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Alex Rodriquez Out With Hip Injury

Alex Rodriquez removed himself out of the game against Baltimore on Thursday night after one inning of play.  He complained, according to reports, of pain and tightness in his right hip.  An MRI performed Friday afternoon showed right hip flexor tendinitis.  What is this and what does it mean for his return?


The hip is a complex ball and cup joint, with many muscles and tendons crossing the joint.  There are group of muscles that move the hip in different directions: hip flexors (moving the leg towards the chest), hip extensors (moving the leg away from the chest), hip adductors (moving the leg inwards), and hip abductors (moving the leg outwards).  The hip flexors include the iliacus muscle, the psoas major muscle, and the psoas minor muscle.  Collectively, these are known as the iliopsoas muscle.



Individuals with hip flexor tendonitis usually experience groin pain.  There is usually pain with motion.  Occasionally there is weakness as well.  With touching of the front part of the hip, there will be pain.


Repetitive motion of the hip in flexion and extension in an individual who is tight can lead to the tendonitis.  This is usually an overuse injury.  Athletic and work activities that involve constantly bending and stooping can put some people at risk of developing the tendonitis.


The initial stages of treatment involve rest, cross training to avoid the bending and stooping, anti-inflammatories to help reduce the inflammation, and physical therapy.  In therapy, stretching exercises are undertaken to increase the flexibility of the iliopsoas tendon.  If there is weakness of this muscle group as well, then strengthening exercises are performed.

Surgery is rarely needed for this tendonitis.  However, if there is an underlying cause for the tendonitis, such as a bone spur on the hip, then surgery may be needed.


Hip pain can be caused by many things, such as hip arthritis, tendonitis, appendicitis, referred pain, among others.  If the pain is severe, last for more than a few days, if one is unable to walk, or the problem keeps coming back, then you should seek medical attention.

All material published through this blog/website is for informational and entertainment purposes only. Readers are encouraged to confirm the information contained herein with other sources. Patients and consumers should review the information carefully with their professional health care provider. The information is not intended to replace medical advice offered by physicians. Dr. Parekh and Duke University will not be liable for any direct, indirect, consequential, special, exemplary, or other damages arising from the discussions in this blog.

Selene Parekh, M.D.

Selene Parekh, M.D. (also known as the “Fantasy Doctor”) is an orthopaedic surgeon and foremost expert on sports injuries who’s fast becoming the go-to expert for the multibillion dollar fantasy sports industry.

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