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Struggling with hip flexor-related groin pain associated with running, kicking, sprinting, and/or playing sports? Check out this video to learn everything you need to know about rehabbing the iliopsoas and rectus femoris!

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Intro (0:00)
Anatomy & Function (0:08)
Diagnosis (0:38)
Load Management & Activity Modifications (3:32)
Exercise Progressions (4:08)
Summary (6:07)

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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional.
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References:
https://pubmed.ncbi.nlm.nih.gov/27629403/
https://pubmed.ncbi.nlm.nih.gov/26031643/
https://pubmed.ncbi.nlm.nih.gov/29510653/
https://pubmed.ncbi.nlm.nih.gov/18381826/
https://pubmed.ncbi.nlm.nih.gov/25964274/
https://pubmed.ncbi.nlm.nih.gov/25515771/
https://pubmed.ncbi.nlm.nih.gov/17261557/
https://pubmed.ncbi.nlm.nih.gov/25977522/
https://pubmed.ncbi.nlm.nih.gov/28649793/
https://pubmed.ncbi.nlm.nih.gov/25796586/
https://pubmed.ncbi.nlm.nih.gov/25103134/
https://pubmed.ncbi.nlm.nih.gov/34050059/
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What is iliopsoas tendinopathy/bursitis?

The iliopsoas tendon is an important tendon that sits in front of the hip joint. It is the attachment for two of the main hip flexor muscles (responsible for raising your knee during activities such as putting your socks on). This tendon can become injured with repetitive movements such as running and can also become painful after a total hip replacement. When a tendon becomes irritated the healing process is compromised resulting in a thickened tendon. This is known as a tendinopathy. Occasionally the iliopsoas tendon is not injured but instead a small fluid-filled sac (bursa) becomes inflamed. This is known as bursitis. A bursitis can be very painful and present with symptoms mirroring a tendinopathy, or can even occur simultaneously.

Iliopsoas tendinopathy and/or a bursitis responds well to an ultrasound guided steroid injection if your pain is not improving or getting worse. After the injection we would recommend a course of physiotherapy to prevent the pain from returning, restore full movement and strength in the hip and get you back to full function.

What are the symptoms of iliopsoas tendinopathy/bursitis?

The symptoms of Iliopsoas tendinopathy/bursitis are:

A deep aching pain felt in the front of your hip (in the crease of your hip).
A clicking or clunking sensation or sound when flexing your hip (lifting your knee up).
Sharp pain with sitting and standing, especially after prolonging sitting.
Pain with walking, running and sport especially involving kicking and jumping.
A feeling of hip weakness.

This video should not serve as a replacement for professional health or medical advice.
Always consult a health professional before starting a new exercise or fitness programme.
Please stop and consult a physiotherapist if these exercises cause you pain.
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Learn about the Iliopsoas Muscle (Hip Flexor) and the anatomy involved in its movement in 3D.                          

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