“I think there is something not right in my body”: Beliefs and attitudes of active adults with hip/groin pain towards hip crepitus – A qualitative study

Abstract

Background

Hip crepitus is a persistent and highly prevalent symptom in active adults with hip/groin pain. Its presence may influence their perceptions about prognosis, treatment options and sports participation.

Objective

We explored the beliefs and attitudes of active adults with hip/groin pain towards hip crepitus.

Methods

Semi-structured interviews involving 15 adults with hip/groin pain who participated regularly in sports activities were conducted. Verbatim transcriptions of the interviews were independently analysed through a six-phase reflexive thematic analysis by two authors prior to the consensus meetings.

Results

We identified one overarching theme: Crepitus – an unwanted sensation, which divided the sample into two groups based on their description of crepitus and associated symptoms: (i) clicking and tightness and (ii) grinding and pain. The similarities and differences between the two groups were highlighted for the three main themes: (1) Worries related to crepitus – uncertainty and anxiety; (2) Impact of crepitus on sport and daily life – hip flexion avoidance; and (3) Different mindsets about crepitus treatment – keep on moving.

Conclusion

Our findings provide novel information regarding the perspectives of active adults with hip/groin pain towards hip crepitus, generating insights for health professionals on patients’ perceptions. In summary, active adults with hip/groin pain modify their activities, especially hip flexion movements, due to the sensation of hip crepitus. Additionally, they are typically worried about the meaning of their crepitus and the future of their hip joint health and are interested in active treatments to reduce the severity of hip crepitus.