Tapering of the M. iliopsoas
A tape bandage is used in sports medicine, orthopedics and accident surgery both for prevention and therapy. It is a functional bandage that does not completely immobilize injured or endangered ligaments, joints and muscles, but merely prevents undesired movements. The effect is based, among other things, on the fact that any forces that occur are transferred to the plaster, thus preventing joints from moving.B.
be relieved. This is called augmentation. In addition, a tape bandage can improve the perception of bodily functions (proprioception), reduce swelling (compression), and ultimately have a splinting effect.
Tape bandages are usually used on the joints and muscles of the extremities (arms and legs). In principle, however, they can also be applied to the trunk of the body, for example the spine. Whether it makes sense to tape the muscle iliopsoas is questionable.
It is a muscle located in the depths of the body, which is very difficult to palpate (feel) even in physiotherapy. However, tape bandages or so-called kinesio-tapes of the muscle Iliopsoas are regularly found. They run diagonally from the inner side of the thigh to the outer part of the hip.
Bursitis of the iliopsoas
In the area of the tendon of the Musculus Ilipspoas there is a large bursa, the Bursa Iliopectinea. This bursa also borders the hip bone (Eminentia iliopectinea). An inflammation of the bursa is called bursitis.
Strictly speaking, one cannot speak of bursitis of the iliopsoas, as it is not an inflammation of the muscle. Bursae serve to redistribute pressure at joints and reduce friction. An inflammation of this bursa leads to pain in the hip area, which increases when the iliopsoas is stressed.
Since the bursa is located near the tendon of the muscle, the inflamed bursa is also always irritated when the muscle is stretched. Bursitis is initially treated conservatively. Exertion and sport should be avoided in the first period.
Cooling compresses (e.g. with alcohol) have proven effective and alleviate the symptoms. In addition, anti-inflammatory non-steroidal anti-rheumatic drugs such as ibuprofen or diclofenac are also used in this case. The hip should nevertheless be moved and stretched carefully.
No movement at all only leads to joint stiffening and that would be highly counterproductive. If the cause of the bursitis is bacterial in nature, antibiotics such as ciprofloxacin and gyrase inhibitors are prescribed. If the conservative measures do not show any success, the bursa is treated surgically.
As a muscle of the pelvis, the M. iliopsoas is assigned to the group of inner hip muscles. Anatomically, the M. iliopsoas is located in the so-called retroperitoneal space, a fatty connective tissue space between the posterior abdominal wall and the peritoneum. Basically, the iliopsoas muscle is not just a single muscle.
The muscle known as M. iliopsoas is rather composed of the large muscle psoas major, the muscle iliacus and the small muscle psoas minor. In addition, the large psoas major muscle is further subdivided into a superficial and a deep-lying layer. The individual components of the M. iliopsoas differ mainly in their origin.
The superficial parts of the musculus psoas major originate in the area of the twelfth thoracic vertebra and the first four lumbar vertebrae. The deep layer of this part of the iliopsoas muscle, however, originates from the transverse processes of the upper lumbar vertebrae. The iliac muscle originates primarily from the so-called iliac fossa (iliac bone pit) of the pelvis.
Both parts of the iliopsoas muscle pass from their origin through the lateral Lacuna musculorum and insert into the small trochanter of the thigh bone (trochanter minor). The nervous innervation of the iliopsoas muscle takes place via various branches of a nerve plexus in the lumbar spine (plexus lumbalis). The so-called “iliopsoas syndrome” (synonym: psoas syndrome) is one of the most common diseases in the area of this muscle. Pain at the front of the hip caused by excessive stretching is one of the typical symptoms of iliopsoas syndrome. In addition, affected patients often complain of pain in the lumbar region, the lower abdomen and the thighs.
