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Hip pain / clicking


Nancy19
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My daughter is complaining of hip pain, I placed my hand on her hip and when she moves it feels like its popping in and out. Obviously it's not but there is some clicking / popping here. She's always been able to do this but has only recently started complaining of pain. She's 12 years old and does 2 hours of grade 6 rad ballet plus 2 hours of intermediate, and tap and modern. Does anyone have any ideas or advice on what this could be, should I take her to GP or another practioner?

Thanks in advance, x

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Pain is a signal to stop and find the problem.

 

I would first get her checked out by a medical professional like an orthopedic doctor.  It's always a plus if the doctor has some knowledge of dance.

 

Once any physical problems have been checked, the next step is often (but not always) a physical therapist to advise on "useage"  - how the joint is being used and to rectify any problems in that area.

 

Clicking and popping sometimes indicates the slippage of a tendon on its track.  But pain is the signal to stop..

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Thank you both for your quick replies! Today was the first day she's complained of pain. Thursday is her night off of dance, so she was resting all evening, she did however do netball and cross country run today at school! Will contact GP tomorrow and get an appointment.

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Would definitely echo the advice above to seek a professional medical opinion. A few years ago when my dd was 12, she started complaining of hip pain a couple of days after starting back at ballet lessons after the summer holidays. Fortunately we were able to see a consultant very quickly and when her hip was scanned there was quite a bit of fluid around the joint, which suggested an injury. It totally cleared up, but she was off dance for around half a term and was told to keep her weight off it as much as possible and definitely no physio.

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I've had something that sounds similar before.

I agree with the above advice, get a professional opinion, just wanted to add an exercise I was given,

it may help?:

 

tie a theraband (if she has one) above the knees fairly tightly.

then stand on one leg and bend it slowly keeping the knees and hips in line.

 

this should help align the hips a bit (from what I can remember!!)

do as many reps as possible but take care not to put stress on the knees.

:)

Edited by aballetlife
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Hi, make sure you put some pressure on the GP to refer her to an orthopaedic consultant. (Anjuli - FYI In the UK we don't have the luxury of going straight to an orthopaedist we have to go via our GP or family doctor.)

 

Or if the waiting time will be too long (as I think it might) - go straight to a sports/dance physio or similar health professional. Chances are it's some kind of 'itis' caused by weakness and overuse, and they'll be able to treat it and help with rehabilitation. 

 

If you are near London, Bath or Birmingham you could try to get a referral to one of the NIDMS clinics.

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I've seen quite a lot about "snapping hip" in dancers - although of course, as others have said, do go and get it checked out by a dance physio or by referral to an orthopaedic surgeon with experience with dancers.  She's also still quite young and so it might not apply in quite the same way as for older dancers.  But in the meantime - these might be useful:

 

http://www.kapiolani.org/uploadedfiles/kapiolani/kapiolani_medical_specialists/snappinghip.pdf

http://en.wikipedia.org/wiki/Snapping_hip_syndrome

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f

 

 (Anjuli - FYI In the UK we don't have the luxury of going straight to an orthopaedist we have to go via our GP or family doctor.)

 

 

 

 

I do know that in the UK a referral to an orthopedic is necessary - but I've also heard that some people pay privately -- and so my intent was that in either case, the aim is to get the opinion of an orthopedic doctor.

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Thank you all so much for the advice, can't get into GP until next Thursday ???? but I'm now researching the private route. This morning it didn't hurt but she's off to intermediate for 2 hours now so will be interested to see what happens after. She apparently has a 'flat turn out' I know nothing about dance and turn out, but her teacher mentions this a lot. Could this be a contributing factor? x

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Thank you all so much for the advice, can't get into GP until next Thursday but I'm now researching the private route. This morning it didn't hurt but she's off to intermediate for 2 hours now so will be interested to see what happens after. She apparently has a 'flat turn out' I know nothing about dance and turn out, but her teacher mentions this a lot. Could this be a contributing factor? x

 

As for being a contributing factor - It depends upon how that "flat turnout" is achieved and if she as yet has the strength to hold it stable while in motion.   The teacher should be able to tell you.  Another factor the teacher should be able to check is whether that "flat turnout" is equal on both sides in both flexibility as well as strength.  

 

Often both sides of the body are not equal and one side can put pressure on the other - the teacher should be able to detect this, too.

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Thank you, Anjuli_Bai I will try to speak to the teacher tonight. If I don't catch her, ( she shuts the studio door and hates being disturbed! ) I will drop her an email tonight. Once again, many thanks for your knowledgable advice ????

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My dad also had this. We saw an osteopath that put her spine and hips back in line. She is now at Tring and when she comes home she has a sports massage and realignment! Dancing is so hard on the body. The cost of treatment is well worth it as my dd doesn't feel hip pain anymore even tho the level of dance has increased. Its all about looking after the body I think. Dancers are very much fine tuned athletes... Just without the appreciation!

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I was going to say that even if you pay privately you have to be referred by your GP.

 

During dds dance physio assessment at school they reccomended she have some preventative physio sessions to help with a potential issue (injury prevention)

 

We basically had to tell our family dr what to say in the referral letter as she didn't have a clue what we were talking about or why it might be an issue!

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Thank you all so much for the advice, can't get into GP until next Thursday ...

Good.  Until then, can you stop everything?  I agree with seeking medical advice - as a second step (in the case you described).  The first step, especially with young bodies in the throes of puberty, should be rest.  See what happens, then go from there.

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