What is the Treatment for Psoas Impingement?
Psoas impingement injuries can be treated without surgery through rest, anti-inflammatory medication, and a regimented stretching program. Slow and gradual strengthening of the muscle will help protect the hip from re-injury. In some cases, the use of a steroid injection into the hip may help decrease the inflammation of the tendon, reduce pain, and allow for ease in returning to normal activity. When a psoas tendon is symptomatic, injections can be performed under ultrasound. In many cases a painful psoas tendon often results in compression and tearing of the labrum. When this is the case, an injection may not provide maximum relief. Dr. Padalecki will consult in this situation and discuss surgery alternatives.
If surgery is required, Dr. Padalecki examines the hip through the use of an arthroscope. He is able to determine if the psoas tendon is tight with the arthroscopic examination on the operating table. For tight tendons, Dr. Padalecki performs a fractional lengthening of the tendons to make it longer, thereby relieving the symptoms associated with the tightness and preserving hip flexion strength. Any other hip pathology that is discovered through the diagnostic tests can be treated through the same incisions.
What Occurs After Psoas Impingement Surgery?
A rehabilitation and physical therapy program will be prescribed at your first post-operative visit with Dr. Padalecki. Initially, the therapy will focus on slowly returning motion back to the injured hip. After that is achieved, you will follow a progressive strengthening program to protect the repaired hip and avoid future damage or degenerative issues.
For additional resources on psoas impingement of the hip (internal snapping hip syndrome), or for more information other types of hip injuries, please contact the office of Dr. Jeff Padalecki, orthopedic hip specialist in Austin, Texas.