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Dr. John Daigle’s protocol for treating Iliopsoas Tendinopathy

ChiroUp is honored to partner with hundreds of exceptional evidence based chiropractic practices in 7 countries throughout the world. Synthesizing our network’s 2017 chiropractic clinical outcome data has allowed us to identify the top performers for 27 different diagnoses. We invited each of these stars to share their clinical recipe. Having this information at your fingertips is like having the world’s best clinician for each diagnosis standing in your office!

We are pleased to announce our newest “Expert advice” presentation where Dr. John Daigle from Lafayette, LA shares his specific treatment protocol as the top-rated provider for treating Iliopsoas Tendinopathy.

Psoas tendinopathy often arises secondary to repetitive flexion of an externally rotated hip. The condition is commonly termed “dancer’s hip” or “jumper’s hip”, as movements associated with these activities predispose participants to injury. Psoas tendinopathy is particularly common in ballet dancers – with more than 90% reporting clicking or snapping. (1) The condition is also seen in athletes who participate in resistance training, rowing, track and field, running (especially uphill), soccer, and gymnastics, and hurdling. (2,3) Adolescents may be at greater risk during growth spurts due to relative inflexibility of the hip flexors. (2)

When the powerful iliopsoas muscle is excessively tight, its tendon may rub or even produce an audible snapping sound when passing over the underlying bony landmarks. When painless, the condition is termed “asymptomatic internal snapping hip”. When accompanied by pain and/or dysfunction, the condition is known by a variety of terms, including; painful internal snapping hip, iliopsoas tendinopathy, iliopsoas bursitis, or iliopsoas syndrome. The diagnoses tendinitis and bursitis are essentially synonymous, as inflammation in one inevitably generates inflammation in the neighboring counterpart– with a nearly identical presentation, evaluation, and management.

Traditionally, the diagnosis of iliopsoas tendinopathy has proven elusive. Definitive diagnosis is often delayed more than two years while clinicians pursue other potential causes of the patient’s symptoms. (3) Medical management beyond NSAIDs includes image-guided corticosteroid injections or tendon-lengthening surgery. Fortunately, chiropractors are uniquely trained to provide conservative management that relieves hip flexor symptoms quickly.

We are grateful to Dr. Daigle for sharing his step-by-step guide to achieving clinical excellence! Subscribers can reference Dr. Daigle’s advice in ChiroUp’s growing collection of Expert Advice videos by navigating to the Sharpen my clinical skills/ Condition reference tab then selecting this diagnosis. By working together, we will redefine chiropractic best practices and make our profession the undeniable top choice for patients and payors!

References

  1. Winston P, Awan R, Cassidy JD, Bleakney RK. Clinical examination and ultrasound of self-reported snapping hip syndrome in elite ballet dancers. Am J Sports Med. 2007;35:118-126.
  2. Garry JP. Iliopsoas Tendinitis. http://emedicine.medscape.com/article/90993-overview accessed: 10/09/15
  3. Morelli V, Smith V. Groin injuries in athletes. Am Fam Physician 2001 Oct 15;64(8):1405-14.

 

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