Iliopsoas Tendinitis Clinical Presentation

Iliopsoas Tendinitis Clinical Presentation
History Patients often present with complaints of an insidious onset of anterior hip or groin pain. As in other cases of tendinitis, initially the patient may note pain after onset of aggravating activity with resolution soon thereafter. This condition may progress to pain that persists during activity but subsides with rest, and eventually to pain during activity and at rest. The average time from initial onset of symptoms to diagnosis has been noted to range from 32-41 months. At presentation, patients may note pain with specific sports-related activities, such as jogging, running, or kicking. Pain with simple activities, such as putting on socks and shoes, rising from a seated position with the hips flexed for some time, walking up stairs or inclines, or brisk walking may be reported. Reports of an audible snap or click in the hip or groin commonly are reported and associated with internal snapping hip syndrome. In this syndrome, the inflamed iliopsoas tendon rolls over the iliopsoas bursa or head of the femur eliciting a palpable and audible snap. Patients may report anterior knee pain consistent with patellar tendinitis or patellofemoral dysfunction, which may be the result of a tight iliopsoas muscle. Original article and pictures take http://emedicine.medscape.com/article/90993-clinical?src=refgatesrc1#b4 site