MRI Iliopsoas Bursitis

Iliopsoas bursitis, also known as iliopectineal bursitis, is an inflammatory condition involving the iliopsoas bursa, a fluid-filled sac located in the pelvic region. This bursa acts as a cushion, reducing friction between the iliopsoas muscle and the pelvis or hip bone. Inflammation of this bursa can lead to pain and discomfort, often associated with hip and groin region.

Causes:

• Overuse or Repetitive Stress: Common in athletes, especially runners, or individuals involved in activities requiring repetitive hip flexion.

• Hip Injury or Trauma: Direct injury to the hip area can lead to inflammation of the bursa.

• Arthritis: Conditions like rheumatoid arthritis or osteoarthritis can precipitate iliopsoas bursitis.

• Leg Length Discrepancy: Uneven leg lengths can cause abnormal gait, leading to extra stress on the bursa.

Symptoms:

• Pain: Often the most prominent symptom, typically felt in the front of the hip, but it can also radiate to the thigh, groin, or lower back.

• Swelling: May occur in the affected area.

• Tenderness: The area over the bursa may be tender to touch.

• Stiffness: The hip might feel stiff, especially after prolonged sitting or in the morning.

• Reduced Range of Motion: Movement of the hip, particularly hip flexion, may become limited.

Treatment:

• Rest: Reducing activities that exacerbate the symptoms is crucial.

• Ice Therapy: Applying ice to the affected area can help reduce inflammation and pain.

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications like ibuprofen or naproxen can help in reducing pain and inflammation.

• Physical Therapy: Guided exercises to strengthen the surrounding muscles, improve flexibility, and correct any biomechanical issues.

• Corticosteroid Injections: These can be administered into the bursa to reduce inflammation and pain, though their use may be limited due to potential side effects.

• Surgery: In rare cases where conservative treatments fail, surgical intervention to remove the inflamed bursa may be considered.