What Are the Symptoms of Iliopsoas Tendinitis?
Due to the enlargement of the iliopsoas tendon and associated bursae, there is a feeling of tightness in the groin, a palpable mass or groin pain. Initially, it is pain that develops after strenuous activities and disappears after a short time, but it can eventually turn into pain during activity and at rest. This can cause pain with certain sports-related activities, such as running or kicking, and pain with other activities, such as wearing socks and shoes.
How to Diagnose Iliopsoas Tendinitis?
Physical examination often reveals localized tenderness in the groin and pain with hip flexion against resistance or a positive Ludloff test and sign. MRI and ultrasound examinations often show thickening of the iliopsoas tendon as well as enlargement of the bursa.
What are the Treatment Options in Iliopsoas Tendonitis?
Non-surgical treatment is recommended for treatment of this condition, including rest, nonsteroidal anti-inflammatory drugs, and a stretching program. Activity regulation is recommended in patients with pain. Ultrasound-guided corticosteroid/local anesthetic injection is a non-surgical management option. Injury to the iliopsoas muscle can cause lumbar lordosis and anterior pelvic tilt, and anterior pelvic tilt can be corrected by strengthening specific opposing muscle groups. In resistant cases, arthroscopic lengthening of the tendon and correction of intra-articular pathology can be performed for relief, releasing the psoas tendon from its attachment is also a possible surgical option.