Hip Discomfort During Counterclockwise Hula Hooping - Orthopedics

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Performing hula hoop movements counterclockwise, I feel a clicking sensation in the bone on the left side of my hip?


Hello doctor, when I perform hula hoop movements counterclockwise, I feel a clicking sensation in the bone on the left side of my hip, and I cannot smoothly rotate.
Is there a misalignment in the bones?

Mr. Huang, 20~29 year old female. Ask Date: 2017/04/21

Dr. Li Yongheng reply Orthopedics


The bone on the left side of your buttocks feels stiff, and you are unable to move it smoothly in a circular motion.
It is likely not a dislocation.
If you are concerned, you may visit an orthopedic clinic for an X-ray examination.
Wishing you a speedy recovery.

Reply Date: 2017/04/21

More Info


When it comes to hip discomfort during counterclockwise hula hooping, there are several factors to consider that could be contributing to your symptoms. The sensation of "catching" or discomfort in the left side of your hip while performing this motion may be related to several anatomical and biomechanical issues.

Firstly, it is important to understand the anatomy of the hip joint. The hip is a ball-and-socket joint, where the head of the femur (thigh bone) fits into the acetabulum (the socket in the pelvis). This joint is surrounded by a capsule and is supported by ligaments and muscles that allow for a wide range of motion. When you perform movements like hula hooping, the hip joint undergoes significant rotational and lateral forces. If there are any underlying issues, such as tight muscles, tendons, or ligaments, these can lead to discomfort or a feeling of restriction.

One possible cause of your discomfort could be related to the iliotibial (IT) band, which runs along the outside of the thigh from the hip to the knee. Tightness in the IT band can lead to friction and discomfort in the hip area, especially during repetitive movements. Additionally, the gluteal muscles, particularly the gluteus medius and minimus, play a crucial role in stabilizing the hip during dynamic movements. If these muscles are weak or tight, they may not provide adequate support, leading to discomfort.

Another consideration is the possibility of hip impingement, which occurs when the bones of the hip joint rub against each other during movement. This can happen due to structural abnormalities in the hip joint or as a result of repetitive stress. Symptoms of hip impingement can include pain, a catching sensation, and limited range of motion.

In terms of treatment and management, it is essential to first identify the underlying cause of your discomfort. Here are some steps you can take:
1. Rest and Modify Activity: If you experience pain during hula hooping, it may be beneficial to take a break from this activity and allow your hip to rest. Consider modifying your movements to reduce strain on the hip joint.

2. Stretching and Strengthening: Incorporate stretching exercises for the hip flexors, glutes, and IT band to improve flexibility. Additionally, strengthening exercises for the hip stabilizers can help provide better support during dynamic movements.

3. Physical Therapy: Consulting with a physical therapist can be highly beneficial. They can assess your hip mechanics, identify any weaknesses or imbalances, and develop a tailored rehabilitation program that addresses your specific needs.

4. Warm-Up and Cool Down: Ensure that you are properly warming up before engaging in activities like hula hooping. A good warm-up can prepare your muscles and joints for movement, reducing the risk of injury.

5. Consult a Specialist: If your symptoms persist despite conservative measures, it may be advisable to consult an orthopedic specialist. They can perform imaging studies, such as X-rays or MRIs, to rule out any structural issues in the hip joint.

In conclusion, while discomfort during counterclockwise hula hooping may be concerning, it is often manageable with appropriate care and attention to your body's needs. By addressing any underlying issues and incorporating preventive measures, you can work towards enjoying your activities without discomfort. Always listen to your body and seek professional guidance if needed to ensure a safe and effective approach to your physical activities.

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