Iliopsoas impingement
Iliopsoas impingement or tendinopathy is a painful condition that occurs when the iliopsoas muscle, which is the primary hip flexor, or its tendon rub abnormally against the edge of the hip socket or the components of a hip replacement. Rarely, it also can occur in patients with no prior hip replacement or surgery.
For active people, this persistent friction causes inflammation and tendinitis, resulting in a deep, aching groin pain, weakness, and sometimes a catching or snapping sensation when lifting the leg, climbing stairs or getting out of a chair. Impingement can severely limit mobility and daily activities, making it a common reason patients seek care with Mayo Clinic's Orthopedics and Sports Medicine team.
Our team of clinicians works hard through research to find answers for better surgical techniques and treatments, such as arthroscopic lengthening, to alleviate pain and restore function for patients with this complex issue.
Conditions treated
Treating iliopsoas impingement and tendinitis can prevent chronic groin pain, improve hip mobility and optimize clinical outcomes, particularly for patients who have undergone total hip arthroplasty.
Conditions treated include:
- Iliopsoas impingement.
- Iliopsoas tendinitis.
- Iliopsoas tendinopathy.
- Postarthroplasty anterior groin pain.
- Snapping hip syndrome, also called coxa saltans.
Faculty members collaborating on research related to iliopsoas impingement prevention and treatment include:
Research highlights
- Cabarcas BC, Iyer S, Yanamala SR, Ina JG, Daniel AV, Bishop A, Levy BA, Hevesi M. "Iliopsoas Tendonitis After Total Hip Arthroplasty Refractory to Nonoperative Management: A Long Patient Road to Diagnosis and Surgery." Journal of Astroplasty. 2026.
- Kelly JJ, Yanamala SR, Taunton MJ, Pagnano MW, Sierra RJ, Hevesi M. "Iliopsoas Impingement Risk in Collared Femoral Implants: Beware of Small Femora in the Setting of a Constant Length Collar." Journal of Arthroplasty. 2026.
- Ward GH, Broida SE, Iyer S, Bingham JS, Taunton MJ, Spencer-Gardner LS, Pagnano MW, Hevesi M. "Less of the Lesser: Postero-Lateralization of the Lesser Trochanter Was Associated With Symptomatic Iliopsoas Tendinitis Following Total Hip Arthroplasty." Journal of Arthroplasty. 2026.
- Hevesi M, Simon KN, Lachman N, Spencer-Gardner LS. "Iliopsoas Tendonitis and Impingement After Total Hip Arthroplasty." Journal of the American Academy of Orthopaedic Surgeons. 2025.
- Holliday CL, Simon KN, Trousdale RT, Taunton MJ, Levy BA, Hevesi M. "Arthroscopic Versus Open Iliopsoas Release After Total Hip Arthroplasty." Arthroscopy, Sports Medicine, and Rehabilitation. 2025.
vSimon KN, Jurgensmeier K, Vogel M, Taunton MJ, Levy BA, Nho SJ, Hevesi M. "Arthroscopic Fractional Lengthening After Total Hip Arthroplasty Results in Improved Patient-Reported Outcomes and Low Rates of Revision Total Hip Arthroplasty." Arthroscopy, Sports Medicine, and Rehabilitation. 2024.
- Simon KN, Meta F, Reuter ZC, Krych AJ, Levy BA, Hevesi M. "Arthroscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty: Utilization of the Iliopsoas Air Bursogram Technique for Safe and Efficient Access." Video Journal of Sports Medicine. 2024.