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Can You Palpate The Psoas Muscle?! Expert Physio Reviews
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- Opublikowany 3 gru 2022
- 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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Komentarze • 34
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
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!
I thought i was palpating my psoas. Then i lifted my leg and it didnt become hard😅
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 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.
@Stacey L Brown 🙏🏼
@RJ M 🙏🏼
@Clinical Physio I will see if i can get them to watch it.
I’d be interested to hear what your tutors think of this video 🙏🏼
Psoas is located deep in the abdomen and therefore not accessible.
I palpate the psoas in most of my Massage Therapy sessions.
@Clinical Physio You can also palpate the distal insertion of the psoas. The location is tiny, but way more superficial.
@Clinical Physio I'm Msc PT student, I have learned some common psoas palpation as describe above, but throught my internship I've crossed a modified technique. The main thing is about the flexed leg, which should rest on the therapist leg, stepped on the table (high step lunge) then the closer arm you should block the thigh around the quad knee cap tendon. Then with both hands fingers tips on an other dive into the belly. About the belly structures, there is a weak point into the abdominal layers, the fascia alba edge which can be found 4cm between the belly button and the ASIS. As you can see, it's precisely the anatomic window where you can see the psoas (abs pilled off). So I think you can feel the psoas. At least, feel quite precisely his contraction and evaluate his intra rater thickness. As to treat it, you can make it move with transversal moves but I'm not convince about the effect on the muscle, it seems to masssage the whole belly more than anything.
@Daniel Ljung 1) absolutely, there will be Co-contraction, try it yourself and see if your abs start working… 2) yes the damage is doing something which doesn’t actually help the patient. I hear practitioners doing 10 sessions of “psoas release” , which can be so deep and forceful they end up giving people abdominal pain, but furthermore just doesn’t help
@Clinical Physio 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?
@Daniel Ljung 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
lots of unnecessary statments
How do you mean?