06/10/2026
THE PSOAS IS RARELY JUST A HIP FLEXOR
A therapist recently asked me:
“Why does this client’s psoas keep tightening again?”
It’s a good question.
But perhaps not the most useful one.
Because before asking why the psoas is tight, we might first ask:
What is the psoas responding to?
The breath?
The diaphragm?
The pelvic floor?
The jaw?
The nervous system?
The body rarely works in isolated parts.
A muscle that appears to be the problem may simply be participating in a much larger conversation.
This is where many therapists become frustrated.
The treatment works.
The symptom improves.
Yet somehow the pattern returns.
Not because the technique was wrong.
But because the body may have been adapting to something that was never recognised.
The real skill is not always knowing what to treat.
It is learning how to observe.
How to recognise patterns.
How to identify where the body is asking for change.
And how to work with the body rather than against it.
This shift in thinking transformed the way I work.
Instead of asking:
“What’s tight?”
I became more interested in:
“What is this body trying to achieve?”
Often the answer is very different.
And often the results become more lasting.
This fascination with patterns, fascia, TMJ, breathing, the vagus nerve and whole-body relationships led me to create a new guide for therapists:
Working With The Nervous System
A Therapist’s Guide to Fascia, TMJ, the Vagus Nerve and the Nervous system.
FREE copy here on my site: https://jacquihoitingh.com/training-page -guide-to-fascia