Hip Tendonitis

Hip tendinitis (or iliopsoas tendinitis) is an inflammation or irritation of the iliopsoas muscle. This muscle is located in the front part of the hip. This condition can be caused by an injury or overuse of the muscle. Sports that require a lot of running, jumping, kicking or squatting can all contribute to this condition. If you recognize the signs or symptoms of hip tendinitis, see your doctor for treatment to avoid complications.

Causes of Tendonitis

There are hundreds of tendons scattered throughout our body, but it tends to be a small handful of specific tendons that cause problems. These tendons usually have an area of poor blood supply that leads to tissue damage and poor healing response. This area of a tendon that is prone to injury is called a “watershed zone,” an area when the blood supply to the tendon is weakest. In these watershed zones, they body has a hard time delivering oxygen and nutrients necessary for tendon healing–that’s why we see common tendon problems in the same parts of the body.
Tendonitis is most often an overuse injury. Often people begin a new activity or exercise that causes the tendon to become irritated. Tendon problems are most common in the 40-60 year old age range. Tendons are not as elastic and forgiving as in younger individuals, yet bodies are still exerting with the same force.

Occasionally, there is an anatomical cause for tendonitis. If the tendon does not have a smooth path to glide along, it will be more likely to become irritated and inflamed. In these unusual situations, surgical treatment may be necessary to realign the tendon.

Symptoms of Tendonitis

Tendonitis is almost always diagnosed on physical examination. Findings consistent with tendonitis include:

    • Tenderness directly over the tendon

 

    • Pain with movement of muscles and tendons

 

  • Swelling of the tendon

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