Iliopsoas tendinopathy

The iliopsoas muscle is composed of two distinct muscles, the psoas major and the iliacus. It is located in the front of the trunk and extends from the lower back to the femur in the groin. This muscle plays an important role in hip flexion and posture. Iliopsoas tendinopathy is a condition that occurs when the tendon or bursa of the iliopsoas muscle becomes inflamed or injured due to overuse or overuse. The iliopsoas bursa is a small sac located between the iliopsoas muscle and the hip joint capsule. This bursa helps reduce friction and wear between these structures during movement. Inflammation of the iliopsoas bursa is known as iliopsoas bursitis and can also cause hip and groin pain.

Causes of Iliopsoas Tendinopathy
Causes of iliopsoas tendinopathy may include:

• Overweight or obesity
• Repetitive hip or groin injuries
• Hip arthritis
• Prolonged poor posture
• Natural wear and tear due to aging
• Wearing high-heeled shoes
• Poor hip and groin muscle strength.

It's important to note that iliopsoas tendinopathy can result from a combination of factors, so it's important to seek medical attention for an accurate diagnosis and appropriate treatment.

Diagnosis of Iliopsoas Tendinopathy
The diagnosis of iliopsoas tendinopathy is made through a combination of clinical tests and imaging tests. Your doctor may perform a physical evaluation, including an examination of pain and mobility in the affected area. Imaging tests, such as an MRI or CT scan, may also be necessary to obtain a detailed view of the tendon and surrounding tissues.

Treatment for Iliopsoas Tendinopathy
Treatment for iliopsoas tendinopathy may include:

• Physical therapy: strengthening and stretching exercises to relieve tension and pain.
• Nonsteroidal anti-inflammatory drugs (NSAIDs): to reduce inflammation and pain.
• Ultrasound-guided injections of corticosteroids or other medications may be effective in relieving pain and inflammation, or improving the condition of the tendon.
• Shockwave therapy: can help improve blood circulation and accelerate tendon healing.
• Activity modification: avoid activities that aggravate pain and get adequate rest.
• Physical therapy and strengthening exercises: to prevent future injuries and improve the function of the affected joint.
• Surgery: in severe cases, surgery may be necessary to repair or reconstruct the damaged tendon.

It is important to consult a physician or physical therapist to determine the best treatment for your particular case.

Make an appointment with Dr. Jordi Jiménez. He will assist you in the center of Palma and help you regain your quality of life.