Iliopsoas bursitis, also known as iliopsoas tendinitis or hip bursitis, is a condition characterized by inflammation and irritation of the iliopsoas bursa. The bursa is a small, fluid-filled sac that acts as a cushion between the hip joint's tendons and bones, reducing friction and allowing smooth movement of the hip.
The iliopsoas muscle is a combination of two muscles, the iliacus and the psoas major, which originate in the lower back and pelvis and insert into the thigh bone (femur). When the iliopsoas bursa becomes inflamed, it can cause pain and discomfort in the front of the hip and groin region.
Causes of Iliopsoas Bursitis:
Overuse or repetitive hip movements: Activities that involve frequent bending of the hip joint, such as running, jumping, or kicking, can lead to irritation of the bursa.
Hip injury or trauma: Direct impact or injury to the hip area can damage the bursa and cause inflammation.
Muscle imbalances: Weakness or tightness in the muscles around the hip can affect the biomechanics, leading to increased stress on the bursa.
Hip joint problems: Pre-existing conditions like hip osteoarthritis or labral tears can contribute to bursitis.
Infection: In rare cases, bursitis can be caused by a bacterial infection.
Symptoms of Iliopsoas Bursitis:
Pain in the front of the hip or groin region.
Pain worsening with hip movement or prolonged sitting.
Tenderness and swelling in the hip area.
Pain or discomfort when lifting the knee toward the chest or during hip flexion.
Pain radiating down the thigh or to the lower back in some cases.
Treatment of Iliopsoas Bursitis:
Rest: Avoid activities that worsen the pain to allow the inflamed bursa to heal.
Ice: Applying ice packs to the affected area can help reduce inflammation and pain.
Pain relief: Over-the-counter anti-inflammatory medications may be used to manage pain and reduce inflammation.
Physical therapy: A physical therapist can guide you through exercises to strengthen and stretch the hip muscles, improving flexibility and reducing stress on the bursa.
Injections: Corticosteroid injections may be recommended to reduce inflammation and alleviate pain.
Activity modification: Adjusting activities or sports that exacerbate the symptoms can be beneficial during the healing process.
Assistive devices: In some cases, using crutches or a cane can help offload the affected hip.
Treating underlying conditions: If hip joint issues are contributing to the bursitis, addressing those conditions may be necessary.