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Hip

Snapping ‘clicky’ hip

· Oct 20, 2024 ·

What is it?

People who pop, click, or snap their hips during particular movements have snapping hip syndrome. Some people make an audible click when they bend at the hip.

For other people, they may feel a popping or catching in their hip joint.

There are two types of snapping hip and while they are mostly harmless, these conditions sometimes lead to joint pain.

Types of snapping hip

Illustration of the front of the hip joint with joints, muscles and bones. It has a red-highlighted muscle, showing a tendon sliding over bones at the front of the hip joint, creating tension and then releasing with a “snap.

Internal snapping hip (at the front of the hip)

This type of snapping hip is the most common. It occurs when a tendon slides over bony structures at the front of the hip joint, creating tension and then releasing with a “snap.”

Tightness in the muscles around your bottom or hip is often the cause of the snapping sound.

People with internal snapping hip syndrome may experience:

  • Hip popping is when: running, rising from a seated position or when the hip turns the leg away from the body.
  • Pain that worsens with activity as repeated irritation is associated with inflammation of the structures at the front of the hip joint.

Illustration of a human hip with a highlighted hip flexor muscle and pain indicator.

External snapping hip (at the side of the hip)

This occurs when a muscle or tendon slides over the top of the thigh bone. The resulting tension is followed by a release and snapping sensation at the outside of the hip. This is often due to tightness in the muscles around your bottom.

People with external snapping hip syndrome may experience:

  • The snapping typically occurs during activities such as running and climbing stairs or carrying a heavy load like shopping or a heavy backpack.
  • Hip popping can be accompanied by sharp, sudden pain felt on the outside of the hip.
  • The hip can sometimes feel like it is about to pop out of its socket when snapping but it will not come out of its socket.
  • Pain that worsens with activity, as repeated irritation causes the tendon to become inflamed.

Painful symptoms develop gradually; the pain may begin as a mild annoyance and worsen over weeks or months.

Treatment

  • Rest: People with snapping hip syndrome are advised to avoid the motions or activities that cause the snapping, popping or clicking sensation as much as possible. Resting helps to reduce any irritation around the hip.
  • Stretching: Often muscles surrounding the hip joint are tight and increasing their flexibility it can reduce pain and the amount of ‘snapping’ of the hip.

Daily stretching programme

Exercise 1

  • Put one leg out behind you whilst half kneeling on the other.
  • Keep your back straight and lean forward into your bent leg and feel the stretch over the front of your thigh on the leg behind.
  • Hold for 30 seconds.

Repeat 3 times on both legs, daily.

Exercise 2

  • Lie on your back with your knees bent.
  • Cross the ankle of the leg to be stretched over the other knee.
  • Put your arms around your thigh.
  • Bring your thigh towards your stomach. Feel the stretch in your bottom muscles.
  • Hold for 30 seconds.

Repeat 3 times on both legs, daily.

Exercise 3

  • Lie face down.
  • Bend your knee and hold on to your ankle. Pull your heel towards your bottom. Feel the stretching on the front of your thigh.
  • Hold for 30 seconds.

Repeat 3 times on both legs, daily.

Exercise 4

  • Sit on the floor.
  • Bring one leg in front of you and bend your knee 45 degrees.
  • Straighten your other leg behind you.
  • Turn your body towards the bent leg and lean your body gently forward. Feel the stretch in your bottom muscles.
  • Hold for 30 seconds.

Repeat 3 times on both legs, daily.

Physiotherapy video

Return to activity

Once your pain has improved or the ‘snapping’ sensation has reduced then you can gradually return to your usual activities. Ensure you warm up and cool down properly. Your pain should be used as a guide as to when to increase the length or amount of activity.

Further advice

If your symptoms are not settling, please contact the physiotherapy department on the details below:

Avulsion fracture – hip/pelvis

· Oct 20, 2024 ·

What is a pelvic or hip avulsion fracture?

A pelvic avulsion fracture occurs when a very small part of the pelvis or hip bone is pulled too forcefully by the muscle and breaks away. Due to the structure of their growing bones, this type of injury is more likely to occur in teenagers than in younger children or adults.

This can result in a sharp pop followed by pain around the hips or pelvis which can then make it sore to walk for a few days.

This injury often happens in children who are growing quickly and have tight muscles around their hips and legs.

The injured area is normally sore for 1-2 weeks but with rest and gentle stretching the pain usually settles within a few weeks and it is safe to return to normal sports and activities as your pain settles and you feel able to do so.

Limp in the absence of injury and irritable hip

· Oct 17, 2024 ·

Your child has presented to the Emergency Department with a limp or hip/knee pain without a preceding accident or injury.

This is a common reason for children to attend and the most likely cause is a condition called “transient synovitis” or “irritable hip.” It can cause similar symptoms in a knee but the hip is more common.

There are other causes of these symptoms which your nurse practitioners or doctor will consider and investigate if required.

The following information is from the NHS website.

What causes an irritable hip?

The condition develops when the lining that covers the hip joint (the synovial membrane) becomes irritated and inflamed, although the cause of inflammation is unclear.

Some cases of irritable hip occur following a viral infection in the chest, throat or digestive system. Many experts think the synovial membrane in the hip becomes inflamed as a complication of the infection. However, there is no hard evidence to support this theory.

Another theory is that a hip injury may cause the swelling, although many cases develop in children who do not have a history of injury.

Who is affected?

Irritable hip can affect boys and girls of any age, but is most common between the ages of 4 and 10 years. The condition affects twice as many boys than girls.

Is it serious?

As a parent, it can be very worrying if your child is diagnosed with an irritable hip and is struggling to walk. However, the pain usually passes within two weeks and most cases don’t require specific treatment.

A small number of children with irritable hip go on to have further episodes. However, these episodes usually become less frequent and eventually stop when the child is older.

Recovery

Ibuprofen, a commonly available painkiller, can be used to relieve pain and reduce inflammation. Your child should also rest the affected leg until symptoms have passed. Massaging the affected hip and applying heat may also help to reduce your child’s hip pain.

It usually takes a couple of weeks to recover from an irritable hip, although your doctor may recommend that your child does not play sports or take part in any strenuous activities for at least another two weeks following treatment. This is to reduce the chances of irritable hip returning.

Local data suggests that there is a small probability (less than 10%) that your child’s limp is caused by a different condition. If this is the case your child may not improve in terms of pain and visible limping over the expected two weeks.

Please phone Emergency Department reception on 0131 312 0007 or 0131 312 0008 if your child still has pain or limp two weeks after you first visit the Emergency Dept.

Ask for an “ED Review Clinic Face to Face appointment”. These clinics are held on the Ground Floor of Outpatients at the main entrance to the children’s hospital.

You must return to the main Paediatric Emergency Department if:

  • Your child develops a fever and still has leg pain / limp
  • Your child appears unwell including vomiting, very pale, tired
  • Your child develops a worsening limp such that they cannot walk or put weight through that leg
  • Your child’s skin or joint(s) becomes red, swollen, hot or painful
  • Your child develops severe back or genital pain
  • You have significant concerns about them.

Please try to arrive in the morning (08:30 – 10:00) so there is time to arrange scans should they be required.

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