Doctor insights on:
Is snapping during internal abduction and external extension a sign of iliopsoas snapping hip syndrome?
What should I expect for a corticosteroid shot for iliopsoas snapping since 1.5 yrs. I'm 17 yrs f?
Expect some relief : Typically, one corticosteroid injection will provide some relief. The relief is usually between 50-100% and lasts 2 weeks-several months. I usually give a second injection about 6 weeks later for better results. I assume physical therapy is part of your care program as well. ...Read more
Chronic Injury: Tendonosis is a chronic injury resulting in micro-tears within the tendon junction of a muscle which has not healed yet. Most likely it won't heal without some intervention. Nowadays, prolotherapy, platelet based injections or even stem cell injections are being offered to help heal these tissues. ...Read more
Yes: Snapping you feel is because of the tendon rubbing against the bone during certain movement.It can be painful. Even if there is no inflammation you can feel the snapping and it can certainly be painful. Some times it is difficult to treat.There are no treatment choices that work in all the patients.Trying different modalities to see which works is your best option. ...Read more
I have an iliopsoas snapping that is painful since the past 1.5 yrs. Could it be a martial art (karate) injury due to repetitive falls?
Possibly: There are many possibilities why internal( iliopsoas) snapping hip begins.Some are anatomic or related to trauma or sports ( most common). Sometimes orthopedic surgeons who treat both types of 'snapping hip' syndrome commonly just don't know why it begins...Try to see a specialist who is comfortable treating your condition . Best of luck! ...Read more
After corticosteroids at 8 locations of my iliopsoas I have 55% better. Still difficult to sit for long. Its been 11 days now. Can it worsen again?
Yes: This is very difficult problem to solve and occasionally the symptoms do come back the injections help decrease the inflammation of the tendon and are temporary in nature once the medicine is absorbed and you do not strengthen the muscle it is possible for the irritation to come back hopefully your symptoms will continue to improve follow the recommendations from your doctor and strengthen the mus. ...Read more
Got corticosteriod in 8 locations of iliopsoas. 45% of the pain still remains. 9 days over. Did it really work? It was depomodrel + lidocaine shot.
Depends on pt: 55% improvement of pain is pretty good. Often, a 2nd or even 3rd set of shots may need to be done to achieve complete pain relief. It all depends on the patient - some patients would be completely satisfied with 55% improvement, while others would definitely want further treatment. ...Read more
Can you stretch your iliopsoas tendon through stretching exercises alone without the need for surgery ?
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