I believe that when glute med is short (lacks flexibility) and weak it
causes hip popping. Strengthening it alone won't be enough. Shirley
Sarhman's new book deals with popping hip to some degree. The key is to
restore the normal motion and get rid of the pain.
With your patients painful IR movement he may have a shortened glute med, or
bicep femoris. Good luck!
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Summit Physical Therapy; Tempe, Arizona
----- Original Message -----
From: "Henry Tsao" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, January 15, 2002 6:16 AM
Subject: Re: clicking in the groin?
> David and others,
> Thank you for all your suggestions. One thing I found with this guy was
> when he does a side kick with internal hip rotation, he gets the click and
> the sharp pain in the groin. My hypothesis was the iliopsoas, and have
> started him on psoas stretches. He stated that as long as he kept his hip
> neutral when kicking, it was ok.
> The funny thing is that he gets clicking in his left hip also, but he
> that only during abduction past 45 degrees. This clicking felt deep inside
> the joint and was not painful (but very annoying especially when side
> kicking with the left). He has not injured that hip either previously.
> Muscle testing was weak left more than right on the gluts (especially glut
> med). My impression was that perhaps he had weak hip stabilizers hence
> he abducted his hip, he was somehow subluxing the hip inferiorly (??just a
> guess??). Does anybody have any other ideas on this non-painful hip?? Any
> ideas for rehabilitation?
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