M76.1

Clinical Causes: Repetitive activities involving hip flexion, such as running, cycling, or martial arts Sudden increase in physical activity intensity or duration Poor biomechanics or improper technique during exercise Muscle imbalances or weaknesses in surrounding muscles Previous injury or trauma to the hip or pelvic area Prolonged sitting or activity that places continuous strain on the psoas muscle Overuse during activities that involve repeated hip lifting motions

Key Symptoms: Pain in the groin or lower abdomen, especially with hip movement Discomfort that worsens with activity and eases with rest Tenderness over the front of the hip or groin area Difficulty or discomfort when flexing the hip, such as lifting the leg Stiffness or limited range of motion in the hip joint Weakness or aching sensation in the thigh or groin region Potential swelling or redness if inflammation is significant

Diagnosis Path: Diagnosing psoas tendinitis involves a combination of clinical history assessment and physical examination. The healthcare provider may perform specific tests to reproduce symptoms, such as resisted hip flexion or stretching motions targeting the psoas muscle. Imaging studies including MRI or ultrasound can help rule out other hip pathologies and confirm inflammation of the tendon. Sometimes, additional diagnostics like X-rays are used to exclude bone-related issues, although they generally do not show soft tissue inflammation.

Treatment Protocols: Treatment strategies for psoas tendinitis focus on reducing inflammation and alleviating symptoms. Common approaches include: - Rest and activity modification to avoid aggravating movements - Ice therapy to reduce swelling and inflammation - Nonsteroidal anti-inflammatory drugs (NSAIDs) as recommended by a healthcare provider - Physical therapy aimed at stretching and strengthening the surrounding muscles - Gradual return to activity with a focus on proper technique and biomechanics - Addressing biomechanical issues or muscle imbalances through targeted exercises - In some cases, corticosteroid injections may be considered for persistent inflammation Most individuals recover well with appropriate management, though adherence to therapy and gradual return to activity are crucial to prevent re-injury.