iliopsoastendinopati

Iliopsoas tendinopathy is a condition characterized by pain and dysfunction involving the iliopsoas tendon, which comprises the iliacus and psoas major muscles. This tendinopathy is commonly classified as an overuse injury or tendinitis, resulting from repetitive activities that place excessive strain on the hip flexor muscles, particularly in athletes involved in running, cycling, or sports requiring frequent hip flexion.

The iliopsoas tendon runs through a grooved area near the front of the hip joint, facilitating hip flexion and stabilization. When subjected to repetitive stress, microtrauma can occur, leading to inflammation, thickening, or degeneration of the tendon. Symptoms often include anterior hip or groin pain, tenderness upon touch, and may be accompanied by a limited range of motion or weakness in hip flexion.

Diagnosis is primarily clinical, supported by patient history and physical examination focusing on tenderness and pain with resisted hip flexion or active stretching. Imaging studies like magnetic resonance imaging (MRI) or ultrasound may be used to assess tendon pathology and exclude differential diagnoses such as labral tears or hip impingement.

Treatment approaches typically involve conservative measures, including rest, activity modification, physical therapy emphasizing stretching and strengthening exercises, and anti-inflammatory medications. In persistent cases, corticosteroid injections or surgical intervention may be considered. Preventive strategies include proper training techniques, adequate warm-up routines, and addressing biomechanical imbalances to reduce repetitive stress on the tendon.

Iliopsoas tendinopathy is a relatively common but often underdiagnosed source of anterior hip pain, with effective management enabling athletes and active individuals to recover and resume their normal activities.