Can You Palpate The Psoas Muscle?! Expert Physio Reviews
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- Опубліковано 8 вер 2024
- In this tutorial, we use our 3D anatomy model to determine whether it is possible to locate, palpate and release the Psoas Muscle.
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![Your Psoas Isn't Just Tight, It's WEAK [Don't Stretch, Do These Instead]](http://i.ytimg.com/vi/h_srhkcJxAY/mqdefault.jpg)
The gentleman in the video has probably never worked with someone who actually knows how to release the Psoas Muscles. Yes, it does require a bit more sophisticated knowledge & experience of anatomy & physiology and with the neuro-musculo-fascial system than most therapists have. But graduates or our schools release the psoas muscles ALL the time. And they use a "NO Pain, More Gain" philosophy.
And NO, you do not "move the muscles out of the way." What you do is allow the surface muscles to Relax & Release, which allows the muscles to Lengthen, so that you can "push through" the muscles. But you do not really "push through" them in that they do not "get out of the way." You are merely letting the surface muscles relax enough to allow you to sink into the abdomen. For Example, if you are wearing a shirt, you can press into your chest muscles through your shirt and feel the chest muscles through the material. You can then rub your chest muscles through the material and skin just like you would in a massage with no clothes on, or hold steady pressure on the muscles and treat them that way.
I work through Client's clothing ALL the time. (No oil, of course.)
All of this must, of course, be done slow enough that the Client does not experience Pain or Resistance, which would make the muscles tighten and resist our sinking deeper into the abdomen. Those therapists who cause pain or resistance for their Clients are just "going in" too fast, too soon. These Therapists are too focused on "getting in there" ASAP rather than giving the Client the opportunity to "allow them in."
And NO, you do NOT need to use much force at all to reach the psoas. That is IF you apply some minimal pressure to the surface muscles then WAIT for them to relax sufficiently. It is true that not a lot of Therapists take the time and have the necessary patience to so this. But it really does NOT take that much time. I have often demonstrated releasing psoas to various people, including a variety of Therapists and Doctors, who were quite surprised at how little force I needed to exert, and how quickly the Client relaxed, and allowed me into their abdominal areas. And how long I could stay in the psoas muscle, giving it plenty of opportunity and time to "reset" its tension levels (which actually occurs in the CNS [central nervous system] & Brain). We do not really "change the muscle." We provide experiences that allow the CNS & Brain to reset the musculo-fascial tension levels from deep in the nervous system, where the tensions originate, which "changes the muscle" from the inside out..
And, BTW, those who say psoas work necessarily hurts are not adequately experienced in the proper techniques.
To see how this works, you can do a search on UA-cam for "Psoas Manual Release & Anatomy - Kyle C. Wright". Scroll down a bit to the "Schools of Advanced Bodywork-Medical Massage" to see the video I uploaded for Kyle as he demonstrates the work. You'll see how deep he works, for how long, and the Client is TOTALLY relaxed in the process. (I narrated the video.)
Thank You!!!!!!
You can definitely palpate the psoas muscle. It’s quite large and powerful. And has a distinct shape compared to the broad abdominal muscles. So long as you can relax the patient sufficiently, it’s quite easy to palpate through the different layers of muscle. As for moving muscle out of the way. You can move the muscles maybe an inch, but you can move the adipose tissue and messentry underneath quite a bit further. Which makes palpation easier
Thank you for your message, I’ll leave this for you to consider with the anatomy if you think it’s truly possible - wish you all the best!
@@ClinicalPhysio I’ll leave you with one hypothetical. If a person had fractured their arm and was in a cast and had disuse atrophy in their biceps would you be able to feel it after the cast came off? Well what if it was the coldest day of winter and they were wearing a long shirt, with a think sweater and a thick parka. Could you feel it then? I think you would agree that we could. Just because something is covered under many layers it does not mean it is not palpable
Anyway, importantly, we need to assess whether the Psoas muscle actually needs releasing...even if it does 'feel' tight. ...it might be that the tension is there for a very good reason. Ie Stability! ....without considering this , its possible that upon releasing, the body becomes de-stabilised...and sets off an adverse chain reaction...So,let's not be mindless in this approach eh !
@@anthonyeves2005 has this ever happened? I can’t see the psoas getting tight again because you have not addressed the stability issue. But have people become more destabilized after treatment? How was this even measured?
This video is incredible. I have found a hole in the cheese, and it makes me wonder how many holes there are in this very big cheese.
Furthermore, for anyone who thinks the psoas is palpably activating in the standardized testing position (supine, lifting one leg), make sure it is not the abdominal muscles stabilizing and making up for the loss of a point of support/contact. Thank you clinical physio.
Thank you so much for your support!
I am training to be an LMT. I wasn't sure if what I was feeling was the psoas, and your video seemed to make sense to me. However, I don't follow the claim that people are just feeling the abdominals co-contract during the leg lift. If you palpate just the abdominals during the leg lift, you can clock how much movement normally happens there, if any. So I'm not sure why I would suddenly feel the abdominals move much more in one specific spot with the leg lift, just because I'm palpating more deeply.
Furthermore, why would it ever work? You are concerned about therapists repeatedly bringing clients in for a non-treatment, but you must know there are people who seek treatment for acute back pain, have psoas work once, and their problem goes away. Why would that happen from such a specific and limited abdominal massage?
Hi so now you've answered my question, how can i relieve tight hip flexers, Thanks.
Happy to help! Thank you for watching!
Yes! I was trying to massage my own psoas only to figure out there is no way I'm getting it- I must be hitting the obliques/abdominals and even then I'm just pushing into my intestines. I'm shocked at how many therapists think they are actually getting the psoas. When in reality they are just pushing into the abs super hard.
🙏🏼🙏🏼🙏🏼👍🏼👍🏼👍🏼
Hello! Thank you for the video. Studying to be a RMT in Canada and we were immediately taught that it’s incredibly challenging, if not impossible, to palpate (let alone treat) the psoas for the reasons you listed here. I always thought it was weird when others would claim to palpate it by asking the patient/body to flex their hip, when they could easily be feeling the core bracing elicited by the same action. What are the indications to “treat” the psoas anyway? Would it not be more beneficial to work on surrounding structures and provide therapeutic exercises?
Thank you so much Ashuka! I totally appreciate your sentiments and you are correct in your last few sentences… there is a growing trend on Twitter “it’s never the hip flexor” often suggesting that as you said it is more likely to be other structures around it which seem to be the main culprit when it comes to anterior hip pain
Hey, so we just learned to palpate this today in Canada for the 3000hr program.
The best way is to go through the border of the rectus abdom/external obliques. Get them to slightly flex the hip, then go through. Most painful thing I’ve felt is having this muscle stripped with fiber. Going through the back is impossible with 7 layers of muscle. Hope this helps.
For functional release for psoas i do self release ischemic compresss with finger and flex the hip at that time my finger popping up and i thought that because i exactly palpate that softtissues 😢
I tend to agree with you, however my tutors are of the other mindset that you can palpate and release psoas. I have had good results from performing psoas release on people, but i'm not convinced it is possible on everyone, I think it really depends on adiposity and hypertrophy of abdominal musculature.
I’d be interested to hear what your tutors think of this video 🙏🏼
@@ClinicalPhysio I will see if i can get them to watch it.
@@rjm4031 🙏🏼
@@stacer1962 🙏🏼
I have this pain for 8months - what shall I do
I have had mri went chiropractic
Chiro helps as it’s electric pulses
Anything you can recommend
I remember back in 2010 when I was a student how my physio teacher was praying she could teach us how to palpate the psoas to our patients by sinking our fingers in someone else tummy up to the very bottom. And I always thought it was a bit silly and "too much" for massaging (or "liberating") one specific muscle. How wrong she was. Thanks!
🙏🏼🙏🏼🙏🏼 Most important that you are happy in your practice!
Not to mention all the adipose tissue - both subcutaneous and visceral you'd have to get through as well
💯💯💯👏🏼👏🏼👏🏼😊😊😊 Thank you Peter!
One that needs to be said time and time again!
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What are the consequences of palpating the wrong structure?
Nothing physically for the most part! The consequence is telling a patient that they need their psoas being released every week (or whatever) when actually it’s not possible to “release” it
@@ClinicalPhysio There's one therapy that involves laying on and rolling over an exercise ball or pushing the ball down into you with a weight (dumbbell). This calls into question what structures am I really pushing into.
I thought i was palpating my psoas. Then i lifted my leg and it didnt become hard😅
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Psoas is located deep in the abdomen and therefore not accessible.
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I palpate the psoas in most of my Massage Therapy sessions.
Well I will ask the question…. Are you sure you are palpating the Psoas?!
@@ClinicalPhysio im 100% positive I’m palpating the psoas. I literally just worked on a clients psoas.
@@ClinicalPhysio Thank you for the video.
If you have the client supine, with 90 degree in the hip and 90 degree in the knee flexion. You have something under the patients legs so that he can rest his legs there (like a box). If you go into the lateral side of the stomach and go a bit into that. If you then ask the patient to flex in the hip. If you feel something moving towards you, like a tendon, kinda of the same as if you palpate the biceps brachii and ask the patient to flex in the elbow. What other structure then the psoas do you think we are palpating in the scenario?
@@danielljung2733 I would say the abdominal muscles as you have to get past 3 of them and they are big muscles… the tiny window of space between the digestive system contents is another challenge
@@ClinicalPhysio Are any of those muscles action flexion in the hip?
If not, do you think its some kind of co-contractions or why are the abdominal mucles contraction?
Question 2. Have you every heard of any damage from trying to treat the psoas with pressur/massage/triggerpoints?
lots of unnecessary statments
How do you mean?