bursitis can cause pain and limited range of motion in the hip joint. The
condition often develops from overuse in athletes or other people who exercise
Rest and ice often
help people who have mild cases of iliopsoas bursitis. People who are
experiencing more severe symptoms may require physical therapy or other
Fast facts on iliopsoas bursitis:
When a person develops iliopsoas
bursitis, they may experience painful inflammation.
Iliopsoas bursitis is often referred to
as a repetitive use syndrome.
As might be expected with swelling
around the hip joint, pain is the primary symptom.
What is iliopsoas bursitis?
is an inflammatory response in the bursa located under the iliopsoas muscle.
muscle is a group of two muscles located toward the front of the inner hip.
A bursa is a
liquid filled sack that sits between muscles, ligaments, and joints.
normally, a bursa provides cushioning and reduces irritation from rubbing and
A damaged bursa
causes inflammation that may reduce a person’s range of motion, making it
difficult for them to move.
people who exercise regularly tend to develop this condition. It can also
develop in people with chronic conditions, such as arthritis, or in people with
Depending on the
severity of the swelling, the pain may start in the front of the hip and
radiate down the leg. The pain may also radiate towards the buttocks.
people with iliopsoas bursitis are likely to experience stiffness in the
morning. Often, the stiffness will subside throughout the day. However, a
person might also experience pain when:
walking up and down stairs
standing up from a sitting position
extending or lifting one or both legs
It is not uncommon
for the pain and discomfort to get more severe over time.
What are the causes?
causes can lead to iliopsoas bursitis. One of the most likely causes is from
repetitive use. Athletes and physically active people are more at risk than
people who are sedentary. Runners, skiers, and swimmers are all at risk of
developing the condition.
Also, a person who
has tight hips may develop iliopsoas bursitis. Tight hips put additional
pressure on the ligaments, joints, and muscles. The pressure causes friction,
which can lead to the condition.
conditions can also cause iliopsoas bursitis. In particular, people with
arthritis, both rheumatoid and osteoarthritis, are at an increased risk. Both
of these conditions can cause excess friction in the hips that then leads to
iliopsoas bursitis depends on the cause and the severity of the condition. When
diagnosed early, at-home remedies are often enough. In more severe cases, a
person may need to seek medical advice to treat the pain.
Mild cases often
require little more than rest and icing to the stop the inflammation. Some
people might also benefit from over-the-counter anti-inflammatory medications.
People experiencing mild episodes of iliopsoas bursitis should consider
stopping or reducing the activity that causes the bursitis.
In more severe
cases, a person may seek additional therapies. Some therapies include:
physical therapy that focuses on hip
strength and flexibility
corticosteroid injection directly into
antibiotics when infection is present
walking aids, such as canes, to relieve
If a person has
arthritis, the doctor will treat the underlying condition. Medications designed
to target the arthritis symptoms will likely help relieve the bursitis. A
person should talk to his or her doctor if experiencing hip pain associated
Stretches and exercises for prevention
exercise can be used to help prevent iliopsoas bursitis. One of the primary
causes is friction and rubbing that can occur when the hips are too tight.
Stretching can help alleviate the tightness.
There are many
stretches that focus on the hips including the following:
Lying hip rotation
Lay on the floor
with feet flat and knees bent. Lay one ankle across the other knee. Rotate the
hip in and out.
Sit on the floor and
put soles of the feet together. Gently push the knees toward the floor.
Sit with one knee
bent in front of the body at a 90-degree angle, with the heel toward the
Extend the other
leg behind the body as far as possible. Gently move the back hip forward and
backward. Repeat with the other side.
for the first time, go very slowly and gently. Try to hold each stretch for
10-30 seconds and repeat several times on either side. Do these stretches as
often as possible.
In addition to
stretching, a person may wish to strengthen their hips. Stronger hips can help
prevent overuse injuries caused by inadequate support. Some exercises that will
help strengthen the hips are listed below.
Standing up, raise
one leg out to the side. Do this on both sides and repeat between 10 to 15
times per side. As strength increases, try adding light weights to the ankles.
Hold onto a wall for balance, if required.
Lie on the ground
with both feet planted on the floor near the buttocks. Raise one leg straight
up, keeping the thighs parallel. Raise the hips off the ground. Repeat about 10
to 15 times.
Place both hands
and knees on the floor. Raise one foot back towards the sky and return to
all-fours. Repeat on each side between 10 to 15 times.
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