Stemcelldoc's Weblog

May 20, 2012

Anterior Hip Pain: Illiopsoas Tendinitis

At the Centeno-Schultz Clinic we acknowledge that hip pain can be disabling.

It may arise from osteoarthritis, avascular necrosis of the femoral head and femoral acetabular impingement syndrome.  Stem cell therapy is an alternative to traditional hip surgery.

Iliopsoas tendonitis can also cause hip pain which typically is anterior in location.  Tendinitis is inflammation of the tendon:  the rope-like tissue that connects muscle to bone.  Tendinitis is typically associated with an acute injury whereas tendinosis is chronic and associated with degeneration of the tendon.

Major causes include acute trauma and overuse from repetitive hip flexion.

The psoas and iliacus muscles originate from the lumbar spine and pelvis.  The muscles converge to form the iliopsoas muscle and insert onto the lesser trochanter.  The iliopsoas muscle functions as a hip flexor and external rotator of the femur.

Patients commonly present with anterior hip or groin pain.

Presentation may include shorten stride and anterior pelvic tilt.

Tenderness at the musculotendinous junction and insertion on tendon on the lesser trochanter is common.

The snapping hip sign or extension test is suggestive of iliopsoas injury.

At the Centeno-Schultz Clinic in-office ultrasound is an important diagnostic tool.  The noninvasive test typically demonstrates thickening of the tendon which is illustrated below.

Treatment options include prolotherapy, IMS, platelet derived growth factors and percutaneous needle tenotomy.

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