hip flexors- proper treatment of soft tissue work
Now if you hear a snap in your hip when your walk, stand
up or swing your leg you may have snapping hip syndrome. Though the sound hip flexors often cause concern, it is
generally not a condition that requires treatment. It is most commonly found in
dancers and other athletes.
Snapping hip usually occurs when a tendon moves across a
bony structure. This can occur on the outside or inside of the hip. On the
outside, it occurs when the iliotibial or IT band snaps across the greater
trochanter, and the top of the thigh bone that sticks out.
When snapping occurs on the inside of the hip near the
groin, it is likely caused by the iliopsoas tendon snapping across bones of the
pelvis. This tendon stretches from the inner thigh to the pelvis. Now is the
snapping a cause for concern? The medical community says no unless it is
associated with pain.
Pain can occur when the tendons and surrounding muscles
are tight. The IT band is more prone to snap across the greater trochanter if
the band is tight. The IT band can become tight when the gluteus Medias muscle,
an important hip stabilizer is weak and this can lead the tension fasciae latae
muscle to compensate for the gluteus Medias and to become tight from overuse.
The TFL connects to the IT band, when the muscle is
tight; it pulls on the IT band and causes it to tighten as well. Since the IT
band runs from the hip to the knee on the outside of the thigh, tightness of
this structure can cause pain at the hip and the knee as well as altered body
mechanics.
The glutei muscles should be strengthened as well to
correct the imbalance. The iliopsoas tendon may snap over the bones of the
pelvis if the psoas muscle to which it attaches is tight. Psoas muscles are
commonly tight in the general population.
They are hip flexors, which mean they work to bring the lower
and upper body together. Since they are held in a shortened position when
sitting is a regular part of many people’s day, tight psoas muscles are not
uncommon.
They may be especially tight in runners and cyclists, who
use the muscles frequently. A tight psoas pulls up on the iliopsoas tendon,
possibly causing it to snap across bones when the hip moves. You may also need
to use a foam roller to lengthen tight psoas muscles.
Bursitis occurs when a bursa is inflamed and burae are
fluid filled sacs that lay between bones and muscles or tendons, the bursa
helps these structures glide over one another without experiencing friction.
There are burase between the greater trochanters and the IT bands and between
the front of the hip joint and the psoas muscle.
When structures are tight and inflamed, they can rub
against the bursae and cause them to become inflamed. An inflamed bursa fills
with extra fluid and causes pain whenever a structure moves across it. It is
generally tender to the touch as well.
If you experience pain with snapping hip syndrome,
bursitis may be involved. Diagnosing the cause of snapping hip syndrome may be
difficult. A doctor or physical therapist can move your leg in such as way as
to recreate the snapping in an attempt to isolate the relevant structures
involved.
Exercise therapy should be sufficient to treat muscular
causes of snapping hip syndrome. Rarely hip
flexors snapping hip can be caused by torn or broken pieces of cartilage or
bone inside the joint. This may require steroid injections or surgery. Now if
you want some more information on stretching the TFL and IT band then please
visit here.
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