
The psoas muscle is a long, ribbon-shaped muscle that runs from the lower back to the groin, with one on each side of the spine. It is a core muscle that helps with posture and movement of the hips and upper legs. The psoas major is a part of the psoas muscle and is located in the lumbar region of the trunk, lateral to the lumbar vertebrae. It joins the iliacus muscle to form the iliopsoas, which is an inner hip muscle. The iliopsoas is the strongest flexor of the hip and is important for standing, walking, and running. Sitting for long periods can cause the psoas muscle to shorten, leading to pain and difficulty in maintaining a standing position.
| Characteristics | Values |
|---|---|
| Name | Psoas Major |
| Origin | Ancient Greek: ψόᾱ, "muscles of the loins" |
| Muscle Type | Long, thick, fusiform |
| Muscle Location | Lateral lumbar region between the vertebral column and the brim of the pelvis |
| Muscle Function | Helps move the hips and upper legs and supports posture |
| Muscle Group | Hip flexors |
| Muscle Attachments | Vertebral column, iliopubic eminence, femur |
| Muscle Innervation | Lumbar plexus, lumbar spinal nerves L1-L4, femoral nerve |
| Muscle Blood Supply | Lumbar arteries, renal arteries, common iliac artery, deep circumflex iliac artery |
| Muscle Actions | Flexion and lateral rotation of the thigh at the hip |
| Muscle Injuries | Rare but can cause low back pain, stiffness, and difficulty standing |
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What You'll Learn

The psoas muscle is a long, ribbon-shaped muscle in the lumbar region
The psoas muscle is a long, ribbon-shaped muscle located in the lumbar region of the trunk, lateral to the lumbar vertebrae and medial to the quadratus lumborum muscle. It is one of the core muscles in the abdomen and plays a crucial role in connecting the lower back to the upper thigh, enabling various movements. The name "psoas" originates from the Ancient Greek "psóā," meaning "muscles of the loins."
The psoas muscle is part of the hip flexors group, which includes the iliopsoas muscle. This muscle is formed by the fusion of the psoas and iliacus muscles as they pass into the thigh, inserting onto the femur. The iliopsoas muscle is surrounded by the iliac fascia and plays a significant role in hip movements and posture.
The psoas muscle has a deep and superficial segment. The deep segment originates from the lumbar vertebrae, while the superficial segment originates from the lateral surfaces of the thoracic vertebrae and intervertebral discs. The lumbar plexus lies between these two layers, and the muscle is innervated by its anterior branches.
The psoas muscle is essential for maintaining posture and facilitating dynamic movements. It acts as a hip flexor, hip adductor, and hip external rotator. When the body is fixed, the psoas muscle helps lift the upper leg towards the body. Conversely, when the leg is fixed, it pulls the body towards the leg. The psoas muscle also assists in lateral and bilateral motions, such as trunk elevation when transitioning from a supine to a sitting or standing position.
Maintaining the health of the psoas muscle is crucial, as tightness or shortening of this muscle can lead to pain and limitations in hip movements. Prolonged sitting can contribute to psoas muscle shortening, resulting in tension and potential injury. Stretching the psoas muscle can help alleviate pain and improve overall function.
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It connects the lower back to the upper thigh
The psoas muscle is a long, ribbon-shaped muscle that runs from the lower back to the upper thigh. It is a core muscle that helps with moving the hips and upper legs and supporting posture. It is located in the lumbar region of the trunk, lateral to the lumbar vertebrae and medial to the quadratus lumborum muscle. The psoas major is divided into a superficial part and a deep part. The deep part originates from the lumbar vertebrae, while the superficial part originates from the last thoracic vertebra and lumbar vertebrae.
The psoas muscle is closely related to several retroperitoneal structures in the abdomen. On the right, the inferior vena cava is located medial to the psoas major muscle, while on the left, the abdominal aorta lies medial to it. The sympathetic trunk and aortic lymph nodes are also located nearby. The psoas muscle is innervated by branches of the lumbar plexus, specifically the anterior branches of spinal nerves L1-L3. It receives blood from the lumbar arteries, renal arteries, common iliac artery, and deep circumflex iliac artery.
The psoas muscle joins with the iliacus muscle to form the iliopsoas muscle. The iliopsoas is an anterior or inner hip muscle that crosses the hip joint to insert onto the lesser trochanter of the femur. It is the prime mover of hip flexion and the strongest of the hip flexors. The iliopsoas muscle is important for various movements, such as standing, walking, and running.
The psoas muscle can be susceptible to tightness and shortness due to prolonged sitting, leading to pain and limitations in hip movement. Stretching the psoas muscle can help alleviate pain and improve function. Overall, the psoas muscle plays a crucial role in connecting the lower back to the upper thigh and facilitating various bodily functions.
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The iliopsoas muscle is formed by the psoas major and iliacus muscles
The psoas muscle is located in the body's pelvic region, connecting the lower back to the upper thigh. The psoas major is a long, thick, fusiform muscle located in the lumbar region of the trunk, lateral to the vertebral column and medial to the quadratus lumborum muscle. It is considered alongside the iliacus muscle, with which it merges as it passes into the thigh to insert onto the femur.
The iliacus is a triangular-shaped muscle that arises from the superior two-thirds of the iliac fossa, the iliac crest, and the lateral aspect of the sacrum. Some additional muscle fibres originate from the anterior sacroiliac and iliolumbar ligaments that connect the pelvis to the vertebral column. The iliacus is innervated by branches of the femoral nerve (L2, L3, and L4), while the psoas major is innervated by the anterior rami of the lumbar spinal nerves, mainly L1 and L2, with contributions from L3 and L4.
The fibres of the psoas major and iliacus muscles merge to form the iliopsoas muscle, which passes anterior to the capsule of the hip joint to insert onto the lesser trochanter of the femur. The iliopsoas is classified as an "anterior hip muscle" or "inner hip muscle" and is the strongest flexor of the hip joint. The simultaneous contraction of the psoas major and iliacus muscles produces a powerful flexion of the thigh at the hip joint. The iliopsoas muscle is essential for correct standing or sitting lumbar posture, stabilising the coxofemoral joint, and is crucial during walking and running.
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Psoas injuries are rare but can cause lower back pain
The psoas muscle, also known as the psoas major muscle, is a long muscle located in the lumbar region of the body, connecting the lower back to the upper thigh. The name 'psoas' comes from the Ancient Greek 'psóā', meaning 'muscles of the loins'.
Psoas injuries are rare due to the muscle's location deep inside the body. However, they can cause lower back pain and stiffness, and even lead to long-term pain and weakness. Psoas syndrome, a rare condition, occurs when the psoas muscle is irritated or injured, resulting in pain in the lower back, hips, groin, or buttocks. The complexity of the muscle network in this area can make it challenging to pinpoint the exact source of pain or stiffness.
Athletes who engage in sports that exert significant force on the core or hips are more susceptible to psoas injuries, particularly strains. Additionally, individuals with sedentary lifestyles or desk jobs are at a higher risk for psoas pain or injury due to prolonged sitting, which can cause the muscle to shorten and tense up.
Psoas muscle injuries can have a significant impact on daily life, affecting even the simplest actions. For instance, lifting the leg to climb stairs may trigger psoas pain if the muscle is injured. Moreover, the muscle's location makes it challenging for doctors to examine, and self-diagnosis can be difficult due to the spreading nature of psoas pain.
To address psoas injuries and associated lower back pain, rest and physical therapy, including stretches and exercises, are commonly recommended. Walking is also beneficial for preventing and relieving pain by helping the body return to a neutral posture.
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Sitting for long periods can shorten the psoas muscle
The psoas muscle, pronounced "so-as", is a long fusiform muscle located in the lumbar region of the trunk, between the vertebral column and the brim of the pelvis. It is one of the only muscles that connects the spine to the legs, allowing us to bend forward, climb stairs, stand upright, and move our legs when walking or running.
Sitting for long periods can cause the psoas muscle to shorten and tighten, leading to potential pain and injury. When sitting, the psoas muscle is in a shortened position. Prolonged sitting can cause the muscle to remain in this shortened position, becoming tight and causing tension in the spine and an increased curve, known as hyperlordosis. This can result in postural problems, back pain, and even lower limb injuries during exercise due to imbalances.
People with sedentary lifestyles or desk jobs are at a higher risk of psoas-related issues. Sitting for extended periods can cause the psoas muscle to tense and remain tense, leading to pain and limitations in hip movements. Even raising the height of the chair can shorten and tighten the psoas muscle, as well as other structures in the front of the body.
To counteract the negative effects of prolonged sitting, active sitting is recommended. Active sitting involves using postural and core-stabilizing muscles while seated. This can be achieved through the use of an exercise ball or specialized chairs, such as the Symbiotic Chair. Implementing active sitting throughout the day can help prevent psoas imbalances and restore psoas balance, improving overall function and well-being.
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