Hip tendon inflammation

A tendon inflammation in the hip is a condition at the transition between muscle and bone. This transition is called the tendon. A tendon inflammation occurs as a reaction to small tears in the tendon due to overuse. Because tendons have relatively few blood vessels, recovery is slow.

How does a tendon inflammation in the hip arise?

The hip joint is used frequently through daily loading. This demands a lot from the hip muscles and tendons. A tendon inflammation in the hip is therefore often the result of overuse. This can involve (lifting) work activities or sports such as rowing, running, strength training or athletics.

The muscle group musculus iliopsoas is often involved in a tendon inflammation in the hip. This injury is also referred to as the iliopsoas syndrome.

In addition to overuse, underloading (too little movement) is certainly also a risk factor for a tendon inflammation in the hip. Other factors that increase the chance of this injury are being overweight and a leg length difference.

How can you recognise a tendon inflammation in the hip?

With a tendon inflammation in the hip, pain in and/or around the hip is one of the most common complaints. This pain can radiate to the front or outer side of the thigh down to the knee.

Mobility may also be limited, in particular lifting the hip forwards and sideways can be made difficult by pain. In some cases of a tendon inflammation, movements of the hip are accompanied by a cracking or snapping sound. This phenomenon is called a snapping hip.

How is a tendon inflammation in the hip diagnosed?

It is important when diagnosing a tendon inflammation in the hip to exclude a bursitis. The two conditions have a number of similarities, but the GP or physiotherapist must distinguish between them.

A correct diagnosis is of great importance, especially with a view to treatment. One of the biggest differences is that a bursitis often heals with rest and cooling alone, while there are several treatment options for tendon inflammation.

In case of doubt, the GP can request imaging in the hospital. An ultrasound scan will most likely provide sufficient clarity.

How is a tendon inflammation in the hip treated?

To identify the cause of the complaints, it is advisable to see a physiotherapist. Based on his or her findings, a treatment plan will be drawn up.

Treatment will initially focus on pain reduction. Following this, strengthening the hip muscles is the main goal.

In the meantime, it is advisable to take sufficient rest and to cool the hip several times a day.