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Endoscopic Iliopsoas Release

What is the iliopsoas?

The iliopsoas muscle is a key player in hip function. It originates at the lower spine and attaches to the upper end of thighbone (femur).  It is responsible for flexing and rotating the hip. When this muscle becomes tight or inflamed, called iliopsoas tendonitis, it can cause pain in the groin, hip and low back.

An endoscopic iliopsoas release is a minimally invasive surgical procedure that releases the tension on the muscle caused by impingement, tears, and other conditions. The result is pain relief and, in some cases, restoration of normal function. Utilizing the latest technology, clinicians at LALL Orthopedics+ have helped pioneer minimally invasive procedures to treat iliopsoas tendonitis whilst preserving the hip joint.

During an endoscopic iliopsoas release, a small 4-millimeter camera is used to visualize the hip joint. The surgeon then uses special instruments to release the thickened and scarred tissue around the iliopsoas tendon to improve range of motion and relieve pain. This technique allows for a more precise and less invasive surgery, with shorter post-operative stays and faster recovery times. It is typically performed as outpatient surgery meaning that patients can go home the same day.

The benefits of endoscopic iliopsoas release include:

  • Less pain
  • Increased range of motion
  • Faster return to activity
  • Restoration of joint function

Endoscopic iliopsoas release can be an effective treatment for many different conditions that cause hip pain, including:

  • Internal snapping hip – a condition characterized by an audible pop or snap when the iliopsoas tendon moves over its groove in the hip socket. It is common and can be very painful with hip movements. The gold standard treatment is conservative management, but when this doesn’t relieve pain or other damage is present, endoscopic iliopsoas release is warranted.
  • Iliopsoas impingement – Iliopsoas impingement involves damage to and compression of the labrum that lines the hip socket caused by a tight or inflamed iliopsoas tendon. Impingement may be the cause of hip pain after total hip replacement. Surgery removes the impingement and improves joint biomechanics.
  • Articular cartilage damage
  • Synovitis (inflammation of the hip joint)
  • Iliopsoas Tendonitis (inflammation of the tendon)

The expert team at LALL Orthopedics+ will discuss your medical history and symptoms. They will perform a focused physical examination to identify the cause of your pain and order any necessary tests such as X-rays or MRI scans. With the information gathered, they will render an accurate diagnosis and provide information about your treatment options.

If you or a loved one are experiencing hip pain, schedule a consultation with LALL Orthopedics+ to learn about your condition and whether endoscopic iliopsoas release may be right for you.

If you are in need of endoscopic iliopsoas release, schedule a consultation with LALL Orthopedics +. LALL Orthopedics + is led by renowned hip surgeon Dr. Ajay C. Lall. Dr. Lall is a former dual sport NCAA collegiate athlete (football and track & field), American board certified, triple fellowship-trained expert orthopedic surgeon. LALL Orthopedics + specializes endoscopic iliopsoas release.

LALL Orthopedics + has offices in Paramus, NJ, Philadelphia, PA and Belvidere, IL. Our team regularly sees patients from Bergen County, Hackensack, and Morristown, NJ.

At a Glance

Ajay C. Lall, MD, MS, FAAOS

  • Board Certified – Orthopedic Surgery
  • Triple Fellowship Trained
  • Performs over 750 Surgeries Per Year
  • Learn more