Focused Shockwave Therapy for Psoas Tendinopathy

Psoas tendinopathy involves irritation or degeneration of the iliopsoas tendon, a powerful hip flexor connecting the psoas and iliacus muscles to the lesser trochanter of the femur. The iliopsoas originates from the lumbar spine and pelvis and plays an important role in hip flexion, external rotation, and stabilization of the lumbopelvic region. As the tendon travels across the front of the hip joint, it passes over several structures including the iliopsoas bursa and bony landmarks of the pelvis, making it susceptible to irritation during repetitive hip motion.

Psoas tendinopathy typically develops when repetitive hip flexion or excessive loading exceeds the tendon’s ability to recover. Over time, micro-trauma can lead to degenerative tendon changes rather than ongoing inflammation. This condition is often seen in athletes and active individuals who perform repetitive hip flexion movements, including runners, dancers, rowers, soccer players, and individuals involved in resistance training. Some patients may also experience internal snapping hip, where the iliopsoas tendon moves across bony structures of the hip and creates a snapping sensation.

Patients commonly report deep groin or anterior hip pain that worsens with activities such as running, climbing stairs, or rising from a seated position. Because chronic tendon disorders reflect degeneration rather than inflammation, treatment strategies focus on restoring tendon capacity and improving hip mechanics. For individuals in Memphis experiencing persistent hip flexor pain, Focused Shockwave Therapy may be incorporated into conservative treatment programs to help reduce pain and support tendon recovery.