An Overview of Psoas Lengthening
Patients in the Santa Barbara, Goleta, Santa Maria and Ventura, California communities who participate in sports activities that involve the hip flexor muscles, such as cycling and sprinting, are prone to an injury of the iliopsoas (psoas) muscle or tendon. The psoas is the primary hip flexor, and the muscle’s tendon passes just in front of the hip joint. Chronic overuse of the muscle and/or tendon can lead to tendonitis and psoas impingement (also known as internal snapping hip syndrome). This condition occurs when the tendon becomes tight from overuse and rubs or snaps against the front of the acetabulum (hip socket). Patients affected by psoas impingement often will develop debilitating pain if left untreated. Dr. Jervis Yau, hip surgeon, is highly experienced at treating psoas impingement through both conservative and surgical approaches. Psoas lengthening is a surgical procedure designed to alleviate hip pain and other troublesome symptoms by lengthening the psoas tendon at the level of the hip joint.
What are Symptoms of Psoas Impingement?
Symptoms of psoas impingement are pain and popping centered on the front of the hip and groin region. Differential diagnoses for this type of pain include ligament strains, labral tear, hip osteoarthritis and psoas impingement. The snapping sensation in the hip often observed in psoas impingement is often referred to as internal snapping hip syndrome.
How is Psoas Impingement Treated?
In order to determine the optimal treatment plan, Dr. Yau will perform a medical review and physical examination followed by reviewing x-rays and MRI to assess the severity of disease.
Conservative treatments include rest, activity modification, anti-inflammatory medications and physical therapy aimed at stretching and strengthening the psoas tendon. Occasionally, corticosteroid injections may be indicated to relieve inflammation and pain.
If non-operative measures fail, an arthroscopic psoas lengthening may prove helpful to alleviate pain and restore joint function. During this procedure, Dr. Yau will release a portion of the psoas tendon to allow it to elongate just enough to decrease or eliminate excessive tendon rubbing.