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Muscle Spotlight: Psoas

posted by Missy

Reminder to sign up for your Functional Movement Screen on 1/13 and 1/14…..just click on the banner to the right! I added some more morning slots for Saturday. Make sure you don’t work out before your scheduled time slot.


Today’s muscle spotlight: Psoas (major and minor)….AKA filet mignon of humans

I’ve been reading about this muscle during the last few weeks because I have a patient with low back pain and hip pain. He has an extremely tight psoas muscle, and when I push on the muscle it reproduces a lot of the pain that he feels throughout the day. Once get in and work on the muscle he starts to feel better, even thought it’s really really painful during. This is how I bonded with my patient AND why PT also stand for pain and torture! I know a lot of you have back problems and pain in the front of your hips, so I thought this would be a great muscle to shine the light on this week.

 

Location: Originates on the front of the lumbar spine and attaches to the top of the leg bone, right near the crease in your hip.

* Once the psoas passes the pelvis, it runs next to the iliacus muscle and is commonly called the iliopsoas  muscle.

Function: it bends your knee up towards your chest (also controlling your body weight as you descend into a squat) and helps with the crunching motion of the trunk

Detailed function: The psoas helps to stabilize the spine while flexing the hip, as well as some external rotation of the hip. The psoas also helps to counter the extension forced placed on the lumbar spine when the iliacus muscle flexes the hip (the iliacus originates in the pelvis and attaches to the top of the leg bone).

Excessive lordosis that can be caused by a tight psoas muscle

Why is this muscle important in our daily lives?

Because a lot of our jobs require us to sit a lot in a position of hip flexion. This places some muscles into a shortened position where they become tight, and others into a lengthened position where they become weak. The psoas is in a shortened positon, especially with poor posture, so it becomes tight. When this muscle is tight it can increase the pressure placed on your spine. It does this by pulling your spine forward and putting your back in an arched position (too much lumbar curve). Especially if you have weak abdominals. All lot of people with injured backs and hips have a tight, knotted psoas muscles. Once the muscle is released  and relaxes, they usually start to feel better because the stress is reduced on the back and hip.

Why is this muscle important in CFitters?

After our lovely sitting jobs, we head to CFSB and start lifting heavy weights and moving our joints through extreme ranges of movement. This means that one of two things is happening 1. Your hips are tight and you’re not able to do the movements properly 2. You can get your hips to move, but you compensate by over arching your back (excessive lordosis) because your psoas is so tight that it pulls your lumbar spine forward. My hypothesis is that all the athletes who fight to not arch their backs during certain movements may not have control over it because their psoas is just too tight!

GHD goodness

* over strengthening the psoas muscle has also been found to place a lot of stress on the spine because when the muscle is activated there is substantial compression of the vertebrae. A lot of basic, full sit-ups overuse the psoas muscle in addition to the abdominals. This is why the GHD sit-ups are good because it allows you to use your quads more and your psoas less. While doing the GHD sit-ups, make sure you completely activate your quads and straighten your legs before you come up so that you do the movement properly. If you don’t straighten your legs all the way you are not doing them correctly! This could be because you have tight hamstrings, so work on that and your GHD sit-ups will improve. Sit-ups that raise your legs straight up from the ground have been proven to have high psoas activation, so if you do these make sure you also use a variety of other methods to strengthen your abdominals. Planks and side planks are a great addition to any abdominal strengthening program!

What to do if you sit all day and you know the front of your hips are tight?

If you know someone who knows a lot about anatomy and can get in to release your psoas, great. It’s definitely one of those hurt-so-good-massages, but it really does help.  Otherwise, focus on stretching and mobilizing. You can never really isolate one muscle with a stretch because everything works together, so think of it more as mobilizing a position or movement. Here are two videos from K-Starr to help attack the psoas muscle:

Silent P in Filet Very Paleo

Your inside psoas bits

* Although the quads also work as a hip flexor, just doing a quad stretch will not target the psoas. The psoas stretch incorporates arm movement, and although it will also stretch the quads it’s important to do both.

How to avoid the tight psoas

- Don’t sit as much (if possible)

- If you’re sitting make sure you have a good low back support to help you maintain good posture.

- Try to take stretching breaks throughout your day

- Do not do not do not just get in your car after a workout and drive off. This just causes more tightness, especially of the psoas!! I have been guilty of this too, but make sure you stretch. Pick one or two stretches (minimum) to do after your workouts based on the WOD (ask coaches if you’re not sure) and do them…..it should only take a few minutes and then you can leave. Although it’s always more fun if you can stay and hang out:)

- The foam roller doesn’t work for this muscle! You gotta do the stretch or use a lacrosse ball.

__________________________________________________________________________________________

Workout of the Day 1/13/12

A. Thruster 3-3-3

B. “Lightweight Kalsu”
Complete 100 Thrusters for Time (95/65)
Every minute, you must do 5 Burpees

Daniel Tyminski – 19:37 with 135#

Fundamentals

A. Cardio Drills
2 Rounds:
1 min butt kicks
1 min high knees
1 min speed skater
1 min ski jumpers
1 min rest

B. AMRAP 15
50 Single Unders
20m OH Walking Lunges
15 KB Swings
20m OH Walking Lunges
100m Run


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  • Joe

    The psoas has been called the “joker of low back pain” unlocking these bad boys brings a lot of relief.

    • Missy

      So true!!

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  • Adnan

    What the relation between the short hamstring and psoas?

    • Missy

      If the psoas is tight it can rotate the pelvis back and pull the lumbar spine forward, causing an extended position of the back. If the short hamstring is tight, this will also rotate the pelvis back and reinforce a bad position of the pelvis. This in turn puts more stress on the low back. Does that help answer your question?

  • Mo

    I had surgery last August on my hip, and one of the things he did was lengthen my psoas muscle. The pain was doing better for a while, but the muscle is tightening again. It seems that no matter how much I use a tens unit, massage therapy, stretching, nothing helps! Any suggestions?

    • Missy

      I’m wondering if you’re doing the right type of strengthening to keep your psoas in a good length as well? Mainly getting the glutes to work instead of the quads so much (which would possibly pull your into too much hip flexion and tighten the psoas). It could also be something that you do during your daily life, maybe sit too much in bad posture (you should be sitting right on top of your sit bones) or standing with your hips flexed. Either of those could definitely lead to a tight psoas even if it was lengthened! Maybe try the bridging exercise? You can find a video of it on the Hip page of the Learn Yourself tab.
      Another more out their possibility is if you have some inflammation going on in your organs around your psoas……maybe nothing really serious but enough to cause some scar tissue and keep your psoas bound down. One of my professors in PT school specialized in this and actually worked on me a lot. I have a gluten intolerance and my right hip flexor has always been on fire! And it’s because it’s right near an area of the small intestine where the gluten usually builds up. Just thought I’d throw that option out there because it sounds like you’ve have this problem for a while. Depending on where you live, I would search for a practitioner that does visceral mobilization. It works wonders! If you’re in southern California let me know and I can put you in touch with someone.
      Hope that helps! Let me know how it goes!

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