The psoas is a key player in almost everything! A muscle that crosses three zones (lumbar spine, pelvis, hip) it is therefore crucial to stability. The primary role of the psoas is lumbar spine stabilisation and hip flexion, but very often it can become tight and weak… why? SITTING. When sitting, the psoas is in a chronically shortened position, and then when we stand, the shortened psoas alters the alignment of the spine and hips. The quadratus lumborum (QL) works overtime to try and balance the equation by trying to achieve a neutral spine. The result.. Loss of range of

Jordan came to see us a few weeks ago complaining of a searing pain on the inside of his shin, worse when he was in casual shoes, but fine in his work boots. After clearing his spine and hips we investigated his feet. During gait assessment we noticed excessive pronation during mid-stance, and on palpation the tibialis posterior tendon was extremely tender. We tested and re-tested his gait with different supports until we came to the ideal combination. Using a medial heel wedge, and taping to correct the distal tibiofibular joint, we were able to improve the alignment and movement