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Dr. G previous answer
9/26 8:49:48

Question
You previously stated that for snapping hip syndrome there is no use for anti-inflammatory medicines.  Did you forget to consider that Bursitis is usually paired hand to hand with the popping tendon? If the bursitis isn't dealt with then how can the tendon stay in its place when the bursa is in the way?

Answer
Ashley,

I didn't forget to consider anything.  I gave the most obvious answer since this is not a perfect forum to discuss all the aspects of snapping hip syndrome (which could take pages of text that I do not have time to present).  Basically, snapping hip syndrome is not a truly inflammatory condition even though some people get relief with NSAID meds.  Some, especially young athletes, will get relief with injection at the hamstring tendon even though that is not the apparent site of snapping.  Tendinopathy is not an inflammatory situation, but often a degenerative condition or an altered-anatomy condition (e.g. tendon sheath thickening).  Bursas can become inflammed, and if they do it is exquisitely painful to touch or press them.  Bursal membranes can also become thickened from chronic inflammmation, and then lead to joint crepitus or snapping.  But snapping hip syndrome is often a condition in young people, especially females, and not a result of inflammed bursas.  Cortisone injection, by virtue of a volume of solution burst into an area can create relief.  

'Hope this helps,

Dr. G

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