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Understanding Iliopsoas Syndrome: Symptoms & Causes

Understanding Iliopsoas Syndrome: Symptoms & Causes

by | Complex Injuries, Hip Pain & Disorders

Individuals suffering from hip, thigh, and/or groin pain could be experiencing iliopsoas syndrome. Could knowing the symptoms and causes help in diagnosis and treatment?

Understanding Iliopsoas Syndrome: Symptoms & Causes

Iliopsoas Syndrome

Iliopsoas syndrome encompasses several conditions that affect the inner hip muscle and can cause hip and thigh pain. The muscle helps to bend the leg toward the body.

  • The condition is usually caused by overuse injuries and commonly affects individuals who perform repeated hip flexion movements, like cyclists, gymnasts, dancers, runners, and soccer players. (Liran Lifshitz, et al., 2020)
  • The term is often used interchangeably with psoas syndrome, iliopsoas tendonitis, snapping hip syndrome, and iliopsoas bursitis. However, there are clinical differences.

Symptoms

Symptoms include: (American Association of Hip and Knee Surgeons. 2020)

  • Tenderness in the hip and groin area.
  • Hip or groin clicking or snapping that can be heard and/or felt during movement.
  • Pain and/or stiffness in the hip and thigh area.
  • Pain that worsens when bending the hip – walking, climbing stairs, squatting, sitting.
  • Movements that involve bringing the knee toward the chest can worsen the pain.

Causes

The iliopsoas muscles are hip muscles on the front of the hip. They are made up of the psoas major, the psoas minor, and the iliacus. Small, fluid-filled sacs/bursae are within the hip joint between bones and soft tissues. The bursae reduce friction and provide cushioning to help the tendons, muscles, and other structures move smoothly over the bony prominences.

  1. Iliopsoas bursitis happens when the bursa, which is located between the iliopsoas tendon and the inside of the hip joint, becomes inflamed and irritated.
  2. Iliopsoas tendonitis/hip tendonitis happens when the tendon that attaches the thigh bone to the iliopsoas muscle becomes inflamed and irritated.
  3. Iliopsoas bursitis and tendonitis are commonly caused by overuse injuries and intense activities like cycling, running, rowing, or strength training.

Diagnosis

  • Healthcare providers can diagnose iliopsoas syndrome based on symptom history and a hip examination.
  • Imaging tests – MRI and X-rays may be used to rule out other injuries or conditions like muscle tears. (Paul Walker, et al., 2021)

Treatment

Most mild cases of hip bursitis and hip tendonitis can be managed using the RICE method (American Association of Orthopedic Surgeons. 2020)

Rest

  • Avoid putting weight on the hip for a few days after the injury.

Ice

  • Apply ice immediately after the injury to bring the swelling down.
  • Use a cold pack for 20 minutes at a time, several times a day.
  • Do not apply ice directly on the skin.

Compression

  • Wrap the area in a soft bandage or use compression shorts to prevent further swelling.

Elevation

  • Rest as often as possible with the leg raised higher than the heart.

Medical Treatment

  • Non-steroidal anti-inflammatory drugs like ibuprofen and naproxen sodium can alleviate pain and reduce inflammation. (Paul Walker, et al., 2021)
  • Steroid injections can be used if symptoms continue or come back with additional injections administered as necessary. (Paul Walker, et al., 2021)
  • After pain and swelling subside, physical therapy may be recommended, as well as mild exercises to gradually improve hip strength and flexibility. (Paul Walker, et al., 2021)
  • A healthcare provider may recommend surgery in severe cases where pain persists, and conservative treatments don’t provide enough relief.
  • However, this is rare due to muscle weakness and nerve damage risks. (Paul Walker, et al., 2021)

Hip Labral Tear – Chiropractic Treatment

References

Lifshitz, L., Bar Sela, S., Gal, N., Martin, R., & Fleitman Klar, M. (2020). Iliopsoas the Hidden Muscle: Anatomy, Diagnosis, and Treatment. Current sports medicine reports, 19(6), 235–243. doi.org/10.1249/JSR.0000000000000723

American Association of Hip and Knee Surgeons. Iliopsoas tendonitis/bursitis.

Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, W. F., & Kaye, A. D. (2021). Snapping Hip Syndrome: A Comprehensive Update. Orthopedic reviews, 13(2), 25088. doi.org/10.52965/001c.25088

American Association of Orthopedic Surgeons. OrthoInfo. Hip strains.

Suffer From Meniere’s Disease Chiropractic Can Help | El Paso, TX.

Suffer From Meniere’s Disease Chiropractic Can Help | El Paso, TX.

by | Chiropractic

Chiropractic has been proven to help many health conditions, including those that seem completely unrelated to the spine. Meniere�s Disease is one of those conditions. A disorder of the inner ear, Meniere�s Disease affects somewhere between 3 and 5 million people in the United States alone. The good news is, the majority of patients, as much as 95 percent, are able to control their Meniere�s with medical treatments. Chiropractic has been found to be very effective in relieving patients of their symptoms of Meniere�s.

What Is Meniere�s Disease?

meniere's disease el paso tx.

Meniere�s Diseaseis a disorder that affects the inner ear, causing ringing of the ears and other uncomfortable symptoms. It affects around 200,000 people every rare, typically adults ranging from 20 to 50 years of age. It does not seem to prefer one gender over the other, affecting both equally.

Symptoms of Meniere�s Disease include:

  • Dizziness or vertigo. It is not continuous, but instead a dizziness episode may last around 15 to 20 minutes, then stop for a while and begin again. Sometimes the dizziness can last up to 24 hours, but rarely longer. The vertigo can be severe, causing vomiting and nausea.
  • Tinnitus or ringing in the ear. This may cause a buzzing, hissing, whistling, or roaring sound in the ears.
  • Loss of hearing. The patient may experience a loss of hearing, only to have it return. However, the majority of people who have Meniere�s Disease do experience permanent hearing loss to some degree.
  • Full feeling in the ear. The disease can cause feelings of pressure or fullness in the ear that is affected or in the side of the head.

These symptoms usually come and go and the patient may experience one episode but not have another one for a year or more.

Diagnosis & Treatment Of Meniere�s Disease

The doctor who suspects Meniere�s Disease will take the patient�s medical history and conduct a series to tests to determine if the patient has any hearing loss or if their balance is compromised. They will also order a series of blood tests and other lab work in order to rule out other conditions.

While there is not cure for Meniere�s Disease, it can be managed fairly well with drugs like anti-nausea medications and motion sickness medications. There are also other procedures and noninvasive therapies that have proven to be beneficial. Rehabilitation, a Meniett device, and a hearing aid are all effective treatments. Chiropractic care is also proving to be highly effective and a strong treatment option.

Chiropractic Care For Meniere�s Disease

Chiropractic care in the form of spinal manipulation or adjustments of the upper cervical area has proven to be very helpful with many of the symptoms of Meniere�s. There have been several case studies that show in many cases certain chiropractic techniques can relieve patients� pain and symptoms. This is usually due to a subluxation in the upper area of the neck. This restricts movement and throws the body out of alignment.

In many cases, patients who pursue chiropractic services for their Meniere�s Disease are eventually able to stop taking the medications that are prescribed to ease the symptoms. They also find that after the chiropractic treatments, they have more energy, are more flexible, have better mobility, and have a much more positive outlook.

Doctors of Chiropractic advise patients who have been diagnosed with Meniere�s Disease to seek out chiropractic treatments. They typically consist of chiropractic adjustments and the patient can walk out when they are finished. These treatments are effective and safe but drug free and non-invasive. In most cases, it is a preferred way to manage the symptoms and the disease itself.

If you or a loved one suffer from this condition, consider chiropractic. Our Doctor of Chiropractic would love to help. Simply give us a call and we�ll see if chiropractic is the right approach for you.

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