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Back Pain

Got back pain? Pay attention to this muscle

By: Dr. Alyssa Musgrove

 

If you, or someone you know, is always searching for back pain relief, it may be time to examine the psoas muscle. I work on the psoas (pronounced SO-as) muscle every day with my patients. Many people have not heard of this muscle, yet it is a major player when it comes to back pain, especially when there is difficulty straightening up from a seated position.

 

The psoas is a rope-like muscle that attaches to all the low back bones (lumbar vertebra), runs down across the groin and attaches to the inside of the hip. The psoas is joined at the hip, literally, by the iliacus, which travels from hip to thigh. Together, the psoas and iliacus make up the iliopsoas – the body’s most powerful hip flexor. The psoas helps promote good posture and stabilizes your abdomen and pelvis as it works together with your abs, obliques and lower back muscles. Every time you stand, walk, or run, or play golf, you’re engaging the psoas.

 

When the psoas is weak or tight, it can cause symptoms such as pain across the lower back, groin pain, hip pain, pain in the buttocks, difficulty walking up stairs or hills, tight hamstrings, knee pain and even foot pain.

 

John Stiner, a massage therapist based in Durham, N.C., whose credentials include a 2008 stint with the Nike Oregon Project, has noticed an epidemic of psoas tightness among his running clients. The number one culprit, he says, is your chair. Sitting for long periods puts the psoas in a perpetually shortened state. The muscle has memory and will maintain this shortened state, even when you get up from your chair. “Our bodies simply aren’t designed to sit all day,” says Stiner.

 

Another cause of imbalanced psoas muscles are abdominal crunches. Performing too many sit-ups causes the psoas muscle to shorten, which can lead to an increased arch in the lower back and a head-forward posture. While this posture is normally seen in the elderly population, nowadays, we are seeing this type of posture in younger people.  Rather than just focusing on abdominal exercises, it is better to have a more balanced program that works the core muscles in the back, as well as the front of the body. Sleeping in the fetal position also causes prolonged periods of stress on your psoas muscle.

 

You can perform a simple test to determine if you have a tight psoas. Lie on your back with both legs straight. Pull one knee towards your chest. If the other leg lifts off the floor, then your psoas is too tight. Now try the other side.

 

Regular gentle stretching is the best antidote for a tight psoas. Keep in mind that it will take time to release the psoas. The muscle has to be retrained, and you have to be consistent with the stretching. Be careful not to overstretch, which can cause the muscle to contract and shorten. Start your stretch slowly and ease into it without straining. You want to feel a lengthening sensation of the muscle.

 

Here are two simple psoas stretches you can try at home:

 

KNEELING LUNGE

Kneel on one knee, with the front leg forward at a 90-degree angle. With your pelvis tucked, lunge forward, easing into the stretch without straining. If your psoas is tight, your natural tendency may be to arch your lower back; make it a point to keep the back straight. Raise your arms overhead for an added abdomen stretch. To dynamically stretch the psoas, complete 20 reps on each side, holding the lunge for 2 to 3 seconds.

 

WARRIOR YOGA POSE

Step one foot 3 to 4 feet in front of you. Lunge forward until your front knee is at a right angle. (Readjust your foot position if necessary.) Turn your back foot out about 45 degrees. Keeping your back foot firmly planted, and your head, shoulders, hips and knees facing forward, raise your arms overhead. Relax your shoulders; don’t let them inch up. Lift your rib cage away from your pelvis to really stretch the psoas. As in all yoga poses, breathe deeply and easily. Don’t strain. Hold for 30 to 60 seconds.

 

Other tips to keep your psoas in top shape include:

 

1.    Sitting less — Try to get up every 45 minutes, at least. If you are traveling long distances, stop every 3 hours and stretch or walk for 5-10 minutes.

2.    Reach for support — Add support to your car seat by using a rolled up towel or small pillow behind your lower lumbar spine.

3.    Professional massage — Massage can help relieve a tight psoas, although this type of massage is not always comfortable.

 

By consistently working to relax the psoas and gradually restore its length, you will help reduce lower back pain, hip pain, groin pain, buttock pain and tight hamstrings, as well as prevent future injury.

 

Pathways to Healing specializes in holistic chiropractic care. Dr. Alyssa Musgrove draws on a variety of techniques, including chiropractic, kinesiology, nutrition, food allergy testing and lifestyle counseling to assist clients in achieving optimal health and wellness in one setting. Pathways to Healing is located at 1022 Founders Row, Lake Oconee Village, Greensboro. The office can be reached at 706-454-2040.

Tips For Golfers

By: Alyssa Musgrove – Pathways To Healing

Photo credit: Visit Lake Oconee

Golf is a challenging and often frustrating sport. Many golfers feel the mental component of the game is their greatest challenge, and undervalue the biomechanics and conditioning required to play the game well and play the game longer. This is a mistake that can lead to poor play and injury.

An extreme amount of compressive force – up to 10 times a person’s body weight – is exerted on the spine during the golf swing. Every joint involved in the swing is taken through its maximum range of motion. Many golfers contort their bodies into oddly twisted postures, generating a great deal of torque. Couple this motion with a bent-over stance, repeat 120 times over three or four hours, add the fatigue that comes with several miles of walking or hot summer weather, and you’ve got a recipe for lower back trouble.

“Most golfers go until they get hurt, then look for help,” says Dr. David Stude, member of the American Chiropractic Association (ACA) Sports Council and founding fellow of the National Golf Fitness Society. “Back pain is a warning sign there is an underlying problem responsible for a symptom that will likely get worse. Doctors of chiropractic look for the cause of the symptom and help reduce the likelihood of future injury.”

There’s a reason Tiger Woods, Phil Mickelson, Jack Nicklaus and Arnold Palmer have all relied on chiropractic care throughout their careers. Tiger Woods has said, “…lifting weights and seeing a chiropractor on a regular basis has made me a better golfer. I’ve been going to chiropractors for as long as I can remember. It is as important to my training as practicing my swing is.”

Aside from regular chiropractic adjustments, Dr. Stude and the ACA suggest these simple measures to help you avoid back pain or injury, and improve your overall game:

  • Purchase equipment that fits. Don’t adapt your swing to the wrong clubs. Someone six feet tall playing with irons designed for someone five inches shorter is begging for back trouble.
  • For women: If you have “inherited” your significant other’s golf clubs, beware. Not only are the clubs likely too long, the shaft is often not flexible enough for a woman’s grip. Women play better with clubs composed of lighter, more flexible material, such as graphite.
  • For men: While men are traditionally stronger than women, they usually aren’t as flexible. Men should spend extra time stretching before and after play to increase trunk flexibility. Improved flexibility helps men maintain a more even and consistent swing plane, which leads to more consistent performance.
  • For senior golfers: If you show signs of arthritis in the hands, consider a larger, more specialized grip for added safety and performance.
  • Take lessons. Learning proper swing technique is critical. At the end of the swing, you want to be standing up straight; the back should not be twisted.
  • Wear orthotics. These shoe inserts support the arch, absorb shock, and increase coordination. Studies show custom-made, flexible orthotics can improve the entire body’s balance, stability and coordination. This translates into a smoother swing and reduced fatigue.
  • Photo Credit: Foot Levelers

    Warm up before each round. Stretching before and after 18 holes is the best way to reduce post-game stiffness and soreness. Take a brisk walk to get blood flowing to the muscles; then do a set of stretches. To set up a quality stretching and/or exercise routine, see a chiropractor or golf pro who can evaluate your areas of tension and flexibility.

  • Pull, don’t carry, your golf bag. Carrying a heavy bag for 18 holes can cause the spine to be compressed, leading to disc problems and nerve irritation. If you prefer to ride in a cart, alternate riding and walking every other hole. Bouncing in a cart can be hard on the spine.
  • Keep your entire body involved. Every third hole, take a few practice swings backwards and with the opposite hand to balance out the stress put on the back and rest of the body. Imagine going to the gym and working only one side of your body everyday for years, neglecting the opposite side. Golf tends to create this same type of imbalance in your spinal column, setting the stage for injury.
  • Drink lots of water, especially in the heat. Dehydration causes early fatigue. When fatigued, we compensate by adjusting our swing, which increases the risk of injury. Smoking or drinking alcoholic beverages while golfing also causes dehydration.

If you golf consistently, you will no doubt feel the stress of the game. But by following a few simple prevention tips, it is possible to play pain-free. Chiropractic care is an effective solution for golfers who seek to rid themselves of pain and have a successful and enjoyable golf game!

Pathways to Healing specializes in holistic chiropractic care. Dr. Alyssa Musgrove draws on a variety of techniques, including chiropractic, kinesiology, nutrition, food allergy testing and lifestyle counseling to assist clients in achieving optimal health and wellness in one setting. Pathways to Healing is located at 1022 Founders Row, Lake Oconee Village, Greensboro. The office can be reached at 706-454-2040.