Snapping hip syndrome is characterized by a recurrent snapping/clicking of the hip that can be heard during activity. It can be heard during running, walking, stretching, or non-weight bearing movements as well. It is more commonly seen in female athletes of all ages. There are four types, the most common types are from the iliotibial band catching on the greater trochanter, followed by the iliopsoas rolling over bony bumps (prominences). The second major cause is inflammation of the iliopsoas tendon where it attaches to the hip, similarly, the iliopsoas tendon may catch over a bony bump (iliopectineal eminence). The last two, rare causes include the biceps femoris tendon catching on the ischial tuberosity or due to a labral tear, loose body or sources within the joint. The iliotibial band that travels from the pelvis to the knee can snap over the greater trochanter, causing irritation/inflammation of the bursa (a bursa that reduces friction between the iliotibial band and the greater trochanter).
Risk factors predisposing an athlete may include muscular imbalances of the hips and/or pelvis, limited hip/pelvis movement, scar tissue overtraining or improper training. An inflamed snapping can be painful, limiting exercise and bringing activity to a halt, though it is not uncommon to have painless, recurrent snapping after the condition has resolved. It is best to address the condition immediately, preventing an inflammatory cycle which may lead to more scar tissue and prolonged healing times. Chiropractic and massage therapy are interventions commonly used for snapping hip. The chiropractors at Kelsall Chiropractic can diagnose, then treat this condition using chiropractic manipulation/adjustments, myofascial release, Graston treatment, cold laser, ultrasound, and manual therapies. Treatment will include a home exercise plan to correct muscular imbalance, stretching tight muscles, strengthening weak muscles, and correcting any functional concerns.