Why Your Psoas + Hip Flexors Won't Release - Troubleshooting

[@SamVisnic]

🚨 NEW - Psoas Fix Program! 🌟 Learn More And Get Access HERE: releasemuscletherapy.com/psoas-nofify

[@kenpowell5491]

Do you have a recommended clinic on the east coast of the United States?

[@karisadoucet1789]

Q

[@KarenStephens-17]

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!

[@dmydesigns72]

I was using the hip hook for a year. Was doing progressively better. Then had an adjustment and everything went back to the beginning. Now struggling to get back what I had. 😢😢

[@Swearengen1980]

I can commiserate with this. 2 car accidents, neither my fault, both left lasting damage to my back and neck. I'm in civil engineering and have a very logic based, oriental thought process and it's infuriating when almost all Doctors either don't listen to symptoms or don't thoroughly explore the options. Their first answer is pill popping, the second is generic physical therapy if the xrays or MRI don't show anything. The worst part is usually their condescending attitude about it as if I'm just another hypochondriac or WebMD patient.

[@coachtaramathews]

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.

[@justinajones3000]

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.

[@Swearengen1980]

Information. Intel is specific to military or political information.

[@justinajones3000]

@@Swearengen1980 You're right

[@johnfostervermonthealing]

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

[@SamVisnic]

Very kind. Thank you!

[@tba3679]

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

[@jenniferapollonio4696]

I’m really grateful for your “tangent”! No one has ever taken the time to explain this, and I’m happy to have more insight.

[@justsomeguy5490]

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.

[@Danno5894]

I’m in a very similar boat (minus the surgeries) and I couldn’t agree more. It seems impossible to find a good PT. All in your head, fibromyalgia, all these things I have heard as well

[@sharieannpryce9127]

That kind of service is everywhereee.

[@jennisen1]

Thanks for sharing.

[@lindseybrittain1208]

Try myofacia release!

[@rosaneschneiderfaanes2361]

I am in a similar situation, as well, minus the surgeries as someone else mentioned above. In my case, aside from the scoliosis I am also having problems with my right shoulder so I believe that somehow my left hip is trying to compensate something. Now I am wondering if by at least having surgery on my shoulder may also help with my hip because at least my scoliosis never gave any problems before.🤔🫤

[@RebeccaBly]

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.

[@sschario60]

Your students are fortunate to have an open-minded teacher willing to investigate further. 🙏🏼🙏🏼🙏🏼

[@31Asya]

Well yea but the question is how do I finally get to my splits…

[@pcollins5334]

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

[@donnaschafer2565]

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🙏

[@sinch4044]

nice compliment sandwich on that sound criticism 😂 rly tho, good comment

[@karolinamackiewicz514]

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.

[@tracymoss7210]

I also have psoas tension that runs into my entire leg. I can't recruit my right glute very well.

[@MrDuffy81]

I love your discussion on this topic. I subscribed instantly based on your understanding of the complexity of these human body equations that we are trying to figure out how to fix. I personally have suffered about five different car accidents where I have had medical and legal settlements because of the injuries I incurred, and it takes a long time and a lot of dedication to fix these things on your own. Even with having a physical therapist, it is rare to get the care that You actually need to heal yourself. The insurance companies do not want to pay the money that it takes to fix yourself and they do not want to pay for the expertise of the individual that is needed in order to facilitate the healing of many individuals. We need more good therapists. Thank you for putting this information out for free on the Internet.

[@cherylcox6402]

Finally information that validates the connection between my jaw clenching issues and psoas. I thought i was going crazy!

[@teresaeisenlohr8541]

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.

[@SamVisnic]

Thank you!

[@heatherebel4804]

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 !!!

[@SamVisnic]

Thank you greatly appreciated.

[@raisaislam4154]

Sir, do you provide online assessments to guide patients? I'm from Bangladesh and been struggling with these problems for a long time

[@Qvpzymaglptq]

100% agreed 🙌🏼

[@SamVisnic]

@@raisaislam4154 Yes, depending on schedule and time zones.

[@juditkel]

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🙏🏻

[@calb8938]

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!

[@analazalde1357]

Were you able to improve these issues ??

[@jessicapilczuk4763]

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 KZbin for more videos hopefully I can find something that helps me 🤞😢

[@pakris710]

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. 🙂

[@SamVisnic]

Thank you greatly for the very kind words and I'm very happy to hear you're doing well!

[@eileenkovacevich8234]

​@SamVisnic Who in Santa Barbara can I go to who has the same theory/knowledge as you? Eileen

[@carlahopkins3958]

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

[@zachhaller]

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

[@susanruby3239]

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.

[@Sunnydayz2023]

Wow that was really helpful! The body is all connected.

[@andymadel5135]

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

[@andrewvida3829]

Everything you have stated here accords with what I know on the topic, and I'm no expert at this, but it has been a subject of interest to me for many years.

[@Rob-zv1oz]

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)

[@SamVisnic]

Thats a good question. Considering the standard "Bob and Brad" style info out there, I need to be aiming for 1 million. :)

[@KB-by3vl]

😨😂

[@KarmasAbutch]

@@SamVisnic Bob & Brad have wasted so much of my time it prolly shortened the life span of my eyeballs, all for no useful result whatsoever! There I said it, so you don’t have to. 🥳

[@danielledevereux8964]

hi sam, where does one go to get an assessment? i’ve been to the chiropractor and physical therapist and they suggest exercises, but never an assessment to make sure my hips and psoas are actually the issue.

[@SamVisnic]

For starters, take a look at this video: kzbin.info/www/bejne/goexaZ2GZpedl9k

[@DivineByDesignWithDani]

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.

[@ChelseaTraille1]

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! 🏆

[@SamVisnic]

You're welcome and thank you!

[@cariefox]

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.

[@SamVisnic]

Take a look at the video I did on the PRI Side Lying Adduction Drop Test!

[@wendybothma3548]

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)

[@marianaalas]

Eye opening. Greatly explained. Thank you 🙏 I had an stroke 1.5 years ago - my right side is now weaker, & I had been compensating while waking without realizing. Please make a video on how to adress balance or compensating.. I feel I must learn to walk properly. Thank you in advance ❤

[@fingerprint5511]

Acupuncture can help with the weak muscles, I'm sorry you experienced Stroke.

[@fabricioaraujo1324]

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

[@Qvpzymaglptq]

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!!!

[@pmwdrgn7]

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

[@robertf2691]

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.

[@SamVisnic]

Its always challenging to pinpoint, but regardless I always do a fully body evaluation, because we never know whats doing what.

[@KB-by3vl]

It feels so good to hear more about this. I have maybe an 11% curve. Sounds like not too big of a deal but it has been bothering me since childhood. I would purposely put my leg under my behind when sitting to even out my spine. That sounds weird. Anyway, I was trying to be a contortionist in order to keep some pain away. Now, years later, if I sit normally for even fifteen minutes, I feel hobbled when I get up to walk.

[@KB-by3vl]

Let me make a correction, 11% curve when checked at 13 years old.

[@bethstephens6124]

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.

[@robblackie4865]

great video, love the honest approach

[@SamVisnic]

Thank you I appreciate that.

[@CL-xj1by]

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

[@romankhan9120]

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...

[@campet9211]

Who or how somebody in pain could understand for good the body mechanics and treat it not aggravated this

[@user-zt4zr7eg6z]

​​@@campet9211omething could be too tight. Bad posture... too little walking.

[@colleenlemieux621]

I get severe cramps in my back of my legs when trying to do exercises to help with this why?

[@KB-by3vl]

​@@mddell58 he kinda made fun of them in a previous comment 😮. He's honest.

[@Isaac5123]

​@@colleenlemieux621 do you have disc degenerative disease at level L2 - L3 or L3 - L4 or a nerve impingement?

[@chrisjulian8044]

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!

[@SamVisnic]

Welcome!

[@Peaceisful]

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

[@SamVisnic]

Thank you!

[@laloftus]

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

[@SamVisnic]

Very welcome! Happy to hear it helped.

[@lisachilman6868]

Thank you Sam. A very helpful video.

[@SamVisnic]

Thank you very welcome.

[@wealthychef]

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

[@KB-by3vl]

Interesting info, I have tried strengthening my core and other areas hoping to be able to deal with hip and lower back pain. I have slight scoliosis but it don't feel slight 😅. I just learned recently that touching my toes may be unhelpful for stretching my lower back. Go figure.

[@Moonmonkian]

Stay in shape?

[@naziakhan7068]

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

[@MikeO-r5y]

Been dealing with entrenched trigger points in my left TFL. After two years, I have finally discovered that my iliohypogastric nerve is either compressed or irritated and signally the muslces to hold tight. That nerve runs through the oblique muscles and across the iliac crest and chances are that I have been hurting it by the way I move and the tightness in my obliques. Massaging the obliques gives me relief. I have to learn how to move differently so that the nerve can calm down. Not an easy task. Try doing manual labor or exercising without overworking the obliques. But try I will.

[@inezzbeadz]

Very helpful thankyou

[@julienkryt5001]

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

[@karensuarez2113]

I haven’t watched your video on how to test for tight psoas muscle, but wanted to share my most recent visit to our naturopathic chiropractor. I went in with the complaint of soreness around my lower rib cage, both front and back. I am on the table on my back, he feels/pushes various muscles from hip to mid spine, with me telling him where tenderness is. He then takes legs together and extends both to the right, quite a bit, then same with opposite side. Then he does each leg separately, asking where I feel tension. Then I stand up with feet slightly apart, a good balance stance, and he asks me to resist when he pushes in a certain area. First he presses my right hip, I fall backwards. Then he does my left hip, I fall backward. Then he does same thing from each side and then each rear hip area. These last ones I stayed firm. I then go to another table where a directed PEMF ( spelling) is used on my right groin and hip area. There is some type electrical pad under my left calf. When the girl hits the right spots, it is like mini shocks, not painful, just not expected. The chiropractor then redoes the push test, with me resisting each push. When he pushed on the front hip(s), I held firm. He said I should experience better balance - something I practice daily. Going on 70 😂 I have off and on seen this chiropractor for the last 13 years. Most recently working on lordosis causing some compression with iliac veins at L5. Along with this, doing many exercises to help correct the tight hip flexors, and now the psoas muscle, apparently, as well as the anterior pelvic tilt. You have been a world of help - much appreciated.

[@dmydesigns72]

Goodness you are speaking my language. What's your location? I cannot find a PT that can even get close to what you are so intellectually saying with great clarity!❤

[@SamVisnic]

I'm located in Southern California. Temecula.

[@dmydesigns72]

@@SamVisnic wish you were near Santa Cruz

[@angelooctaviano452]

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

[@googoo554]

Thank you so much Sam.

[@SamVisnic]

Very welcome

[@lilbear19601]

Well I like what you provided as an answer to a recurring problem. Thanks

[@thecryptopoet]

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

[@loriwilliamson5738]

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

[@olwynosullivan7267]

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

[@SamVisnic]

Thank you!

[@AkashPrakash_TV]

I needed to hear this

[@gailshort6332]

very informative and makes sense.

[@veryproudmamamia9011]

Loved this informational explanation!!

[@SamVisnic]

Thank you and happy to hear it was helpful.

[@6155ish]

I have severe psoas pain in my right groin area. My internist did a physical examination and took x-rays of my hips and back, I am waiting on results. He instructed me to come on youtube and locate some exercises for the psoas pain, however, I want to consult a physical therapist to make sure I am getting the correct exercising. I am not sure what type of physical therapist I should contact, can you advise?

[@SamVisnic]

I'm sorry to hear that. Definitely follow up with your doctor on test results before starting exercises. For physical therapy, no speciality is usually required, but you can see if they specialize in hips or the pelvis.

[@robday491]

Great explanation and understanding

[@mattrapp3044]

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😢

[@KB-by3vl]

Hip dysplasia. Is that any connection with scoliosis?

[@mattrapp3044]

@@KB-by3vl no

[@jayterra2060]

I Have hip dysplasia too , how are you doing?

[@mattrapp3044]

@@jayterra2060 I’m doing great almost 3 years post surgery for labrum repair.

[@roneltheron1885]

Hallo Sam, thank you for your explanation. Being in South Africa, would a Biokineticist be able to do assessment or who would you advise to see to get help? Thx.

[@thomasaseymour1165]

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

[@SamVisnic]

Thanks!

[@bernadettemarquez4837]

Thank you so much for this video, it makes better sense to me than the others. I need to know, do you have a practice in Woodstock, GA?

[@SamVisnic]

I don't

[@bettyboohadapoo]

Clear and concise to me , thanks heaps

[@SamVisnic]

Much appreciated.

[@umasonne]

Excelente video ❤

[@Homeheart1]

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.

[@brendonchase9460]

Very informative, 👌 great content and advice

[@joannehoward100]

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

[@machiengunkelly]

Thank you

[@corinnewilliams8647]

Thank you,very informative.

[@BreukelenAmatz]

Would strengthening the lower back with hip extension machine help with hip issues, eventually? Please answer🙏🏽❤️

[@SamVisnic]

The hip extension machine strengthens the hip extensors (glutes and hamstrings) while the lumbar spine extensors are used in isometric contraction. The loading isn't very high on those muscles, but there some improvement in strength happening. It certainly wouldn't be the only exercise I would use, but I definitely would include it when appropriate.

[@BreukelenAmatz]

@@SamVisnic thank you for answering! I’m at the gym right now🔥💃🏽

[@oga.newitt3713]

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.

[@jessieloi5949]

Thanks you are spot on.!!

[@hectorarrieta2384]

Sam! Thanks for the video. Assuming you have a large network. Who in HK can get me assessed? Please. I’m desperate

[@CarlaaRenee]

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?

[@angelabiggins5105]

Ok, great! How do you turn off the hip flexors?

[@SamVisnic]

Definitely take a look at my additional psoas videos for walkthroughs.

[@TrynaLearnTheGame]

BRAVO!

[@KarmasAbutch]

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.

[@timfowkes]

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.

[@SamVisnic]

Very happy to hear this video has helped. I'm pretty overwhelmed honestly at how useful this one has apparently been for people!

[@Chenglishman]

So, let’s say you do have a hip labral tear and it’s trying to “protect” that hip. How do you get it to stop?

[@anik5945]

I have the same question

[@fredrikdudat9810]

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

[@sergii_real_estate]

You conventional, right? I have the same issue

[@Mikey196601]

I think part of my problem is the recliner I regularly sit in , it puts my back in unhealthy forward curve of my spine and neck , the back of my recliner goes above my head causing my neck to tilt forward and I believe is to soft and doesn’t support my back and neck well , I realize this when I sat in a friend’s recliner, theirs kept my back straight and isn’t as cushy and the top of the back rest goes to my neck in a way that my back and neck are completely inline , both recliners are like day and night, I was working out regularly before 2020 when the you know what hit and all the gyms were closed, I went from 274 to 211 lbs , my posture was a zillion times better and when the gyms opened up again I lost ambition to start up , I need to start working out again and take my old recliner to the street for garbage pickup and get a better chair

[@Moon888-oy8bb]

@Sam Visnic, is it possible that multiple insect bites (wash, jumping ant and tick) could trigger this condition in the muscles?

[@davidpelletier-k1p]

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.

[@OmegaCommunications]

Thankyou. This makes a Lot of sense

[@jamesgilmore1684]

Ok all this sounds interesting. It sounds believable. Lots of technical talk that I struggle to understand. So this is exactly what I believe is going on with me past 6 years in my left hip osteoarthritis and lumbar degenerate disc disease. QUESTION: so what needs to be done to help us fix our pain?

[@SamVisnic]

Check out my other videos that take you through stretching, and exercises, etc. There is more on my channel and I also offer online programs. releasemuscletherapy.com/psoas-nofify

[@jamiemarca5951]

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

[@ElizabethFurrMcLean]

I live in New Zealand. What specific words do I use when trying to find someone to give me a proper assessment? I have chronic left hip and lower back pain.

[@Kayhywolfeimages]

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

[@SamVisnic]

Glad to hear it helped!

[@suecharnock9369]

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!

[@lilblock757]

I also have been having chronic tension in my left scm/ jaw area along with tightness in my left psoas/hip. I believe one is affecting the other just hard trying to figure out the main cause.

[@SamVisnic]

Of course there is a link, but challenging to find the real trigger. Patterns are often systemic, but rarely do I have to address everything. There is usually a "kink" in the chain that needs to be addressed. My favorite place to look is the rib cage.

[@monnoo8221]

finally found someone who knows about what he is talking. So, subbed the channel. almost, at least. Regarding you explanation of the relation beween muscles and nervous system I would like to add sth. Since it stablizes the lumbar spine, there are not only nerve endings projecting from the motr brain, but also reflex arcs. These are found in all pstural contexts. The result is that a temporary overload, chronic low grade whole system inflammation, too much chocolate and the vegetative nervous system can lower the excitability so much that the reflex arc leads to a self-sustaining contraction without involving the "nervous system" in the direct control aspect from the brain. In such circumstances, the so-called Dorn massage (named after a guy named Dorn) is popular in Europe, as it breakes the chronic contraction, allowing for fluid flow and reducnig the nflammation part. As of for all the other stuff you mentioned, I fully agree.

[@DNAConsultingDetectives]

I have numerous neurological conditions, including ataxia (from celiac disease), cervical (neck) dystonia, idiopathic right side weakness for over 15 years. 2 months ago, I sat too long and suddenly had femoral nerve pain. PT did a release that gave me instant relief. I knew that 15 years of these conditions my gate was getting worse. 2020 was the year of the slippers for me. That made things worse, in retrospect. My right foot started turning out, particularly the toes. My right knee turned in and so on. (I’ve never over pronated my feet/ankles) As a former runner this has been disheartening. I’m seeing 2 PT currently (same facility). One is a neurological focused PT; the other is an orthopedic PT. I’m going to request help with my overall gait and whole body mechanics. You didn’t mention the Iliacus muscle. Why?

[@NEChristo]

I don’t understand what the psoas test is or the solution to the pain

[@LisaJeffs-e9k]

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.

[@SamVisnic]

Thank you. Long discussion, but quick general response: I don't believe emotions can be "trapped" anywhere. What I do believe, as pain neuroscience discusses, people may develop beliefs about their conditions, tension patterns, pain, etc. which may become part of their subjective experience. For instance, if someone is mis-informed about the fragility of a spinal disc bulge, the person may develop mild to severe kinesiophobia, which may cause heightened threat when performing movements or activities they perceive to potentially injure their disc. Thus, fear would be connected to the issue, but its from lack of education and understanding of the condition.

[@robday491]

Great video. Very informative.

[@SamVisnic]

Thanks!