Runners Clinic · Hip

Iliopsoas Tendinopathy

Front-groin pain during uphill running, overstriding, or lifting the knee.

Understanding Iliopsoas Tendinopathy

Repeated load can irritate the iliopsoas tendon, which flexes the hip. Hills, speed sessions, long strides, and sudden exercise after prolonged sitting may contribute.

Whether pain is at the front of the groin

Whether knee lifting or uphill running makes it worse

Pain with hip extension or resisted hip flexion

Possible hip-joint, hernia, or lumbar causes

Pelvic anatomy illustration showing the iliopsoas muscles and the front-hip pain area

Treatment Direction

Adjust Hills and Stride

Reduce hills and speed sessions, and use a comfortable stride rather than overstriding.

Differentiate Front Hip Pain

Resisted hip flexion and joint motion help distinguish tendon pain from pain inside the joint.

Rehabilitate Hip Flexors

Begin with pain-free isometric work, strengthen the core and gluteals, and progress to running movements.

Return-to-Running Criteria

Walking, stairs, and knee lifting cause minimal pain

Side-to-side hip flexion strength is close

Add hills and speed gradually after tolerating flat running

When to Seek Evaluation Promptly

Other causes need prompt assessment if weight bearing is difficult after an injury, deep groin pain and locking occur, or there is an abdominal bulge or fever.

Do not put off persistent pain. Have it checked.

Our staff can guide you during clinic hours. Call us if you have questions before your visit.

Call the clinic Appointment