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Low back pain associated with internal snapping hip syndrome in a competitive cyclist
  1. T L Little,
  2. J Mansoor
  1. Physical Therapy, University of the Pacific, Stockton, CA, USA
  1. Tamara L Little, Physical Therapy, University of the Pacific, 3601 Pacific Avenue, Stockton, CA 95211, USA; tlittle{at}


Low back pain is a common complaint among cyclists. Here we present the case of a competitive master cyclist with low back pain and whose symptoms ultimately resolved when he was treated for internal snapping hip syndrome. Internal snapping hip syndrome is a painful lesion of the iliopsoas caused by snapping of the tendon over the iliopectineal eminence or anterior femoral head when the femur is extended from a flexed position. This is the first published report that we are aware of that describes this syndrome as a potential cause of low back pain in a competitive cyclist.

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