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Psoas Release for psoas impingement

Josephine

NURSE DIRECTOR EMERITUS
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This is not a major procedure. Let me explain what they do ..

First the psoas is a great big muscle running from the top of the pelvis to the top of the femur (thigh bone). As you can see, it's actually comprised a lot of smaller muscles which combine together and ultimately become a white coloured ligament as shown by the blue circle.

Psoas impingement.JPG


Now most major muscles are duplicated. In the image, this muscle is marked IP which is it's proper name, ilio-psoas. But you can see beside it is another muscle marked IM which is the iliacus muscle. So when the spoas ligament is divided or cut, it's functions are readily taken over by the adjacent muscles.

As far as pain goes, this should be minor and weight bearing is not limited. Neither are hip precautions for dislocation necessary. Patients generally are able to leave the hospital using a single crutch or a cane, which can be discontinued as leg comfort permits. Recommended rehabilitation is walking and PT is usually not necessary. Patients may experience some weakness with stair climbing and entering a car for a short period.
 

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