Hip Flexor Massage: Psoas & Iliacus

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Myofascial release for psoas and iliacus can be quite gentle, and I also show massage techniques to make the contact more direct for clients who prefer more intensity.
You'll notice that my intention in this video is mostly "softening and sinking." I don't think that the hip flexors needs a lot of digging or pinpoint work in order for the client to get results, and I actually think that too much stimulus can result in worse outcomes. This can be from further sensitization of the nervous system, or just from the client having an unpleasant experience. I've had a lot of clients convey some trepidation about psoas massage because some galoot had dug into their abdomen with no regard for their pain tolerance.
In my opinion, a lot can be accomplished with gentle work in this area. Psoas isn't used to a lot of external deformation, so just a little pressure (even if it's spread out by overlying abdominal contents and subcutaneous fat) can light up its sensory neurons like a Christmas tree. Start with soothing contact, and then consider whether more direct work might be warranted as you monitor the client's pain outcomes from session to session.
That said, I do tend to work more directly with iliacus, and I sink right into TFL. Just monitor your client's face and breathing, stay in communication, and hip flexor work can be enjoyable and fruitful.
0:00 Introduction
0:45 Why work with the hip flexors? Why not always work with them?
1:55 Anterior hip pain and the inguinal ligament
3:48 How to discuss hip flexor massage with clients
4:51 Demonstration and palpation
6:10 Massage for tensor fasciae latae (TFL)
9:48 Alternative positions for TFL work
11:38 Massage for iliacus
13:23 Bolstering on the lateral pelvis
15:50 Alternative positions and tools for iliacus massage
19:20 Why not always work with slack hip flexors?
20:00 Massage for psoas
23:40 What to do if you feel a pulse?
25:29 How to disengage from psoas
26:40 Alternative hand tool for psoas work
27:30 Side-lying work for the hip flexors
28:30 Stretching the hip flexors (with PNF stretching)
32:21 A stretch that clients can try at home
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Опубликовано:

7 июл 2024

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Комментарии : 49

@MassageSloth Год назад

A frequently asked question about hip flexor work: How do you alter these techniques for clients with more bodyfat? The answer is... there's no need! TFL will be easily accessible, as will iliacus. Both are in regions that don't tend to accumulate subcutaneous fat - just find ASIS, and then move just inferior or medial to find these two muscles. For psoas, it might feel like you're not able to get near the muscle belly in a client with more subcutaneous or visceral fat, but just realize that proximity isn't our goal. What we want is to stimulate the local stretch receptors, and we do that by compressing the abdominal contents. Yes, adipose tissue will distribute your pressure out radially to some extent, but much of it will still compress posteriorly and give psoas and the local nerve endings some stimulus to think about. If you'd like a straighter shot to the psoas region, you can place a small bolster (a pillow or folded towel) under their ipsilateral hip, which will cause them to roll slightly, shifting their abdomen and its contents away from you and your working hand. Having trouble lifting the leg for a hip flexor stretch with larger clients? You can lift the knee just enough to place a pillow underneath, keep their knee bent and their ankle stabilized with one hand, and then do some compressions of the posterior hip to bring the flexors into stretch. Let me know what you think, or if you have any other questions!

@bettyboop1524 9 месяцев назад

I've been having issues with either the hip flexor or IT band. I am going for a massage and while watching your low body fat model, I'm thinking that's nice but what about me? Then I read the comments and you answered my question. Thank you

@bodyworksdwnyc 4 месяца назад

@massagesloth that's a great tip! Another way to get into psoas and illiacus when it's hard to access through the belly is to contact the attachment point on the lesser trochanter on the femur and use some cross fiber friction to create a golgi tendon organ proprioceptor response that triggers the psoas, illiacus and (bonus!) pectineus as well :)

@MrUnmake 14 дней назад

Is it normal to feel a lot og pain in this area for new clients? I tried out your video with someone in this area, who felt it was very helpfull during the massage, but 6-7 hours later felt more discomfort that lasted into the next day. Is it just general muscle soreness like you feel in the back and shoulders or can there be something else?

@MassageSloth 10 дней назад

@@MrUnmake I'm not surprised by it, but it might indicate that too much pressure or duration was used in that first session (this threshold can vary greatly from client to client). Your client might have experienced some spasm after having these muscles compressed, or this could be DOMS, delayed onset muscle soreness. In any case, my plan would be to err even further on the side of caution and use less depth and pressure in future sessions. This work can be quite gentle and still get results. Play with that "dose," and eventually you'll find one that provides relief without that discomfort!

@MrUnmake 10 дней назад

@@MassageSloth thank you so much for the reply! I have been keeping in contact with the patient, and it has gradually become better and better, so i think you are correct. I went over your videoes again and realised that i did put too much pressure, and paid to little heed to your warnings over the patients insitence on pain tolerance and wish to go harder. I learned a valuable lesson, and thankfully my patient is not in anymore pain^^

@Moorefamily4510 7 месяцев назад

I am a massage therapist for 17 years and I came here for ideas to help a client. Thanks for tbe awesome video! I cant wait to watch the others!

@elag.198 Год назад

This has been my asmr for many years. Plus, I learn cool anatomy and a dreamy massage wish list. Thank you!

@juliebergstrom-gabler135 Год назад

I am a massage therapy student, and I think your videos are excellent!! You explain techniques in a calm, knowledgeable way. Thank you so much!

@gillianbennett4518 Год назад

Thanks Ian. So grateful for your gentle soft presence. Have watched you for years n you have helped me become a far better therapist. ❤️ Thank you so much! Hope the sales of your book have been great!

@MassageSloth Год назад

Thank you Gillian, that's so kind!

@BC-ny3zb Год назад

I've been watching your videos as ASMR for years man, glad you're still doing videos.

@jamiesonlamb2852 Год назад

Wow, your content is really getting polished. This was an articulate and thorough lesson. Thanks so much!

@jennw6354 Год назад

Best video and most informative, professionally done I've seen on this topic.

@anonblonde 8 месяцев назад

I'm currently reading yoir book! I HIGHLY RECCOMEND! You are amazing talent!

@Kai_snzz Год назад

these videos absolutely fascinate me as someone who considered going into massage therapy, but ended up deciding against it, such a niche but interesting channel i love it! plus your voice is very soothing makes for great background noise videos 😂

@Pongant Год назад

Love your videos so much!

@bobsarfatty4673 7 месяцев назад

Ian, the great. Thanks for all your great videos.

@tinamillas2570 10 месяцев назад

Thanks you so much for this video...and other videos of yours I've followed! Love your explanations and demos, so well presented and informative...and fun! Thank you so much from Tina in the UK

@megangodfrey626 Год назад

I’m so excited to try that psoas stretch on the next person that needs it!

@SmolAliens 9 месяцев назад

Thank you for this one. I am seeing a PT for pregnancy related pain and my hip flexor has been the culprit lately, which was surprising to find out. My PT does a lot of massage work and I’m so glad she worked these muscles haha.

@SweetShine213 Год назад

THANK YOU IAN!!!!☆☆☆☆☆

@dorisw2507 Год назад

I especially love the tips at the end, which is helpful for pregnancy too!

@prex327 10 месяцев назад

I watched your videos while in school, a few years back... I'm back again‼️ You're a doctor‼️ The massage genius/sloth⁉️🤔 Work smarter, not harder‼️

@iPineapplePants 11 месяцев назад

thanks for your videos sir, I am an LMT in Oregon and your videos and book have guided me with helping so many patients. Thanks for all of your hard work!

@lilianmuchina5088 Год назад

I got lost on the lesson with your beautiful voice.😆Thanx you for the video and thanx for sama

@mrstammimoat Год назад

Very informative Thank you

@caethorstman4356 Год назад

As a Therapist I need this done to me

@paulafranchittianderson1226 Год назад

HI, your demos are so helpful. As a therapist id really appreciate if you can you please do a demonstration on pelvic realignment.

@MassageSloth Год назад

Thank you Paula! And I'm not really into the whole realignment thing. I think that, for the most part, asymmetry is just a natural part of being human, and I'm only really concerned about it when it seems directly related to pain. And when there is pain? I let the symptoms lead the way. Someone has pain in their left hip crease (inguinal ligament) region, for example. Let's get those hip flexors and extensors soothed and stretched, and I expect it to calm down. While I'm at it, I might as well do the same work on the right side. Won't that wind up with them being imbalanced in the other direction? I don't think so - I think that their nervous system will use all the new stimuli to find its own balance, and the idea that we have direct control over how things wind up is overblown. Anyway, that's my theory, and it's something about which reasonable people disagree :)

@shannongreenlaw321 Год назад

can you do a viideo on How to cure cramping in deep tendon/muscle when writing/overuse of right ring finger & pinky

@MsSoUnique Год назад

Great video Ian, for those clients that are very ticklish. What will be the best way to work on this area effectively?

@MassageSloth Год назад

Ah, great question! That's actually one of my favorite reasons to lead with the broad palmar contact to the ASIS and TFL rather than diving in with a sharper tool. It starts acclimating the local nervous system to contact in a way that feels safe, which I think is very important when it comes to whether touch is perceived as ticklish or intense. From there, my recommendation is to use "mime hands" (think of a mime very deliberately placing one hand and then the other on an invisible wall): Keep one hand in a place where you've established safe contact, then slowly but confidently(!) place your other hand in a potentially ticklish area. The hand in the safe area can apply some pressure and even some jostling to distract the nervous system, and then it can join your other hand once the new area is deemed safe. So, in fewer words: Start with what feels safe, and make your way to more reactive areas with small steps rather than in sudden leaps. I plan to have a video on this soon!

@MsSoUnique Год назад

@@MassageSloth ok awesome thank you ☺

@katyjewett9523 Год назад

Do you find that you have to change the approach if someone has had a hip replacement? (Different pressures, working around the area instead of with, etc?)

@MassageSloth Год назад

Not generally! My main concern with hip replacement is their range of motion - some people will be told to keep their hip movement within a certain range, and I'll make sure to honor that. Other than that, just recognize that there will likely be sensitivity and scar tissue in the region, and work with what's comfortable for them.

@angelastermer8501 Год назад

Halfway between the belly button and ASIS is the Ileocecal valve. I always thought tension here was a digestive issue.

@MassageSloth Год назад

You would be compressing that region while working with psoas on the right side, but it's important to note that it wouldn't be in response to abdominal discomfort - I'd be following pain or dysfunction in the low back and hips. If someone came into my office and said they had lower right quadrant pain, I would ask that they see their doctor for evaluation. For abdominal discomfort that had been evaluated and wasn't new or unusual, I would address it more broadly, as in this video: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-rbccu5N464s.html

@tyrone1son 8 месяцев назад

Mannn, where are you located??

@mutamente Месяц назад

26:36 - hahahaha it's really cool xD

@Vic-sy6hl Год назад

What kind of camera do you use to record our videos? 😀

@MassageSloth 11 месяцев назад

This one was a Panasonic micro 4/3, but coming up you'll be seeing a Sony FX30. No one will be able to tell the difference, but it's fun for me 😁

@lizforee1328 Год назад

Dear Massage Sloth, Where have you gone? It has been 5 months since your last video. Hope you are okay.

@MassageSloth 11 месяцев назад

I'm aight :) thanks Liz. I've got something new coming up in the next week or so, and then I plan to get back to a monthly schedule. I appreciate the check in!

@SweetShine213 Год назад

Are you on Instagram Ian?

@MassageSloth Год назад

I am! Just search @massagesloth 😊

@nobodyspecial3338 Год назад

You should check out Raynor massage and how The energetic bands of tension are connected to these areas. Based on old acupressure and Shiatsu techniques. Thanks for sharing