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The American Medical Society for Sports Medicine (AMSSM) was formed in 1991 to fill a void that has existed in sports medicine from its earliest beginnings. The founders most recognized and expert sports medicine specialists realized that while there are several physician organizations which support sports medicine, there has not been a forum specific for primary care non-surgical sports medicine physicians.
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- Lower Leg Injuries - Achilles
- Ankle Injuries
- Upper Leg Injuries - Quadriceps
- Groin Injuries
- Lower Leg Injuries - Shin
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Iliopsoas Bursitis - Member Case Study
It is getting better, but I don't know if I should stop running completely until it is gone for good, or if some running is OK. I want it to heal as fast as possible.
Question from keepitupI have what I believe to be iliopsoas bursitis on the right. I was running up to 16km on long runs but am now reduced to about 6km. I went to PT and have stretches and I also ice it twice a day. It is getting better, but I don't know if I should stop running completely until it is gone for good, or if some running is OK. I want it to heal as fast as possible. Fortunately, it doesn't get aggravated by cycling. I did stop running for a week after the initial injury. Right now it starts acting up a little after 25 min of running, and gets a bit worse by 40 (maybe I shouldn't be doing that?). I haven't run further than that yet. It isn't really terrible, so I am encouraged. Any help would be appreciated.
Answer
Jen,
Iliopsoas bursitis tends to present as groin pain that worsens with activity. It may even cause a snapping sensation with hip flexion. The pain is usually exacerbated by resisted hip flexion. Visiting a physical therapist was an excellent idea- iliopsoas stretching and strengthening is a mainstay of treatment. Activity modification, NSAIDs and ice after activity are also helpful. If you are having discomfort when reaching the 25 min mark, try to cross-train more. That is, stop at 20 min and switch to the bike, the pool, or an elliptical trainer. As you continue your therapy exercises and have less pain, you can gradually increase your running time (i.e. 5 min a run--try to avoid large jumps such as 25 min to 40 min).
If you are continuing to have pain despite your current treatments, seek out a sports medicine physician in your area. Having a physician confirm your suspected diagnosis would be wise and corticosteroid injections can be done for recalcitrant cases of iliopsoas bursitis.
Michael A. Yorio, MD University of Maryland Sports Medicine
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