Iliopsoas related pain

• Iliopsoas related pain - Symptoms:

  • Pain at the anterior proximal thigh. More lateral than adductor related pain
• Iliopsoas related pain - Most likely presents with complaint of:

  • Pain with resisted hip flexion or hip flexion stretches
• Iliopsoas related pain:

  • Second most common injury in football
  • Powerful hip flexor. Normally injured as a pair (46%), rather than an isolated muscle.
• Iliopsoas related pain:

  • Mechanism of injury is similar to adductor longus, but with more focus on kicking/acceleration
  • Sprinting uphill commonly reproduces pain
• Iliopsoas pain: Clinical presentation

  • Iliopsoas tenderness on palpation
  • Pain on resisted hip flexion
  • Pain and tightness – Modified Thomas test
• Iliopsoas related pain - Main impairments:

  • Reduced hip flexor strength
  • Functional loss: Decreased playing performance and ability to change direction at speed, kick with force and acceleration loss