Psoas tendonitis is typically from over working or an
overactive hip flexor (which the psoas muscles are part of).
To avoid this, it is important to limit the amount of hip
flexor strengthening early on in the rehabilitation process.
I don’t do any hip flexor strengthening with my patients
untill 6-8 weeks post op.
If I encounter a patient with
hip flexor pain. The treatment should be rest, ice, anything
else to decrease the inflammation. Then when the pain
becomes more bearable we start core strengthening and psoas
relaxtion/ tone reducing exercises and core strengthening.
Most people try to stretch the hip flexor when it hurts
and that tends to make it worse and it is why so many
patients fail at conservative physical therapy approaches.
This is a good case study on what I have discussed above:
Peter Schultz DPT, OCS
133 E 55th Street
New York, NY 10022