Sunday, May 15, 2011
Internal Snap of the Psoas (Iliopsoas) Tendon
The treatment for internal snapping of the hip may consist of a psoas tendon release in those patients who have failed nonoperative treatments and who have persistent pain. Nonoperative treatment for an internal snap typically consists of injections and avoidance of repetitive snapping if possible. Patients typically complain of a snap or click in the hip and on physical examination the snap can often be reproduced. Oftentimes there are other associated abnormalities in the hip that may be causing pain and that may need to be addressed. If there is no pain associated with the snap, typically no additional treatments are necessary. I have recently added a video to my website through youtube that demonstrates the arthroscopic surgical technique. Once the joint has been accessed arthroscopically, the procedure typically takes about 5 minutes to complete.