Hip Syndrome > Treatments
To heal snapping hip syndrome,
physicians generally prescribe a combination of the
and activity modification – relative rest is generally
prescribed. You do not necessarily have to stay off
your feet, but you should decrease the duration and
intensity of your walking and running. Switching from
a running sport to swimming or cycling can reduce stress
on your hip's synovial membrane. Changing to a softer
exercise surface, like grass instead of concrete, can
– applying ice to area of your hip where the snapping
occurs for about 15 minutes two or three times a day.
Your physician can point out the most important hip
area to ice, which may be the outside, inside, front,
or back of your hip or upper thigh.
– biomechanical abnormalities, such as leg–length
discrepancies, may be corrected by inserting special
insoles into your shoes. These devices can help correct
any abnormal alignment in your stride that may be stressing
tendons or ligaments in your hip area.
injections – to relieve severe inflammation, particularly
when your bursa sacs are inflamed, your physician may
inject corticosteroids that have strong anti–inflammatory
therapy – stretching and strengthening your hips
can relieve muscle imbalances and tightness in your
tendons and ligaments.
– your physical therapist may administer phonophoresis,
which uses ultrasound energy to deliver medication (like
topical anti–inflammatories) beneath your skin.
When swelling has gone down, heat therapy (with moist
heating pads or whirlpools) may also be used to loosen
up soft tissues in your hip before you stretch and exercise.
With the aid of a physical therapy
program, most active people can heal snapping hip syndrome
in three to six weeks. For about the first week, your
physical therapist usually helps you learn a hip stretching
routine to loosen up the tight muscles, tendons, and
ligaments that may be popping or snapping when you move.
Stretching may be done after your therapist applies
topical anti–inflammatories or heat therapy. When
the snapping sensation becomes less noticeable, swelling
decreases, and you have a full range of motion in your
hip, your therapist can help you recondition your hip
muscles to prepare them for activities. You usually
learn to train your hip muscles for power, using elastic
bands and weight resistance, and for endurance, through
cardiovascular workouts like cycling, swimming, or running.
The most important component of rehabilitation for sufferers
of snapping hip syndrome is relative rest. This means
modifying your workouts to decrease or avoid the overuse
activities that initially caused your pain. For example,
instead of riding a bike or running, you could swim
or rollerblade. Or, you could reduce the intensity of
your workout, by using less resistance when you ride,
or by eliminating hills from a running workout.
You may be able to reduce your chances
of recurring snapping hip syndrome by avoiding a sudden
increase in activities that require repetitive motion,
such as cycling or using a stair–climbing machine.
Easing into an exercise routine after snapping hip syndrome
can help reduce stress on your hip's soft tissues and
help you avoid overuse. Weight control is also important.
Lightening the load on your hips helps them to function
better. You also may consider training with a physical
therapist or coach to increase your balance and coordination,
which can help better prepare your hip muscles, tendons,
and ligaments for the strain of sports and activities.