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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?
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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Scott F. Gillman, DC, DACBSP
Expertise
21 Years in practice: I can answer any question regarding chiropractic and sports medicine treatment. Mostly, I can help the unknowing public understand what is safe, valid, reasonable and evidence-based, and what kinds of unscrupulous chiropractors and fraudulent methods to stay away from. I have an advanced specialty degree in Chiropractic Sports Medicine. I have experience treating elite and Olympic athletes.
Experience
Experience:
- 21 years in practice;
- Pan American Games, 2011: Official Medical Staff for the Pan Am Games.
- Beijing 2008 Olympic Games: World Olympians Associan and International Sports Chiropractic Association Healthcare Team;
- International Chiropractic Sports Sciences Diploma;
- Official Provider: Jamaican Track and Field team for Penn Relays (2009-2011)
- Experience with USA Gymnastics Healthcare team and International Powerlifting Association Medical Staff;
- 300 hour chiropractic sports medicine diplomate degree (DACBSP); International Chiropractic Sports Sciences Diploma (ICSSD)
- Healthcare Consultant: Century, Ty-Wood Corp. Holliston, MA (2005-2007)
- Team Chiropractor: Boston Bulldogs USL D-3 & Boston Renegades USL W-1 League (1999-2004)
- Independent Examiner: Scope Medical and The Physician's Network
- Professional/Clinical Monitor: Affiliated Monitors, Inc.
- Board of Directors: MetroWest Chamber of Commerce (Massachusetts)2000-2006
- "The Impact of Chiropractic Manipulative Therapy on Chronic Recurrent Lateral Ankle Sprain Syndrome in Two Young Athletes" J. of Chiro Med , Fall 2004
- "Work Related Injury;" The Hanover Report, June, 1993
- "Long Lasting Analgesic Effect of Oxymorphonazine in Rats;" Agonists and Antagonists III, n.7675, 1985
- BS Biology, Doctor of Chiropractic: Northwestern College of Chiropractic,
- Diplomate: American Chiropractic Board of Sports Physicians (DACBSP)
Education/Credentials
Doctor of Chiropractic Diplomate: American Chiropractic Board of Sports Physicians
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