What Does Psoas Muscle Mean?
- Psoas literally means “muscle of loin” (Greek).
- Three muscles are associated with what is commonly refered to as “the psoas”: the psoas major, psoas minor, and iliacus.
- The psoas major is the larger of the two psoas muscles.
- The psoas minor is the smaller of the two psoas muscles and is absent in approximately half the human population.
Where Does the Psoas Muscle Attach?
- The psoas major’s proximal (closest to the head) attachment is on the sides of the bodies of the vertebrae from T12 through L4. It continues down the sides of the spine, over the front of the pubic bone, and then attaches at the distal end, with the fibers of the iliacus, to the lesser trochanter of the femur.
- The psoas major crosses many joints: T12–L1, L1–L2, L2–L3, L3–L4, L4–L5, L5 – sacrum, sacrum–ilium (SI joint), pubic symphysis, and the hip joint.
- The iliopsoas connects the upper half of the body to the lower half of the body.
What Are the Actions of the Psoas Muscle?
- The iliacus and psoas major are generally grouped together as the “iliopsoas” when referring to the function of either individual muscle. The primary function of the iliopoas is to flex the hip joint.
- Secondarily, the iliopsoas externally rotates the hip joint.
- It can also be involved with adduction of the hip if the hip has already been abducted or taken out to the side.
- Because of its location, the psoas muscle is ALWAYS associated with the “core” of our body.
- It directly impacts the quality and lightness of our movement because of its relationship to our center of gravity. See my old article on the psoas for more details of moving from your center.
Postures Where the Psoas Muscle Contracts
Postures Where the Psoas Muscle is Lengthened
Psoas Muscle Injury
Psoas, like the iliacus, can become sore from repetitive use/stress, either from daily activities like long periods of sitting, or through a sport like running or cycling.
Pain can be felt directly at the iliopsoas when sitting for long periods, for example, when driving a car for a long distance. Pain can also refer to other areas of the body, like the lower back.
Resting the muscle by taking a break from your activity can help alleviate acute pain. Due to where the psoas is located deep in the body, a skilled professional body worker may be needed to treat psoas syndrome/overuse.
Psoas strain or tear:
If psoas overuse is accompanied by a certain amount of force, it can result in an actual tear in the psoas. Psoas tears can be grades 1, 2, or 3
Grade 1: small tear, some pain, full function of the muscle
Grade 2: larger tear, some loss of muscle function
Grade 3: most muscle fibers torn, major loss of muscle function
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David answers the question: How do I self-treat sit bone pain and obturator internus? He explains that sit bone pain can originate from many different sources.