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injury rehab

Why Does Your Hip Pop During Hip Flexor Exercises — And How to Fix It.

Quick answer

Dr. Aaron Horschig (Squat University) breaks down a real patient case of hip popping and pain during a hip flexor exercise, tracing it to the iliopsoas tendon snapping over a bony pelvic prominence. He shares the exact lateral hip stability exercise — a side plank with a small squat pause — that resolved the pain and popping.

Key takeaways

  • According to Dr. Aaron Horschig, hip popping during exercise is most commonly caused by the iliopsoas hip flexor tendon snapping over a bony prominence in the pelvis as the hip moves.
  • Hip popping without pain or discomfort is usually not a big issue, per Dr. Horschig.
  • A weak link in lateral hip stability was the root cause behind one patient's painful hip popping during a hip flexor exercise.
  • A side plank with the top leg lifted, followed by a small squat and pause, retrains the lateral glutes and surrounding hip muscles to control movement together.
  • After training the side plank squat exercise, Dr. Horschig's patient had no more pain or popping during the hip flexor exercise that originally caused symptoms.

Why does your hip pop during a hip flexor exercise?

Watch at 0:06

The most common cause, according to Dr. Aaron Horschig, is the iliopsoas hip flexor tendon snapping over a bony prominence in your pelvis whenever the hip moves. This is a mechanical event — the tendon catches and releases as the hip flexes and extends, producing an audible or felt pop.

One of Dr. Horschig's patients came to him with hip pain and this exact popping sensation every time he lowered the weight during a hip flexor exercise. He couldn't figure out why it was happening, which is what prompted Dr. Horschig to dig into the underlying mechanics of the hip.

Is a popping hip always something to worry about?

Watch at 0:25

No — if the popping isn't associated with pain or discomfort, it's usually not a big issue, according to Dr. Horschig. Plenty of hips snap or pop without any underlying dysfunction that needs correcting.

It only becomes worth addressing when the popping comes with pain, discomfort, or a sense that something isn't moving right. In those cases, Dr. Horschig notes there are things you can do about it, starting with figuring out what's driving the mechanical snap.

What exercise fixes painful hip popping?

Watch at 0:33

Dr. Horschig used a side plank with the top leg lifted, small squat, and pause to fix his patient's painful hip popping. The exercise retrains how the muscles surrounding the hip work together to control movement, specifically targeting a weak link in lateral hip stability.

  1. Set up in a side plank position.
  2. Lift the top leg.
  3. Perform a small squat with the bottom leg and pause at the bottom.
  4. Feel the downside lateral glutes working hard to keep the pelvis off the ground.
  5. Return to the starting position and reset.

After training this movement, the patient had no more pain or popping during the hip flexor exercise that originally triggered his symptoms — a sign, in Dr. Horschig's words, that he was 'finally on the right track.'

Notable quotes

One of the most common is the iliopsoas hip flexor tendon snapping over a bony prominence in your pelvis whenever the hip moves.

Squat University 0:18

If it's not associated with pain or discomfort, it's not usually a big issue.

Squat University 0:25

He could feel his downside lateral glutes working hard to keep his pelvis off the ground.

Squat University 0:45

There was no more pain or popping with this movement, showing he was finally on the right track.

Squat University 0:54

Frequently asked questions

Why does my hip pop when I lower weight during a hip flexor exercise?

According to Dr. Aaron Horschig, the most common cause is the iliopsoas hip flexor tendon snapping over a bony prominence in the pelvis as the hip moves. This mechanical snap can happen with or without pain, and it was the exact issue one of his patients experienced every time he lowered the weight during a hip flexor exercise.

Is hip popping without pain a problem?

No, Dr. Horschig explains that if hip popping isn't associated with pain or discomfort, it's usually not a big issue. Many people experience the iliopsoas tendon snapping over the pelvis without any dysfunction, so painless popping generally doesn't require treatment.

What causes painful hip popping to need treatment?

Painful hip popping often points to an underlying weak link somewhere in the hip's stabilizing system. In Dr. Horschig's patient case, the issue was weak lateral hip stability, meaning the muscles around the hip weren't working together properly to control movement, which led to the tendon snapping with pain.

What exercise helps stop hip popping and pain?

Dr. Horschig used a side plank with the top leg lifted, followed by a small squat with a pause, then a return to the start position. This exercise makes the downside lateral glutes work hard to keep the pelvis off the ground, retraining lateral hip stability and, in his patient's case, eliminating the pain and popping entirely.

Is snapping hip syndrome the same as the iliopsoas tendon snapping?

The iliopsoas tendon snapping over a bony pelvic prominence is one of the most common mechanisms behind what's often called snapping hip syndrome, per Dr. Horschig. He notes there can be multiple causes of hip popping, but this tendon-over-bone mechanism is among the most frequent.

Full transcript

0:00Patient's hip popping case introduction

This patient came to me with hip pain and that exact same hip popping sound and sensation every time he would lower the weight during this hip flexor exercise, and he couldn't figure out why. While there can be many causes of this problem, one of the most common is the iliopsoas hip flexor tendon snapping over a bony prominence

in your pelvis whenever the hip moves. Now, if it's not associated with pain or discomfort, It's not usually a big issue, but if it is, there are some things that we can sometimes do about it. For my patient, I found he had a big weak link in lateral hip stability.

So I gave him an exercise that would change how all the muscles that surround the hip work together to control movement. I had him perform a side plank with his top leg lifted, then perform a small squat and pause right here. He could feel his downside lateral glutes working hard to keep his pelvis off the ground. Then come back up and reset.

And after, there was no more pain or popping with this movement, showing he was finally on the right track.

0:19What causes hip popping: the iliopsoas tendon

0:33The lateral hip stability exercise fix

0:52Result: pain and popping resolved

Mentioned in this video

People
  • Dr. Aaron Horschig
Organizations
  • Squat University
Concepts
  • iliopsoas
  • snapping hip syndrome
  • side plank exercise
  • lateral hip stability
  • hip flexor exercise