Positional Release Technique for the Psoas (Hip Flexors)

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  • เผยแพร่เมื่อ 24 ธ.ค. 2024

ความคิดเห็น • 90

  • @simondayan2737
    @simondayan2737 2 ปีที่แล้ว +5

    Just had a client with lumbar pain and I did a Psoas muscle test and instantly got weakness. This is a good refresher on how to palpate Psoas major better.

  • @paulegan8882
    @paulegan8882 10 ปีที่แล้ว +11

    You did a similar technique on the course I did with you but you had the Pt's hip slowing being moved passively into extension, with a decrease in discomfort still the outcome. I've had some good results from this. Thanks John.

    • @JohnGibbons
      @JohnGibbons  10 ปีที่แล้ว +22

      Hi Paul, if you lock the psoas and ask patient to extend the leg then this is an Active Release Technique (ART) or Soft tissue release (STR) even though people trained in Rolfing with call it a Myofascial technique. What I am showing is the opposite as I am trying to maximally shorten the psoas to reset the muscle spindles and hold for 90 seconds. Hope that helps

  • @MegaFunkified
    @MegaFunkified 3 ปีที่แล้ว +10

    This was a great video! Very clear and quick instructions. Thank you!

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +1

      Glad it was helpful! Regards JG

  • @ingridacepaitiene8813
    @ingridacepaitiene8813 3 ปีที่แล้ว +2

    Thank you very much for new technique, I have regular client which one struggle with psaos tension. I was trying active and passive techniques but always wanted to try something new one.

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +3

      No worries and be careful not to use to much pressure as can cause a lot of discomfort to the patient, regards JG

  • @richardroyster6631
    @richardroyster6631 ปีที่แล้ว

    John when there is a chronic problem holding up to 3-4 minutes works better. I learned this from both Lawrence Jones developer of this technique in 1988 and Sharon Weiselfish in the 90's

    • @JohnGibbons
      @JohnGibbons  ปีที่แล้ว

      Thats great to know - 3-4 minutes a long time though....regards JG

  • @mang_olid
    @mang_olid 2 ปีที่แล้ว +1

    thank you for sharing your knowledge sir

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว +2

      My pleasure and thanks for the message, regards JG

  • @physiomukeshjat
    @physiomukeshjat ปีที่แล้ว +1

    Thank you.

    • @JohnGibbons
      @JohnGibbons  ปีที่แล้ว +1

      Thanks, regards - JG

  • @dinsaurphysio555
    @dinsaurphysio555 2 ปีที่แล้ว +1

    Hello Mr.John. Could you please tell me how to perform this technic to the big belly patients?

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว +3

      In reality it would be very difficult to do, regards JG

  • @doconghuan1971
    @doconghuan1971 3 ปีที่แล้ว +1

    mặc dù không hiểu tiếng của thầy nhưng tôi thấy bài giảng của thầy rất hay và bổ ích. Cảm ơn thầy rất nhiều!!!

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +1

      Thanks, regards JG

  • @Observant_Truth
    @Observant_Truth 3 ปีที่แล้ว +3

    I am really loving your techniques and your instructions! Can't wait to try this on several clients! Thank you!!

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +1

      You are so welcome! Regards JG

  • @warsimeraj60
    @warsimeraj60 ปีที่แล้ว +1

    Great teacher great job love from india

    • @JohnGibbons
      @JohnGibbons  ปีที่แล้ว +1

      Thanks again - regards JG

  • @wilsondelosreyes5335
    @wilsondelosreyes5335 3 ปีที่แล้ว +1

    Very good teacher, Doc!

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +1

      Glad you think so! Regards JG

  • @amirnasirnejad9635
    @amirnasirnejad9635 3 ปีที่แล้ว +1

    باسلام خدمت اعضای انجمن متاسفانه برا من باز نشد اما بنظر می آید برنامه خوب و عالی است🙏🙏

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว

      Thanks but understand the message, regards JG

  • @khizarhayat7159
    @khizarhayat7159 ปีที่แล้ว +1

    Hello sir... Can we use SCS for the treatment trigger points?

    • @JohnGibbons
      @JohnGibbons  ปีที่แล้ว +1

      Sometimes it is hard to distinguish between them, regards JG

    • @khizarhayat7159
      @khizarhayat7159 ปีที่แล้ว

      Thank you sir 😊

  • @N0N4M30
    @N0N4M30 2 ปีที่แล้ว +4

    My psoas is blocked for 2 Months now after a severe emotional trauma and panic attack. It’s already a little less hard but as soon as I get stressed it gets back up to a 9. I suffer from EDS so I have enough pain I just want this one to go away I am so desperate what other than physio can I do ?

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว +2

      See an osteopath as sure they can help, regards JG

  • @TheBatman22
    @TheBatman22 2 ปีที่แล้ว +2

    Hi, this is a long shot that you'll reply to this, but you seem to know everything about the hip flexor. I've had hip flexor pain for almost a year now. I've trained through it since I was given the ok from my physio, I've gone through 3 physios and not one has been able to fix it, do you have any tips or hints or any ideas what it could be. I've been in pain every day for almost a year now, and it's starting to get to me

    • @RealityBytes44
      @RealityBytes44 2 ปีที่แล้ว +2

      Have you had any imaging tests to check for degenerative or other underlying condition of the hip structure? Pain can be caused by so many reasons that may not be related to muscular/soft tissue dysfunction in my experience.

  • @majtermorsche3467
    @majtermorsche3467 3 ปีที่แล้ว +3

    The more dissection videos I watch the more I question, can we actually palpate the psoas?? Could it be another muscle firing when they raise their leg? Whats your thoughts on this?

    • @elisecapotosto1835
      @elisecapotosto1835 3 ปีที่แล้ว

      You’ll know which muscles are activated by the action of the muscles. Psoas primary actions is flexion/ lateral rotation of the hip.

    • @majtermorsche3467
      @majtermorsche3467 3 ปีที่แล้ว +1

      @@elisecapotosto1835 yeh, but also other muscles get activated, its not totally isolated to purely hip flexor when you resist hip flexion. I feel the anterior abdominal area contracting too, like obliques and rectus abdominus and probably transversus abdominus

    • @elisecapotosto1835
      @elisecapotosto1835 3 ปีที่แล้ว

      Abdominal muscle not fall in the side of the iliac crest, and they are superficial to the body, psoas are deep also abdominal mm are flexing the trunk. The engagement of the adb. might be initial in the action of the hip flexion if the psoas is weak but after the 20/45 degree they will give up anyway so the internal/external obliques..also you can ask to your client a feedback... :)

    • @majtermorsche3467
      @majtermorsche3467 3 ปีที่แล้ว

      @@elisecapotosto1835 they are superficial yeh but when you squash them down to that level when the client is relaxed then engage the hip flexion activity, you could still feel more superficial muscle engaging, I know rectus abdominus does not go as wide to the iliac crest but what about transversus andominus. And you often only engage hip flexion for a short time when assessing if you are on psoas....

  • @drjuhipt9535
    @drjuhipt9535 7 ปีที่แล้ว +2

    Upload more. Very helpful

  • @simonjones63
    @simonjones63 2 ปีที่แล้ว +2

    Glad time has shown us we cannot palpate the Psoas!

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว +2

      We can't palpate anything we think we are on unless it is the skin....regards JG

    • @verycd
      @verycd 10 หลายเดือนก่อน +1

      I agree. There is way too many guts to push away. Exercises may be a safer way to treat.

  • @stuh1975
    @stuh1975 3 ปีที่แล้ว +2

    How often would I have to give myself a self massage in safe frequency? My hips have been tight as hell for a few years. I have a go every 3/4 days at the moment. Many thanks.

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +2

      Hard to say without looking at you - if you see a therapist on a regular basis then they can advise - regards JG

    • @kellysdances715
      @kellysdances715 ปีที่แล้ว

      @@JohnGibbons where r u based so I can come and see u please I have this problem 😢

  • @haanswinn
    @haanswinn ปีที่แล้ว +1

    is this jones point?

    • @JohnGibbons
      @JohnGibbons  ปีที่แล้ว +2

      Yes it is - regards JG

  • @CerahQ8
    @CerahQ8 5 หลายเดือนก่อน

    Hello i have the same pain i need to visit you where are you? 💔💔💔

    • @JohnGibbons
      @JohnGibbons  4 หลายเดือนก่อน

      Oxford in the UK, regards JG

  • @selvakrishnaamaran
    @selvakrishnaamaran 7 ปีที่แล้ว +1

    Awesome technique, it s making awesome results to physical therapy

  • @SemRotulagem
    @SemRotulagem 2 ปีที่แล้ว +1

    Can I say this improves lower back pain because this compression is relieving the nerve roots of the lumbar and sacral plexus?

  • @Weasel84x
    @Weasel84x 3 ปีที่แล้ว +1

    So for over a year I've been hurting in that exact area. Its went from a 9 to a consistent 2-3 on pain scale. Ive been checked for hernias and had a MRI by a surgeon but yet nothing has showed up. My chiropractor that I see for a SI joint pain (same side as the pain) thinks its all related. If I place my hand in that area and raise my leg Slightly it instantly hurts, almost feels swollen. Om due for a routine check up later this month. How can I advise my primary physician to check this or to send me to a specialist?

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว +1

      I would get a therapist to check your hip joint, regards JG

  • @BRtv175
    @BRtv175 2 ปีที่แล้ว +1

    Good

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว +1

      Thanks, regards jG

  • @Greenfumbs
    @Greenfumbs 3 ปีที่แล้ว

    Great information. I have struggled with my lower back for 20yrs + and have been to many practitioners with very limited relief. I have a heavey manual job which is road lining which involves lots of bending while holding weights away from the body and moving around. Do you have your own clinic were I could possible come for so treatment.

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว

      I suggest you have more regular treatments as to see me for a one off is unrealistic, regards JG

    • @coupdegrace7176
      @coupdegrace7176 2 ปีที่แล้ว

      See a neuromuscular therapist where are you located? I’m in CA

  • @lidyapacheco4938
    @lidyapacheco4938 3 ปีที่แล้ว +2

    Thank you for this great video John Gibbons. I've done different techniques to release psoas muscle, but this one nails it.

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +1

      Thats very kind and thanks for the message, regards JG

  • @anthm429
    @anthm429 2 ปีที่แล้ว +1

    Thank you for your content. If I may ask:
    How can we fix a lateral pelvic tilt (high on the right side) presenting with a tight psoas and obliques (on the right) and piriformis syndrome and SI joint pain (on the left).
    Patient has been mobilising the hip, lengthening adductors, strengthening glutes, working on core stabilisers.
    Still psoas won’t let go.
    Any thoughts?

    • @ChronicExe
      @ChronicExe 2 ปีที่แล้ว

      Strip out the QL, psoas, erectors, SI, asis, glutes and hamstrings/quads and hip flexors. Might be good to try to get them doing pistol squat rehab exercises from different heights

  • @ChinaDoll305
    @ChinaDoll305 5 ปีที่แล้ว +2

    How is this different from active release techniques anyone know?

    • @JohnGibbons
      @JohnGibbons  5 ปีที่แล้ว +8

      This technique is completely different from ART as the tissue IN VIDEO (PSOAS) is taken into a position of ease passively and held for 90 seconds as devised by Dr Lawrence Jones in 1955 , where ART - the patient is moving their limb actively whilst the therapist is fixing a point within the tissue. ART is patented/trademarked so nobody can use or call themselves a practitioner unless they have trained under the ART organisation. Regards JG

  • @tamasmeszlenyi4591
    @tamasmeszlenyi4591 2 ปีที่แล้ว +1

    Hey, I'm a big fan of your videos, really appreciate all the immensely useful knowledge, techniques and the solid theoratical info you share. But this one just seems a bit too radical/dangerous to me at first sight. As it is clear from your other videos, your anatomical knowledge and understanding of the body is way more extensive than mine could you help me out on this one:
    you want to manipulate the psoas which is Behind the abdominal organs: the small and the large intestines, or right around where you push it is under both. That would mean that you have to push through the intestines just to be able to feel any changes in muscle tone not even talking about manipulation. That to me doesnt sound too safe.
    On the other hand, im sure you must have considered that and i really dont know a valid method for psoas manipulation other than stretching so im really curious about whats your take on that.

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว +4

      The technique is not manipulating the Psoas because it is very difficult to directly palpate this muscle - even impossible because of its location so you are feeling an 'awareness' of where the psoas would be located - the position of using the hip is to soften the muscle and allow it to 'reset' - hence the technique Positional Release and hold for approximately 90 seconds according to an Osteopath Lawrence Jones in the 1950's - regards JG

  • @hanoitripper1809
    @hanoitripper1809 6 ปีที่แล้ว +1

    Just what i need!

  • @nohelypimentel2274
    @nohelypimentel2274 3 ปีที่แล้ว

    How long is to long to work on the psoas ?

    • @nohelypimentel2274
      @nohelypimentel2274 3 ปีที่แล้ว

      Thank you in advance

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว

      Hard to comment on exact time as each person an individual, regards JG

  • @khoatruong91
    @khoatruong91 3 ปีที่แล้ว

    what if the customer is overweight and it is a bit challenging to press there?

  • @blissfulbaboon
    @blissfulbaboon 2 ปีที่แล้ว

    I wish I could understand the reason this works since every technique I have been taught is nothing like this

    • @JohnGibbons
      @JohnGibbons  2 ปีที่แล้ว

      Haver a look at the strain-counterstain website as explained on there, regards JG

  • @catherinebrower7700
    @catherinebrower7700 3 ปีที่แล้ว +1

    how fine a video/ completely in mind

    • @JohnGibbons
      @JohnGibbons  3 ปีที่แล้ว +1

      Thanks for the message, regards JG

  • @paulegan8882
    @paulegan8882 10 ปีที่แล้ว +2

    Lawrence Jones I think it was who was behind SCS.

    • @JohnGibbons
      @JohnGibbons  10 ปีที่แล้ว +6

      Yes Dr Lawrence Jones an American Osteopath was the founder of strain counterstrain technique and leon Chaitow has a book called Positional Release

  • @klp1tyklop261
    @klp1tyklop261 4 ปีที่แล้ว +1

    Im trying to understand how psoas work on posterior tilt,when is tight is because it become overstretched and trying to prevent more stretch on the muscle or it become tight because is overactive

    • @JohnGibbons
      @JohnGibbons  4 ปีที่แล้ว +3

      The psoas is what i call a reactive muscle so it compensates for the position of the pelvis , hip joint and lumbar spine so stretching the muscle only will have a small effect, look at the pelvis, hip and lumbar first, regards jG

    • @klp1tyklop261
      @klp1tyklop261 4 ปีที่แล้ว

      @@JohnGibbons thank you

  • @kkitty1000
    @kkitty1000 2 ปีที่แล้ว +2

    My chiro dug his fingers into my psoas muscle with my leg up and i'm in so much pain i had to go to urgent care. I cant move, twist, turn, lift, or reach. It's hard to sit up/down, lay up/down, hurts to sneeze or cough. It so painful I cannot believe it! He obviously has no idea what hes doing,

    • @HumbolSkitso
      @HumbolSkitso 2 ปีที่แล้ว

      Did you ever find out what happened? Was it a nerve damaged? Appendix?

    • @verycd
      @verycd 10 หลายเดือนก่อน

      Psoas is posterior to many structures so trying to press it will likely cause pain or damage. I wouldn't do this to a patient. I have much flatter abdomen than the guy in the video. I couldn't reach mine with fingers, it is very uncomfortable. He could stand it maybe because he had enough cushion.

  • @Elmnopen
    @Elmnopen 6 ปีที่แล้ว +2

    A little difficult to understand at times with the echo and accent and lower volume. But good content

    • @JohnGibbons
      @JohnGibbons  6 ปีที่แล้ว +5

      You are right and my new videos are a lot better. Regards JG

  • @MariaJimenez-yg8yf
    @MariaJimenez-yg8yf 6 ปีที่แล้ว +1

    But it's a real patient, I mean, he has that pain, or it's just to show us the way to do it

  • @patrickryan4880
    @patrickryan4880 4 ปีที่แล้ว

    yeh?

  • @Dreamstate8
    @Dreamstate8 ปีที่แล้ว +1

    Discusting that looks so unsafe

    • @JohnGibbons
      @JohnGibbons  ปีที่แล้ว +1

      Its fine as long as you dont use to much pressure, regards JG

  • @irenedornauer65
    @irenedornauer65 2 ปีที่แล้ว

    Stop mumbling