Iliopsoas (Hip Flexor) Tendon Lengthening


What is iliopsoas impingement?

The iliopsoas is the primary hip flexor, and its tendon passes just in front of the hip joint. Continued use of the muscle and/or tendon can lead to tendonitis and iliopsoas impingement. This condition occurs when the tendon becomes tight from overuse and rubs or snaps against the front of the acetabulum (hip socket). Dr. Potts is highly experienced at treating psoas impingement through both conservative and surgical approaches.


What are symptoms of iliopsoas impingement?

The most common symptoms include pain and snapping in the front of the hip and groin. The snapping sensation in the hip often observed in psoas impingement is often referred to as internal snapping hip syndrome.


How is it treated?

Initially, conservative treatment includes rest, anti-inflammatory medications, and physical therapy aimed at stretching and strengthening the iliopsoas tendon.  In certain cases, corticosteroid injections may be indicated to provide relief from the inflammation and pain.

 If non-operative measures fail, Dr. Potts may recommend surgical intervention with an arthroscopic iliopsoas lengthening in order to relieve pain and restore normal function. During the procedure, Dr. Potts releases a portion of the iliopsoas tendon to elongate it just enough to reduce or eliminate the painful snapping and impingement.