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.

 

Facts

  • Also known as coxa saltans, iliopsoas tendinitis or dancers hip.
  • It can be audible with a snapping, popping noise which causes pain or discomfort.

Facts

  • This snapping in most cases is due to the movement of a muscle or tendon over a bony structure in the hip.

Facts

  • Most cases of the snapping hip syndrome is experienced by everyone. But, symptomatic snapping hip syndrome (SHS) can cause a lot of pain while flexing and doing normal activities.
  • This is mostly caused due to the stiffness or tightening of the muscles or tendons around the hips.

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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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Easy and safe tips for ear wax removal you can do at home Cerumen impaction generally occurs when an external object like cotton swabs are used to remove the ear wax.…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
dance health benefits
5 unbelievable effects of dance on your overall health! You enjoy dancing, but did you know what else it does to your body? Dancing is not only…
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…
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…
Oxalates: How healthy greens can sometimes be bad news for your kidneys Oxalates are compounds present in a majority of healthy foods. However, at times an overconsumption of these could…
Surgery or home-remedy; what is the right way to treat a burn The treatment of a burn injury depends on its severity. You can save a life by offering the…
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…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
ureteroscopy
Ureteroscopy Ureteroscopy is the diagnostic procedure which is used for the detection of the kidney stones in addition to…
carrageenan seaweed
Carrageenan: How a simple seaweed extract could better your gut health & immunity Eat more ice cream to prevent cold and flu? –With carrageenan you get one simple seaweed extract that…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
Plexus Slim: Is this pink slimming drink the ultimate one-stop fat burner? How effective is Plexus Slim in helping people lose weight? What are its ingredients? Can it be safely…
liver cleanse detox
14 go-to foods that are best for a complete natural liver detox Liver cleanse can be achieved by just choosing or avoiding certain types of food. Liver itself is a detoxifying…
Balneotherapy jacuzzi
5 things you didn’t know about balneotherapy and how you can do it at home Sauna baths have been popular since a long time. But how much more beneficial can balneotherapy be as…
EEG
Electroencephalogram – EEG EEG or electroencephalogram is a diagnostic tool used to access the functioning of neurons and brain activity to…
LFT-test
Liver Function Test – LFT LFT or Liver Function Test is a blood test used to determine the levels of hepatic enzymes which…
Vitamin-D-blood-test
25-Hydroxy Vitamin D test 25-hydroxy Vitamin D test is a blood test used to measure the level of vitamin D in the…
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…
apolipoprotein a1 test
Apolipoprotein -A1 (APO-A1) Test Apolipoprotein A-I (Apo-A1) constitutes 70% of protein content in high-density lipoprotein (HDL) and helps in lipid metabolism.
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Hepatitis A virus infected liver
Hepatitis A Virus (HAV) Total Blood test to look for IgM antibodies to know if you are infected with Hepatitis A virus (HAV),…
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…
lose weight fast
12 easy and instant steps to successful weight loss Do you want to lose weight without losing your mind? Does weight loss always mean saying goodbye to…
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…
nutritional yeast bread
Nutritional Yeast : How can a fungi culture be good for your body? Nutritional yeast: How a simple culture of fungi can transform your skin, digestion, immunity , and much more.…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
Cottage cheese: What can you find in this healthy chunk of fresh milk cheese? Love cheese but scared of putting on extra pounds? With cottage cheese, you can get the best of…
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…
Inversion Therapy: The anti-gravity way of healing chronic back pain Inversion therapy involves suspending a person upside dow using different types of equipment. This works by taking the…
The Cabbage Soup Diet: The healthiest way to instant weight loss Cabbage soup diet rapid weight loss diet for those who want to shed those extra pounds in less…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
phenytoin test
Phenytoin test Phenytoin is a drug that is administered mainly to epilepsy patients. The phenytoin blood test measures the level…
Rubella IgM test
Rubella IgM Test The Rubella IgM test is a blood test that is performed to diagnose the presence of the rubella…
Thyroid disorders
Thyroid Profile Thyroid profile is a panel of blood tests performed to check if an individual is suffering from any…
Unbelievable health benefits of gooseberries (and a few tasty recipes) Gooseberries are antioxidant-rich tasty fruits that can be easily added in daily diet to improve overall health and…
piles fissure fistula
Allopathy vs homeopathy vs ayurveda treatment for piles, fissures, and fistula Read to know the best form of treatment among allopathy, homeopathy,or ayurveda for piles, fissures, and fistula
Optavia diet
The features of an Optavia diet The Optavia diet endorses pre-packaged meals and snacks called "fuelings" that are tasty, low in calorie, and incorporates…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
aspartame or sugar
Aspartame – Hidden truths about this storm in a teacup Aspartame, the artificial sweetener, has gone under the scanner on several occasions for allegedly doing more harm than…
High Fiber Diet – Fire up your fiber intake for these health benefits! Regular bowels, healthy detox, higher immunity, and guaranteed weight loss - a high fiber diet can bring all…