Internal Snapping Hip Syndrome: Treatment Options

Internal Snapping Hip Syndrome: Treatment Options

This video will review treatment options for internal snapping hip syndrome. It is common for many people to experience internal snapping hip syndrome at some point that comes and goes without significant symptoms, so in these cases, no treatment is needed. If the snapping sensations continue to be bothersome, almost all cases of internal snapping hip syndrome can be treated with nonsurgical treatment to decrease irritation from overuse of the hip flexor muscles.

Rest from aggravating activities that involve repeated lifting of the leg is needed to decrease strain on the iliopsoas tendon. Certain exercises, performed independently or under the guidance of a physical therapist, play an important role in rehabilitation. Stretching the hip flexor muscles reduces tension on the iliopsoas tendon. This can help the muscles and tendons move more smoothly with physical activity.

Strengthening the hip flexor muscles improves their strength and endurance, allowing them to better keep up with physical demands. This can prevent the muscles from strain or overuse during physical activity. If there is pain, pain-relieving methods such as ice and NSAID medication may be used initially to manage symptoms. Rarely, surgery can be used to treat long-term cases of internal snapping hip syndrome that do not improve with nonsurgical treatment, especially if pain is present.

An iliopsoas release, also called iliopsoas fractional lengthening, can be performed where the tendon from the psoas muscle is cut to reduce tension. The tendon from the iliacus stays intact, allowing the hip flexors to still be able to function, although long-term hip flexor weakness can result as a complication in about 15% of cases or less.

In summary, some cases of internal snapping hip syndrome come and go and do not require treatment. Almost all cases of ongoing internal snapping hip syndrome can be managed with rest and hip flexor stretching and strengthening exercises. In rare cases, surgery may be performed to cut part of the iliopsoas tendon to relieve tension, especially if there is pain, although this can result in hip flexor weakness in some cases.