What makes iliopsoas bursitis worse?

Answered by Michael Wilson

Iliopsoas bursitis is a condition characterized by inflammation of the bursa located near the iliopsoas muscle, which runs from the lower spine to the thigh bone. This inflammation can be worsened by certain activities and movements. Here are some factors that can make iliopsoas bursitis worse:

1. Hip flexion: Bending or flexing your hip joint can exacerbate the pain associated with iliopsoas bursitis. Activities like jogging, walking up stairs, or standing up from a seated position often require hip flexion and can therefore increase discomfort.

2. Knee to chest movements: Bringing your knee towards your chest, such as when getting into bed or in and out of a car, can also aggravate the symptoms of iliopsoas bursitis. This movement puts strain on the iliopsoas muscle and the inflamed bursa, leading to increased pain.

3. Leg lifting: Lifting your leg, especially against resistance, can be painful if you have iliopsoas bursitis. This can occur when performing exercises like leg lifts or when trying to lift heavy objects. The action of lifting the leg engages the iliopsoas muscle, causing further irritation to the inflamed bursa.

4. Prolonged sitting: Sitting for extended periods of time can also worsen iliopsoas bursitis symptoms. The prolonged flexed position of the hip can lead to increased pressure on the bursa and exacerbate the inflammation.

5. Repetitive activities: Engaging in repetitive activities that involve hip flexion, such as running or cycling, can contribute to the aggravation of iliopsoas bursitis. These movements can lead to overuse of the iliopsoas muscle and increase the risk of bursa inflammation.

It is important to note that individuals may experience varying levels of pain and sensitivity to these aggravating factors. Some people may find certain activities more problematic than others, depending on the severity of their condition and individual factors such as muscle strength and flexibility.

If you suspect you have iliopsoas bursitis, it is advisable to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan. They can provide specific recommendations tailored to your condition, which may include rest, physical therapy, anti-inflammatory medications, and other interventions to reduce pain and inflammation.