Symptoms of Iliopsoas Tendonitis

Iliopsoas tendonitis is inflammation of the iliopsoas tendon or the area immediately surrounding it. Most commonly affecting athletes, particularly dancers, runners, and hurdlers, the diagnosis is frequently missed. The information below will help you decide if you might be suffering from iliopsoas tendonitis and, in turn, whether you should seek medical attention.

Onset

• Iliopsoas tendonitis is most commonly caused in one of two ways. The first is acute injury, which involves some odd, quick contraction of the iliopsoas muscle. The second version is caused by overuse. This is when repeated hip flexion, such as in certain athletic activities, causes the gradual irritation of this area.

Type of Pain

• The major symptom of iliopsoas tendonitis is a pain that builds up subtly over time. The pain is felt deep in the groin and extends around to the front of the hip and may radiate down toward the knee. Sometimes, the pain extends to the lower back and buttocks, as well. The upper thigh area may feel particularly weak, especially when walking or running, resulting in a limp. Stiffness in the groin, hip and even knee may also occur. Some patients experience an audible snapping noise as they flex the hip, which results from the iliopsoas tendon becoming caught on the pelvis.

Triggers for Pain

• Symptoms of iliopsoas tendonitis are often exacerbated after extended exercise. At the start, this pain usually resolves itself soon after stopping the activity. After dealing with this for some time, though, the pain will become far more consistent and triggers will go from vigorous exercise to simple activities, such as rising from a chair or driving.

Duration of Pain

• Symptoms can persist for years before they are diagnosed or treated. The average time from onset to diagnosis is between 32 and 41 months.

Treatment

• As with any soft tissue injury, is important to employ the R.I.C.E. program immediately upon the onset of symptoms. The fast initiation of this program--Rest, Ice, Compression, Elevation--can not only help prevent further injury but also seriously improve your chances for a complete, speedy recovery. Although rest is extremely important in treating tendonitis, don't overdo it. Remaining inactive for too long can make your joints stiff. When you've rested for a few days, be sure to also move the area carefully so as to preserve flexibility. Non-steroidal anti-inflammatory drugs like ibuprofen, aspirin and acetaminophen, can help reduce discomfort but shouldn't be taken for an extended period without consulting a doctor. If you've tried these at-home remedies and are still experiencing pain, you should seek medical attention.