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HIP | CONDITIONS AND MANAGEMENT

ILIOPSOAS TENDONITIS

What is iliopsoas tendonitis?

Iliopsoas tendonitis, also known as the snapping hip syndrome, is a condition where the iliopsoas tendon or the surrounding area is inflamed. The iliopsoas tendon is the hip flexor tendon that is located at the front of the hip socket. The term snapping hip refers to the sound that’s made, which may be a snap or click. This sound occurs when there is a hip movement, like flexion, extension, and rotation of the hip.

What are the causes of Iliopsoas tendonitis?

Iliopsoas tendonitis normally occurs due to overuse from repetitive hip flexion, trauma, or bending of the hip joint. Other common causes may include the following:

  • Overuse injury
  • An acute injury

These injuries may occur due to the following activities:

  • Ballet
  • Dancing
  • Cycling
  • Resistance training
  • Gymnastics
  • Running, especially uphill
  • Soccer
  • Martial arts
  • Swimming

How do I know I have iliopsoas tendonitis?

Common signs and symptoms of iliopsoas tendonitis are pain and tenderness in the abdomen. Other symptoms may include:

  • An audible click or snapping sound in the hip or groin area.
  • Pain in the anterior hip or groin area that is associated with certain sports-related activities like jogging, running, or kicking.

Progressive psoas tendonitis symptoms:

  • Pain that radiates from the anterior thigh to the knee.
  • Pain in the hip or groin area while doing a simple day-to-day activity.
  • Experiencing pain even when you are resting.

How does Dr van Niekerk check for iliopsoas tendonitis?

A clinical examination and specialised imaging, including an ultrasound or MRI, may need to be performed.

How do you treat iliopsoas tendonitis?

Treatment for snapping hip syndrome normally involves conservative treatments such as rest, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroid injections and physical therapy. However, should conservative treatments fail to relieve pain, Dr Andries van Niekerk will recommend surgery to either remove the iliopsoas partially or completely, depending on the situation.

FAQ

When should I see the doctor?

You should seek medical assistance if you experience pain in your hip or groin area that lasts for more than a few days.

What can I expect during recovery?

During recovery, you may be advised to engage in low-impact activities, ranging from 6-8 weeks, to allow your iliopsoas muscles and the bursae to heal completely. Physical therapy may be recommended to help develop an exercise and stretch program that suits your needs.