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Hip Pain! #2

Hip flexor tendonitis, a.k.a: hip tendinopathy, or even more accurately, iliopsoas tendonitis is inflammation of any one of several tendons in the hip, generally associated with degeneration of the tendon. Because tendons tend to have poor circulation, these injuries are often slow to heal.


Last week, we began a study of Hip flexor tendonitis. In Part 2, we will discuss treatment options that can be performed by a qualified therapist and preventive measures the patient can take to avoid future pain and injury of the hip.



Home remedies

When the patient first develops hip pain, it may help to temporarily reduce or avoid activities that trigger symptoms. The second home treatment is using the “RICE principle” - rest, ice, compression, elevation.

If the pain continues or worsens, interferes with the ability to perform routine daily activities, or is associated with swelling or redness about the joint, it’s time to call a doctor.


Pain relievers such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may provide short-term relief from pain associated with Hip tendonitis.


For most people, treatment of Hip tendonitis begins with physical therapy to stretch and strengthen the iliopsoas muscle. Specific physical therapy techniques can help reduce the symptoms associated with Hip tendonitis, including:

  • Stretching exercises. Regular, gentle stretching exercises can reduce muscle spasm and help lengthen the muscle-tendon unit.
  • Strengthening exercises. Weak thigh muscles contribute to the strain on the hip tendon. Gentle strengthening exercises for the associated muscles and tendons are particularly helpful. Eccentric strengthening is particularly important for tendon rehabilitation.
  • Sports massage. This simple, deep-tissue therapy, delivered by a qualified professional can be a soothing, effective treatment option.
  • “Electronic therapy”. Ultrasound therapy and Iontophoresis may both be effective treatment options for hip tendonitis. The lesser-known Iontophoresis treatment involves spreading a corticosteroid medicine on the skin covering the affected area and then using a device that delivers a low electrical charge to push the medication through the skin.

Home remedies and lifestyle changes

The sufferer of Hip flexor tendonitiscan often identify what behaviors caused the condition and make efforts to reduce or eliminate those behaviors. If the pain is caused by too much sitting, for instance, the sufferer can make a habit of standing and stretching at more frequent intervals.

Other preventive measures include:

  • Adjust your seat height so hips sit higher than knees to avoid “hip pinching”
  • Maintain a flexible, strong core and hips
  • Discuss proper form with your trainer to prevent muscle compensation
  • Strengthen the muscle in its lengthened and shortened state


To prevent further symptoms, increasing the length of the muscle-tendon unit with stretching and increasing joint flexibility are most important. Active stretching of the injured muscle must be accomplished to improve its length. At the same time, the injured muscle must be strengthened. Eccentric exercises, in which the muscle is lengthened and tightened at the same time (such as with lunges) should be added once full lengthening has returned. Once the proper length of the muscle has been attained and its strength restored, the addition of activity and sport-specific exercises completes the rehabilitation. Increasing the flexibility and strength of the opposing muscle groups is also required.


If you are experiencing pain in your hips, don’t wait for your family physician; visit Excel Rehabilitation Services on Burnside Ave. in Gonzales, Louisiana. You will receive personalized care from an experienced, professional physical therapist!



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