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This is SO helpful as a massage therapist who sees a lot of clients complaining about hip/low back pain. Thank you for sharing this as I'm trying to increase my knowledge and be a better practitioner.

Speaking the truth! Asking why a muscle is tight in the assessment process- love that perspective. Thanks for sharing

Sam, you really know what you are talking about. Your systematic understanding and approach is bang on. Thank you.

A fair video with no jumping to exercises. Absolutely great!!!

This wasn't a rant, my dear. It was important intel that all of us need. As you stated, the human body and nervous system do some (magical - my words) compensatory action so the body 'performs'. This is so important. Thank you for sharing your knowledge.

EXACTLY what I have been living for the past 11 years!! Thank you for expressing it in a video. And yes! I have the big hook!! Two car wrecks 11 and 13 years ago - the second at high speed...has had my hips stuck for years. It's getting better and I am finally starting to feel the fascia unstick stuff. But it's been years of hot yoga (amazing!!), excercise classes, therapies, and swimming. AND it's been years of finding doctors that understand they physics of how the body works efficiently. As an engineer, this makes sense to me but most doctors are so myopic they look at me with total confusion!! which makes me totally sad and at a loss on where to go. Thank you for this video!

Thank You for this video. I've been to numerous orthopedists, PT's, and a physiatrist. I tell them that due to scoliosis my pelvis is off in all 3 dimensions (L/R, front/back, rotation), and tell them exactly where the pain is. As well as the ton of strengthening and stretching that I do (plus appropriate time off). They all do the exact same superficial analysis, or x-ray/MRI, clearly have no idea what is wrong, suggest the most basic strengthening or stretching exercises, or suggest cortisone injections. 5 years of pain. At year 4 I had a hip replacement because everyone said the pain MUST be due to the mild to moderate arthritis. I had my doubts, was pretty sure it was a movement and soft tissue and perhaps lifestyle (too much sitting when not exercising) issue but had run out of options. Surgery made it worse - R leg is now turned out, psoas area is inflamed probably from the exact internal rotation during movement that you mention. Many ortho & PT's in the past year. None of them have had the slightest clue. Much gaslighting about "it's all in your head", "you must not be doing enough" OR "give it a rest for a while", "give it tincture of time", "maybe it's fibromyalgia", "how about I put you on gabapentin or celebrex", "you need to be on an anti-anxiety medication", etc. In a corporate assembly line 20 minute visit world (in this case Kaiser), it is impossible to find a competent physician or PT. 2024 edit : a) not just Kaiser. I turned 65 & left Kaiser. Other companies & providers just as bad. b ) before leaving Kaiser it turned out that ultrasound guided trigger point injection to TFL/IT band/glute end point area did help a lot. Gee - why couldn't a dozen of you figure that out before I had a useless surgery ? This video is great.

The rants were the best parts . Great information

This is terrific! I keep trying to explain this to my massage clients, but you've done this beautifully. I want to pass this on.

Sam, thank you. Found this very educational. I often release my muscles through movement, mostly yoga and massage/release therapy (the latter through active methods), which have proved somewhat effective. Yet, I find certain areas (external right hip, right lumbar, right shoulder) return to tightness quicker than others. Your video makes me question whether I am not only releasing, but also strengthening through the right planes of movements. Im definitely a culprit for leg crossing right over left, sitting awkwardly in my chair at work, along with being right side dominant. Fascinating!

Thats great, thanks Sam. Another reminded to not over simplfy and to look at bigger picture of problem.

Extremely helpful in understanding the issue as a whole not a part.

This is all new to me and at 74 years it is hard to do but I’m up for it. I had hip replacement surgery 2 years ago after 3 years of enough pain to make moving very difficult. Not one Dr or PT ever mentioned fascia as the source of my problem but after doing some your short video I feel better. Keep working on your sound quality and all will be good. I love your real production🙏

Thank you Sam for this video filled with knowledge and a clear education on psoas function in the body! Very well spoken and optimal teach-ability! 🏆

This is exactly what’s going on with me, thank you for the insight. 🙏

Very insightful and refreshing to have an all encompassing understanding of how to approach this. Thank you.

Thank you Sam. A very helpful video.

Really helpful approach especially for yoga teachers. We’re taught to focus on alignment and action in our poses and movements and while it’s helpful, I’ve always thought there’s no perfect or true alignment. And it’s more complex than we’ve ever been trained to understand. And the best thing we can do is keep wiggling our way through different planes to discover hidden tension to help it shift. And also get help from a therapist! Thanks for explaining this so well. It will help me to be a more informed and more compassionate teacher.

I just happen to come across your video.. thank you. You are the first therapist Ive heard that takes what I consider a holistic approach.. evetything in the body works with something else.. even the PT Im using diesnt mention this.. although he is working with all my core muscles to help strengthen me. I appreciate ur approach and will be watching for more videos!

I needed to hear this

Very important info here. Thank you. 🙏🏻Finally I understood why my left hips are more “open” and also learnt why not to talk loads of BS to my clients about psoas stretches🙏🏻

Awesome. People always forget that there is a body attached to their psoas. I am going to a PT who has assessed my psoas and yes, it's in spasm and he is working with me now to do strengthening and stretches to help alleviate the problem.

Awesome video, I do Holistic Integrated Armor Release tech for 20 years now and that was really a great video, thank you

WOW, That was a fantastic video !! That explained a whole lot and you weren't rambling. The body is SO complex and you did an EXCELLENT job simplifying. Great job !!!

great talk and makes sense thankyou for the insight!!!

Hope the best . Finally some that think the same way . Amazing video . Look for the root of the problem

That's an excellent assessment especially the pain relationship and explainer.

Love you honest approach to this. I am a new subscriber!

Thank you. This was very informative. You really know your stuff. I'm glad I watched this. I now understand i need to sort several issues, not just seek relief in one area.

I found this video very insightful. Thank you for sharing your experience and knowledge. You are the type of practitioner I aspire to be

thank you. i am returning my $88 plastic thing tomorrow and working on realignment 😊

great video, love the honest approach

You've been my go to for many years now. Thank you for sharing your expertise. I consulted with you many years ago and have your dvd still. Not long after that an MRI showed I was born with a fused SI Joint and partial lower disc. I was told I inherited it from my mother. It is no longer fused at the SI joint at the time I was seen by an Orthopedic Dr. My bone density is in good health. I was told it may have happened and caused a burst? Never the less I know what I've been dealing with. Amazing how growing up as a competitive swimmer and volleyball player that I functioned at a high level without issue. I'm grateful for your teachings and in depth knowledge! I have a better quality of life and still swim laps and flip turns thanks to all of your tips on recovery days. 🙂

Thankyou much appreciated. My situation is multiple factors, internal injuries, external forces, overloaded communication with an overburdened and overtaxed system. Hypertonicity in my neck, complete with problems with the coccyx once upon a time was shattered then became reinjured and not giving up. Old spinal fractures. My body is sending out an alarm, goes into survival mode and responds, I learn Also how nature heals and deals with things. But I am in remission and became knowledgeable and aware what's going on and also how it heals and became gifted at healing, learnt so much about health. I am learning what that means cause no one can tell me. This helps heaps. Hypertonicity is horrible, overtime it does release when you learn to live with it, but not fully.

Super informative video. Explained a lot of my ongoing issues. Thanks!

Great explanation and understanding

Good! Much help, a little learning is always good! Thanks

Im elated to have found your channel. I knew there was way more to " psoas release" because no matter what i do , my psoas hurts daily as well as my spinal erectors and sacrum. Thank you so much for providing your audience with authenticity and clear , concise information so we can better address and correct pain.

Loved this informational explanation!!

Thank you,very informative.

THANK YOU! Months of struggling with this issue. I'll ask more questions reflective of your observations.

This is a super important video! I suffer from a tight psoas that makes my whole leg tight. I knew there is a connection with the hip and glute, now I understand what is it. I wish I could have a consultation with you Dr Sam, on what to do next.

Very helpful. Thank you

Thankyou. This makes a Lot of sense

Thanks you are spot on.!!

Well that just showed me and taught me more than any other video on here. And made so much more sense. Has also enabled me to now know if the ‘expert(s)’ that I ask to assess me going forward know what they are talking about too, saving me time and money, I’m sure, in that process. Thank you very much young man. (How have you only got 25.3k subs)

Thank you for that! This stuff needs pointing out!! I wouldn't call it a rant!

Thank you I needed this.

very informative and makes sense.

This makes so much sense, genius!

Very informative, 👌 great content and advice

Love your content! Thank you for sharing thorough, correct, inclusive content!!! How can I find a provider in St. Louis, MO?

Clear and concise to me , thanks heaps

As a boxer for over 30 years I have quite a lot of psoas problems in my left side. Best result for rehabilitating for me is to just do a couple of rounds with shadowboxing, going with the right side first. Cheers

Thanks for the amazing service

Don't I wish I still lived in S. Cal! Thanks for your time and knowledge. Cheers.

Wow. This is so helpful.

Great video. Very informative.

So helpful, thank you kindly.

I have scoliosis also and spina bifida occulta. Never did anything to try to support my spine as I age with this condition and now at 40, bam, all of a sudden I’m realizing having pain just alike to the skeleton wherein each and every red area on the right side of my body IS all related. It’s wild to see it on a skeleton. I’m also 55 pounds over weight. There have been times that I have worn a shoe on only my left foot and walked around the house all day like that and bam all of my pain released. Thanks for the info!!!

Awesome,very helpful.

Excelente video ❤

Wow, makes soo much sense

Oh, I love this. I am a newly-minted Feldenkrais practitioner, and on the one hand I loved the way your approach reflects the Feldenkraisian idea of the uniqueness and wisdom of each body /self and each nervous system. And on the other hand I loved the new perspective you brought me about biomechanics. I contract my R side but I put my weight on my L sit-bone and at my age, the ribs on the R side are beginning to complain! If you have any videos you would recommend for understanding why I have that strategy, I'd be fascinated! Thank you.

Great evaluative process!

Great video! I really like how you explained what might be going on. Curious, what are your thoughts about emotions being trapped in the hips and being the cause of tension.

Oh my gosh I need your services!!! Desperately desperate. I believe I have this because stretching does me no good and no one believes me. This is the second time now I am in severe pain and calling it sciatica with nothing helping me relieve my leg/butt/hip pain. I was in physical therapy for 3 months the first time with my 6 month bout of this same thing. I will search here on KZfaq for more videos hopefully I can find something that helps me 🤞😢

Finaly somebody litl bit honest about 1000 of youtube videos about psoas syndrome to streching or strengtening while there can be other things in the body mechanic...

Very enlightening, thanks!

Makes sense. Thanks.

So helpful and tangent all you like,, this is so valuable thank you!

This was good for me. I'm going through some hip flexor stuff, which some might call "psoas problems" but I know it's some underlying mechanics issue. I have been "layering strength onto the problem" as you put it so aptly, which does relieve the pain, but requires me to be in good shape to stay out of pain. I'd love to find someone to help me out of this cycle if possible. This video gives me hope

Great video. I dislocated my right femur when I was around 12-13 years old (I'm 44 now) and it's caused several on and off long term annoyances. I've been having some pretty serious psoas and general hip flexor issues on and off for the last 8 or so years. I've done a ton of research over the years and you've really shed a ton of new light on how to approach this, thank you! I do sit at a desk mon-fri and my general weekday activities are not super active.. so I take full credit for not regularly doing the things I should be.. but this was a big eye opener. Lots to explore here, thanks again.

Ty!

I’ve always been told this is a lot of my problem. I’ve gone through four different beds over the last 15 years. My #1 complaint is I can’t sleep on my side because it feels like I’m falling forward. I also have hip pain that only allows me to lay straight so I adjust and readjust to take the pressure off the hip. Then I’m changing it one more time by placing a soft thick comforter and place under my hip. I understand it more but do not know what to do about it. My therapist we’re getting somewhere with some things but not others. I had a knee replacement in August. HAD A SCS Implant on my Ty side MY BACK 3 years ago. There’s more I’ll let know later. The puzzle is sort of coming together. Thank you for listening.

Thanks for the video. I have a labral tear in my left hip, my psoas and other muscles around the hip tighten up after 30 minutes of any activity including walking and sitting. Do you have any videos for additional help with this issue?

Awesome video !

Finally!!!! A plethora of information explaining why the heck I’ve had years of chronic right-sided iliopsoas issues! My goodness, prior to being diagnosed with it, I was dealing with snapping hip syndrome! I’ve learned some self techniques to help but lately, nothing is working! Going on 2 months of a tight right psoas negativity affecting my ability to perform a deep squat. It cause too much pain! I’ve been back and forth with a chiropractor to no avail. I have to see if my VA dr can refer to a good mobility therapist here in Dallas! I’d love more information on other suggestions you have to offer!

Thankyou so much I’ve had serve injuries and surgeries and now burning my nerves off, damage my neck 2009, had fusion, then another as swelling of the nerves I was loosing or lost some hand, also had r Rotar cuff repair 3 times, was awaiting to get left shoulder repaired when I tripped at my back door, insurance refused to do an extra mow due to weather change, I tripped fell forward put both hands out to brace and landed on left knee, so did not even completely fall to the ground, but omg the pain all over my body, I was put onto steroids, my doctor left, new doctor refused to treat my injuries which were covered by workers comp, i could not walk properly after the fall, some days better than others, eventually got do bad my daughter came to farm took me into a major hodpital, I complained I think it’s coming from my knee but it’s in my lower back, I had spasm everywhere, they done cat scan said I’d re broken L2, which in 1987 crushed L2 Brock L3 L2 they said was like an egg shell crushed up, 75% in spinal canal 3 surgeons 9 hr Surgury up and about again took a few years but back to my life had children worked manual out doors farm race horses, anyway I was on the mend until tripping at my back door, a yr later learn broke L2 few day in hospital drugs up I was off my head, came home to my daughter could not drive to drugged, went back to drugs I can handle and can drive on, went to a physio I was was walking like a crab, she said after laying me down my hip was locked up, held my in a position hurt like hell, told me to get up, and omg there was nothing wrong with me, amnyway I’ve damaged muscles nerves thrre blaming authritus but I know it is not, because it can release in blink of an eye, sadly the release now is only for a few minutes, before I was getting weeks, then days then hrs now down to the odd few minutes if I’m lucky, it burns up my back about to middle of back only right side, severe pain in my groin, radiating down to knee and now ankle and the burning down front of my thigh just bloody pain 24/7 this psaos makes so much sense like peraformis etc it’s very deep

New subscriber♥️❤️

Good information!

You’re my fav therapist to study! Thank you!

My psoas has been an issue for 30 years. I believe it’s because of my spine. I think it’s that my scoliosis in my lower spine is increasingly getting worse and the psoas is constantly stressed to protect it. I do have a hyper mobile hip but it’s not painful. You’re describing exactly my problem. My pelvis rotates to the right and forwards and my left leg rotates outwards.

Wow❤ awesome ❤

So Awesome !!! Fairly new LMT but how I perform my massages .. so intrigued by nervous system and electrical circuit .. muscles are just the dog bites

All mine is from a perineal subluxation at age 18 - when you’re young you don’t feel fatigue from a compensation pattern - it feels like you bounced back. You didn’t… then at middle age the compensating muscles and ligaments wear out too and all heck breaks loose. Now I have permanent right hip hike and rotated pelvis with right leg turned out from 30 years of making sure I don’t roll that ankle. It goes all the way up to my neck and jaw now - protecting that ankle ruined my entire kinetic chain.

This is very enlightening. Thank you so much. The problem is who to go to for the kind of assessment you advocate. So many of us have to rely on chiropractors or orthopaedic specialists or neuro guys. Your kind of speciality seems non existent in my country. ( South Africa)

Best video I have found. I have hip dysplasia, repaired labrum tear, 2 years later I’m dealing with this and let me tell you I’d rather have a labrum tear than deal with this. I can hardly even sit anymore. I don’t know what to do😢

Great!

Just amazing. Thank you for making me wake up and stop chasing my own tail!

Hi sam your video is me to a tee ,my right shoulder drops a bit and gets very tight ,i am right, hand dominate and also have a anterior tilt pelvis and my right side rotates.

You’re video explains my condition straight on. When I look in the mirror my right shoulder sets lower. I lean to my right when driving and if I set up straight in a chair my left pelvis bone digs in the seat and I can put my fingers under the right one. Occasionally have right knee pain. The left side is tighter and weaker. Do you know what exercises or stretches I need to incorporate?

Fantastic video. I have a large liberal tear and a chronically tight psoas. Have done a ton of pt which helped for awhile but things are just getting worse now. And it’s been 8 years of this now, 26 years old. I believe my psoas is in constant spasm trying to protect that tear. Injections in those areas and doctors agree. Do you think fixing that laberal tear with surgery in there release that psoas tension? Thanks

I have just had to have a total hip replacement due to hip muscles not functioning properly due to - I believe - a side impact car accident where I also shattered two ribs. I can honestly say I tried EVERYTHING to get my hip muscles to relax. The only thing that I found helped- sadly too late for the need for the replacement - was to lay on my front and just gently stretch up leaving my hips on the floor. And yes - I am left handed and left hip! So wish I had seen this video after my car accident!

Well said and understood. I’ dealing with pain in right piriformis and vastas midialis which seems to be under the IT band. Any suggestions?

6:30 You've described my exact problem to a T! Most likely Including occlusion problems as well. What would be my best resource in regards to knowledge (textbooks, articles, programs) as well as which specialists to go to?

THANKS 🙏

Thank you for this analysis. Good to see an overall take. You're right there are a lot of videos about psoas.

Your 'rant' about compensatory dynamics is exactly what I've been wondering about recently. I have had a slight-to-moderate 'foot drop' for twenty years, as a result of a sciatic injury, on the right side. i've recently been experiencing some pain in the front of the left hip/groin, especially when walking downhill. I've also noticed my right quad is about 2-3 cms bigger (circumference) than the left. Your 'rant' suggests maybe my right leg is working harder and is stronger than my left (i do a lot of hiking and backpacking), so my left psoas is compensating and in so doing is getting stronger and carrying more tension. As you point out, many PTs do not look at the entire integrated system, so i am wondering your thoughts on all this.