Psoas iliacus origin and insertion.
– Inadequate posture in hip flexion that produces an increase in lumbar curvature due to shortening and consequent pain. It usually occurs in sedentary jobs, sitting for long hours in a chair, such as administrative jobs.
That is why it is essential, as prevention, to perform a good routine of warm-up exercises before exercise and another good routine of stretching exercises at the end of it. Likewise, warm-up and stretching routines should also be performed when entering and leaving sedentary jobs.
The patient should have a personalized Physiotherapy program with Osteopathic Manual Therapy, Manual Therapy, Inhibition, Stretching, Invasive Physiotherapy and Electrotherapy of the affected musculature.
Psoas iliacus exercises
The main hip flexor can also be injured by repetitive motions. Learn what psoas tendonitis is all about and what you can do to reduce the pain and inflammation this injury causes.
Initially, affected patients experience groin pain only in connection with activities that irritate the tendon, and the symptoms disappear as soon as these activities stop.
Certain sporting activities such as running or pedaling frequently trigger pain in the middle of the groin, which in some cases ends up radiating to the front of the thigh and down to the knee. However, as tendinopathy worsens, these ailments also appear at rest. In addition, sometimes the affected person may feel a kind of snapping in the hip or groin during activities involving hip flexion.
The physician initially instructs the patient to rest during sports and reduce activities that place stress on the hip, as well as to use ice on the painful area and medications such as ibuprofen or diclofenac to reduce pain and inflammation. After the pain has largely subsided, the physician prescribes physical therapy for movement training using special stretching and strengthening exercises. If symptoms persist, the physician may administer a cortisone injection in the vicinity of the tendon at the base of the thigh.
The iliopsoas is present in almost every action of daily life such as walking, running, sitting and even breathing. But it not only helps human movement and balance but also relates through its lumbar and thoracic insertions to the organs of the abdomen.
The muscular group formed by the psoas major and the iliacus is known as the iliopsoas. Both perhaps form one of the most powerful hip flexors of the body that participates in the rotation of the femur. The iliopsoas is present in almost every action of daily life such as walking, running, sitting and even breathing.
Some cultures conceptualize breathing as the control of vital energy and the physical reflection of the emotional state. With this, the diaphragm as the main referent of breathing and whose anatomical connection is interdependent with the psoas is affected by muscular and emotional tension. When we stretch the diaphragm or simply relax with breathing exercises, the psoas consequently reduces its muscle tone. Therapists, well aware of the bidirectional relationship psoas-diaphragm and muscular tension-emotional tension, indicate breathing and stretching exercises. They are performed by muscle chains as a formula to reduce stiffness or associated symptoms.
Psoas what is it
The psoas major inserts proximally on the body of the 12th dorsal vertebra, on all lumbar vertebrae and by means of thinner fascicles, on the lumbar transverse processes. More distally, it passes in front of the sacroiliac joint and continues along the pelvic rim passing anteriorly through the roof of the hip joint (hence its involvement in trochanteritis).
On the other hand, we have the psoas minor which is absent in 41-50% of people. Its course runs from the anterolateral aspect of the 12th dorsal vertebra and the first two lumbar vertebrae, until it reaches the pectineal line.
The primary action of the psoas is homolateral hip flexion, lumbar spine flexion or tilt if only the homolateral one is activated, playing an important role in the stability of the upright posture and the hip itself.
The main symptom that occurs when the patient has an activated trigger point in the psoas, is a vertical lumbar pain, up and down, never transverse. Pain may also be present in the groin area and anterior and upper thigh.