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).40 Myofascial
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.
In the physical examination, postural analysis may indicate