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Rehabilitating psoas tendonitis: a case report.

Jaime Edelstein1

  • 1Hospital for Special Surgery, Sports Rehabilitation and Performance Center, 535 East 70th Street, New York, NY 10021, USA. edelsteinj@hss.edu

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
|December 3, 2008
PubMed
Summary

This case report details the successful physical therapy for a woman with anterior hip pain, diagnosed with bilateral labral tears and psoas tendinitis. Treatment focused on neuromuscular reeducation, restoring muscular balance and alleviating hip pain.

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Area of Science:

  • Orthopedics
  • Physical Therapy
  • Sports Medicine

Background:

  • Anterior hip pain can significantly impact quality of life.
  • Bilateral labral tears and psoas tendinitis are common causes of hip pain.
  • Magnetic resonance imaging (MRI) is a key diagnostic tool for hip pathologies.

Observation:

  • A patient presented with anterior hip pain, diagnosed via MRI with bilateral labral tears and psoas tendinitis.
  • Physical therapy evaluation indicated psoas tendonitis and identified overactive psoas muscles with dysfunctional abdominal and pelvic floor muscles.
  • Hip flexion was the primary movement pattern, indicating compensatory muscle activity.

Findings:

  • A targeted physical therapy regimen, incorporating functional exercises and electrical stimulation, was implemented.

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  • Treatment focused on neuromuscular reeducation of the abdominal, pelvic floor, and hip musculature.
  • The patient achieved successful outcomes within six weekly physical therapy sessions.

    • Implications:

    • This case highlights the effectiveness of physical therapy in managing complex hip conditions.
    • Neuromuscular reeducation and muscle retraining are crucial for restoring function and balance.
    • Addressing synergistic muscle dysfunction is vital for comprehensive hip pain management.