eMedicine Specialties > Sports Medicine > Lower Limb

Iliopsoas Tendinitis: Follow-up

Author: Joseph P Garry, MD, FACSM, FAAFP,, Director of Sports Medicine and Sports Medicine Fellowship, Associate Professor of Family Medicine and Exercise and Sport Science, Department of Family Medicine, East Carolina University Brody School of Medicine
Coauthor(s): Kathleen M Walsh, EdD, ATC, LAT, Director of Sports Medicine and Athletic Training, Assistant Professor, Department of Health Education and Promotion, East Carolina University
Contributor Information and Disclosures

Updated: Aug 7, 2009

Follow-up

Return to Play

Return to play is allowed once the patient is free of pain and has demonstrated adequate flexibility and strength of the hip flexors and antagonist muscle groups. Performance of pain-free, sports-specific activities should be required.

Complications

Recurrence of tendinitis is a potential complication. Possibility of residual weakness in individuals selected to receive surgical management is another potential complication.

Prevention

As in most cases of musculotendinous injury, the best prevention is a focused flexibility and strengthening program, which should include, at a minimum, the hip flexors, hip extensors, knee flexors, knee extensors, and abdominal musculature.

Education

For excellent patient education resources, visit eMedicine's Foot, Ankle, Knee, and Hip Center, Sports Injury Center, and Arthritis Center. Also, see eMedicine's patient education articles Tendinitis and Bursitis.

Miscellaneous

Medicolegal Pitfalls

  • The primary complication in treatment and management of an iliopsoas tendinitis is misdiagnosis and failure to consider other, more urgent causes of groin pain in the athlete. Remembering to include a full abdominal, groin, pelvic, and neurological examination on all patients should help to avoid this pitfall.
 


More on Iliopsoas Tendinitis

Overview: Iliopsoas Tendinitis
Differential Diagnoses & Workup: Iliopsoas Tendinitis
Treatment & Medication: Iliopsoas Tendinitis
Follow-up: Iliopsoas Tendinitis
Multimedia: Iliopsoas Tendinitis
References
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References

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Further Reading

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Keywords

iliopsoas tendinitis, iliopsoas bursitis, iliopsoas syndrome, internal snapping hip syndrome, inflammation of the tendon, anterior hip pain, groin pain, rheumatoid arthritis

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Contributor Information and Disclosures

Author

Joseph P Garry, MD, FACSM, FAAFP,, Director of Sports Medicine and Sports Medicine Fellowship, Associate Professor of Family Medicine and Exercise and Sport Science, Department of Family Medicine, East Carolina University Brody School of Medicine
Joseph P Garry, MD, FACSM, FAAFP, is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Heart Association, American Medical Society for Sports Medicine, and North American Primary Care Research Group
Disclosure: Nothing to disclose.

Coauthor(s)

Kathleen M Walsh, EdD, ATC, LAT, Director of Sports Medicine and Athletic Training, Assistant Professor, Department of Health Education and Promotion, East Carolina University
Disclosure: Nothing to disclose.

Medical Editor

Leslie Milne, MD, Assistant Clinical Instructor, Department of Emergency Medicine, Harvard University School of Medicine
Leslie Milne, MD is a member of the following medical societies: American College of Sports Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

CME Editor

Jon B Whitehurst, MD, Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital
Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD, Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago
Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

 
 
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