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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! Patrick Zerr www.apluspt.com The easiest way to prepare for the National PT Exam! www.summitpt.com 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 that > 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 in > neutral when kicking, it was ok. > > The funny thing is that he gets clicking in his left hip also, but he stated > 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 when > 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? > > Henry*** > > > _________________________________________________________________ > Chat with friends online, try MSN Messenger: http://messenger.msn.com >