Hip Bursitis and
Iliopsoas 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.
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.
Illiopsoas Tendonitis and Illiopsoas Bursitis
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.
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.
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 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.
Treatments for Hip Bursitis
Relieving the symptoms of bursitis initially focuses on keeping the pressure off the bursa. Surgery may be required if your bursa irritation is a result of a bone formation problem, such as a bone spur. If your bursitis is caused by an infection (septic bursitis), the doctor will probably drain the bursa sac with a needle and prescribe antibiotics to treat the infection. For non-infectious bursitis, the preliminary treatment starts with non-operative options such as ultrasound thereapy and cold therapy.
The most important factor in healing bursitis is resting your hip. This can be difficult when you have to carry on with daily activities, but resting whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that stress your bursa until your pain and inflammation settle.
Treatments should involve decreasing swelling, relieving stress on the hip joint, correcting any biomechanical dysfunction (uneven leg length, bone spur, etc.), treating scar tissue, and then restoring strength and movement in your leg and hip. Blood Flow Stimulation Therapy™ (BFST®) is recommended once inflammation has been calmed to heal the bursa and surrounding tissue faster and reduce the risk of bursitis returning.
Freezie Wrap® Cold Therapy
To decrease inflammation and relieve the pain of iliopsoas bursitis doctor's recommend cold therapy.
Applying cold to your inflamed bursa will help decrease the swelling and redness around it. Cold therapy will also help to numb the pain in your acetabular joint and help to control the inflammation. In addition, the deep cooling effect provided by the Hip Freezie Wrap® reduces tissue damage.
The Hip Freezie Wrap® uses a supercharged cooling gel pack, that chills in the fridge, not in the freezer like ice or other freezer packs, giving you deep cold therapy without the risk of 'cold burns' or cryoburn.
Cooling your inflamed iliopsoas bursa as needed throughout the day is recommended. The Hip Freezie Wrap® can be used to apply cold in a safe, convenient and effective way - and the gel pack is reusable. The gel pack sits gently over the inflamed bursa to reduce swelling and redness.
The wrap is soft and adjustable so it fits your body properly, without irritating the bursa, and allows you to adjust the compression. This is important when treating an inflamed bursa because too much pressure can cause you further pain. You control how much pressure the bursa receives so you can benefit from the compression to hold the cold where you need it, without increasing your pain.
Applying cold to your tender bursa and hip joint is the first step in treating your bursitis. Then begin ultrasound therapy to continue the healing process.
Click Here to learn more about Freezie Wrap® ColdCure Technology®
Ultrasound Therapy
Ultrasound has been used by physical therapists and chiropractors for years to treat bursitis. By applying ultrasound therapy to your sore iliopsoas bursa you can reduce the inflammation caused by the fluid that has built up.
In addition, ultrasound therapy will treat any other soft tissue conditions that you may be experiencing in your hip such as iliotibial band syndrome, osteoarthritis pain, a labrum tear, tendinitis and more. By treating yourself with ultrasound everyday, you are able to rid yourself of bursitis pain; this is best accomplished with a personal, therapeutic ultrasound device.
Scar tissue develops with bursitis as your damaged tissue heals. This fibrotic tissue is naturally produced instead of forming brand new healthy tissue. Scar tissue adheres to your bursa sac, tendons, ligaments, and nerves causing pain and preventing them from moving properly (this limits your range of motion, flexibility and strength). However, ultrasound therapy can treat scar tissue. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results.
 Ultrasound therapy is a great therapeutic option to decrease inflammation, pain and scar tissue build up experienced with bursitis and other soft tissue injuries. The treatment is easy, painless, and requires 10 minutes of your time. It is based on a form of deep thermal therapy which is generated through high frequency sound waves that reach into the cells of the tissue. These sound waves help to reduce the fluid build up in the bursa, heal any tissue damaged through trauma, reduce scar tissue, as well as reduce any crystal or calcific deposits that may have gathered in the area.
Using the MendMeShop® Lavender Infusion Gel during your ultrasound therapy gives you 2 therapies in 1. You get the benefit of the regenerating sound waves from the ultrasound device itself AND the added bonus of the therapeutic ingredients inside the gel being delivered into the tissue where it is most effective.
Lavender Infusion Ultrasound Gel contains the natural essential oils of Bulgarian lavender, peppermint, eucalyptus, and menthol and is exclusively available from MendMeShop®. These ingredients reduce inflammation, relieve pain and improve blood circulation to your hip bursae. 1 bottle of MendMeShop® Lavender Infusion Ultrasound Gel comes FREE with every MendMeShop® Ultrasound System so you get unbeatable ultrasound therapy for your bursitis.
Click Here to learn more about Ultrasound Therapy
Inferno Wrap® Blood Flow Stimulation Therapy
Once the inflammation of your bursitis has been reduced with cold therapy and ultrasound treatments it is time to improve blood flow and improve the elasticity of your surrounding soft tissue. Your body needs a fresh supply of blood to improve the health of your tissue and get your iliopsoas bursa back to normal.
Unfortunately, when you are suffering from bursitis it can be painful to even walk or lift your leg. When you limit movement in your hip the blood flow is reduced, starving your tissue of the necessary oxygen and nutrients.
The trick is to find a way to increase blood flow without causing pain and/or further inflaming the bursae. This is where blood flow stimulation therapy, or BFST®, becomes a powerful tool.
BFST® compliments your body's natural healing process by promoting blood flow while you give your hip the rest it needs.
The Hip Inferno Wrap® uses a patented process to generate the same energy that is part of the sun's spectrum of light, the same energy that is necessary to all living things for optimum health. The energy emitted from the Energy Web® stimulates blood flow to your hip, more than your body would ever be able to generate on it's own, giving your body the boost it needs to continue the reconditioning process. The healing energy reaches deep into your iliopsoas bursa to speed tissue repair, whisk away the toxins and dead cells, and rejuvenate your hip tissues for improved elasticity.
Click Here to learn more about how Inferno Wrap® BFST® works
With these 3 easy therapies, you will notice significantly reduced pain and an incredible improvement in your hip pain and range of motion.
We recommend that you consult your doctor and/or physiotherapist before using any of our outstanding products, to make sure they're right for you and your condition.
Anti-Inflammatory Medications
NSAIDs, non-steroidal anti-inflammatory drugs, can be used if required to help manage your pain. However, these aren't recommended for long term use, as they can cause gastrointestinal difficulties and increase the risk of cardiovascular disease. The use of cold therapy, ultrasound and BFST® in conjunction with NSAIDs can greatly improve the effect of this medication and can help to heal quicker.
Surgical Procedures
Your doctor may aspirate your inflamed bursa. This involves removing the extra fluid that has built up with a needle. Sometimes, the fluid will be tested at a laboratory to rule out infection.
If your bursitis does not get better with conservative treatments, the bursa may be surgically removed. Usually this is done by hip arthroscopy, which is a surgical procedure where tiny incisions are made and a pencil-sized camera is inserted into the hip. A small shaver is inserted into another incision, and is used to remove the swollen bursa all together. The surgeon will then look for any damage to the hip and make repairs if necessary. This is also done to remove any bone spurs.
Recovery time for the surgery will depend on a number of different factors including your healing ability, diet, rest and how many procedures were done in your surgery.
Post-op recovery time can be reduced with the use of cold compression, ultrasound therapy, and blood flow stimulation therapy following surgery. Cold compression is recommend by doctors following surgery to treat your pain in a natural, non-addictive way and to reduce swelling. Once the incision has healed, speak with your doctor about the use of ultrasound therapy and BFST®. BFST® encourages more oxygen and nutrients to flow to the area to speed healing and improve the strength of the soft tissue in your hip. Using ultrasound therapy as soon as you can following your surgery will treat the scar tissue that forms as you heal. Treating scar tissue is the most important step following surgery, especially in a joint, to improve the range of motion in your hip. Leaving the scar tissue untreated can lead to stiffness, chronic hip pain, osteoarthritis or other chronic conditions.
Rehabiliation Exercise
Physical therapy is a beneficial way to restore atrophied muscles and improve strength and mobility after treating bursitis. The type of physical therapy and the duration will be dependent on the tissue damage and your symptoms. When you are treating or recovering from bursitis, it is important to ensure you do not perform any exercises that will further irritate the bursa.
Once your pain starts to diminish, a physiotherapist will set up an individualized strengthening and stretching exercise program for you to perform at home or in the gym. This will be based on your needs and abilities, and will help you return to performing your normal routines.
Individuals will often lift weights on their own, to try and build up their strength. However, in doing so, they can do more damage to their joint. It is extremely important to strengthen your muscles properly, as they may have weakened during the period of non-use. A trained therapist will help to ensure your rehabilitation process is appropriate and effective. For best, long term results use ultrasound and BFST in conjunction with physical therapy and an exercise program.
During your recovery, you may have to modify and/or eliminate any activities that cause pain or discomfort in your joint until your pain and inflammation settle, and you gain more mobility and strength. The more diligent you are with your rehabilitation, the faster you will see successful results.
Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before starting any new treatment or with any questions you may have regarding a medical condition.
| 
