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Inflammation of the tendon of the psoas muscle, which flexes the thigh.

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Psoas Tendonitis

Psoas tendonitis is a painful condition caused by inflammation of the psoas muscle tendon. Symptoms include pain in the groin and difficulty walking. Treatment may include rest, ice, physical therapy, and in some cases, corticosteroids.

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Psoas Tendinitis

The psoas is a long muscle in the lower back that joins with the iliacus muscle to form the iliopsoas tendon, also known as the hip flexor. Psoas tendinitis is inflammation of this tendon, caused by overuse, muscle strain, or muscle weakness. It is common in athletes who participate in sports such as ballet, resistance training, gymnastics, soccer, and running.

Signs and Symptoms

Symptoms include pain in the groin, pelvis, buttocks, hips, and lower back. There may be an audible snap or click in the hip, pain radiating to the knee, and a dragging gait or limp.

Diagnosis and Treatment

Diagnosis is based on medical history and a physical examination of the spine, hip, and leg. Imaging tests such as X-rays, ultrasounds, and MRIs are used to confirm the diagnosis. Treatment options include physical therapy, stretching exercises, rest, osteopathic manipulation, NSAIDs for pain, and corticosteroid injections.

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