Brief Outline of Iliopsoas Tendinitis
Tendinitis is an inflammation of the tendon and connected muscle. It is usually caused by overuse or use of incorrect equipment. The iliopsoas muscle and tendon can become inflamed through repetitive hip flexion, such as is seen in running, jumping, and even weight training that involves a lot of bending and squatting.
Anatomy and physiology
The iliopsoas is actually made of two muscles; the iliacus, which originates at the hip bone, and the psoas major, which originates at the lumbar spine. Both muscles share their insertion at the top of the femur. The liopsoas muscle is the main flexor of the hip joint. Repetitive flexion can cause inflammation of the tendon and muscle, and occasionally the underlying bursa.
Cause of injury
Repetitive hip flexion, such as running, jumping, and kicking. Untreated trauma to the iliopsoas muscle.
Signs and symptoms
Pain with hip movement. Tenderness over the upper groin area. Pain is gradual and worsens with activity.
Complications if left unattended
Tendinitis can eventually lead to a muscle tear if left untreated and the activity that caused it continues. Bursitis is also another problem that may develop from unattended tendinitis.
- Anti-inflammatoy medication
Rehabilitation and prevention
Once most of the pain has been managed, it is important to start working on the strength and flexibility in the affected muscle. Increasing the flexibility in the opposing muscles responsible for hip extension, will help speed recovery and reduce the chance of recurrence. Proper warm-up before activity and developing strength balance between hip flexors and extensors will also help prevent this injury.
Iliopsoas tendinitis seldom needs more than the initial treatment and rehabilitation to recover fully. If pain persists or becomes more severe and sharp it may be necessary to consult a physician.