March 28, 2017

Why does my hip pop when I walk?

Hip

Snapping hip syndrome is when you feel a snapping sensation or a popping sound in your hip when you walk, get up from a chair or swing your leg in a circular way.

Anatomy

The hip is your body’s largest weight-bearing joint. This joint is also called a ball-and-socket joint. The ball is the upper end of the thighbone (or femur), which fits into the socket (or acetabulum) at your pelvis. The acetabulum is ringed by strong fibrocartilage called the labrum. The labrum forms around the socket and creates a seal to provide stability to the joint.

Around the hip joint are ligaments that hold it together. The ligaments work with the tendons that attach muscles in the buttocks, thighs and pelvis to the bones. These muscles control hip movement. There are also fluid-filled sacs called bursae that are located in spots around the hip to provide cushioning and help muscles move other the bone.

The snapping occurs when a muscle or tendon moves over a bony knob on your hip. This snapping can occur in a few places:

  • Outside of the hip: This is the most common site. Occurs at the outer side where the iliotibial band passes over the portion of the thighbone known as the greater trochanter.When the hip is straight, the iliotibial band is behind the trochanter; but when the hip bends, the band moves over the trochanter so that it is in front of it. The iliotibial band is always tight, like a stretched rubber band. Because the trochanter juts out slightly, the movement of the band across it creates a snap.
  • Front of the hip: The rectus femoris tendon runs from the front of the thigh up to the pelvis and as you bend the hip, the tendon shifts across the head of the thighbone and when you straighten the hip the tendon moves back to the side. This back and forth motion can cause snapping.
  • Back of the hip: The hamstring tendon attaches to the sitting bone, called the ischial tuberosity. When it moves across the ischial tuberosity, it may catch causing a snapping sensation in the buttocks region.
  • Cartilage problems: The labrum that lines the socket of the hip can tear and cause a snapping sensation. This is usually painful and could also be disabling.

Eventually, snapping hip syndrome may lead to hip bursitis. Bursitis is thickening and inflammation of the bursa, a fluid-filled sac that allows the muscle to move smoothly over bone.

Cause

  • Tightness in the muscles and tendons surrounding the hip
  • Sports and activities that require repeated bending at the hip
  • Young athletes and dancers are more vulnerable

Symptoms

  • Snapping sensation in the hip

Physician examination

Your physician will ask you for a complete medical history, ask questions about your pain and how long you have been experiencing your symptoms, and conduct a physical examination. An X-ray or MRI may be necessary to rule out other injuries.

Make an appointment with a hip specialist at OrthoIndy

Treatment

Most people do not see a physician for snapping hip syndrome unless they are experiencing pain. Usually the syndrome can be treated nonsurgically:

In extremely rare cases where nonsurgical treatment does not work and the patient is experiencing pain, surgery may be necessary. Surgery depends on the cause and location of the snapping sensation. Most times a hip arthroscopy will be used; however, an open procedure may be necessary to address some issues.

Learn more about hip treatment at OrthoIndy.

Schedule an Appointment Call OrthoIndy 317.802.2000
Megan Golden

By Megan Golden

Megan is the current marketing specialist for OrthoIndy. Megan graduated from Ball State University in 2012 with a bachelor’s degree in public relations and advertising and a communications studies minor and has been with OrthoIndy since then.

Related Posts

More from OrthoIndy

Patient returns to OrthoIndy for a second hip replacement

Patient returns to OrthoIndy for a second hip replacement

Total joint replacement patient returns to OrthoIndy for a second surgery.

More

How to treat transient osteoporosis of the hip

How to treat transient osteoporosis of the hip

People with transient osteoporosis feel pain immediately but symptoms usually go away within 6 to 12 months with simple treatment options.

More

How to treat a fracture after total hip replacement

How to treat a fracture after total hip replacement

Although these fractures are rare, breaking your femur bone around the implant after a total hip replacement almost always requires surgery.

More

Get stories and News in your inbox

Subscribe to our weekly articles