Accessibility Tools

Already a Member? Login

Forgot Password

View Video LibraryVideos



Home » Orthopaedics » Hip » Iliopsoas Tendonitis

Iliopsoas Tendonitis

Iliopsoas tendonitis, also referred to as snapping hip syndrome, is an inflammation of the iliopsoas tendon or the surrounding area. The iliopsoas is the hip flexor tendon located over the front of the hip socket. The term snapping hip describes the sound made, a snap or click, that occurs with certain hip movements including flexion, extension and rotation of the hip.

The condition usually occurs due to trauma or overuse from repetitive hip flexion or bending of the hip joint. Iliopsoas tendonitis may be acute or chronic depending on the duration of symptoms.


The common causes of iliopsoas tendonitis include:

  • An acute injury or
  • Overuse injury


These injuries may occur due to activities such as:

  • ballet
  • dancing
  • cycling
  • resistance training
  • gymnastics
  • running (particularly uphill)
  • soccer


Signs and Symptoms

The common signs and symptoms of iliopsoas tendonitis include:

Initial Symptoms

  • Anterior hip or groin pain associated with specific sports-related activities, such as running, jogging, or kicking
  • Audible snap or click in the hip or groin


Progressive Symptoms

  • Hip or groin pain during simple day to day activities
  • Pain that radiates down from the anterior thigh towards the knee
  • Pain even at rest



Iliopsoas tendonitis is diagnosed through a review of your medical history and a detailed physical examination of your abdomen, hip, and groin.

Your doctor will perform the following:

Inspection of the hip at rest and with flexion.

Functional test: You will be asked to bend and rotate your hip joint.

Palpation of the hip joint through touch to assess for any swelling or unusual tenderness in your hip joint.

You may also be asked to sit with your knees extended with subsequent elevation of the heel on the affected side. 

Imaging tests such as x-rays, ultrasound, and MRI scans of the hip and pelvis may also be performed to confirm a diagnosis of iliopsoas tendonitis.

Lidocaine Challenge Test

This test is performed if the cause of your hip or pelvic pain is not quite clear. In this test, your doctor will inject 1% lidocaine into your hip joint, targeting the iliopsoas tendon under ultrasound guidance. If you experience relief from the hip pain this confirms a diagnosis of iliopsoas tendonitis.


Treatment for iliopsoas tendonitis may include:

  • Physical therapy and stretching exercises
  • Pain relief medications
  • Injection of a corticosteroid with a local anesthetic such as 1% lidocaine under ultrasound
  • Surgery is only recommended to those who have intense symptoms and more severe psoas tendonitis that fails to respond to conservative non-invasive therapy.


Surgery for the treatment of iliopsoas tendonitis may involve either a complete release or a partial release of the iliopsoas tendon, meaning that the tendon is either cut completely or partially in order to relieve the pain.


Iliopsoas tendonitis or snapping hip syndrome is a condition caused by inflammation of the iliopsoas tendon or surrounding structures. It is commonly seen in athletes and dancers due to an acute injury or overuse of the hip joint from repetitive movements during sports, exercise, and ballet. Treatment includes stretching exercises, physical therapy, pain relief medications and corticosteroid injections. Surgery is only recommended for severe cases of psoas tendonitis that do not respond to conservative measures.

Achilles Tendon Tear Repair

The achilles tendon is often injured during sports resulting in an inflammatory conditi..

Cartilage Restoration

Cartilage restoration is a surgical procedure where orthopedic surgeons stimulate the g..

Hip Bursitis

Hip bursitis is a painful condition caused by inflammation of a bursa in the hip. Bursa..

Hip Synovitis

Hip synovitis, also called transient hip synovitis or toxic synovitis is a condition in..

Juvenile Arthritis

Juvenile arthritis is the term used to describe arthritis in children younger than 16 y..

Minimally Invasive Total Hip Replacement

The hip joint is one of the body's largest weight-bearing joints and is the point w..

Pelvic Osteotomy

Pelvic osteotomy involves reorienting or restructuring the acetabulum or hip socket to ..

Severs Disease

Severs disease, also called calcaneal apophysitis, is a condition causing swelling and ..

View More