusions
  • Irritation of the trochanteric bursa (it normally acts as a buffer between the iliotibial band and the pelvis)
  • Friction between the pelvis (greater trochanter) and the iliotibial band
  • Inflammation of the iliopsoas tendon at the point of junction with the hip
  • Presence of an unwanted bony outgrowth known as the iliopectineal eminence
  • An occurrence of loose fragments of cartilage or bone in the pelvic joint
  • The accidental snapping of the biceps femoris (hamstring tendon) over the bony structures of the buttock (ischial tuberosity)
  • Friction between the greater trochanter and the anterior gluteus maximus during pelvic extension
  • A weakened gluteus medius (a muscle present in the pelvic region)
  • Wear and tear of the labral muscle due to overuse
  • Existing medical conditions like synovial chondromatosis (irritation resulting from a cartilage present in the synovial membrane)
  • Instability of the synovial capsules
  • Thickening and stiffening of the fibers of the gluteus maximus
  • Thickening of the posterior Iliotibial band

How can you detect snapping hip syndrome?

Snapping hip syndromeSnapping hip syndrome has a few typical and easily identifiable symptoms. These are as follows-

  • A distinct cracking or popping noise during movement of the pelvic region
  • Snapping on the external part of the hip due to problems in the iliotibial band
  • A sensation of snapping in the groin due to problems in the iliopsoas muscle
  • Trembling of the overlying skin at the moment of snapping
  • Occasional pain and discomfort during locomotion
  • Worsening pain during rigorous physical activities (running or jumping) or lifting of heavy loads
  • Feeling that the hip will spring out of the socket
  • Tenderness in the external hip region (if the iliotibial band is severely damaged)
  • Temporary immobility of the pelvic region after sitting or standing for a long time

What are the different types of snapping hip syndrome?

According to the region of occurrence, snapping hip syndrome has the following subtypes-

  • External Snapping Hip Syndrome: This type of snapping takes place when a tendon or a muscle moves over a bulging bone (greater trochanter) on the top of the thigh bone (femur). This exerts pressure, which in turn causes an apparent snapping on the external part of the hip. External snapping may occur in two conditions. The iliotibial band may move over a bulge on the thighbone. In the other case, a particular muscle known as gluteus maximus slides over the greater trochanter. Friction results in both cases, that leads to snapping. Patients with very tight or stiff iliotibial band or gluteus maximus usually experience external snapping. External snapping causes pain, inflammation, and tenderness of the external portion of the hip. This is known as trochanteric bursitis.
  • Internal Snapping Hip Syndrome: This type of snapping takes place in the frontal portion of the hip joint. When a particular tendon slides over a bony mass present in this region, snapping occurs. Two cases of internal snapping are common. One is when the iliopsoas tendon (connects the inner hip muscles to the femur) slides over a bony bulge on the pelvic bone called iliopectineal eminence. Another instance is when the quadriceps muscle (rectus femoris) slides over the head of the ball-and-socket joint present in the hip. Internal snapping gets worse with running or other physical activities. The patients may experience a sharp pain arising from the groin. Internal snapping often leads to pain and inflammation of the bursa (cavity) present at the front of the hip joint. This is called iliopsoas bursitis.
  • Intra-articular Snapping Hip Syndrome: This type of snapping results from a major problem in the hip joint. Three cases of this category are common. Firstly, an injury to the flexible cartilage that surrounds the hip socket may occur. This is commonly known as an acetabular labral tear. Secondly, damage to the articular cartilage may occur. Thirdly, loose fragments of bones or soft tissues may be present in the ball and socket region of the hip. All these conditions can contribute to intra-articular snapping hip syndrome.

Diagnosis

The following diagnostic tests are recommendable-

  • X-rays
  • MRI scan
  • CT scan
  • Digital radiography
  • Synovial fluid analysis

Treatment and precautions

Having an adequate amount of rest is important to reduce the stiffness that is present in the muscles or tendons. Following the instructions that have been provided by the doctor to reduce the pain and treat the problem. Try doing basic exercises at home like – light stretches, massages, retraining (for athletes by increasing their physical awareness, posture and modifying form etc.) These treatments can help change the hips biomechanics and improve the symptoms.

Make sure that your posture is right at almost any given point in time. Following through the steps taught during physiotherapy are done properly is important.

If you are facing problems like popping and clicking of your hip bone with each movement you make, don’t panic. There are a host of natural remedies to treat and manage this condition. This is a condition that can affect any age group.  There are numerous factors that contribute to this problem whereas inflammation and minor bone growth are the two main conditions that stand out.  This condition generally is not painful, but a persistent problem can lead to pain and inflammation as well as erosion of the femoral head.  This may worsen over time and can lead to femoral head dislocation.  Correcting postures and natural anti-inflammatory herbs such as fenugreek can help relieve these symptoms. Fenugreek paste can work wonders in reducing the pain associated with snapping hip syndrome and also strengthens the bones from within.

 

Snapping hip can affect people in different ways. Many people do not need a medical treatment and recover with rest. On the other hand, snapping hip can cause problem in day to day lifestyle. In such a scenario, you need to visit a doctor to who could prescribe some physical therapy that can help with the symptoms. In severe cases, surgery may be required to treat this condition.
Snapping hip can treated both surgically and non-surgically. In majority of cases, nonsurgical treatments can help relieve the symptoms. Some of the non surgical treatments include resting. It is important to rest if you suffer from snapping hip and try to avoid motions that can trigger your hip to snap again. Other measures such as steroid injections, physical therapy, and use of pain relievers in the form of NSAIDs can be used to help with symptoms associated with snapping hip. When the above symptoms are not helpful, your doctor would suggest a surgical intervention to treat the condition.
Snapping hip test is performed to confirm the diagnosis of snapping hip syndrome. The diagnosis of snapping hip is done by performing three important orthopaedic tests. These include FABER test, Thomas test, and Milgram’s test. Apart from these orthopaedic tests, your doctor may also order an MRI to check for any inflammation or fluid near the tendon to confirm the diagnosis. A general way of testing for snapping hip includes first placing the hip in extension. Next, the hip is rotated if a pop sound is heard it confirms the diagnosis.
Iliotibial band stretch is one of the exercises for snapping hip. First, lean sideways on a wall. Next, stand on the leg where the hip is affected. Now, drop on to the side of the affected hip against the wall. Stay in this position for 30 seconds. Repeat the same maneuvers 3 to 4 times for the hip to align back into position.

 

Dos and Don'ts

Dos
  • Try to reduce or modify your daily actives.
  • Apply ice to relieve the pain.
  • If the pain is not too severe, you can get over the counter pain relievers.
Don'ts
  • In case of too much pain, strain the hip joint too much.
  • Lift heavy weight.
  • Take too many anti-inflammatory medications as it could either make it worse or stop having an effect on your system.

 

 

 

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Ovarian cysts Know everything about ovarian cysts, its causes, types, diagnosis and treatment options such as home remedies and surgical…
Ovarian cyst diagnosis and treatment
Ovarian cysts Know everything about ovarian cysts, its causes, types, diagnosis and treatment options such as home remedies and surgical…
Heart diseases patient
Heart Valve Surgery A heart valve surgery is a procedure to replace or repair the diseased heart valves. The most commonly…
Coffee Enema: Turn your favorite morning beverage into a powerful colon cleanser The wonders of coffee are not just limited to waking you up every morning. You can now use…
Oxidative Stress: Understanding the most lethal phenomenon happening in your body right now Free radicals cause damage to the body, which is known as oxidation.  The amount of oxidation caused by…
Shilajit: A miracle Himalayan herb for an active and happy life The Himalayas contain more wonders than you thought. Shilajit is a miracle herb that is widely used in…
Anhedonia: Does the chronic inability to feel joy affect you too? How often do you feel dragged down by an invisible force? Do you feel an inexplicable emotional numbness…
biopsy procedure
Biopsy Biopsy is a procedure of studying a live tissue sample collected from a specific organ for diagnosing a…
Mood swings
The real reasons for your mood swings and how to overcome them Are you prone to heated moods frequently? Do you also feel bouts of depressive feeling creeping up on…
Green, brown, & bitter: The instant advantages of including fenugreek in your diet Did you know the earliest usage of fenugreek can be traced back to the Egyptian civilization? Find out…
Kava: Is it the healthy substitute for alcohol you have been waiting for? Native to the beautiful South Pacific islands, Kava is a famous beverage rooted in the local culture. It…
Okra: How can this nutrient-dense vegetable help you fight diabetes? Okra is a food which is rich in nutrients and minerals which are extremely essential for a healthy…
How can berberine supplements help you live longer and healthier? Berberine is a turmeric look-alike herbal extract that is credited with numerous health benefits ranging from diabetes cure…
Glucose-6-Phosphate Dehydrogenase (G6PD) test Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme that is found in every cell of the body and it plays…
stress depressed anxiety
Are you depressed or just stressed? Know when to see a doctor Why are some people more anxious than others? Is being depressed the same as feeling sad? Have you…
rosacea-treatment--before-_-after
The best and safest ways to treat rosacea Rosacea is a skin disease that is characterized by reddish hives and rashes on the face. Read more…
General adaptation syndrome: Understanding stress, one step at a time The struggle of the body to produce hormones during a stressful situation is the main theme of general…
Thyroid disorders
Thyroid Profile Thyroid profile is a panel of blood tests performed to check if an individual is suffering from any…
APL IgM Test
Antiphospholipid Antibody(APL)-IgM test The antiphospholipid antibodies are specific protein in the body directed against the phospholipids. It is used to detect…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of cold beer add…
helping friend with depression
Support and care tips for helping people with depression Read to find out what is depression, its causes and symptoms. Also check out the steps describing how…
Blood Disorders cancer
Immunotherapy immunotherapy is a treatment that boosts the body's immune system to identify the cancer cells and fight cancer.
Lung cancer xray
Lobectomy Lobectomy is a surgery where a lobe of the diseased lung is removed. It is mainly done to…
heartfail_2
Open Heart Surgery An open heart surgery is a major procedure performed to treat heart diseases like congenital heart problem, heart…
DHEA wrinkles
DHEA: Now get unbelievable age defiance with this wonder hormone! DHEA is known popularly as the age-defying hormone. This supplement is widely used to slow down aging and…
BRAT Diet: What is the right way to follow this diarrhea-relieving diet? BRAT diet, a simple diet consisting of just bananas, rice, applesauce, and toast, can help you combat the…
lipoprotein A
Lipoprotein (A) Test Lipoprotein (A) test is used to measure and monitor the levels of LDL(Low-Density Lipoprotein) in the bloodstream in…
Tart Cherry: The healthiest excuse for taking that second serving of pie Tart cherry has been traditionally used in delectable desserts such as pies. Recent studies have revealed that its…
Vitamin K2: 8 reasons why you need this bone-building & cancer-fighting nutrient Vitamin K2 is claimed to be essential for your bone health, for reducing the risk of cancer, and…
Jack in the box fast food
Jack In the Box : The perils of surging fast food culture in the USA Jack in the Box - How a culture of fast-food can clog your arteries, weaken your heart, fatten…
anti ds dna test
Anti Ds-DNA antibody Test The  Anti Ds-DNA antibody test is used to diagnose the disease called lupus or more aptly the SLE(Systematic…
Ca 19.9 test
CA19.9 Test CA 19.9 is a cancer antigen that exists on the surface of cancer-causing cells. The levels of CA…
Vagus nerve: 7 health benefits of stimulating the “gut-brain” connection As a matter of fact, there are two vagus nerves namely the left and the right but is…
Chest X-Ray A chest x-ray is a diagnostic test that uses x-rays to visualize the structures inside your chest. It…
CLA: A breakthrough weight loss supplement with minimal side effects Tried every weight loss supplement in the market with no substantial gain? Why not try CLA supplements, derived…
HSV-1_IGG
Herpes Simplex Virus I (HSV)-IgG Test Herpes simplex virus I(HSV)-IgG is an Immunoglobulin protein that acts as an antibody & stays in the blood…
What is Qigong and how can it help you channelize you inner “Qi”? Qigong is an integrated way of performing a traditional exercise regimen that can help in promoting health, mental…
Tissue Transglutaminase Antibody (tTG) Test Transglutaminase is an enzyme present in our body and is involved in protein metabolism. A tTg test is…
6 arguments in favour of glucosamine and where can you find it Studies have shown that glucosamine works by preventing the breakdown of cartilage of the joints. This is usually…
xylitol gum
Xylitol : Is this the right sugar substitute for you? Discovered during World War 2 owing to sugar shortage, xylitol has become a common name in pharamaceutical industry.…
Cordyceps: How the Caterpillar fungus works as a proven cancer-shield Strange as it may sound, but cordyceps or "caterpillar fungus", a fungus variety native to the Himalayas may…
Bronchoscopy procedure
Bronchoscopy Bronchoscopy is a procedure where in a scope is inserted into the lung pathway to observe any growth…
Hydroquinone: Is it the best topical treatment for hyperpigmentation? Darkening of the skin due to high melanin levels is called hyperpigmentation.  Hydroquinone interferes with melanin production thus treating…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
Milk Thistle skin
Milk Thistle: Find possible cures for fatal diseases in these purple blooms Milk thistle is well-known for treating liver conditions. However, did you know that it comes with a plethora…
Tamarind: The top health benefits of this staple Asian ingredient Did you know this sweet and sour pulpy fruit does more than just add a tangy flavor to…
Hibiscus: Nourish your beauty and health with these vibrant blooms Hibiscus is a trumpet shaped flower found abundantly in tropical countries. It has been historically used for its…
Erythritol: A healthy sugar substitute or yet another marketing ploy? Erythritol is a popular choice of a healthy alternative sweetening agent in foods. But how healthy can a…
Trisodium Phosphate: How a paint thinner made its way into your breakfast Ever thought how toxic chemicals find their way into our foods? How can they harm our body? And…
folate test
Folate test The Folate test measures and monitors the levels of folic acid in the blood. This test is also…
Alp enzyme-test
ALP test – Alkaline Phosphate ALP or alkaline phosphate is an enzyme mainly produced by the liver and gallbladder. ALP test measures the…
iron deficiency profile
Iron Deficiency Profile An iron deficiency profile is a battery of blood tests which are performed in order to determine the…
antiHEV IgM test
Anti hepatitis E virus (Anti HEV) IgM Test Anti HEV IgM test determines the level of the IgM antibodies in the blood, The disease is often…
sodium chloride
Halotherapy: How inhaling salt can work wonders for your body Halotherapy is quickly gaining popularity amongst those with respiratory diseases. It has shown promise in its treatment.
Love tea, hate tannins? Rooibos tea is just what you need The market is brimming with a multitude of herbal teas. But what makes rooibos tea (or red bush)…

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