Snapping Hip Syndrome

Snapping hip syndrome is a condition where a snapping or popping sensation occurs in or around the hip joint. While many people can experience mild snapping from time to time, chronic snapping hip syndrome can cause discomfort and limit mobility.

At Precision Orthopaedic Specialties, with locations in Chardon, Chagrin Falls, and Middlefield, OH, we specialize in the diagnosis and treatment of hip issues like snapping hip syndrome. Call us today to schedule a consultation! 

What Are the Different Types of Snapping Hip Syndrome?

Snapping hip syndrome is categorized based on the source of the snapping:

  1. Internal Snapping Hip Syndrome: This occurs when the iliopsoas tendon (a major hip flexor) snaps over the hip joint. When experiencing iliopsoas tendon snapping, individuals often feel a distinct pop in the front of the hip, usually during activities that involve hip flexion or rotation.
  2. External Snapping Hip Syndrome: This type is caused by the iliotibial (IT) band or the gluteus maximus tendon sliding over the greater trochanter (the outer hip bone). The snapping is felt on the outside of the hip and is more common in athletes.
  3. Intra-articular Snapping Hip Syndrome is less common and occurs when a structural issue, such as a labral tear or loose cartilage, occurs within the hip joint.
A man with snapping hip syndrome in pain while walking in Chardon, Ohio.

What Causes Snapping Hip Syndrome?

Snapping hip syndrome typically arises from overuse, repetitive motions, or muscle imbalances that affect the hip’s normal mechanics. Here are some common causes:

  • Tendon or Muscle Tightness: Tight tendons and muscles can create a snapping sensation when they rub over bony structures during movement.
  • Overuse: Activities that involve repetitive hip movements, such as running or dancing, can lead to irritation of the hip structures.
  • Trauma or Injury: Intra-articular snapping is often related to injuries or conditions in the hip joint, such as bone spurs, labral tears, or cartilage damage.

What Are the Symptoms?

The primary symptom of snapping hip syndrome is a noticeable snapping sensation when the hip is in motion. This snapping may or may not be painful, and it usually occurs in the front, side, or back of the hip. Other symptoms of snapping hip may include:

How is Snapping Hip Syndrome Diagnosed?

To accurately diagnose snapping hip syndrome, a physical examination and review of symptoms are essential. A doctor may ask the patient to perform specific movements that trigger the snapping to identify the type of snapping hip syndrome.

Imaging tests such as magnetic resonance imaging (MRI) or ultrasound may be used to rule out other hip issues or structural problems within the joint.

How is Snapping Hip Syndrome Treated?

Treatment for snapping hip syndrome focuses on reducing symptoms and improving hip function. Here are some common treatment methods:

  • Rest and Activity Modification: Reducing or adjusting activities that aggravate the hip can help to alleviate symptoms.
  • Physical Therapy: Physical therapy is essential for strengthening the hip muscles, improving flexibility, and restoring balance around the hip joint.
  • Anti-inflammatory Medications: Medications can help reduce inflammation and relieve pain in the hip.
  • Corticosteroid Injections: In severe cases, corticosteroid injections can provide temporary relief from pain and inflammation.
  • Surgery: If conservative treatments fail, surgery may be considered, particularly in cases involving intra-articular snapping hip syndrome with structural abnormalities.

Exercises to Help with Recovery

Specific exercises can be highly beneficial for improving hip mobility and alleviating symptoms associated with snapping hip syndrome. A physical therapist can tailor a program, but here are some common exercises to aid in recovery:

  1. Hip Flexor Stretch: This stretch targets the iliopsoas tendon to relieve an internal snapping hip. Lunge forward with one leg while keeping the back knee on the ground, gently pushing the hips forward.
  2. IT Band Stretch: Stand with one foot crossed over the other and lean toward the side of the crossed leg, stretching the outer hip. This is useful for external snapping hip syndrome.
  3. Glute Bridges: Lying on your back with knees bent, lift the hips off the ground while squeezing the glutes, then lower back down. This strengthens the hip muscles and improves stability.
  4. Clamshell Exercise: Lie on your side with knees bent and feet together, and lift the top knee while keeping the feet together. This strengthens the hip’s stabilizing muscles, helping with both internal and external snapping hip.

Contact Precision Orthopaedic for Specialized Hip Care

If you’re dealing with snapping hip syndrome and need relief, Precision Orthopaedic Specialties offers comprehensive, tailored treatment options to help you manage and recover from hip conditions. Visit our hip care page to learn more about our services, including physical therapy and specialized care for snapping hip syndrome. 

Medically reviewed by Michael J. Kellis, D.O., FAOASM