The Psoas Muscle: Is It the Problem or the Messenger?

If you’ve dealt with chronic lower back or pelvic pain, hip tightness, or postural imbalances, you may have heard someone mention the psoas muscle. But is the psoas muscle truly the source of pain, or is it simply reflecting something deeper going on in your body?

Let’s explore the role of the psoas muscle and whether it’s the root of the problem… or an important indicator pointing to something else.

What Is the Psoas muscle?

The psoas (pronounced so-az) is a deep core muscle that connects your lumbar spine to your femur (thigh bone). It blends with the Iliacus muscle to become the iliopsoas, and plays a major role in:

• Hip flexion (lifting your leg)
• Stabilizing the spine
• Maintaining posture
• Connecting your upper and lower body

Because of its deep location and critical function, the psoas is involved in nearly every movement we make—walking, sitting, running, even breathing to some degree.

Symptoms Often Linked to the Psoas

When the psoas is tight, weak, or overactive, people often report:

• Lower back pain
• Hip discomfort
• Pelvic Pain
• Postural misalignment
• Sciatica-like symptoms
• Limited range of motion

Due to its central location, dysfunction in the psoas can feel like the root cause of many issues.

But here’s the key question…

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Is the Psoas the Problem… or the Messenger?

In many cases, the psoas isn’t the villain—it’s the messenger.

A tight or painful psoas may be compensating for something else:

1. Poor Posture and Prolonged Sitting

Modern life keeps most of us sitting for hours. The psoas is in a shortened position while seated, so over time, it adapts to that position, becoming chronically tight. This adaptation isn’t the psoas causing pain—it’s responding to an environment.

2. Pelvic Imbalance or Core Weakness

When the pelvic floor, glutes, or abdominal muscles are weak or misfiring, the psoas may step in to help stabilize the spine. It can be very snarky about compensating, and angry that is it doing all the work. It is not misbehaving.

3. Breath Dysfunction and Stress

The psoas is closely connected to the diaphragm. Chronic stress and shallow breathing can lead to tension patterns that tighten the psoas as a physical manifestation of emotional holding.

4. Unresolved Injuries or Asymmetries

Favoring one side of the body can make the psoas overwork on one side. In this case, it is reacting to something above or below. For example, deskwork that has you chronically reaching or rotating to one side repetitively. Or, and ankle or hip that is weak or has limited motion, causing you to modify your gait.

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So, What Can You Do?

✅ Assess the Whole System

A comprehensive assessment from a physical therapist can help determine whether your psoas is the cause or the compensation.

✅ Release Strategically

Gentle psoas release work can be beneficial—but aggressive stretching may aggravate the problem if the psoas is acting as a stabilizer for a deeper issue. Improving the motor patterns of the core will support the body and allow the snarky psoas to settle down.

✅ Strengthen the Core and Glutes

Often, restoring strength and coordination in the deeper core and hips reduces the over-reliance on the psoas. Core stability roots from the pelvic floor to the diaphragm, and includes the abdominal wall and spinal muscles as well. When they work properly your body has a sense of grounding, stability and safety and wont feel the need to compensate.

✅ Rewire Breathing Patterns

Learning to breathe deeply into the belly (diaphragmatic breathing) can have a powerful relaxing effect on the psoas., and also helps restore better coordination of the core musculature.

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Final Thoughts: Don’t Shoot the Messenger

The psoas is more than just a hip flexor—it’s a central player in your body’s perfect symphony of muscle recruitment for movement, emotion, and posture. When it’s tight, painful, or dysfunctional, it often sounds the alarm to inform us of the imbalance. Instead of treating the psoas as the problem, look at it as a window into the deeper story your body is trying to tell.

We are here to help!

Schedule NOW with one of our physical therapists to get to the root of your pain and dysfunction and start feeling better.

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Disclaimer: This blog is here for your help. It is the opinion of a Licensed Physical Therapist. If you experience the symptoms addressed you should seek the help of a medical professional who can diagnose and develop a treatment plan that is individualized for you.