From the desk of Dr Bradley Frick North Naples and Fort Myers Chiropractor
Low Back Pain and Tight Psoas
What are the symptoms of psoas syndrome?
Psoas syndrome can cause a variety of symptoms, including:
Lower back pain, the most common symptom, although this can be symptomatic of many conditions
Pain in the lumbosacral region (the border between the lower part of the spine and the buttocks that can radiate up to lumbar vertebrae or down to the sacrum) when sitting or particularly when changing positions arising for sitting to standing
Difficulty/pain when trying to stand in a fully upright posture
Pain in the buttocks
Radiation of pain down the leg
Limping or shuffling stride when you walk
Many of these symptoms can mimic other, more serious conditions. Hip arthritis, kidney stones (ureteral calculi), hernias, femoral bursitis, prostatitis, salpingitis, colon cancer and colon diverticulitis can also cause severe back pain. It is important to consult your doctor if you have any of the above symptoms.
The Psoas muscle proximal attachments are at the bodies and bases of transverse processes of L1-L5, the lower segment of the spine. The muscle passes through the pelvis and insert on the lesser trochanter of the femur, the upper middle portion of the thigh bone. The Psoas function is to flex and laterally rotate the thigh at the hip and flex the torso.
Actions involving the Psoas muscle include: Sitting, Squatting, cycling, and running. These actions contract and shorten the muscle. Repetitive use, without rest or stretching, can cause the muscle to become tight pulling on the low back. Many individuals complain of low back pain due to the attachment sites of this muscle.
Tightness of the Psoas can pull on the low back causing increased extension and misalignments of the spine. Chiropractic adjustments can help to realign the spine for temporary relief. However, the doctor also need to stretch and rehab the Psoas to eliminate the pain.
How to test for a tight Psoas