PSOAS IMPINGEMENT

The iliopsoas is a muscle-tendon unit that plays an important role in hip flexion, and is therefore considered a “hip flexor.” The psoas tendon crosses over the top of the hip joint and inserts on to the femur bone. In some individuals, the psoas can become very tight and irritated, particularly in patients who are active in sports or in patients with hip impingement (FAI).

Symptoms

• Tightness in the front of the hip
• Pain with hip flexion
• Snapping or popping sensation in the front of the hip

Diagnosis And Treatment

Dr. Welch considers each patient’s symptoms, as well as a detailed physical examination, x-rays, and sometimes an MRI of the hip to make the diagnosis of psoas impingement.

Non-surgical treatment includes rest, activity modification, physical therapy, and non-steroidal anti-inflammatory drugs. Steroid or anesthetic injections may also be helpful in alleviating pain. If the patient fails non-operative management, then surgery may be recommended.

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