Relief of Internal Snapping Hip Syndrome in a Marathon Runner After Chiropractic Treatment
Received 19 May 2003; received in revised form 8 July 2003
Objective
To discuss the assessment, diagnosis and chiropractic management of a patient with sacroiliac joint dysfunction (SIJ) complicated by psoas major snapping hip syndrome (coxa saltans interna).
Clinical Features
A 32-year-old male marathon runner experienced low-back and left hip pain without radiation accompanied by a “popping” in the anterior hip. He ran approximately 100 to 150 km/wk for the prior 3 years. He had stopped running for the previous 3 weeks because of worsening and consistent pain.
Intervention and Outcome
Treatment consisted of side posture SIJ “diversified” manipulation and myofascial release to the psoas muscle twice weekly for 2 weeks. The patient was also taught proprioceptive neuromuscular facilitation exercises of the psoas and iliotibial band muscles. He was instructed to substitute swimming instead of running on a daily basis. Reassessment at 3 weeks found the patient without pain in his hip or back and no clicking or popping in his left hip.
Conclusion
Clinicians should consider that runners who present with coexisting SIJ dysfunction and internal snapping hip syndrome may benefit from the combined management of both conditions.
aPostgraduate student, The Chiropractic Unit, Department of Complementary Medicine, RMIT University, Bundoora, Victoria, Australia
bSenior Lecturer, The Chiropractic Unit, Department of Complementary Medicine, RMIT University, Bundoora, Victoria, Australia
Clark R. Konczak, DC, The Chiropractic Unit, Department of Complementary Medicine, RMIT University, 3936 Cumberland Road, Victoria, British Columbia, Canada V8P 3J6
ABSTRACT