Psoas Muscle and Your Low Back Health

The psoas muscle is a low back muscle located deep in the body, very close to the spine and inside the hip and thigh bones. This depth, combined with the fact that the psoas originates from the sides of the five lumbar vertebrae, means it plays an important role in back health.

You use your psoas when you walk, run, climb stairs, sit, play sports or do most anything that requires flexion at the hip.

woman stretching lower back
swissmediavision / Getty Images


The psoas starts on the side the lumbar vertebrae and, making a triangular shape, tapers down into a tendon that inserts on a little bump on the inside of the top of the thigh bone called the lesser trochanter. On its way to the lesser trochanter, the psoas meets up with another muscle called the iliacus. The iliacus is a big, flat muscle that resides on the inside of the front of your hip bone. Together the iliacus and the psoas muscles (called the iliopsoas muscle) work to flex the hip joint.

How Hip Flexion Works

Flexing the hip joint can happen in one of two ways. You can lift your leg, or you can bend your trunk forward. We have already talked about lifting the leg. This is a common movement that occurs in pretty much every activity you do. From sitting to running a marathon to making the kids' beds, hip flexion is a very basic body action.

Bending over—the second type of hip flexion—involves keeping your legs stationary and folding your trunk down. A word of caution: During the action of bending, many people make the mistake of rounding their back.

These people often erroneously believe that they are flexing at the hip joint. They are not—they’re rounding their backs. This back-rounding habit may be born out of a lack of awareness of body mechanics. To use the psoas muscle for bending over, you can't be rounding your back. The action comes from the hip.

The Psoas and Sit-Up Exercises

Another common misconception about the work of the psoas muscle relates to sit-up exercises. Many people, in the quest for gorgeous abdominal muscles, believe they're doing sit-ups incorrectly if they use a hip flexor (the rectus femoris, which is one of four quadricep muscles) during the last phase of the movement—when your trunk comes fully off the floor. They believe that a sit-up is supposed to work your abs, so if the abs aren’t doing the work, you’re cheating.

But this is not the case.

What really happens during a sit-up is the abdominal muscles shorten to bring your head, neck, shoulders and thoracic spine up off the floor. Once the abdominals have shortened to their fullest extent, they can do no more to bring your trunk off the floor. In other words, the abs can only bring you up part of the way.

In fact, the abdominal muscles don't even cross the hip joint. This means they cannot affect the hip flexion action. So once the abs have taken you as far as they can, the hip flexors kick in to finish the job.

The psoas muscle also plays an important role in posture. In most positions, it helps maintain a slight anterior tilt of the pelvis, which in turn helps maintain your normal lumbar curve. When only one psoas muscle is contracting, or one is contracting more than the other, psoas action tilts your trunk to the side. This action is called lateral flexion.

Consequences of a Tight or Weak Psoas

When your psoas muscle gets too tight or shortened, you may tend toward an arched back, especially when you challenge your abdominal muscles. If your psoas is weak, it will likely be harder to flex your hip joint. This may negatively affect your ability to climb stairs, walk uphill, get up from a position in which you are lying on your back (supine) or preparing to stand up from a sitting position.

1 Source
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Akalan NE, Kuchimov S, Apti A, Temelli Y, Nene A. Weakening iliopsoas muscle in healthy adults may induce stiff knee patternActa Orthop Traumatol Turc. 2016;50(6):642-648. doi:10.1016/j.aott.2016.03.007

Additional Reading
  • Kendall, Florence Peterson, McCreary, Elizabeth Kendall, and Provance, Patricia Geise. Muscles Testing and Function with Posture and Pain. 3rd. Baltimore, Maryland: Williams & Wilkins, 1983.

By Anne Asher, CPT
Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert.