Iliopsoas Bursitis Treatment & Relief

Expert Iliopsoas Bursitis Treatment In Delhi NCR.

What is Iliopsoas Bursitis ?

Iliopsoas bursitis is an inflammatory condition affecting the iliopsoas bursa, a small, fluid-filled sac located between the iliopsoas muscle/tendon and the hip joint capsule. This bursa acts as a cushion, reducing friction during hip movement. When it becomes inflamed, it can cause pain in the front of the hip or groin, which may radiate down the inner thigh. It’s often caused by repetitive hip flexion, common in activities like running, dancing, or cycling.Physiotherapy plays a crucial role in the management and rehabilitation of iliopsoas bursitis. It aims to reduce pain and inflammation, restore normal hip mechanics, strengthen surrounding muscles, and prevent recurrence.

How physiotherapy helps with Iliopsoas Bursitis

Pain and Inflammation Management:
- Rest and Activity Modification: The physiotherapist will advise on avoiding or modifying activities that aggravate the bursa. This is often the first and most critical step.
- Ice Application: Applying ice to the affected area helps reduce inflammation and pain.
- Modalities: The therapist may use modalities like:
  - Ultrasound: Can help reduce inflammation and promote healing.
  - Electrical Stimulation (TENS): For pain relief.
  - Heat: Used in later stages to promote blood flow and muscle relaxation.
- Manual Therapy
  - Soft Tissue Massage: To release tightness in the iliopsoas and surrounding hip muscles (quadriceps, hamstrings, glutes) that might be contributing to the issue.
  - Joint Mobilization: Gentle techniques to restore normal movement and reduce stiffness in the hip joint.

Restoring Range of Motion and Flexibility
- Stretching: The iliopsoas muscle can become tight due to overuse, increasing friction on the bursa. Physiotherapists will teach specific stretches for the hip flexors (iliopsoas), as well as other tight muscles like the quadriceps, hamstrings, and hip rotators. Examples include:
  - Kneeling Hip Flexor Stretch: Kneeling on one knee with the other foot forward, gently lunge forward to feel a stretch in the front of the hip.
  - Couch Stretch: A more advanced hip flexor stretch.
  - Standing Quad Stretch: Pulling the heel towards the buttocks.
- Passive and Active Range of Motion Exercises: Gradually introducing movements to restore the full pain-free range of motion in the hip.

Strengthening and Stabilization
- Addressing Muscle Imbalances: Often, iliopsoas bursitis is linked to weakness in surrounding hip and core muscles (e.g., gluteus medius, abdominal muscles), which can lead to compensatory movements and increased stress on the iliopsoas.
- Progressive Strengthening Exercises:
  - Core Strengthening: Exercises for the abdominal and back muscles to provide a stable base for hip movement.
  - Gluteal Strengthening: Exercises like glute bridges, clamshells, hip abduction (side leg raises) with or without resistance bands, to improve hip stability and power.
  - Hip Extension Exercises: To balance the strength of the hip flexors.
  - Eccentric Training: Focusing on the lengthening phase of muscle contraction for the iliopsoas to improve its resilience.
- Proprioception and Balance Exercises: To improve the body’s awareness of hip position and enhance stability, especially important for athletes.

Biomechanical Correction and Education
- Gait Analysis: For runners or athletes, the physiotherapist may analyze their running or movement patterns to identify any biomechanical inefficiencies that are contributing to the bursitis.
- Activity Modification Education: Teaching patients how to modify their daily activities, exercise techniques, or sports movements to reduce stress on the hip.
- Footwear and Orthotics: Assessing footwear and recommending custom orthotics if foot mechanics are contributing to hip stress.
- Posture Correction: Addressing any postural issues that might be impacting hip alignment.

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