T Nation

Hip Problem

Hi.

I am having some hip problems, and was trying to see if you guy’s could help me out. What is basically going on is that I am getting a popping noise, and tightness around my right hip. Its almost like the hip dosen’t want to stay in its socket. The tightness I feel mostly on the inside of my hip. I mean my whole right leg just feels unstable. When doing squats I get a pain on the tops, and inside of the hip. My hip, and knee wants to go inward, and not outward.

I also noticed when doing bench presses, I can get my left foot on the ground, but the right hip (mostly the inside of the hip) feels really tight, and I can’t really get the right foot on the ground.

Mostly when I get the popping is when I am lifting my leg up, and I get the popping with I lower the leg.

I have tried going to a chiropractor for it, but I can’t say it really did much for it. It did help with the back pain I was having though.

Anyways, anybody know what is going on, or have any suggestion’s as to what I could do?

I won’t even try to claim I’m an expert, so if I were you I would go to a physiotherapist or sports medicine specialist to get a real diagnosis.

It sounds like it may be related to your hip flexor flexibility. Not being able to fully extend your hip and hold your right foot on the ground while benching could mean you are very tight through the front of your hip. The pain and instability…could be due to poor development of the hip ABDuctors/ADDuctors and other stabilizing musclex in the hip girdle.

There are so many factors involved in hip dysfunction…until you have a specialist watch you move and assess you both actively and passively, the answer is not that simple. Good luck.

[quote]Jimmy the Saint wrote:
I won’t even try to claim I’m an expert, so if I were you I would go to a physiotherapist or sports medicine specialist to get a real diagnosis.

Good luck.[/quote]

x2

[quote]Jimmy the Saint wrote:
I won’t even try to claim I’m an expert, so if I were you I would go to a physiotherapist or sports medicine specialist to get a real diagnosis.

It sounds like it may be related to your hip flexor flexibility. Not being able to fully extend your hip and hold your right foot on the ground while benching could mean you are very tight through the front of your hip. The pain and instability…could be due to poor development of the hip ABDuctors/ADDuctors and other stabilizing musclex in the hip girdle.

There are so many factors involved in hip dysfunction…until you have a specialist watch you move and assess you both actively and passively, the answer is not that simple. Good luck.[/quote]

Let’s say that I am not able to make it to a physiotherapist, or a sports medicine specialist. What all can I do to try, and fix the problem’s that I having with my hip?

If you can’t even make it to a specialist…I would highly recommend purchasing the Magnificent Mobility DVD by Cressey and Robertson. I would also tell you to check out the “Agile Eight” series by DeFranco. Both would help you move towards improving general hip function. This in no way means that you don’t have a specific hip dysfunction that requires more attention than general mobility and strengthening drills.

Sounds like GT Bursitis, go see a doctor. That’s the only way you’re going to know for sure.

And what can you do? Well without properly knowing what the problem is, how can you fix it?

If it is bursitis, you can do a lot of stretching exercises/physical therapy to help strengthen up you ligs and what not for the joint. Research it on the internet and you’ll find a lot of information.

Judging by your symptoms, I’d say that the glutes on that side aren’t firing correctly.

Stretch the hip flexors on that side
Perfom Glute activation work before training
Utilize lots of single leg stuff.

Try it for a couple weeks and let us know how it goes.

It’s great how everyone offers a different diagnosis, all of which are wrong.

You have what’s called snapping hip syndrome. Why you have it, no one online should try to tell you, it would only be guesswork.

Here is the wikipedia link: http://en.wikipedia.org/wiki/Snapping_hip_syndrome

I’m a physical therapist.

Some people were just offering suggestions. Other were making diagnoses. Either way, you’re just as guilty of giving a diagnosis online…

[quote]Cesium wrote:
It’s great how everyone offers a different diagnosis, all of which are wrong.

You have what’s called snapping hip syndrome. Why you have it, no one online should try to tell you, it would only be guesswork.

Here is the wikipedia link: http://en.wikipedia.org/wiki/Snapping_hip_syndrome

I’m a physical IDIOT.[/quote]

fixed that for you!

You probably aren’t a PT, and if you are I would rather amputate my limb with a rusty hacksaw before I saw you.

A) Diagnosing online? His hip couldn’t possibly be popping for another reason, oh like a torn labrum or something…

B)Quoting wikipedia? Yeah, how about a peer reviewed journal? A little more scientifically acceptable maybe?

To the OP, its a crapshoot on here. If its inflamed, ice it and pop some ibuprofen. Sure stretching may help, but you need to get to a qualified doc to get a real good idea. Look for an Active Release specialist in you area, they can be a great asset.

Cesium,

I agree with Sicilianspeed.

You’re a physical therapist and you quote wikipedia?

If you’re really are a PT, you must be an inexperienced one. Snapping Hip Syndrome is a very general term because many things can cause a snapping sensation in the hip.

Like I said, if you have weak glutes, you are insufficient posterior pulling on the femur and thus could have a snapping/popping hip.

The OP also mentioned that he experienced pain the front of the hips during squatting, which is also a consequence of inefficient glute firing. Without that pull the femur can not properly glide back into the hip joint, causing a pinching sensation.

The leg instability issue can also be traced back to the gluteal muscles as the gluteus medius is responsible for pelvic stability.

I agree that internet diagnosis isn’t the best solution, but obviously if he posts here, he’s looking for some advice. I’ve seen alot of people benefit from some of the advice that’s posted here.

You’re either full of it or just a shitty P.T.

[quote]thetruth24 wrote:
If you’re really are a PT, you must be an inexperienced one. Snapping Hip Syndrome is a very general term because many things can cause a snapping sensation in the hip.
[/quote]

So no christmas card for you :slight_smile:

But why would you assume that I did not give him a general term because it can’t be diagnoesd online? No one would give the “diagnoses” snapping hip and then prescribe a fix because snapping hip is a trashcan of differentials. You will notice I did not suggest any exercises or whatever, I merely read his post and since he said is hip was snapping I suggested snapping hip.

Wikipedia is not the devil. Not everything on wikipedia is wrong, most of it is actually pretty good stuff. I could have quoted a book but his chances of actually owning said book are close to none and buying a book because of one little problem would be pretty stupid.

You are absolutely right though, it very well might be the glutes. Now tell me how you can rule out the other possible causes? You very well might the be second coming of Kaltenborn if you can.

I’ve had hip problems in the past also, you mentioned you ahd back pain - the too go hand in hand quite often. If I were you, I’d look into trigger point therapy. Since you can’t see a specialist (?) then it probably the safest and most effective method for self-treatment. If trigger points are the issue, then no amount of stretching, PT, or glute activation will do anything for you.

On a related note I saw dozens of “specialists”, MD’s, PT’s, Ortho’s, Chiro’s, Massage Therapists, Acupuncturists, you name it - and none of them were able to diagnose me correctly. I maintain that you have to figure out your own injury by educating yourself, trying different modalities, and increasing your awareness of your body. Here’s a head start. (Stolen from angry-vader). At the very least your right back where you started, only slightly more knowledgeable. You don’t have to buy there products, golf balls, lacross balls, foosballs, tennis balls, foam rollers all work and are a lot cheaper.

http://store.tptherapy.com/ProductDetails.asp?ProductCode=TPT-TTLB&Redirected=Y

My 2 cents, I’m not trying to say he has trigger points for sure, but if you’ve been training for longer than a year your probably have mild trigger points somewhere anyway.

Just to give you guy’s an update. I have been trying to stretch out my hip flexors, and trying to do some glute activation as well. While I was doing the glute activation I noticed I was having some pain around the glute, and hamstring area on my leg.

At first I thought that I really needed to start doing some glute activation. Then noticed that every time I squeezed my right glute, I would get that pain in that area, and I couldn?t really activate that glute.

If I was to stand up, and try to activate my glutes like I was going to squat, I get that pain again. So I checked it out, and it looks like I have some swelling going in the area also. It looks like that might be what is causing the problems I am having.

I have no idea what that could be. I checked around with the suggestions you guy’s gave me with the snapping hip syndrome, and the bursitis. I haven’t heard much about the swelling, and pain in the area that I am having though.

I would go to see a specialist as it seems like that is what I should be doing. I am having some transportation issues right now, and I am not able to go to a specialist.

What do you guy’s think this might be? I think this is what is causing most of my other problems as well, as the pain is in the glute, and the hamstring area.

I think I might of found out what is causing the problems now. It seems to be what you guy’s where telling me about the glutes not firing. My left glute seems to fire like it should, but my right (which is the hip I am having problems with) dosent seem to fire like it should. I have noticed while trying to do bridges, and other glute movements the inside of my leg, and quad activate, but not my glute.

When squatting, or deadlifting I notice that my weight goes to the inside of my right leg. The inside of my leg, and quad wants to activate. It seem’s like I get no activation from the glute, or the outside of the leg when squatting, or deadlifting. I can feel my glute, and the outside of my left leg activating, but not with my right leg.

If my weight goes to the inside of my leg, and my quad wants to activiate while squatting, deadlifting, and also doing glute movements like bridges. What other things can I try to do, to get the glutes to activate?

The best advice I could give online would be to.

Stretch the shit out of your Rectus Femoris (Check out the stretching series by Mike Robertson) and then immediately perform glute activation drills such as the one legged supine bridge. During this drill, its important to squeeze the glutes before even leaving the floor in the bridge. Imagine trying to squeeze a coin between your ass. Once you achieve that, proceed to extend the hip and allow your butt to leave the ground. Be sure to pull the opposite leg close to your chest so that theres no lumbar movement.

After that, I’d really hammer in some single leg work. Stuff like unsupported one legged squats, bulgarian split squats, lunge variations, and Straight leg single leg deadlifts.

Good luck!