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Illiopsoas Bursitis and Tendonitis Anatomy

Hip and pelvis injuries comprise 2-5% of all sports injuries, of these, musculotendinous injuries are the most common. Most injuries occur at the top of your femur (around the lesser trochanter and tendon of the iliopsoas). The 2 most common iliopsoas injuries are iliopsoas tendinitis and iliopsoas bursitis. Iliopsoas injuries are not very common and poorly recognized cause of hip and groin pain. Females tend to be more prone to iliopsoas injuries than men.

iliopsoas bursa in the hip.

Your hip flexors are among the most powerful muscles and tendons in your body. They are comprised of your iliopsoas (deep set muscles at the front of your hip), your tensor fasciae latae (outer hip muscle), and your rectus femoris and sartorius (they lie over top of the iliopsoas muscles in your front, upper thigh area). Hip flexors help you lift your upper leg to your torso or flex your torso towards your thigh (like when sitting up from a lying down position), they externally rotate your spine and thigh bone, and also limit your hip extension when walking or running.

Although it is often regarded as a single muscle, the iliopsoas is comprised of 2 muscles: the psoas major and the iliacus (psoas minor - weak flexor muscle) which lie deep beneath your skin surface. The psoas muscle lies at the front of your hip. It starts in your lower back, attaches to the base of your sacrum (triangular bone that forms the bottom of your spine and the back part of your pelvis) on the inner surface of your ilium (the upper and widest part of the pelvis/hip bone) and ends on the top of your femur (thigh bone). The iliacus starts from your hip bone/ilium, and attaches across to the inner surface of your lower spine and sacrum. It also ends at the top of your femur. Both of these muscles come together via the same tendon (thick, fibrous tissue that connects muscle to bone) and attach to the bump on the inside of the shaft of your femur (the lesser trochanter) - this is where most injuries occur.

The Iliopsoas Bursa is the largest bursa in the body. It lies between your psoas muscle-tendon, your pubic bone and the top, inner side of your femur. It helps reduce rubbing and friction of the bones and soft tissues that meet at your hip joint capsule.

Women are more likely to have iliopsoas injuries.

Illiopsoas Tendonitis and Illiopsoas Bursitis

Iliopsoas Tendonitis involves inflammation and irritation of your iliopsoas tendon and the area surrounding your tendon. Is a result of chronic micro-trauma to the iliopsoas tendon from overuse and repetitive activities which are common in sporting activities.

Iliopsoas Bursitis affects the bursa underneath the tendon of your iliopsoas muscle, which becomes inflamed and irritated when your iliopsoas muscle is used.

Iliopsoas tendinitis and iliopsoas bursitis are similar and often occur at the same time as inflammation of the tendon often causes inflammation of the bursa and vice versa. Both of these conditions demonstrate similar symptoms, and are less common that other groin strains.

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Iliopsoas Syndrome refers to a stretch, tear or complete rupture of your iliopsoas muscle and tendon where the tendon attaches to your thigh bone, frequently experienced along with iliopsoas bursitis. It is rare for your iliopsoas muscle-tendon to rupture completely.


Thermotex Personal Therapy System

A Black Body Radiant Energy Kit is one of the most helpful tools for a wide varity of painful bursa related problems. Through the absorption of radiant energy, tissues are safely and gently heated - increasing blood flow within the treated area. Your body's natural response to this increased temperature is to try to maintain a condition of homeostasis - a balanced environment or state of equilibrium throughout the body. To do this, your body responds with a rapid increase in blood flow to the area (this is known as vasodilation), increasing the supply of nutrients to injured cells and flushing out toxins (including lactic acid, commonly found in trigger points) to promote healing. Our Thermotex Platinum Pain Relief Device provides effective, non-invasive, non-addictive pain relief with no side effects.

Our Cold Compression Wraps are recommended by countless medical professionals. That's why we sell them, because they are the best. We have noticed over time that our customers are so fond of our cold wraps that they are frequently coming back and ordering a second one. The wraps are becoming very popular with baseball and soccer trainers, and the wraps can be conveniently stored in a cooler for quick application on the field when needed.

xyliss ultrasound

Ultrasound therapy is also a helpful tool for pain prevention of bursa injuires, and having a portable ultrasound device at home can be a powerful and convenient treatment tool. If you have symptoms or are recovering from a bursa related injury, using ultrasound on a regular basis before your activity or throughout the day will help relax your muscles, tendons and tissues, diminish pain and inflammation, soften scar tissue and contribute greatly to the healing of your injury.

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If you suffer from pain after certain activities or movements use ultrasound therapy when you complete the activity and then rest. Limit the application of ultrasound to a couple of treatments per day (the manual will recommend treatment frequency depending upon the injury). In between ultrasound treatments, maximize your pain relief and injury recovery by using the Thermotex Personal Therapy System. Proven Performance, Proven Relief - only found at MendMeShop.com. If you have been given a treatment plan by your health professional, make sure you adhere to it to ensure pain free living. In general, people who are committed to their therapies and exercises will have the best medical outcomes.



Do you have more questions?

We encourage you to contact our office directly with any questions you may have treating your pain. You can be assured all your questions will be answered in a thorough and courteous manner by our trained staff.

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We wish you a great day and we look forward to hearing from you.

As a massage therapist I know the pain and tenderness that comes with any bursitis. It can be a very difficult condition to treat. In most cases any type of movement places pressure on the bursa and instantly causes pain and spastic muscle firing. For these reasons I found that ultrasound is the best non-invasive treatment to treat bursitis and keep the inflammation down while helping to break down the scar tissue that can form between the bursa and the overlapping tendon.

While using the MendMeShop Portable Ultrasound unit I was very impressed with it's ease of use, setting selection, portability, and results. When using the portable ultrasound with a client with sub-bicep bursitis we could see and feel a decrease in pain and increase in range of motion after only 1 week of use. When doing friction therapy with manual manipulation there is a painful cycle of treatment inflammation pain and then stretch.

When using the Ultrasound there is no post inflammation and the stretches are much less painful as well as a greater increase of range of motion. Not only does this product break down the scare tissue but it also focuses the absorption of the anti-inflammatory medication to right where the injury has occurred. This is the new technology that saves time, pain, and money.

Thank you MendMeShop



5 out of 5 Stars

David Coccimiglio R.M.T.


Dear MendMeShop.com,

Thank you for your great customer service.

Your product is excellent and your quick response to my requests is outstanding. I hope other people take advantage of your ultrasound since it compliments physical therapy and gives quicker results.



5 out of 5 Stars

Kathryn Hallock, OH



pain relief and injury treatment with ultrasound therapy

pain relief and injury treatment with radiant energy heat therapy

pain relief and injury treatment with hot cold compression therapy

pain relief and injury treatment with cold compression therapy

pain relief and injury treatment with radiant energy heat therapy

pain relief and injury treatment with radiant energy heat therapy

pain relief and injury treatment with cold compression therapy

pain relief and injury treatment with cold compression therapy

pain relief and injury treatment with cold compression therapy

pain relief and injury treatment with radiant energy heat therapy

pain relief and injury treatment with cold compression therapy

pain relief and injury treatment with cold compression therapy

pain relief and injury treatment with hot cold therapy

pain relief and injury treatment with hot cold therapy

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