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Psoas muscle problems...Need advice

Posted on 6/27/17 at 9:13 am
Posted by Govt Tide
Member since Nov 2009
9113 posts
Posted on 6/27/17 at 9:13 am
For about the last week or so have been having serious pain and soreness in my left thigh/hip area. The entire muscle is very sore especially when I get up from laying down. Chiropractic said I pulled/strained my psoas muscle which is the large muscle that connects the hip, legs, and spine. He suggested something called McKenzie exercises. I'm wondering if some light exercises to strengthen the core are possible or would that make the situation worse?

Anyone have any experience with a pulled or sore psoas muscle/piriformis muscle? What did it take to make the pain and soreness go away?
Posted by Hu_Flung_Pu
Central, LA
Member since Jan 2013
22168 posts
Posted on 6/27/17 at 9:45 am to
I've never had a soar psoas but thought it was a cause to my low back pain. Turns out it was the piriformis. Sounds like it may be tightening by being still.

When I had my back pain, the best thing for me was to keep moving and don't "let it heal" by laying around. I don't think ice helps because it restricts blood movement to the area.
Posted by Govt Tide
Member since Nov 2009
9113 posts
Posted on 6/27/17 at 10:05 am to
I never had any back problems until earlier this year when I had a bad muscle spasm in my lower back. Chiropracter did stim and ice on it to loosen the tension so he could straighten me out. Haven't had a back issue sonce other than a brief twinge while playing golf a couple of weeks ago. I think I overcompensated to avoid any back issue by putting more strain on my hip and thigh thus straining the piriformis and psoas muscle. Pain has been isolated in the left leg since then and seems like a more challenging fix for the chiropracter.

I do think there's something to the activity vs rest thing you mentioned. The longer I stand and walk around the less discomfort I feel.
Posted by Hu_Flung_Pu
Central, LA
Member since Jan 2013
22168 posts
Posted on 6/27/17 at 10:25 am to
I noticed that more often than not, it's not the muscle that hurts that is the cause of the pain. You might have a muscle imbalance and the psoas is overcompensating. It won't hurt anything but get a lacrosse ball and use it on your piriformis and glutes. When I was hurt in my lower back, I stretched my lower back for the longest time and it either hurt worse or didn't do anything to help. Also, if you have tight hamstrings, check to see if you have a pelvic tilt. I've tried for years and years to stretch my hamstrings and what I found out was that my hamstrings aren't actually tight. I have a pelvic tilt and it was stretching my hamstrings and when I went to stretch them myself, they were already stretched and I thought I just had terrible range of motion.

Another example is that my boss had a front shoulder, bicep and neck pain. I told him it's one of his rotator cuff muscles that is acting up and it is a referred pain. I told him to take a lacrosse ball to his infraspinatus and supraspinatus muscles and see how that worked and it was like magic to him. Now he does it almost everyday.
This post was edited on 6/27/17 at 10:28 am
Posted by Rossberg02
Member since Jun 2016
2591 posts
Posted on 6/27/17 at 10:49 am to
A good psoas strengthening exercise is to: sit down, hold a weight at your chest, and walk on ur butt cheeks. Sort of a waddle.

LeCharles Bentley does this with his linemen. Do some searching.
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