Hip Flexor Tendinopathy

Hip flexion is the act of bringing your thigh bone up in front of you, such as bringing your knees towards your chest, and there are several muscles that are involved in this. However, for the purpose of this article we are going to focus on iliopsoas which is a combination of 2 muscles: iliacus and psoas major.

A tendinopathy can be thought of as a structural change in a tendon in response to excessive and repeated loading. It is actually your body responding to this excessive load to try and adapt adequately to the demands you are placing on it – essentially new fibres are laid down to try and spread the load on the tendon. Initially this will most likely produce no symptoms, but if it continues to be excessively loaded over time, pain can start to develop.

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We also regularly treat the conditions below. Look out for a blog on these in the coming weeks.


Most frequently they would flare up as result of repeated compression but they can also result from a sustained compression. A good example is if there is some muscle weakness in the aforementioned gluteus medius. This muscle would therefore be unable to provide adequate stability when walking or running, the net effect being the knee would fall inwards thereby stretching the gluteus medius tendon over the bursa and causing compression.

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Hip impingement

In simple terms, this happens if the muscles aren’t doing their job properly at the hip. This may be related to a pure strength issue or even a “movement skill” problem i.e. muscles not working at the right time. This means more weight tends to go through the joint rather than the muscles taking the load and your body then has to adapt accordingly.

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