Iliopsoas Tendonitis - Anterior Hip Tendonitis
The conditions iliopsoas tendonitis and iliopsoas syndrome are two painful conditions that affect your iliopsoas muscle, positioned in the front, or anterior region of your hip.
Iliopsoas tendonitis is also commonly referred to as iliopsoas syndrome, but they are technically two different types of conditions. Iliopsoas tendonitis is the inflammation of your iliopsoas muscle and also has the ability to affect your bursa, which is located directly underneath the tendon of the iliopsoas muscle. On the other hand, iliopsoas syndrome is referring to the iliopsoas muscle or tendon that has been stretched, torn, or completely ruptured.
Tendonitis of the iliopsoas is commonly blamed on repetitive actions that involve the hip, or simply overuse of the hip resulting in inflammation. The syndrome however is caused by an abrupt contraction of your iliopsoas muscle, which can tear or rupture it. This usually occurs at the precise point where the muscle and tendon connect.
Those that participate in sports that require kicking (soccer, karate) are at a high risk of having injuries involving their iliopsoas muscle. Other athletes at risk are strength trainers, runners, and jumpers. If you do a lot of bending and squatting in a repetitive motion, you’re at an elevated risk.
The typical symptoms of iliopsoas include pain and tenderness. The pain associated with iliopsoas tendonitis tends to build up gradually over time, while the pain that comes along with iliopsoas syndrome is very sudden, and can feel like a knife stabbing you on your side.
Both iliopsoas tendonitis and it’s accompanied syndrome is an injury known as a soft tissue injury, and should be treated as such. This is where following an injury, the RICE program should be initiated. RICE is an acronym that stands for Rest, Ice, Compression, Elevation. It’s important you begin following the RICE procedures as soon as you feel pain or believe an injury has occurred – if possible, within the first two to three days. Doing so will give you the best possible chances for a complete recovery.
Once the initial treatment phase has passed, you have a few physiotherapy techniques available to you. The most effective treatment for increasing the healing process and removing scar tissue is the application of heat and a relaxing massage.
The way to prevent iliopsoas is simple – warm up with basic stretches. When you don’t warm up before performing physical activity, your muscle and tendons are tight and stiff. This causes limited blood flow and a lack of oxygen and nutrients for muscles. This is a muscle and/or tendon injury waiting to happen.
For treatment options for iliopsoas tendonitis see our tendonitis treatment page.