The Surprising Truth About Iliopsoas Muscle Pain

20 Jan 2024 · 14 min
14:18

In this instructional video, Akima Soh, a soma therapist and owner of SoulCore Fitness with three decades of experience, explains why the iliopsoas (commonly called the psoas) is far more complex than the simplistic “tight or weak” narrative found online. He details the muscle’s multiple attachments—including the lesser trochanter, three spinal insertion points (anterior‑medial, posterior, and lateral), the iliacus portion, and the psoas minor ligament—highlighting its role as a true tensegrity structure that links the leg, hip, and spine. Soh introduces Hill’s muscle model, emphasizing that effective treatment must address three components: the contractile muscle fibers, the surrounding fascia (epimysium, perimysium, endomysium), and the ligamentous/periosteal connections. He argues that conventional static stretches ignore the extensive fascial network, which behaves like a spider‑web, transmitting pressure omnidirectionally (Pascal’s Law). The solution, he proposes, is a holistic protocol: (1) myofascial normalization (untwisting the fascia iliaca), (2) multi‑directional strengthening of the psoas, and (3) comprehensive stretching that targets all attachment sites, including surrounding spinal muscles. He demonstrates a postural stretch performed on the edge of a bench, where the practitioner leans back, lets one knee drop, and hangs passively to lengthen the iliopsoas. Finally, Soh offers additional resources—a free “Get Mobile, Get Out of Pain” guide, a private Facebook community, and paid one‑on‑one consultations via Calendly—inviting viewers to deepen their understanding and receive personalized care.

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