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Iliopsoas Tendonitis

Iliopsoas tendonitis is a condition where the iliopsoas tendon, which connects the iliopsoas muscle to the femur, becomes inflamed. This condition typically affects athletes or individuals who engage in repetitive hip flexion, causing pain and discomfort in the groin or hip area. It can limit mobility and make everyday tasks difficult. Iliopsoas tendonitis can significantly impact your mobility and quality of life, but with the right iliopsoas tendonitis treatment, relief is possible. At RAD Clinics, we provide specialised, non-invasive treatment options, including Iliopsoas tendon injection, to effectively manage your pain and help you regain function.

A man sitting on a couch holding his lower back in pain, possibly due to iliopsoas tendonitis, with the area highlighted in red to indicate inflammation.

Causes of Iliopsoas Tendonitis

The primary cause of iliopsoas tendonitis is repetitive stress on the iliopsoas tendon. Some common factors that contribute to this condition include:

  • Overuse or repetitive motion activities (e.g., running, cycling)

  • Poor posture or biomechanics

  • Muscle imbalances or weakness

  • Sudden increase in physical activity

  • Previous hip injuries or surgeries

Symptoms of Iliopsoas Tendonitis

Symptoms of iliopsoas tendonitis can vary in intensity but typically include:

  • Pain in the groin or front of the hip

  • Discomfort when lifting the leg or walking

  • Stiffness after periods of rest or inactivity

  • Clicking or snapping sensation in the hip

  • Tenderness when pressing on the hip or groin area

Anatomy of the Iliopsoas

The iliopsoas muscle is composed of two major muscles: the iliacus and the psoas major. These muscles are critical for hip flexion, allowing you to lift your leg toward your torso. The iliopsoas tendon attaches these muscles to the lesser trochanter of the femur. Due to its location and function, the tendon is vulnerable to overuse and injury, particularly in activities requiring repeated hip flexion, such as running, cycling, or dance.

Diagnosis of Iliopsoas Tendonitis

At RAD Clinics, diagnosing iliopsoas tendonitis involves a combination of clinical examination and diagnostic imaging. Your healthcare provider will:

  • Review your medical history and symptoms.

  • Perform a physical examination, including tests to assess pain, mobility, and strength.

  • Use imaging techniques such as ultrasound or MRI to confirm inflammation or damage to the iliopsoas tendon.
    Ultrasound imaging is a particularly useful tool in assessing soft tissue injuries, including tendons, and can be performed in real time during your visit.

A healthcare professional performing an examination on a patient, possibly assessing for iliopsoas tendonitis or another lower back issue.

Cortisone Injections for Iliopsoas Tendonitis

At RAD Clinics, we offer Ultrasound-Guided Cortisone Injections as a highly effective iliopsoas tendonitis treatment. This minimally invasive procedure helps reduce inflammation and alleviate pain.

Benefits of Ultrasound-Guided Cortisone Injections

  • Precision: Ultrasound guidance ensures accurate needle placement, targeting the inflamed tendon or surrounding structures.

  • Reduced Pain: The injection delivers a potent anti-inflammatory (steroid) directly to the affected area, reducing inflammation and providing pain relief.

  • Minimal Downtime: This procedure is performed on an outpatient basis, meaning patients can resume normal activities soon after treatment.

  • Non-surgical Option: For patients looking to avoid surgery, this treatment offers a conservative yet effective approach to managing pain.

  • Improved Mobility: By reducing pain and inflammation, patients often experience improved mobility and function.

What to Expect During the Procedure

The ultrasound-guided steroid injection procedure is quick and typically completed in under 30 minutes at RAD Clinics. Here’s what you can expect:

  • Preparation: The injection site will be cleaned, and a local anaesthetic may be applied to reduce discomfort.

  • Ultrasound Guidance: A handheld ultrasound device is used to visualise the iliopsoas tendon in real time, ensuring precise needle placement.

  • Injection: Once the target area is identified, a small needle is inserted under ultrasound guidance, and a corticosteroid medication is injected to reduce inflammation.

  • Post-Procedure: You may experience some relief within a few days. However, it can take up to a week or more for the full effect of the steroid to be felt.

When to Seek Treatment

If you experience persistent pain in the groin or hip that worsens with activity and does not improve with rest or over-the-counter pain medications, it’s time to seek medical attention. Early diagnosis and iliopsoas tendonitis treatment at RAD Clinics can help prevent the condition from worsening and reduce the risk of long-term complications.

A person holding their lower back in pain, possibly due to iliopsoas tendonitis or another lower back issue.

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We do not accept insurance coverage. If you wish to reimburse your fees, then please kindly check with your insurance provider prior to booking as we cannot be held responsible for any non-payments.

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