Iliopsoas Syndrome Information

Iliopsoas Syndrome Information

Iliopsoas Syndrome is often referred to as iliopsoas tendonitis and iliopsoas bursitis. While tendonitis and bursitis are two separate conditions, the close proximity of the structures involved in both conditions often mean that inflammation of one causes inflammation of the other. None the less, iliopsoas syndrome is a term used to describe the rupture, tearing or stretching of iliopsoas tendon and/or the iliopsoas muscle and inflammation of the iliopsoas bursa.

 

Iliopsoas Syndrome



Anatomy of the Hip Joint

The iliopsoas muscle group is the strongest of the hip flexors and plays a vital role in standing, walking, and running. The iliopsoas is actually comprised of three different, but virtually indistinguishable, muscles located on the front or anterior aspect of the hip area. The three muscles comprising the iliopsoas (the psoas major and psoas minor, and the iliacus) originate from different points, but the psoas major and the iliacus insert at the same location on the lesser trochanter of the femur bone. It’s an injury to the muscle and tendon at the insertion point that is deemed iliopsoas syndrome.

What Causes Iliopsoas Syndrome?

While iliopsoas tendonitis is most often caused by overuse or repetitive stress, which results in inflammation. Iliopsoas syndrome is caused when the iliopsoas suddenly and/or violently contracts, which causes the muscle fibers and connecting tendon to stretch, tear, or rupture. More often than not the rupture is located where the iliopsoas tendon and iliopsoas muscle connect. As mentioned above, the close proximity of the bursa, often means that iliopsoas bursitis is also present.

Those at particular risk for iliopsoas syndrome include those that participate in sports requiring sudden directional changes or side movements, running, jumping, and kicking. Those that participate in exercises and professions requiring a lot of bending and squatting, such as professional weight lifters, are also at a high risk.

What Are The Symptoms Of Iliopsoas Syndrome?

* sudden sharp pain over the iliopsoas (hip and upper thigh areas)
* local tenderness
* stiffness in the hip
* a palpable mass may be felt over the tendon insertion point on the iliopsoas
* there may be a snapping sensation with movement
* pain may intensify with hip flexion, kicking, and when trying to lift the knee toward the torso

 

Strengthening Exercises

These Hip Exercises are ideal to build strength and flexibility.

Massage Treatment

These Hip Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments and soaks.

 

ACUTE STAGE SYMPTOMS AND TREATMENT

 

This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.

 

ACUTE STAGE SYMPTOMS:

 

The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the hip because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured hip, causing pain, inflammation, lumps and swelling.

The sensation of heat is due to the warming action of the blood and fluids overheating in the injured hip as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.

As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.

During the acute stage it is very important to restore normal circulation to the hip, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the hip, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the hip can strengthen and regain it's mobility.

 

ACUTE STAGE TREATMENT:

 

1. Apply the Sinew Herbal Ice on your hip to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the hip. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.

Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that donít heal well.

2. Massage your hip with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.

 

 

CHRONIC STAGE SYMPTOMS AND TREATMENT

 

This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.


CHRONIC STAGE SYMPTOMS:

 

The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in your hip that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.

Your hip may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. These symptoms are often the result of failure to treat the injury properly from the outset and overicing.

Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.

During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the hip, then pain and stiffness is relieved, and the damaged tissues can strengthen to restore stability.


CHRONIC STAGE TREATMENT:

 

1. Massage your hip with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. The Sinew Relaxing Soak and/or the Sinew Warming Soak can be used in-between applications.

2. Soak your hip with the Sinew Relaxing Soak to relax muscles and tendons that are in spasm, ease joint pain and stiffness, and improve range of motion. The Sinew Relaxing Soak is particularly useful if you feel spasms in your hip. The soak can be used by saturating a towel in the liquid and applying it to your hip. Chronic Sinew Liniment and/or the Sinew Warming Soak can be used in-between applications.

3. Soak your hip with the Sinew Warming Soak to ease joint pain, increase range of motion, and strongly increase local circulation to drive coldness and dampness out of damaged tissues. The Sinew Warming Soak is particularly useful if your hip is more painful and sensitive to cold or hurts more in cold weather. The soak can be used by saturating a towel in the liquid and applying it to your hip. Chronic Sinew Liniment and/or the Sinew Relaxing Soak can be used in-between applications.

4. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.