Hearing sounds while exercising?
Doctor, when I perform squats, I can hear a sound coming from my hip joint (not the knee joint), but there is no pain or swelling.
Is this normal? Additionally, I previously experienced a sensation like a needle prick on the left side of my tailbone for a week, which has now disappeared.
I consulted a family physician who mentioned it might be related to sciatica, possibly due to a prior sports injury.
He prescribed anti-inflammatory medication and a muscle relaxant but did not recommend further testing.
Should I be concerned about conditions like a herniated disc? Thank you.
Ang, 20~29 year old female. Ask Date: 2014/03/23
Dr. Wang Shouji reply Orthopedics
Hello: If a herniated disc improves with rest and medication, there is no need to worry too much for the time being.
However, if it recurs, further evaluation is necessary to determine if there is a disc issue causing nerve compression.
A popping sound in the hip when squatting may be due to "snapping hip syndrome" related to the gluteal muscle system, which does not require treatment if there is no pain.
Thank you!
Reply Date: 2014/03/23
More Info
When performing squats, it is not uncommon to hear sounds coming from the hip joint, especially if there is no accompanying pain or swelling. These sounds can be attributed to several factors, including the movement of tendons or ligaments over bony structures, the release of gas bubbles in the joint fluid, or even the normal mechanics of the hip joint itself. As long as the sounds are not associated with pain, discomfort, or swelling, they are generally considered normal and not a cause for concern.
The phenomenon you are experiencing can be related to a condition known as "crepitus," which is the medical term for the crackling or popping sounds that can occur in joints. In the case of the hip, this can happen due to the movement of the iliotibial band or other soft tissues as they glide over the femur (thigh bone) during squatting. This is particularly common in individuals who are active and engage in exercises that require significant hip flexion and extension.
Regarding your previous experience with left-sided tailbone pain that felt like a needle prick, it is reassuring that the sensation has resolved. The initial assessment by your family physician suggesting a possible issue with the sciatic nerve is plausible, especially if the discomfort was related to a recent increase in physical activity or a specific movement that may have strained the area. Sciatica can occur when the sciatic nerve is irritated or compressed, often due to muscle tightness or inflammation.
The treatment you received, including anti-inflammatory medication and muscle relaxants, is a common approach for managing such symptoms. If the pain has subsided and you are not experiencing any recurring symptoms, it is likely that there is no significant underlying issue, such as a herniated disc. However, if you notice a recurrence of symptoms or if they worsen, it would be prudent to seek further evaluation. Imaging studies, such as an MRI, can provide more insight into the condition of your spine and help rule out any serious issues like a herniated disc or other structural problems.
In summary, the sounds you hear during squats are typically normal, especially in the absence of pain or swelling. Your previous tailbone discomfort appears to have resolved, and unless symptoms return or worsen, there is likely no need for concern regarding serious conditions like a herniated disc. However, maintaining good posture, strengthening the core and hip muscles, and ensuring proper technique during exercises can help prevent future issues. If you have any further concerns or if symptoms persist, consulting with an orthopedic specialist or a physical therapist may provide additional reassurance and guidance tailored to your specific situation.
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