Lower Back Pain

The Psoas: An Overlooked Piece of the Lower Back Pain Puzzle.

When people experience lower back pain, they often assume the spine is the problem. But one important muscle that’s frequently overlooked is the psoas.

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The psoas is a deep core muscle that connects your lumbar spine to your femur (thigh bone). As your primary hip flexor, it also plays a key role in stabilizing the lower back, pelvis, and hips.

Over time, prolonged sitting, repetitive hip flexion, running, cycling, or high training loads can increase tension in the psoas and surrounding fascia. This may contribute to:

•  Lower back tightness or fatigue

•  Discomfort after prolonged sitting

•  Stiffness when standing up

•  Hip restriction

•  Anterior pelvic tilt

•  Increased compression through the lumbar spine

•  Changes in posture and movement patterns

Because the psoas lies deep within the abdominal cavity, excessive tension may also influence the surrounding fascia and even breathing mechanics.

Treatment often requires more than stretching alone. The best outcomes typically come from a comprehensive approach that may include manual therapy, mobility exercises, core and glute strengthening, and movement and breathing retraining.

Looking beyond where the pain is felt—and addressing the body’s movement as a whole—can often lead to better function, improved mobility, and longer-lasting relief.

Every person is different, and lower back pain can have many causes. A thorough evaluation is important to determine the best course of care.

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