Is Hip Clicking Related to Lumbar Disc Herniation Symptoms?

Q: Is Hip Clicking Related to Lumbar Disc Herniation Symptoms?

Hello： Based on your description, if there is a popping sound when the hip or pelvis rotates, it is generally considered to be a friction sound from the intra-articular tissues. <br>However, it could also be due to other issues. <br>I recommend seeking a nearby physician for eval

Is there a relationship between herniated discs and the popping sound in the hip joint?

Hello, I went to a major hospital for an examination because my foot was experiencing numbness and tingling.
The result was a herniated disc at the L4-L5 level.
However, since I have to complete a 3000-meter run for police academy by the end of December, I previously asked other doctors, and they said I could run, but for a short duration.
I ran a little, but now I'm unsure if it's due to a previous back strain or the herniated disc, as I hear a clicking sound when rotating my hip or pelvis.
Could this be related to the herniated disc, or could it be due to other issues like misalignment or displacement? Thank you very much; I appreciate your help.

Gao Xiansheng, 10~19 year old female. Ask Date: 2015/12/01

Dr. Lai Zhaokang reply Neurosurgery

Hello: Based on your description, if there is a popping sound when the hip or pelvis rotates, it is generally considered to be a friction sound from the intra-articular tissues.
However, it could also be due to other issues.
I recommend seeking a nearby physician for evaluation.
Wishing you peace and health.
Lai Zhaokang.

Reply Date: 2015/12/01

More Info

Hip clicking, or the sensation of popping or snapping in the hip joint, can be a common occurrence and may not always indicate a serious underlying issue. However, when combined with symptoms of lumbar disc herniation, such as numbness or tingling in the legs, it is essential to consider the potential connections between these two conditions.

In your case, you have been diagnosed with an L4-L5 disc herniation, which can lead to various symptoms, including pain, numbness, and weakness in the lower extremities. The lumbar spine and the hip joint are closely related anatomically and functionally. The lumbar spine supports the upper body and transfers weight to the pelvis and lower limbs. Any dysfunction in the lumbar region can potentially affect the mechanics of the hip joint.

Hip clicking can occur due to several reasons:
1. Ligament or Tendon Movement: Sometimes, ligaments or tendons can snap over bony structures in the hip joint, causing a clicking sound. This is often benign and may not be associated with pain.

2. Joint Mechanics: Abnormal joint mechanics due to muscle imbalances or weakness can lead to altered movement patterns in the hip, resulting in clicking or popping sounds.

3. Cartilage Issues: If there is damage to the cartilage in the hip joint, it can lead to irregularities in joint movement, which may cause clicking.

4. Hip Labral Tear: A tear in the labrum, the cartilage that surrounds the hip joint, can also lead to clicking sensations, often accompanied by pain or instability.

Given your history of lumbar disc herniation, it is possible that the hip clicking is related to compensatory changes in your movement patterns due to pain or weakness in the lumbar region. For instance, if you are favoring one side due to discomfort, it can lead to altered biomechanics in the hip joint, resulting in clicking.

To address your concerns, consider the following steps:
- Consult a Specialist: Since you have already seen a physician for your lumbar issue, it may be beneficial to consult an orthopedic specialist or a physical therapist who can assess your hip mechanics and provide targeted rehabilitation exercises.

- Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the hip and lumbar spine, improve flexibility, and correct any movement dysfunctions. A physical therapist can also provide specific exercises to stabilize the hip joint and alleviate clicking.

- Activity Modification: While you are preparing for your running test, it is crucial to listen to your body. If running exacerbates your symptoms, consider cross-training with low-impact activities, such as swimming or cycling, to maintain your fitness without putting excessive strain on your back and hips.

- Rest and Recovery: Ensure you are allowing adequate time for recovery, especially if you experience pain or discomfort during or after activities. Overexertion can lead to further complications.

- Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and intensity of the hip clicking, as well as any associated pain or discomfort. This information can be valuable for your healthcare provider in determining the best course of action.

In conclusion, while hip clicking can be related to various factors, including your lumbar disc herniation, it is essential to evaluate the entire kinetic chain from the lumbar spine to the hip joint. A comprehensive assessment by a healthcare professional will help determine the underlying cause of your symptoms and guide you toward appropriate treatment and rehabilitation strategies.

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