синдром подвздошно-большеберцовой связки

You may not have ever known you had a sacroiliac joint, much less where it is. Until it starts to ache. Then, it’s hard to miss how much you use it to move around and do your everyday activities.

You have two sacroiliac joints. They connect your pelvis with the lower part of your spine. Most joints, like the knee and hip, have a wide range of movement, but the sacroiliac rotates and tilts only slightly. That lets it do its main job: to stabilize and support your pelvis, help to transmit the weight of your upper body to your legs, and act as a "shock absorber" when you walk or run.

The sacroiliac joint can be injured in a number of ways, making even daily activities, like sitting, walking or climbing stairs, difficult. This is called sacroiliac joint dysfunction. 

Causes

The most common cause of SI joint dysfunction is injury from a car accident or fall.  But it can also happen from:

·       Sports injuries such as a football tackle

·       Stress or injury to the joint over and over, such as from jogging for many years

·       Older age

·       One leg that’s shorter than the other

·       A spinal injury

·       Scoliosis (abnormal curvature of the spine)

·       Spinal surgery, especially operations that fuse the lower part of the spine, called the sacrum

·       Pregnancy. The hormones that a woman’s body makes near the time of delivery can cause the pelvis to relax and change position. Weight gain, changes in posture, and the childbirth process can also cause problems in the joint.

Half of people with SI joint pain can trace it back to a specific event, like that car accident or sports injury. Other times, though, there's no obvious reason for the problem.

Symptoms

Pain is often the main symptom, usually in the lower back and buttock and sometimes the back and upper leg.

Some people also feel SI joint pain in the groin, belly, and even their feet. Studies have found that intense pain in the central area of your body is more likely to spread to the outer parts.

Aches from SI joint dysfunction usually show up on one side of the body rather than both sides.

Low back and leg pain have many possible causes, so you’ll need to work with your doctor to figure out if your SI joint is the reason you hurt.

Source http://www.webmd.com/back-pain/si-joint-pain-16/si-joint-dysfunction

Snapping hip syndrome, sometimes called dancer's hip, is a condition in which you hear a snapping sound or feel a snapping sensation in your hip when you walk, run, get up from a chair, or swing your leg around. For most people, the condition is little more than an annoyance and the only symptom is the snapping sound or sensation itself. But for dancers or athletes, snapping hip syndrome symptoms may also include pain and weakness that interfere with performance.

Snapping Hip Syndrome Causes

In most cases, snapping is caused by the movement of a muscle or tendon over a bony structure in the hip.

The most common site is on the outside of the hip where a band of connective tissue known as the iliotibial band passes over part of the thigh bone that juts out -- called the greater trochanter. When you stand up straight, the band is behind the trochanter. When you bend your hip, however, the band moves over and in front of the trochanter. This may cause the snapping noise.

The iliopsoas tendon, which connects to the inner part of the upper thigh, can also snap with hip movement.

Another site of snapping is where the ball at the top of the thigh bone fits into the socket in the pelvis to form the hip joint. The snapping occurs when the rectus femoris tendon, which runs from inside the thighbone up through the pelvis, moves back and forth across the ball when the hip is bent and straightened.

Less commonly, a cartilage tear or bits of broken cartilage or bone in the joint space can cause snapping, or a loose piece of cartilage can cause the hip to lock up. This can cause pain and disability.

Snapping Hip Syndrome Treatment

Unless snapping hip syndrome is painful or causes difficulty in sports or other activities, many people do not see a doctor or have it treated.

For minor snapping syndrome pain, try home treatments such as:

• Reducing or modifying activity
• Applying ice
• Using over-the-counter pain relievers

For more severe pain or pain that does not improve with home treatment, see your doctor.

Physical therapy with emphasis on stretching, strengthening, and alignment can often help. Sometimes, treatment with a corticosteroid injection to the area can relieve inflammation. In rare cases, doctors may recommend surgery.

Snapping Hip Syndrome Stretches

Recommended exercises to treat snapping hip syndrome will vary depending on the type of snapping hip syndrome you have. Snapping hip syndrome stretches may include:

Quadriceps stretch. Standing arm's length from a wall, place the hand opposite the painful hip against the wall for support. With your other hand, take hold of the ankle of the painful leg and, keeping your knees together, pull your ankle up toward your buttocks. Hold for 30 to 60 seconds and release. Repeat three times.

Hamstring stretch. Lie flat on your back on the floor in a doorway so that your upper body is on one side of the doorway and your lower body is on the other and the painful hip is against the door frame. Raise the painful leg and rest it against the wall next to the door frame. Hold for 30 to 60 seconds and then lower. Repeat three times.

Piriformis stretch. Lying on your back with both knees bent, place the foot of your uninjured leg flat on the floor and rest the ankle of your painful leg over the knee of your uninjured leg. Take hold of the thigh of the uninjured leg and pull the knee toward your chest. Hold for 30 to 60 seconds and release. Repeat three times.

Iliotibial band stretch. Standing with your legs together, cross your uninjured leg in front of the painful leg, then bend down and touch your toes. Hold for 30 seconds, then return to starting position. Repeat three times.

Source http://www.webmd.com/a-to-z-guides/snapping-hip-syndrome-causes-symptoms-treatments#1