PSOAS Muscle Tightness: Signs, Causes, and How to Relieve It

PSOAS Muscle Tightness: Signs, Causes, and How to Relieve It

January 20, 2025



At Forefront Physical Therapy, located in the heart of Seattle, we understand the importance of maintaining a healthy and functional body. One common issue we frequently address is psoas muscle tightness, a condition that can significantly impact your mobility, posture, and overall well-being. Whether you’re an athlete, an office worker, or someone managing chronic pain, understanding the signs, causes, and treatments for psoas tightness can help you regain control of your health.

What is the Psoas Muscle?

The psoas muscle, often called the “soul muscle,” is one of the most crucial muscles in your body. It connects your lower spine to your femur (thigh bone), playing a vital role in:

  • Hip Flexion: Assisting in lifting the leg.
  • Spinal Stability: Supporting your lower back.
  • Posture and Balance: Helping you stand upright and move efficiently.

Due to its deep location in the core, the psoas impacts nearly every movement you make. At Forefront Physical Therapy, we emphasize educating our Seattle clients about the significance of this muscle in their overall physical health.

Signs of Psoas Muscle Tightness

Psoas tightness often goes unnoticed until it begins to cause discomfort or restrict movement. Here are the key signs to look out for:

  • Lower Back Pain
    A tight psoas can pull the lumbar spine forward, leading to pain and tension in the lower back.
  • Hip and Pelvic Pain
    Clients frequently report discomfort in the hips or pelvis, often mistaken for joint issues.
  • Postural Imbalances
    Tightness in the psoas can tilt the pelvis forward, leading to poor posture and an exaggerated lower back curve.
  • Restricted Mobility
    Difficulty standing, walking, or transitioning from sitting to standing is a common complaint.
  • Digestive Issues
    Due to its proximity to the digestive organs, a tight psoas can compress these structures, causing bloating or constipation.
  • Emotional Tension
    Known as the “emotional muscle,” the psoas often stores stress and trauma, contributing to anxiety or unease.

Causes of Psoas Muscle Tightness

At Forefront Physical Therapy, we help Seattle residents identify the underlying causes of their psoas tightness to develop tailored treatment plans. Some common causes include:

  • Prolonged Sitting
    Seattle’s bustling tech industry often keeps professionals seated for long hours, which can shorten the psoas over time.
  • Sedentary Lifestyle
    Limited physical activity weakens the psoas, leading to chronic tightness.
  • Overuse from Exercise
    Activities like running, cycling, or certain sports can strain the psoas, especially without proper stretching or recovery.
  • Poor Posture
    Slouching or improper ergonomics, common among office workers, can stress the psoas.
  • Emotional Stress
    High levels of stress or anxiety can manifest physically as tension in the psoas.
  • Injury or Trauma
    Accidents, falls, or surgeries affecting the lower back or hips can trigger psoas dysfunction.

How to Relieve Psoas Muscle Tightness

At Forefront Physical Therapy in Seattle, we take a comprehensive approach to relieving psoas tightness. Here’s how we can help:

1. Targeted Stretching

Stretching is one of the most effective ways to release tension in the psoas. Some stretches we often recommend include:

  • Low Lunge Stretch:
    This stretch lengthens the hip flexors and releases tension in the psoas.

    • Step one foot forward into a lunge position.
    • Sink your hips forward while keeping your back straight.
    • Hold for 20–30 seconds on each side.
  • Supine Psoas Stretch:
    • Lie on your back with one leg extended and the other knee pulled toward your chest.
    • Relax and hold the stretch for 30 seconds, then switch sides.
  • Bridge Pose:
    • Lie on your back with knees bent and feet flat on the floor.
    • Lift your hips toward the ceiling while keeping your core and glutes engaged.

2. Strengthening Exercises

Strengthening the muscles around the psoas provides balance and reduces strain. At our Seattle clinic, we incorporate exercises like:

  • Planks:
    These strengthen the core and support spinal stability.
  • Leg Raises:
    Improve hip mobility and engage the lower abdominal muscles.
  • Glute Bridges:
    Counteract psoas tightness by activating and strengthening the glutes.

3. Manual Therapy

Our experienced physical therapists use manual therapy techniques, such as myofascial release, to alleviate tension in the psoas and surrounding areas. These hands-on methods are highly effective for reducing pain and restoring mobility.

4. Yoga for Psoas Health

Incorporating yoga poses like Pigeon Pose, Warrior I, and Cobra Pose can improve flexibility and release tension in the hips and psoas.

5. Postural Education

Improving posture is a cornerstone of our treatment plans. At Forefront Physical Therapy, we guide our clients on proper sitting, standing, and movement mechanics to prevent psoas tightness. We also recommend ergonomic solutions for workstations.

6. Stress Management Techniques

Since the psoas is closely linked to emotional health, we encourage incorporating relaxation techniques such as deep breathing, mindfulness, or meditation to release built-up tension.

7. Custom Treatment Plans

Every individual is different. Our personalized evaluations ensure that your treatment plan addresses your unique needs, whether it involves stretching, strengthening, or advanced therapies.

Why Choose Forefront Physical Therapy in Seattle?

At Forefront Physical Therapy, we combine our expertise with a client-centered approach. Our Seattle-based clinic specializes in identifying the root causes of musculoskeletal issues, like psoas tightness, and providing evidence-based treatments to improve your quality of life.

Preventing Psoas Muscle Tightness

Prevention is a key part of our philosophy at Forefront Physical Therapy. Here’s how we help our Seattle clients maintain psoas health:

  • Promote Regular Movement:
    Take breaks from sitting and incorporate stretching into your daily routine.
  • Develop Balanced Exercise Routines:
    Include a mix of flexibility, strength, and aerobic exercises in your workouts.
  • Educate on Posture:
    Learn to maintain good posture at work, home, and during activities.
  • Manage Stress Levels:
    Practice mindfulness or relaxation techniques to prevent tension from accumulating.

When to Seek Professional Help

If psoas muscle tightness is causing persistent pain, limiting your mobility, or impacting your daily life, it’s time to consult a professional. At Forefront Physical Therapy in Seattle, our team is here to help. From manual therapy to guided exercises, we provide personalized care to get you back on track.

Take the First Step to Relief Today

Your psoas muscle plays a vital role in your overall health and mobility. At Forefront Physical Therapy, we’re committed to helping Seattle residents understand, treat, and prevent psoas muscle tightness. Schedule an appointment with us today and take the first step toward a pain-free, active lifestyle.

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