Iliopsoas Tendinitis and Bursitis: Causes, Symptoms, and Treatment

Reviewed By – Dr. Sameer Gohir
PhD, MSc, PG Cert MSK ultrasound, PG Cert. Non-Medical Prescribing, MCSP, MAPPN

What Is Iliopsoas Tendinitis and Bursitis?

Iliopsoas tendinitis and bursitis are conditions characterized by inflammation in the iliopsoas muscle and the associated bursa located in the hip region. These disorders can lead to significant discomfort and restrict mobility, primarily affecting athletes and individuals with active lifestyles.

If hip or groin pain from iliopsoas tendinitis or bursitis is affecting your walking or daily comfort, you don’t have to manage it alone. With clinics near Kent and Essex, Joint Injection Clinic offers expert treatments to help relieve pain and restore your mobility.

Schedule your consultation now!
Iliopsoas Tendinitis and Bursitis Treatment near Kent and Essex

Understanding Iliopsoas Tendinitis and Bursitis

Iliopsoas Tendinitis: refers to inflammation of the iliopsoas tendon, which connects the iliopsoas muscles (iliacus and psoas major) to the femur. This condition often develops due to repetitive hip flexion or an acute injury.

Iliopsoas Bursitis: involves inflammation of the iliopsoas bursa, a fluid-filled sac that cushions the iliopsoas tendon from the underlying bone during hip movement. Both conditions are commonly associated due to their anatomical proximity and can occur simultaneously, often referred to as iliopsoas syndrome.

Common Causes of Iliopsoas Tendinitis and Bursitis

The leading factors contributing to iliopsoas tendinitis and bursitis include:

  • Repetitive Stress: Activities that involve repetitive hip movements, such as running, dancing, or cycling, can strain the iliopsoas muscle and tendon, leading to inflammation.
  • Acute Injury: Sudden trauma to the hip, such as a fall or a direct hit during sports, can result in immediate tendon or bursa irritation.
  • Chronic Conditions: Conditions such as rheumatoid arthritis may predispose individuals to bursitis by causing joint inflammation or altering biomechanics around the hip joint, leading to friction on the bursa.
  • Poor Flexibility: Tight hip flexors can increase the pressure on the bursa and tendon, contributing to inflammation.
  • Age: As people age, the tendons and muscles may become less resilient, making them more susceptible to tendinitis or bursitis.

Symptoms of Iliopsoas Tendinitis and Bursitis

Patients with iliopsoas tendinitis and bursitis may experience various symptoms, including:

  • Groin Pain: Pain localized in the front of the hip that may radiate down the thigh or to the lower back.
  • Stiffness: Particularly in the morning or after prolonged periods of inactivity.
  • Limited Range of Motion: Difficulty in hip flexion or extension.
  • Tenderness: Pain upon palpation in the hip region, especially in the femoral triangle.
  • Snapping Sensation: A possible “snapping” of the tendon over the femur during movement.

How Is Iliopsoas Tendinitis and Bursitis Diagnosed?

Diagnosis typically involves a thorough medical history and physical examination, coupled with imaging techniques like MRI or ultrasound. These methods help assess inflammation in the bursa or tendon and exclude other potential hip problems.

Treatment Options

Treatment for iliopsoas tendinitis and bursitis varies based on severity and involves both conservative and surgical strategies:

Non-Surgical Treatment for Iliopsoas Tendinitis and Bursitis

  • Rest and Activity Modification: Reducing activities that exacerbate symptoms is crucial for recovery.
  • Ice Therapy: Applying ice packs can help decrease inflammation and relieve pain.
  • Physiotherapy: Engaging in targeted exercises to improve flexibility and strengthen hip muscles. A stretching and strengthening program is often highly beneficial.
  • Medications: Over-the-counter anti-inflammatory medications (NSAIDs) can alleviate pain and reduce inflammation.
  • Corticosteroid Injections: In cases of severe pain or refractory conditions, corticosteroids may be injected directly into the bursa or around the tendon to provide relief.

Advanced Treatment Options for Iliopsoas Tendinitis and Bursitis

When conservative measures are ineffective, surgical options may be considered, including:

  • Bursectomy: Surgical removal of the inflamed bursa to relieve pressure.
  • Tendon Release or Repair: If the tendon is severely damaged, surgical intervention may be necessary to restore function and alleviate pain.

Conclusion

Iliopsoas tendinitis and bursitis are conditions that can significantly impact daily activities and athletic performance. Early diagnosis and intervention are essential for effective management. By adopting appropriate treatment strategies and preventive measures, individuals can achieve relief from discomfort and regain functionality in the hip joint.

Get Help for Iliopsoas Tendinitis and Bursitis at Joint Injection Clinic

If iliopsoas tendinitis or bursitis is causing hip or groin pain that affects walking, climbing stairs, or getting up from sitting, professional care can help you regain comfort. At Joint Injection Clinic, our experienced team provides evidence-based treatments to reduce pain and improve your daily mobility.

We welcome patients at all three of our clinics:

Dartford Clinic – ideal for those in Kent and South East London

Address: Unit 30, 1st Floor, The Base Dartford Business Park, Victoria Road, Dartford, DA1 5FS.

Romford Clinic – easily accessible from Essex and Greater London

Address: Room no 8, Alliance Office Space 2-4 Eastern Road, Romford, Essex, RM1 3PJ.

Canterbury Clinic – serving East Kent and surrounding areas

Address: 12-17 Upper Bridge Street, Canterbury, CT1 2NF, United Kingdom.


From ultrasound-guided injections to tailored physiotherapy and rehabilitation plans, our specialists can help you manage hip pain effectively, supporting your return to daily activities confidently.

Schedule your consultation now!