Myofascial pain from or mysofasciopathy of the psoas major muscle will often present as anterior hip and/or lower back pain. Referral areas include the anterior thigh.40 The psoas major muscle can be considered as a pain source in athletes, office workers or anyone who spends much of their day sitting. Psoas major myofascial pain is thought to be prevalent in certain sports including soccer, dance, and hockey (as in the case presented above).40Myofascial psoas major pain is different from that of psoas tendinitis, psoas bursitis or coxa saltans and these are among the strongest differential diagnoses, along with tears of the hip labrum. Table 2 provides a list of possible differential diagnoses for psoas major myofascial pain. It should be noted that the snapping or popping of coxa saltans produces pain at the anterior aspect of the groin, and patients can often reproduce the snap or pop themselves.