Iliopsoas in women

psoas muscle

Made up of two distinct segments, the iliopsoas muscle, also known as the iliopsoas, is located at T12 and the first five lumbar vertebrae. Renowned for its incredible strength, this muscle is prone to psoas tendonitis. This condition, commonly found in athletes, involves inflammation of the iliopsoas muscle tendon and primarily affects the inner hip and pelvic area.

In this article we are going to tell you everything you need to know about back pain. iliac psoas in women and its causes.

What is the origin of psoas tendonitis?

postures for the psoas

Rotation and movement of the outer thigh are facilitated by the psoas muscle. It plays a crucial role in allowing us to walk and perform various hip movements. Inflammation of the psoas tendon can be attributed to several factors. One possible cause is inflammation resulting from inadequate tension on the muscle.

Friction intensifies when the pelvis tilts posteriorly, which could lead to the development of this condition if continued for a long period of time. In addition, a direct impact can also trigger its manifestation.

Another potential contributing factor to psoas tendinitis is prolonged elevation of the knees while sitting, such as when We are sitting in a chair that is not properly adjusted to our height.

However, another contributing factor to psoas tendinitis is inadequate treatment or inadequate recovery from low back pain. As a result, The iliopsoas muscle is forced to exert excessive effort, leading to potential injury.

Sports activities such as dancing, athletics, and soccer often cause this condition due to repetitive flexion of the hip. Another common occurrence is cycling, where spending prolonged periods pedaling puts pressure on the area.

Who is at higher risk of developing psoas tendonitis?

psoas in women

Young people who are deeply involved in sports are particularly susceptible to psoas tendonitis. Generally, this demographic group has a diminished perception of the potential dangers associated with maintaining uncomfortable postures, since They prioritize improving their physical and psychological abilities.

The demographic most susceptible to psoas tendonitis is women, while people over 60, regardless of gender, are also prone to this condition. Muscle deterioration may contribute to this condition in older adults, although in the past it has been more commonly associated with excessive sports activities. Therefore, without prior research, it is difficult to establish a direct correlation between psoas tendonitis and older people.

Signs of psoas tendon inflammation


The condition commonly known as "psoitis" or tendonitis usually manifests itself with a variety of symptoms, including:

  • Pain that originates in the groin area radiates to the buttocks, thighs, and knees
  • Pain in the lumbar region
  • Fatigue

The symptoms of psoas tendinitis or psoitis usually manifest sporadically, coinciding with activities that put pressure on the hips, thighs, or groin, such as walking or driving. However, once we stop these movements, the pain gradually decreases and eventually disappears.

In case the condition worsens, symptoms may manifest even during periods of rest.

How to avoid it

To properly prepare muscles for physical activity, it is necessary to perform stretching exercises before warming up. These stretches should be supervised by a knowledgeable sports professional to ensure that any incorrect posture is quickly corrected. This serves both to relax the muscles and to properly prepare them for sports practice.

By incorporating low-impact sports along with high-impact or high-performance activities, The risk of inflicting serious trauma and excessive muscle tension can be minimized.

It is essential to maintain an appropriate weight based on individual body constitution to avoid excessive stress on bodybuilding and bone structure. For people who regularly practice sports, it is essential to demand consultation with professionals in the field of traumatology and physiotherapy. It is essential to evaluate the state of the body's tissues and take the necessary measures to identify and prevent possible problems.

How is it diagnosed

The diagnosis of this condition can usually be suspected based on the symptoms reported by the patient. However, it is important to consider that there are other conditions that can cause groin pain, which requires considering differential diagnoses during the evaluation process. To confirm the diagnosis, The doctor or physical therapist performs a physical examination. This exam involves palpating the inguinal region (which causes pain), evaluating the range of motion in the joints (which may be limited due to pain), and evaluating the strength of the hip muscles.

Additionally, provocation tests are performed, such as the Ludloff test. This test involves flexing the hip with the knee extended while the patient is lying down. If this maneuver induces deep pain in the groin, it indicates that the tendon insertion of the muscle on the lesser trochanter is affected. (known as positive Ludloff sign).

Although a physical examination is effective in identifying psoitis, only imaging tests can determine the full extent of damage to the tendon. The initial step is to perform an ultrasound on the affected area, which provides valuable information about the condition of the tendon.

Additionally, studies such as MRI and CT are needed to not only evaluate the insertion point of the hip flexor but also rule out other adjacent lesions that cause psoriasis-like symptoms (differential diagnosis).

Doctors first tell patients to stop and reduce activities that put pressure on the hips, which Use ice on the painful area and medications such as ibuprofen or diclofenac to reduce pain and inflammation. Once the pain has been significantly reduced, your doctor will perform physical therapy, which involves movement training using special stretching and strengthening exercises. If symptoms persist, your doctor may give you a cortisone injection around the tendon in your upper thigh.

I hope that with this information you can learn more about iliopsoas pain in women and its causes.