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General Medical Questions
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Question : I have a hip click. I am only 30 years old. Aren’t I too young to have this? What causes it? Does it go away by itself or is surgery needed?
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The Trusted Source
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Howard LeWine, M.D.

Robert H. Shmerling, M.D. is associate physician at Beth Israel Deaconess Medical Center and associate professor at Harvard Medical School. He has been a practicing rheumatologist for over 20 years at Beth Israel Deaconess Medical Center. He is an active teacher in the Internal Medicine Residency Program, serving as the Robinson Firm Chief. He is also a teacher in the Rheumatology Fellowship Program.

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August 16, 2011
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A:

People often hear clicking and other noises arising in their joints. There often is no significant problem with the joint or surrounding tissues. Or the noises can be associated with joint damage, inflammation or injury.

The hip can make a clicking sound (or cause a sensation of clicking) for many reasons. It could be:

  • Arthritis – osteoarthritis (the “wear and tear” arthritis that comes with age) is the most common, but this would be rare at your age
  • Tendonitis, especially iliotibial band syndrome (see below)
  • Torn cartilage in the hip
  • Hip dysplasia (abnormal growth or development of the hip joint)
  • Abnormal friction or contact between the bones of the hip

For your age, the most common cause is likely the iliotibial band syndrome. It’s a painful condition in which a large tendon (the iliotibial band, a major hip flexor) rubs over a bone that sticks out along the front or outside of the hip. The first choice of treatment is usually physical therapy, adjustments in your exercise program (for example, less running and more swimming), and anti-inflammatory medications or pain relievers.

Femoral acetabular impingement (FAI) is another common cause of hip clicking in young adults. With FAI, an abnormal shape of the bones of the hip puts stress on the bones so the joints don’t move smoothly. This may be a form of dysplasia.

Joint noises aren’t usually serious. Unless your joint hurts, locks (gets stuck in one position) or feels unstable, treatment may not be necessary. And it may go away on its own. If you have pain or other symptoms, though, it’s worth getting your hip checked out.

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