Snapping hip syndrome is a condition in which you hear or feel a snapping sound in the hip while rotating your hip, running, walking, or while getting up from the chair. Movement of the muscles or tendons over a bony protrusion in the hip region gives rise to the snapping sound, which can occur in the back, front, or side of the hip. Usually it is painless and harmless, however, in some instances it can become painful with muscle weakness. People who are involved in sport or dance where they have to repeatedly bend are most vulnerable and it may affect their performance. Sometimes, the syndrome can lead to bursitis, a painful swelling of the fluild-filled sacs called bursae that cushion the hip joint
The most common cause of snapping hip syndrome is tightness in the muscles and tendons surrounding the hip. Sometimes, a loose piece of cartilage, a cartilage tear or pieces of broken cartilage or bone in the joint space can lead to the snapping sound. This may also lock the hip causing disability along with the pain. However, this is less common.
A detailed medical history and physical exam will be performed to evaluate the exact cause of the snapping. You may be asked to reproduce the snapping sound by moving your hip in different directions. Imaging tests may be ordered by your doctor to rule out bone and joint problems
Rest and activity modification may be the initial recommendation followed by conservative therapeutic modalities:
Consult your doctor if the discomfort persists even after following the home remedies
You may be prescribed specific physical therapy exercises to strengthen and stretch the musculature surrounding the hip. You may be guided by a physical therapist. Particular tendon stretching exercises such as iliotibial band stretch and iliopsoas muscle stretch will be indicated depending on the type of snapping you experience.
You may be recommended for a corticosteroid injection into the affected bursa to reduce the pain and inflammation in the hip joint in case you have associated hip bursitis
Surgery is recommended when conservative approaches do not have an effect in resolving the snapping hip syndrome (which is rare). The type of surgery will depend on the factors that cause snapping hip. Surgical procedures include:
Dr. Gupta to give a lecture series at Georgetown yoga "Healthy Movements Workshop" focused specifically on hip, knee, and shoulder injury prevention and those patients with existing injuries in April and May.
Dr. Gupta is now "board certified" in Orthopedic Surgery.
Dr. Gupta to present Orthopedic Lecture Series with Sentara Northern Virginia Medical Center titled "Don't Let Hip Pain Slow You Down: Understanding Your Options", September 7th, 2016 at Hilton Garden Inn Woodbridge at 6pm.
Dr. Gupta to present third part of his lecture series on "Master Mobility" at Spark Yoga. His next lecture with be on "Mastering Mobility Of Your Knees" on September 18th at The Shops at Pershing, 2201 N Pershing Dr, Arlington, VA 22201