Q & A: Why Does Sitting Cause Psoas Pain?

Published by Liz Koch on July 22, 2009 in Question of the Month

Q: Is pain in the hip, groin, and low back caused by psoas problems, especially when sitting for long periods of time? I do the simple relaxation technique (constructive rest position) and it works, but it does not last.

A: The key phrase within your question is “sitting for long periods.”  How one sits will either support the healthy psoas or engage the psoas for support. Bucket chairs (designed with scooped bottoms), found in most office chairs and car seats, offer little or no support for the pelvic basin. Rather then sense support from the bottom (sitting on your sits bones), the spine collapses and falls behind weight bearing balance. The psoas gets involved countering the lack of skeletal support.  Try sitting on a chair with a firm cushioned seat that is FLAT or place a wedge on top of the chair to create and encourage both skeletal support, muscular integrity, and open hip sockets.  The wedge helps lift the hips slightly higher than the knees, which is very important when sitting for periods of time. It is also important to move about and walk regularly.

susan spitzer-cohn
Posted on December 10th, 2010 | Permalink

where can you find the recommended wedges?

Cynrhia burton
Posted on February 1st, 2011 | Permalink

Liz, I have a client that I have only seen twice as severe sciatica has kept her from returning to pilates. she has been to Dr after Dr with no relief. I believe she does sit in her car and planes as she gives presentations all over the US
Is it possible that the Psoas is the problem and contricting the piraformas which causes the pain.
what is your recommendation?

Liz Koch
Posted on February 14th, 2011 | Permalink

Sitting on top and in front of the sits bones makes a world of difference to the Psoas! In other words the Psoas is sending a message to stop overusing, misusing and abusing. Think skeletal integrity for a healthy Psoas.

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