Lower back pain and tight psoas

A lower back that aches after sitting and hips that feel glued. How I work with the lower back and the psoas at DOT Massage.
Vica massaging the lower back of a client in the Christianshavn studio

Can a tight psoas cause lower back pain?

Yes, a tight psoas is often part of lower back pain. It connects the spine to the legs, and when we sit a lot it stays short and pulls on the lower back.

Does your lower back ache when you get up from your chair? Does it feel stiff in the morning, or tired after a long day of sitting, a long ride or a swim?

When people point at their lower back, I very often find part of the story deeper, in the psoas.

What causes lower back pain and a tight psoas?

Lower back pain with a tight psoas usually comes from long hours of sitting, a core that is not doing its share, repeated movements in sport or work, and stress.

Things I often see behind lower back pain:

  • Long hours of sitting, which keeps the hip flexors and psoas short
  • A core that is not doing its share, so the lower back has to hold everything
  • Repeating the same movement again and again in sport or work
  • Stress and poor sleep, which make all of it feel louder

I often ask a simple question: where are you putting your strength? When people start to notice that, the work on the table connects to real life.

Does massage help lower back pain?

Yes, massage can help a lot with everyday muscular lower back pain, especially together with some movement and core strength at home.

It can ease tension, improve circulation and help you move with less stiffness.

Please see a doctor first if the pain spreads down the leg with numbness or weakness, if you have trouble controlling bladder or bowel, if the pain came after a fall, or if it comes with fever or weight loss you can't explain. Please see a doctor first if the pain came after a fall or accident, if it is sharp, sudden or getting worse quickly, or if you notice numbness, weakness, fever or anything that simply feels wrong. I am happy to support you, and I will always tell you honestly when massage is not the first thing you need.

How I treat lower back pain and a tight psoas

I release a tight psoas slowly and carefully, because it lies deep in the belly, and I work on the lower back, glutes and breathing around it.

We talk first about your days, your training and when the pain shows up.

Then I work with deep tissue and Zen Shiatsu, with grounded pressure and lots of detail.

The areas I usually focus on:

  • Quadratus lumborum and the long muscles along the spine
  • Psoas and iliacus, the deep hip flexors
  • Glutes and the small muscles around the hip
  • The diaphragm and breathing, which connect to the lower back more than people think

A client story

[Client story from Vica needed]

  • Do you have a client whose lower back changed when you worked on the psoas or the core (for example the triathlete whose back hurt when swimming)? Can you share it without her name?
  • How many sessions did it take, and what did they do at home?

How can I ease lower back pain at home?

The kindest things for a sore lower back at home are standing up often, a gentle hip flexor stretch, slow belly breathing and a daily walk.

  • Stand up every 30 to 45 minutes, even just for a minute
  • Gentle hip flexor stretch: kneel on one knee, tuck your pelvis under and lean slightly forward
  • Lie on your back with knees bent and breathe slowly into your belly and lower back
  • Start simple deep core work, like gently drawing the lower belly in while breathing out
  • Walk. A daily walk is one of the kindest things for a lower back

How often should you get a massage for lower back pain?

For lower back pain, a steady rhythm works best: once a week for 45 minute sessions, or every two weeks for 60 minute sessions.

Every body is different, so I can't promise a number, but I see again and again that a rhythm like this works better than a single session.

When you come once a month, the body has often forgotten the last session and the tension has more room to come back.

Many people start with a short series and then space the sessions out as they feel better. If you know you will come regularly, my loyalty tickets let you save on every visit and book whenever it suits you.

Lower back and psoas questions people ask

Does psoas massage hurt?

It can feel intense because the muscle is deep. I go slowly and check in with you all the time. It should never feel sharp.

Should I rest or move with lower back pain?

For most everyday back pain, gentle movement helps more than lying still. If the pain is very strong or came after an injury, see a doctor first.

Can massage help a herniated disc?

It cannot fix a disc. If you have a diagnosed disc problem, follow your doctor or physio. I can sometimes help with the muscle tension around it, but only with their okay.

How do I know if my psoas is tight?

Common signs are a lower back that aches when you stand up from a chair and hips that feel stiff after sitting. A physio can assess it properly.

Ready to feel lighter?

Sessions in my Christianshavn apartment studio.