Iliopsoas Tendonitis Treatment Options

What is iliopsoas tendonitis?

Iliopsoas tendonitis, also known as hip flexor tendonitis, is a condition characterized by inflammation or irritation of the iliopsoas tendon. This inflammation can occur due to overuse, repetitive movements, or sudden trauma, leading to pain and discomfort in the front of the hip or groin area.

How is iliopsoas tendonitis treated?

Treatment for iliopsoas tendonitis focuses on addressing the underlying pathology, alleviating symptoms, and restoring optimal function to the hip joint. The chosen treatment plan depends on factors such as the severity of the tendonitis, the patient’s age, activity level, overall health, and specific characteristics of the condition.

What non-operative options are available?

• Rest: Avoiding activities that exacerbate symptoms and giving the hip time to heal.
• Ice Therapy: Applying ice packs to the affected area to reduce pain and inflammation.
• Anti-inflammatory Medications: Over the counter or prescription medications to alleviate pain and swelling.
• Physical Therapy: Specific exercises to strengthen hip muscles, improve flexibility, and correct biomechanical imbalances.
• Activity Modification: Modifying activities to reduce strain on the iliopsoas tendon and promote healing.

What operative options are available?

If conservative treatments fail to provide relief, surgical intervention may be considered. Common surgical procedures for iliopsoas tendonitis include:

• Iliopsoas Tenotomy: Surgical release of the iliopsoas tendon to alleviate tension and reduce inflammation.
• Bursectomy: Removal of inflamed bursa (fluid-filled sacs) around the iliopsoas tendon to relieve pressure and pain.

What does rehabilitation look like?

Following surgery, rehabilitation is essential to optimize recovery and restore hip function. Dr. Shane J. Nho and your physical therapist will design a customized rehabilitation program, which may include:

• Gradual Range of Motion Exercises: Gentle stretching and mobility exercises to restore hip flexibility.
• Strengthening Exercises: Progressive exercises to rebuild hip strength and stability.
• Controlled Weight-Bearing Activities: Gradual reintroduction of weight-bearing activities to avoid overloading the healing tendon.
• Pain Management Techniques: Modalities such as heat therapy or transcutaneous electrical nerve stimulation (TENS) to alleviate post-operative pain.
• Functional Training: Activities and exercises aimed at improving balance, coordination, and proprioception.

In conclusion, iliopsoas tendonitis can be a debilitating condition, but with proper diagnosis and treatment, most patients can achieve significant relief from pain and return to their normal activities. Whether through conservative measures or surgical intervention, the goal is to address the underlying cause of inflammation and restore optimal hip function. If you’re experiencing hip pain or discomfort, don’t hesitate to seek evaluation and treatment.

Dr. Shane J. Nho is a board-certified fellowship trained sports medicine orthopaedic surgeon who specializes in the treatment of iliopsoas tendonitis. If you believe you are affected by iliopsoas tendonitis, schedule a consultation today with our experienced orthopaedic care team.