Saturday, June 2, 2012

How the Psoas Muscle Causes Back and Hip Pain

Illinois Physical Therapy - How the Psoas Muscle Causes Back and Hip Pain
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The biggest factor in back and hip pain is the psoas muscle. The amount of problems caused by the psoas is quite astonishing. These include: low back pain, sacroiliac pain, sciatica, disc problems, spondylolysis, scoliosis, hip degeneration, knee pain, menstruation pain, infertility, and digestive problems. The list can also comprise biomechanical problems like pelvic tilt, leg distance discrepancies, kyphosis, and lumbar lordosis.

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How is How the Psoas Muscle Causes Back and Hip Pain

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What is the psoas?

The psoas (pronounced "so - oz") primarily flexes the hip and the spinal column. The psoas is a key core muscle. At about 16 inches long on the average, it is one of the largest and thickest muscles of the body (in animals it's known as the tenderloin). This grand muscle runs down the lower mid spine beginning at the 12th thoracic vertebrae connecting to all the vertebral bodies, discs and transverse processes of all the lumbar vertebrae down across the pelvis to attach on the inside of the top of the leg at the lesser trochanter. The lower portion combines with fibers from the iliacus muscle, which sits inside the exterior of the pelvis and sacrum, to come to be the Iliopsoas muscle as it curves over the pubic bone and inserts on the lesser trochanter.

What is the function of the psoas?

This has a amount of diverse functions making it a key factor in health. The psoas as a hip and thigh flexor is the major walking muscle. If the legs are stationary the performance of it is a bend the spine forward; if sitting it stabilizes and balances the trunk. The lower psoas brings the lumbar vertebrae send and downward to generate pelvic tilt.

When we think of smooth, elegant and graceful movement in dancers and athletes we are looking at the psoas functioning at it optimum. It requires that the psoas sound the pelvis in a dynamically neutral orientation that can move actually and preserve structural integrity. This creates positions of the spine that want the least muscular effort.

What are the base pain symptoms of the psoas?

When the muscle becomes contracted due to injuries, poor posture, continued sitting, or stress, it can alter the biomechanics of the pelvis and the lumbar, thoracic and even cervical vertebrae. Typically a dysfunctional is responsible for referred pain down the front of the thigh and vertically along the lower to mid spinal column. Trigger points are found above the path of the psoas on the abdomen. Frequently the quadratus lumborum muscles invent trigger point, as well as the piriformis, gluteals, hamstrings, and erector spinae.

It can torque your spine to the right or left, pull it send and twist the pelvis into various distortions. Frequently one psoas will shorten and pull the spine and/or pelvis to our dominant side. The distortions of the spine and pelvis can also show up as a short or long leg. This all results in scoliosis, kyphosis, lordosis, trigger points, and spasms in back muscles trying to resist the pulling of the psoas.

It can pull the spine downward, compressing the facet joints and the intervertebral discs of the lumbar spine. The pressure can cause the discs to degenerate, becoming thinner and less flexible. This degeneration makes the discs more susceptible to bulging or tearing, especially with twisting and bending movements.

What keeps the psoas in contraction?

The psoas will stay contracted because of postural habits and trauma. The way we stand, walk and sit can distort the psoas. If we walk or stand with our chin in an overly send position the muscle will tighten. Sitting through much of the day it shortens to keep us bio mechanically balanced in our chairs. Over time we invent a "normal" way of holding the psoas that is dysfunctional.

Unresolved trauma can keep the psoas short and reactive. This is a customary muscle in flight, fight, ice or defensive responses to danger. When survival is at stake, it propels the body to hit the ground running. When startled, it ignites making ready of the extensor muscles to reach out (grab hold) or run. Until the psoas is released the muscle may stay contracted and go into further shortening and spasm very easily.

Overly enthralling exercises, stretches or publish techniques for the psoas can sometimes do more harm than good. When the psoas is capable of contracting and relaxing usually it can be strengthened and lengthened.

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