If youโre dealing with iliopsoas muscle painโsometimes called psoas painโyouโre not alone. The iliopsoas plays a critical role in how your spine, pelvis, and hips moveโฆ and when itโs tight, weak, or dysfunctional, it can cause low back pain, hip pain, bursitis, pelvic issues, and more.
But hereโs the real problem:
Most peopleโand even many professionalsโoversimplify it. They give you generic psoas stretches or strengthening exercises that donโt address the full picture.
Letโs change that.

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What Is the Iliopsoas Muscle?
The iliopsoas is a deep muscle made of multiple parts: the psoas major, psoas minor, and iliacus. It doesnโt just run from your spine to your hipโit has multiple attachments at the spine, pelvis, and upper leg, making it a true tensegrity muscle in the osteopathic model.
That means it plays a central role in connecting and coordinating movement between your upper and lower body.
It also means problems with your iliopsoas donโt stay localizedโthey can ripple out into your spine, pelvis, or even internal organs through fascial connections.
Why Basic Psoas Stretches Donโt Work
Search the internet and youโll see the same stretch everywhere: kneeling lunge, arms overhead, arch the back, slide forward.
Sounds familiar?
Hereโs whatโs wrong with it:
- It ignores the multiple fiber directions and attachment points of the iliopsoas
- It reinforces poor spinal positioning and can compress the lumbar discs
- It fails to address fascia, which is key for actual lengthening and balance
- Itโs based on basic anatomyโnot the complex interconnections that actually matter
Worse, these stretches can aggravate spinal conditions and reinforce patterns that caused your pain in the first place.
A Holistic Way to Work With the Iliopsoas
To truly improve iliopsoas muscle function, you need a program that goes beyond muscle alone.
Enter Hillโs Muscle Model:
A true holistic approach includes:
- The muscle itself
- The fascia that supports and connects it
- The ligaments and joints it influences
All three work together. You canโt isolate one and expect long-term results.
What I Do Instead
As a Soma therapist and trainer with 30 years of experienceโ18 under the osteopathic modelโI help people move and heal holistically.
Hereโs how I work with the iliopsoas:
- Normalize the fascia
Fascia surrounds and runs through the psoas like a spiderweb. If itโs twisted or adhered, the muscle canโt function correctly. Manual therapy helps unwind these patterns. - Myofascial stretching
Instead of basic stretches, I use biomechanically precise postures that account for all attachments and fiber directions. These target the whole chain, not just one part. - Postural release
Sometimes, just hanging in a specific posture allows the psoas to release more deeply than any active stretch. I show clients how to do this safely and effectively. - Strengthen itโcorrectly
A tight muscle can also be weak. I use movement patterns that strengthen the iliopsoas in the right directions, based on how it truly functions. - Address the surrounding system
That includes spinal stabilizers like the transverse spinalis, longissimus, iliocostalis, and lats. Muscles donโt work in isolationโthey work in systems.
Want to Try a Simple Postural Release?
Here’s a safe, passive way to begin releasing the iliopsoas:
- Sit on the edge of your bed or a bench
- Lie back and hold one knee to your chest
- Let the other leg hang off the edge
- Hold for as long as is comfortable
- Switch sides
This gentle release works with the body rather than forcing it.
Ready for Deeper Change?
Most iliopsoas issues donโt get better with surface-level fixes.
You need to work with the cause, not just the symptoms.
If this resonates with you, I have a few resources:
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Free Resource โ To Get Mobile, Get Out of Pain, and Live the Life of Your Dreams
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Consultation โ Want to work together? Book a time via the Calendly link
Youโre capable of more than you think. Allow the process to change youโand youโll be amazed at what your body can do.
Building a foundation for a better life.
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