The Psoas: is It Killing Your Back?
Feb 18th, 2008 by Mehdi
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This is a guest post by Lauren, Australian Fitness Instructor and Personal Trainer. Lauren has a degree in Human Movement and plays Volleyball professionally in Europe. She blogs at Laurensfitness.com.
People from all ages, occupations, and sport disciplines complain of low back pain. A tight Psoas often contributes to your back pain. Good News? You can avoid it… you can even fix it.
Where and What is My Psoas? The Psoas is one of the largest and thickest muscles in the body. It attaches to the vertebrae of your lower back, and the head of your femur (thigh bone).
The Psoas is primarily responsible for hip and thigh flexion and has a lot of influence over your lumbar posture and the way your hips are positioned.

Psoas Muscle. Image credit: Somatics on the Web
When you’re sitting for a prolonged period of time, your Psoas is in a shortened position. Leave it for long enough, and it will start to think this is normal. Your tissues want to move into that resting position. Leaving you tight & contracted.
Incorrect posture during standing and walking (which is often caused by a tight Psoas) will leave it even tighter and harder to loosen.
Why Does It Cause Back Pain? A tight Psoas is a killer for your back for various reasons.
- If it is tight and in a contracted state, your Psoas will want to bring your lower back forward, moving you into an anterior tilt: lordotic posture.
- The pressure exerted by the Psoas whilst in a contracted state can compress the joints and discs of the lumbar vertebrae. This pressure causes degeneration and will make them more susceptible to injury.
- A shortened Psoas on one side will pull the spine or pelvis to that side, leading to many painful problems, including scoliosis.
- A tight Psoas will stop your Glutes firing and activating normally. This is Reciprocal Inhibition: the Psoas and the Glutes are opposing muscles.
Lack of Glute activity plus horrific posture can lead to overcompensation in other muscles of the back, leaving them tight and overworked. Couple this with the referring pain from the trigger points in your Psoas and you will be hurting.
Tips to Avoid A Tight Psoas. There are several ways to stop your Psoas turning into a hazardous plank of wood. All of which are easy to implement and should be even if you don’t suffer from back pain yet. Here goes…
- Postural Corrections. If we stay in a certain position all day, our tissues will want to move into that resting position, in this case, your Psoas. The best sitting posture is one that always changes.
- Sit Back in Your Chair. This will stop you leaning forward as much, and thus your Psoas won’t be in as shortened position in comparison to when you sit on the edge of your seat.
- Stop Hooking Your Feet under Your Chair. You put yourself in more hip flexion and therefore, more Psoas activation. Set your feet flat on the floor, or a raised platform if you are a shortie.
- Stand Up When Performing Exercises. You sit all day at work and keep your Psoas shortened. Do the opposite in the gym. Instead of the bike, get on the treadmill. Sub in Overhead Press instead of Seated Press.
- Stop Sleeping on Your Stomach. When you are on your stomach, your back goes into hyperextension. This is exacerbating what a tight Psoas already does to your back (anterior tilt). Change it up.
- Move More. Not staying in a seated position all day will go a long way to stopping you developing a tight Psoas. Get up more frequently, stretch more often, change positions… just keep moving!
Tips To Loosen A Tight Psoas. If you do suffer from low back pain and you suspect a tight Psoas, relax (maybe your Psoas will follow the lead), read the next few tips, and get cracking.
1. Stretch. Add Psoas and Hip Flexor stretches after your workouts. Get out of your chair at work occasionally and do some stretches. Do some at night before you go to bed. You can do Mehdi’s Psoas Stretch or this one:

2. Release. The most effective way to loose your Psoas is through a therapist. But you can do it yourself using a ball slightly larger & softer than a tennis ball. This massage technique releases your Psoas through an active range of motion.
- Lay on the ball, about 1-2 inches outside your belly button.
- You’ll feel your Psoas respond as you lower yourself. It will hurt a little.
- Arch your back; come up onto your elbows. This will result in a more forceful stretch and release on your Psoas.
3. Activate Your Glutes. Active glutes will help inhibit and relax your Psoas. Here are my favorites exercises you can integrate into your warm-up, or do in your main program to help fire up your glutes and loosen your Psoas.
- Overhead Lunges. Stretch and glute exercise.
- Single Leg Bridge with Knee lift. Lifted knee stretches opposite Psoas.

A tight Psoas will give many more problems than I have outlined here. It’s easy to prevent them getting tight and there is a lot you can do about it if it does.
Generally, during everyday life, at the workplace and even at the gym people are performing movements that promote Psoas tightness. Start taking some notice and prevent these troublemakers from giving you pain.
Lauren blogs about fitness, strength training and nutrition at Laurensfitness.com. Check out her articles about hip flexor flexibility, foam rolling and the glycemic index.
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Great post Lauren, solid information. Thanks for writing this.
You can find the psoas release technique at the end of this video.
Great post Lauren. Thx. Like your site as well.
Nice site you have got there Lauren..I really liked your hip flexors article..I just found another valuble article related to spine health..
http://www.t-nation.com/findArticle.do?article=07-023-feature
Great article Lauren, and it does a good job of targeting the source of back pain for many men who have overly-tense flexors. I’ll use these exercises to loosen up.
Thx for the post Lauren!
Great Post - Lots of useful no nonsense info.
I have read elsewhere that a LaCross Ball would be a good thing to use for the Psoas, any opinion on that. I had mine worked on today by my Trigger Point Therapist - referral pain down the inside of the thighs is something you wont soon forget.
Thanks
Cheers guys…
Lacrosse ball would also be great, any ball around that size. You want to toughen up for a lacrosse ball though, they aren’t soft! I love using golf balls…theres some targeted pain for ya.
great article!
i’ve been using psoas and hip flexor stretches and also glute activation excercises for about two weeks, and I must say they really helped me with my lower back pain caused by sedentary work.
[...] points done with the tennis ball, however this kind of work will give it a good release. The Psoas is often tight from people sitting down at work all day and having it in a shortened [...]
My latest current pain resulted from what I thought was a stitch while running. This increased groin pain and connection from abdomenal area and then continued down inside od leg and created swelling in knee.
Have been on anti-inflammary medication and had two massages of my psoas. Stopped running. Continue to walk, tennis and other normal activites. I do not sit most of the day. Have taken your advice about proper posture while sitting.
I do lots of stretching, yoga, massage as prevention of injuries.
i’m currently feeling pain in L1-L3 region. I’ll try this out for the next week (stretches that is) It seems to be keeping the pain away for now. Thanks!