Psoas pain symptoms generally include tenderness, tightness, and discomfort in the hip and lower back. If you’re trying to figure out if your hip flexors are a pain point, this content will give you an idea about whether they are or not.

I always recommend seeing a movement-based chiropractor to examine your unique case and correctly diagnose your psoas pain. Psoas muscles and other hip flexor muscles are almost always involved in hip pain, lower back, pain and lower extremity issues so it’s worth looking into the psoas if you’re struggling with any of these issues.

In addition to psoas pain symptoms, I’ll also give you a quick review of psoas muscle anatomy and other muscles that are involved in hip flexion.

Have you been stretching your psoas muscle already and it’s not helping? I talk about some of the reasons for this in this blog article –> 9 Reasons When and Why Stretching Your Psoas is Not Helping


General Symptoms of Psoas Pain

  • Tenderness in the front of one or both of your hips
  • Tightness in the front of one or both of your hips
  • Dull, sharp, aching, or soreness pain in the front of one or both of your hips.
  • Discomfort that extends into your mid-thigh or thighs.

Hip Symptoms of Psoas Pain

  • Pain with extending (bringing your leg back) your hip(s)
  • Discomfort when standing straight and pushing your hip(s) forward
  • Muscle “knots” or trigger points in the front of your hip(s)
  • Pain and/or weakness when lifting your leg up (climbing stairs for example)

Back Symptoms of Psoas Pain

  • Lower back pain, especially after sitting for a while
  • An increased lower back curve
  • Lower back pain when your hip(s) feel tight
  • Lower back pain when you lean backwards

Psoas Muscle Anatomy

When talking about “hip flexor” muscles we generally refer to the primary hip flexor as the iliopsoas muscle. The psoas is a unique muscle, in that it actually conjoins fibers with another muscle called the iliacus muscle, which gives us the term “iliopsoas.” Most of us call it “psoas” for short. This picture shows these two muscles and how they mix together.

What Muscles are Hip Flexors?

The iliacus and psoas are the primary and most important hip flexor muscles, but there are other muscles that also work to flex the hip. You can see some of these other muscles in this picture as well. Additional hip flexor muscles include:

  • Rectus femoris
  • Sartorius
  • Tensor fascia latae
  • Pectineus
  • Adductor longus
  • Adductor brevis
  • Gracilis

The good news is that a lot of psoas pain symptoms can be addressed with stretching and home exercises. Rest assured this is a common complaint, and usually not a complaint that requires surgery, medication, or shots. In the cases where it’s chronically bothering you, not getting better, or getting worse you should seek some professional advice and treatment from a movement-based chiropractor who can help you get over it.

Want to do some self-discovery and test your psoas muscle strength, learn a psoas muscle release, and practice some psoas stretching and psoas strengthening? See this content I have with videos on how to do this –> How to Release a Tight Psoas Muscle

Dr. Jason Williams DC is a chiropractic physician practicing at AccessHealth Chiropractic in Cary, NC. He treats neuromusculoskeletal pain and injuries using chiropractic manipulation, dry needling, acupuncture, rehab exercise strategies, and other supportive therapies. Primary areas of focus include back pain, neck pain, muscular pain, extremity pain, and orthopedic injuries. Dr. Williams is experienced in treating athletes, especially those in the CrossFit, Brazilian Jiu-Jitsu, Muay Thai, and MMA community.

If you’re interested in whether he or another AccessHealth provider can help you, navigate to our contact page or follow this link to request an appointment.