Iliopsoas Myositis in Dogs: Causes, Symptoms, and Treatment

Iliopsoas Myositis in Dogs: Causes, Symptoms, and Treatment

Published Date

Published Date

August 11, 2025

August 11, 2025

A veterinarian is holding a brown dog and supporting its hind legs.
A veterinarian is holding a brown dog and supporting its hind legs.
A veterinarian is holding a brown dog and supporting its hind legs.

Dogs love to play and run outside. In many cases, it’s all fun and games, but in some, injuries might come. It can appear as limping in the back leg, an acquired reluctance to jump, or even obvious struggling to get up. 

Many might think it’s a hip, knee, or leg problem. In some cases, it’s iliopsoas myositis in dogs. The iliopsoas muscle group plays a key role in hip flexion and core stability. This means that it’s used every time your dog runs, climbs stairs, and stands up from the ground. 

When this muscle becomes strained, inflamed, or injured, your dog may show subtle changes in gait or avoid certain movements entirely. This condition affects a deep muscle in the dog’s hip and lower back area.

Because the iliopsas muscle is situated deep within the dog’s body, injuries can be tricky to diagnose. In this guide, we’ll break down everything you need to know about iliopsoas myositis in dogs, from the muscle itself to the treatment options. 

What Is the Iliopsoas Muscle in Dogs?

The iliopsoas is a combination of two muscles: the psoas major and iliacus. It’s located in the area where the spine meets the pelvis, connecting the spine and femur. 

Because of its strategic location, the iliopsoas is also a major player in hip flexion, the movement that lifts the dog’s hind leg forward. This also helps stabilize the lower spine and pelvis during motion. 

The iliopsas’ position makes it vulnerable to strain injuries and overuse, since it’s always engaged whenever your dog walks, runs, jumps, or climbs stairs. 

In healthy dogs, the iliopsoas works silently in the background, powering everyday movements and providing stability. In inflamed and strained ones, dogs may feel a sharp pain.

What Causes Iliopsoas Myositis in Dogs?

Iliopsoas myositis in dogs can develop from both sudden injuries and gradual overuse. Here are the common ones: 

Acute Trauma or Overstretching

One of the most common causes of iliopsas myositis in dogs is the forceful stretch of the iliopsas muscle. This can happen whenever a dog slips on a slippery floor, missteps while running, jumping, and landing awkwardly, or changes directions at high speed.

The abrupt and sudden movements can overstretch the dog’s muscle fibers, damaging the tendon where it attaches to the femur.

Chronic Overuse

Dogs that participate in high-intensity activities such as agility, flyball, and other canine sports can strain their iliopsoas muscles due to overuse. Over time, this can result in micro-tears in the muscle fibers, which lead to inflammation and chronic pain. 

Concurrent Orthopedic Conditions

If your dog has another orthopedic problem, such as hip dysplasia and cruciate ligament injuries, it may have an uneven movement pattern. This can apply additional strain on the iliopsoas muscle group, leading to strain and injury. 

Breed and Activity Level

While any dog can be at risk of iliopsoas myositis, sporting breeds and working dogs are at a higher risk because of their activity level and physical demands. Border Collies are a great example. 

What Are the Signs of Iliopsoas Myositis in Dogs?

A veterinarian is holding a dog and examining its hind legs.

The symptoms of canine iliopsoas myositis can often mimic other orthopedic issues. They can start off as subtle changes but can progress to become noticeable ones when the injury worsens. This includes:

  • Hind Limb Lameness. Dogs with iliopsoas injury often show a limp in one of their back legs. The limping can be more obvious after exercise or play. 

  • Difficulty Getting Up. Some dogs can be seen having difficulty getting up from their resting posture. This is because the muscle is heavily involved in hip flexion. 

  • Altered Gait. Affected dogs can appear to have an altered walking style, one that is stiff and painful. You might notice your dog taking shorter steps with the affected hind leg. 

  • Reluctance to Jump or Climb. Some dogs also lessen their jumping and climbing movements due to the pain they feel whenever they use their hind legs. 

  • Sensitivity to Touch. Gently pressing or massaging the area can cause your dog to flinch or pull the leg away. 

  • Decreased Physical Activity. Dogs affected by iliopsoas myositis can lose speed, have trouble with jumping, or become reluctant to run. 

  • Postural Changes. Some dogs may arch their back or shift weight forward as a way to alleviate the pain they feel. 

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How Do Vets Diagnose Iliopsoas Myositis in Dogs?

Our vets will start examining your dog's body and symptoms. We may gently move its limbs and rotate the hips while feeling the iliopsoas region. If your dog feels pain, then it’s an indicator. We’ll also check how your dog walks. 

To rule out other conditions, we look into your dog's reflexes, muscle strength, and joint flexibility. The main test will involve diagnostic imaging

  • X-rays will be used to detect bone and joint issues.

  • An ultrasound will visualize the iliopsoas muscles and detect inflammation, tears, or swelling.

  • MRIs or CT scans can also be used to provide a more detailed view of the injuries and surrounding tissue.

How Is Iliopsoas Myositis in Dogs Treated?

A veterinarian is examining a dog's hind legs and lower body movement.

Treating iliopsoas myositis in dogs focuses on reducing pain and inflammation, restoring muscle function, and preventing reinjury. 

Rest and Restriction

Strict rest is usually the first step in treatment, and it’s the best option to avoid any more injuries. This means no more running, jumping, or climbing stairs. The most your dog can do is short and controlled walks for bathroom breaks. 

Medications

We may prescribe non-steroidal anti-inflammatory drugs to reduce the pain and swelling your dog is facing. In many cases, muscle relaxants can be added to ease tension. 

Cold and Heat Therapy

Cold therapy works by using ice packs to reduce inflammation and pain during the first 72 hours. Heat therapy can be used after to promote healing, blood flow, and muscle relaxation. 

Physical Rehabilitation

Physical therapy is the key to restoring strength and range of motion. Common methods for physical rehabilitation include: 

  • Passive Range of Motion Exercises

  • Proprioception Exercises

  • Strengthening Exercises

  • Hydrotherapy

  • Acupuncture

  • Laser Therapy

  • Therapeutic Ultrasound

Surgery

In rare cases, surgery will be used to promote recovery and healing. A tenotomy is done by cutting the tendon in the area where it attaches to the femur. This aims to relieve the pain and tension while promoting recovery and movement. 

Vet Tips: How to Prevent Iliopsoas Myositis in Dogs

Like humans, dogs can avoid significant injuries by preparing before any major physical activity. This includes:

  1. Help Your Dog Warm Up and Cool Down

Dogs benefit from a few minutes of gentle movement before and after intense activity. This prepares the muscles for the movement and exercise without surprising them. 

  1. Avoid Slippery Surfaces

Do not exercise your dog on slippery floors and wet areas. When indoors, use rugs, traction mats, or dog socks to provide extra traction. 

  1. Control Your Dog’s Activity

Make sure your dog’s exercise is balanced and not too much. Avoid overexerting your dog’s routine and make sure it’s suited for them. If you need help, consult with our dog training partners

  1. Build Core and Hip Strength

Strong muscles around the hips and spine help support the iliopsoas and absorb stress during movement. Provide low-impact exercises such as swimming and inclined walking. 

  1. Maintain a Healthy Weight

Keeping your dog at a healthy weight significantly reduces the risk of injuries and other weight-related problems.

“Keeping your dog’s hips and footing strong helps them stay active and happy.”

- Dr. Sarabjit Singh

Final Thoughts

Iliopsoas myositis in dogs might not be a well-known problem, but it’s a condition that every active pet owner should look into. The good news is that with a structured exercise routine and rehabilitation plan, dogs can enjoy running and jumping for years to come.

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