In a snapping hip, a tight iliopsoas tendon “pops” over top of the femoral head, the iliopectineal eminence and labrum. The “popping” may produce a loud sound, and may cause a sensation that the hip is popping out of its socket or dislocating. In many cases, flexing and extending the hip when walking, sitting or standing can reproduce the snapping. It is not usually painful, but it can be for some people. Although snapping hip is usually painless and harmless, the sensation can be annoying. In some cases, snapping hip leads to bursitis, a painful swelling of the fluid-filled sacs that cushion the hip joint. In situations where conservative measures do not treat snapping hip, Dr. Austin Chen, Boulder, Colorado orthopedic hip specialist may suggest a iliopsoas lengthening and release surgery.
What is a iliopsoas lengthening and release surgery?
Dr. Austin Chen uses an arthroscopic, minimally invasive approach to lengthen the psoas tendon. By making small incisions and inserting a camera and surgical tools, Dr. Chen will cut small slits in the tendon, which allows the muscle and tendon to elongate. This will address the symptoms of the tendon rubbing over the pelvis.
What is the recovery from a iliopsoas lengthening and release surgery?
Following surgery, most patients will return home. Dr. Chen will prescribe a physical therapy protocol that will help the patient regain strength and mobility. Physical therapy can be completed through the Boulder Centre for Orthopedics Physical Therapy Center, which offers all patients complete and seamless recovery care. Depending on the individual, most patients will find that they can return to their normal physical activities within 4-6 months time.
