Psoas Puns

Greetings,

I'm new to this community but not to RLS, although up until the past couple months I'd been able to get a good night's sleep most nights, so it was pretty mild for the few years I've had it.

Recently it's been getting more intense at night and I've been having trouble falling asleep at night, if at all. I was wondering if anyone here has successfully switched to sleeping during the day (if you have the luxury of a flexible schedule)-- is that possible? Does it help?

Hamstrings, psoas, knees, bunions: until recently, I thought my RLS was "just" a matter of my tight hamstrings/ hips/ knees/ backs of my legs/ bunions. I was able to stretch several times in/ out of bed at the beginning of the night, and eventually fall alseep.

My hamstrings are extremely tight; have been my entire life. I've been stepping up my efforts to do stretching and yoga to open my hips and help my hamstrings and knees. Sometimes it seems to help but sometimes it doesn't seem to have much effect.

I've searched this sub a bit and saw an AMA by someone who no longer has RLS due to stretching their hamstrings, psoas, etc. I really hope this is possible! Does everyone here have tight hamstrings?

Also i've been wondering if night time RLS* has any relation to possible increased cortisol levels at night due to allergies/ inflammation? which I have (though I do not use allergy pills including benadryl. I did in the past, but hopefully they've left my system and aren't affecting me now).

* (I understand there's also daytime RLS, but I've not experienced that as much, although my sitting daytime meditation sessions have been affected recently)

Magnesium: I use magnesium citrate for other reasons, but it seems people here mostly mention glycinate. Which form is best for RLS?

Iron: my bloodwork this past October showed low iron/ anemia, so I've been supplementing with iron. (However, I had low iron 3 years ago, supplemented and then my next bloodwork showed my iron level as too high, so I've been yoyo- ing with that, while I've had RLS symptoms throughout, regardless).

Caffeine: I am still drinking coffee pretty much every day. I'm having a really hard time cutting it out because it functions as my antidepressant.

I never drink alcohol. I've been trying to reduce my sugar intake. I drink quite a bit of water.

I cannot use cannabis because I'm allergic to it (rare but sadly true). I don't want to use pharmaceuticals. I supplement with various other vitamins and products, in

Is this stupid, and have you had these rules

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I’ve been lurking here for a while and tried searching to see if this was already discussed before I posted but couldn’t find anything. My wife is working from home doing tele-health appointments with her patients. She tries to stand often but can’t always. And I’ve been trying to convince her to splurge and get a nice chair to help with her pain.

I’m going to describe it a little to see if anyone thinks it sounds familiar and they found a chair that works. Otherwise tl;dr at the bottom.

She was an avid runner until about 8 months ago when she hurt her back. No one could figure out what was wrong because the pain and stiffness is in a lot of places like lower back and hips and sometimes causes back spasms. The doctor thinks it’s a PSOAS injury since the scans and everything are clean. It’s hard to diagnose and sometimes goes away and people assume it was the lower back or just a hip flexor injury.

Currently she uses a combination of a lumbar support roll pillow thing and a supportive memory foam seat where the tailbone is cut out to relieve pressure (I think that is why).

Because we help take care of my Aunt who has cancer and a couple other high risk family members, we have avoided any unnecessary visits to places. So I can’t get her to go to try out chairs.

I’m currently in the process of redoing my office as well. So I thought I would just buy two of the most recommended chairs for her type of pain since they all seem to be nice chairs and I don’t have any sort of special need. I would just hope one of the two works for her. And I would keep the other. She’s starting a new business so she doesn’t want to spend the money on herself so I’m going to spend the money on her.

She’s 5’5” and about 145lbs. More on the shorter side. She sometimes can be in her office for long days but isn’t always sitting.

I’m wondering if anyone has experience with this kind of issue/injury or has helped someone with something close to or similar and has recommendations? I was thinking about the leap v2 fully adjustable being one of them since it seems like an all around chair but I’m second guessing it. Any suggestions are appreciated.

tl;dr: stubborn but awesome wife has a psoas issue and will encourage me to spend ungodly amounts on a new computer. Would like to get her a nice office chair because she won’t spend on herself. Which two office chairs should I buy to hopefully find one that helps her?

Thank you for taking the time to read this.

I started doing this stretch (link below) every evening 10 days ago and it’s probably the best Psoas stretch I have ever tried. After 3 days I switched from option 2 to option 3 because I could no longer feel a stretch on option 2. Hold for two min if possible.

https://www.athletico.com/2015/05/05/psoas-opener/

Something else I noticed after stretching out my psoas is that I am now able to sweat easier while working out. Anyone know if there is a connection between a super tight Psoas due to stress and anxiety and it preventing you from sweating?

Does it cause pain with hip extension or flexion? UW mentions it causes pain with extension while NBME (don't remember which one) says it causes pain with FLEXION(the main action of the muscle). What am I missing

I’m about one year post op from a labral repair and osteotomy. While I think my range of motion is better, I have persistent groin pain that surgeon feels is likely soft tissue/hip flexor tendonitis. It is not improving with endless physical therapy, dry needling, even steroid injection. Very frustrating and I’m starting to lose hope. Came across an ortho in my area who does partial psoas lengthening. My surgeon did not want to do this originally given risk of weakness/instability with this surgery. Has anyone had this surgery done either concomitantly with labral repair or after labral repair?

Psoas is a pair of muscles from the lumbar spine through the groin on either side(it is also called the muscle of the soul)

Vagus Nerve: is the tenth cranial nerve or CN X, and interfaces with the parasympathetic control of the heart, lungs, and digestive tract.

Take my word for it, we gotta dive deeper into these 2 for SR.

I have been reading about these everywhere and every person claims that their urges became 0, their childhood trauma/abuse healed, anxiety healed, self esteem healed, depression healed.

When I first read about it, I read that people who commit brave or courageous actions were found to have a strong psoas and they were more risk taking or adventurous, while people with weak psoas were cowards, timid, lacked self discipline.

For vagus nerve, I read that this is where all of our traumas and their effects are stored from childhood, abuse that even we dont realize was abuse is stored here and all this needs to be released.

So if anyone here has any knowledge of any exercises or techniques or more importantly a guided/comprehensive schedule on what to do to heal either psoas or vagus nerve, then please come forward.

The only post regarding psoas on this subreddit had a comment where a link was provided for psoas, but that link doesn't work anymore.

I seem to have some issue with my hips, and sometimes either running for a train or sitting for a long period will make my hip very tight and quite sore. All the stretches I see for this involve a bed or lying down, but this issue happens to me when I’m out and about. Anyone have any seated or standing stretches for hips?

Anybody else in here struggle with psoas dysfunction and ibs? I began seeing a physical therapist for my scoliosis and I’ve noticed an improvement in my ibs. She did say a tight psoas can cause GI distress because of where it’s located. Wondering if anybody here can relate.

Can psoas cause hf and pelvic pain? I just got to know my psoas muscle are extremely tight and weak.can it be the reason of pelvic floor muscles tightness anf hf and how to cure it?

I was doing a uworld question and they gave psoas abscess as someone who was flexing their hip and explained it by saying they do this so it doesn't stretch the muscle.

But then I was doing nbme questions, and it said someone with a psoas abscess was holding their lower limb in "rigid extension"

i think "psoas sign" which also tells you that they're might be a retrocaecal appendicitis, is when you try to flex the limb and it elicits pain? i don't know, im super confused

does anyone know what the right answer is and why?

Thanks in advance!

I'm able to do a bit of running and general cardio stuff without crashing. However, there have been two times now when I've accidentally done some movements while doing yoga or dance that have really stretched my psoas. When this happens, I go into a mega crash the likes of which I'd expect from running multiple days in a row and pushing way to hard each day (Something I of course never do). It's really crazy because both times I've worked my psoas, I've barely even done much cardio. These have been very chill easy workouts, just with an accidental deep muscle stretch. I've also stretched my hamstrings and groin quite a bit these two times. Days later I'm still aching like crazy deep inside and feel completely wiped! Anyone else experience this? I'm thinking maybe my general CFS and lack of ability to exercise is tied to a chronically tight psoas, since it can clearly make me feel much worse if I overstretch it. Maybe I need to work to slowly stretch/soothe it and that might relieve my overall CFS? Super annoying though. I feel like my Psoas is a piece of dynamite and any little spark could cause me to go into a crash.

I am confused because my physiotherapist insisted i get out of bed on my side etc but ab exercises just replicate the movement he said i should not do.

And if i do ab exercises i don't feel im using my abs much to begin with...

I’m confused with the presentation of psoas abscess.. please help

Hello everyone,

Recently for the past 2 weeks i am experiencing some fluttering in my left thigh muscles, and also weakness in my left ankle. Also my left side of thigh is quite sore aswell.

I did hurt my back 6 months ago by deadlift, but too which i felt i recovered last month.

Should i go for an MRI to see whats happening?

Appreciate all your feedback

I’m (46F) moderately hypermobile and I’ve had this combination of symptoms for several years. No physio has ever really put a name or a diagnosis on it or managed to treat it. I’m pretty sure it has to do with the very common problem of sitting down too much, which leads to shortened hip flexors and poor back posture, but that’s just it: that’s very, very common, but the pain I’m having and the location of the pain seems unusual - otherwise every physio would be able to diagnose it in a second.

I feel like it started after pregnancy about six years ago - maybe my core muscles never recovered properly? It gets worse when I sleep in a too-soft bed or in weird positions due to my child coming into my bed, a bad pillow, or not enough room. I have a very limited range of sleeping positions that give relief and allow me to relax properly. The soreness at the front of my hips, between the iliac crest and the groin, is more or less constant. If I sit too long or in the wrong way I get shooting, aching nerve pain in my butt and the backs of my thighs. Sleeping flat on my belly, which can happen if the pillow is not supportive enough, is hell - I wake up feeling like I’ve been run over by a truck and I can hardly get out of bed.

My hypermobility is mostly peripheral, but I’m tall with a long upper body and I’m aware that my hip area, as well as the small of my back, is a weak spot where I tend to have a lot of tension.

Does anyone recognize this combination of symptoms, or can shed any light on exactly what muscles might be involved, so I can research the right exercises for it? TIA!

ETA: I looked up pelvic clocks and boy, do they hurt. Every single inch of movement hurts somewhere, either my back or my front. Should I still do them?

This article is very thorough and gives all the explanation. Read all of it to understand more about the psoas and abs and it includes the poses to stretch psoas and strengthen abs in a very good way.

Here

If you can do the last stretch then pretty cool, it stretches the psoas a lot!

Zanki writes that psoas abscess will cause patients to remain in flexion because EXTENSION causes pain. I've seen similar things when googling. But a question on NBME 25 says FLEXION against resistance will result in pain. Anyone have an explanation for this?

Is there a way to increase psoas activation while reducing rectus femoris domination in hip flexion movements?

Doctor told me I have weak hip flexors on right side but overdeveloped rectus femoris in same side.

Wanted to get everyone's thoughts on my timing here. I injured my back mid August, golfing (didn't even play well before the injury, so super embarrassing). The pain was debilitating, likely a flair up from an old army injury. I lived on my heating pad and couldn't do shit for the first 3 weeks. I've been to my PMP and started going to a chiro. Pmp prescribed muscle relaxers (didn't help at all) and eventually a steroid pack (felt better). Chiro had a NP provide lidocaine injections (seemed to help) and a different muscle relaxer (def helped). After doing some traction therapy and stretching (and of course adjustments), I feel like the chiro is just a REEEAAAAL expensive stretch session. I am about 60-70% back to normal, if I had to guess. Was on my feet alot Saturday and was tightening up after a few hours standing, but felt okay after sitting and stretching some.

I'm itching to get back to the gym, even if it's pressing movements and isolated leg work. Have lived in a gym since HS, am 32 now. I feel like my Psoas are the primary culprit here, so I'm trying to stretch regularly. I need to do something though and soon, because I'm losing it. Not looking for medical advice, more so if anyone has run into this type of injury and what their recovery looked like? Anything you would have done different?

Most of what I see when I research is stuff about stretching the psoas, but I know for a fact my problem is weakness and stretching only makes it worse. My psoas, my glute medius, probably everything in that area is super weak. I’m not ready for stretching yet.

It isn’t an injury at this point but it makes me a major candidate for one, so I’m trying to pre-empt that. I want to be steady and stable enough to start a lifting program in the summer.

Also, if there are any often-overlooked common weak points I should keep in mind going in, I’d appreciate any suggestions. I’m already planning on doing a ton of hamstring and inner thigh work to attempt to balance out my monster quad dominance.

Hi, so I saw something on here about the link between trauma and the PSOAS muscle. Googled how to relax it and did a few of these stretches, next thing I know my body is calmer than it has been in weeks.

https://bewildearth.com/blog/2019/7/14/how-to-release-your-psoas-muscle Hope this works for someone else! (I just did the first two, for half the time. All you need is a wall)

Hey everyone just curious about something. I’m scheduled for surgery on the 16th for hip impingement but I’ve been told I have a tight psoas muscle from my pelvic floor pt. Is that something surgeons typically just surgically release along with the hip impingement or do I need to say something to him. I have the hip snapping a lot and I’m worried I’ll still be stuck with it after my hip arthroscopy.

Hello guys, I(23M) used massage gun on my psoas muscle. Usually, I felt the urge to pee first if I hadn't cleared my bladder earlier. After I emptied my bladder, I continued to massage the psoas then it felt much better. I could feel my anus super tight when I massaged the psoas, then I pointed the gun around the anus so the vibrations could relax the surrounding muscle.

I think massage gun is quite useful to relax the pelvic muscle. Personally, I don't use it too much because I don't want to accidentally damage the nerve or muscle. What do you think about massage gun for relief?

The Psoas sign indicates there may be a psoas abscess, and is elicited by extending the hip

However the main action of the psoas muscle is flexion of the hip

How does this work? I got a Q wrong recently bc the patient has a psoas abscess and wanted to know what action would be most painful and I put extension

Trying to fix my anterior pelvic tilt, realised that my glutes won't fire no matter how much i try. Eventually found out that psoas major, psoas minor and illiacus are tight af. Now tell me what to do. Should I do direct stretching? And what are the stretches? Or should I do something else like foam rolling or resistance stretching. If possible send video links or article links.

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It seems like abscesses in other muscles are very unlikely but psoas abscess is commonly tested. What is it about psoas muscle that makes abscess more likely to occur there?

Has anyone been diagnosed with persistent psoas tendonitis or internal snapping hip syndrome after labral repair? If so, did it improve on its own, with injection, or with another surgery?