From the Research
The initial management for snapping hip in pediatric patients should focus on conservative measures, including rest, activity modification, and physical therapy, as this approach has been shown to be effective in resolving symptoms within 4-6 weeks, as noted in the most recent and highest quality study 1. The goal of treatment is to address the underlying biomechanical issues contributing to the condition, such as tight muscles or tendons moving over bony prominences, while avoiding unnecessary interventions during skeletal development.
- Conservative management includes:
- Rest and activity modification to avoid triggering the snapping sensation
- Physical therapy focusing on stretching exercises for the iliopsoas and iliotibial band, along with strengthening of hip abductors, external rotators, and core muscles
- Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen for short-term pain management if needed
- Application of ice for 15-20 minutes after activity to reduce inflammation
- This approach is supported by recent studies, including a comprehensive literature review 2 and a review of surgical interventions for external snapping hip syndrome 3, which highlight the importance of conservative management as the initial treatment strategy.
- The use of arthroscopic procedures or open surgical management may be indicated for patients with persistent pain and symptoms, as discussed in the study 1, but this should only be considered after conservative measures have been exhausted.