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Iliopsoas
- The Fight and Flight Muscle for Survival
by Liz Koch
Listed in Bodywork, originally
published in issue
108 - February 2005

Introduction
Survival is biologically encoded in our
genetic DNA. Unconditional reflexes respond before a
thought crosses our minds. Triggered by internal and
external sensory stimulus, these involuntary muscular
responses ignite for protection.
Large and powerful, the iliopsoas muscle
expresses our basic need to survive in the face of danger.
Understanding the iliopsoas as part of the survival
response offers both therapist and client a fresh
perspective and more thoughtful approach to personal
healing.
Standard Iliopsoas Protocol
Standard practice for most massage and
bodywork training programmes is one of either passing over
the importance of the iliopsoas or teaching a variety of
manipulations with the intention of addressing the
unresponsive or constricted muscle.
Located deep within the physical core,
either the muscle is recognized as not easily accessible
and therefore out of the range of basic massage or a major
postural muscle, an integral component for realignment.
For the structural practitioner, working on the iliopsoas
is akin to constructing a house, important for building a
good foundation. For the massage pratitioner, with the
client's relaxation as top priority, a lack of awareness
of the iliopsoas may result in being ill-prepared for the
biological response that may appear in their client and/or
themselves.
What is paramount to recognize is that both
views of the iliopsoas stem from a common but limited
bio-mechanical paradigm. Viewed as an object, the body is
understood by examining its parts. The goal: to fix or
soothe the part that is identified as a problem. Studying
cadavers and anatomy books, separating origins and
insertions validates the perception of the body as
separate and to some degree static. Misunderstood is the
phenomenon of the intrinsically motivated iliopsoas.
Trying to fit the holistic iliopsoas into
the bio-mechanical paradigm is a bit like trying to push
the jack back in the box and close the lid. Once we
embrace all its complexity the iliopsoas simply does not
fit in the box. A new container of thought is needed.
A Bio-Intelligent Paradigm
The bio-intelligent paradigm recognizes life
as a self-healing continually regenerative process. The
bio-intelligent iliopsoas muscle is living tissue
expressing and signalling important data for perception.
No longer perceived as static, its behaviour is a vital
messenger. Rather than harass or even soothe the messenger
in hopes of changing behaviour – listening to the
dysfunctional iliopsoas points to deeper levels of
integrity in disarray.
The availability of the iliopsoas, attaching
along the twelfth thoracic and lumbar vertebrae reflects
harmony of spinal motion or when unavailable a cacophony
of spinal dissonance. Moving through the pelvis and
inserting into the lesser trochanter of the femur (the
medial side of the upper thigh bone) the iliopsoas is the
only muscle to attach the spine to the legs. Forming a
bridge between upper and lower body, the resonating
iliopsoas vibrates the nuances of discord or harmony; fear
or safety.[1]
The Survival Response
The iliopsoas plays a major role in the 200
million year old primitive, ritualistic, human survival
response. This survival response is thought to be located
in the brain stem connecting to the spinal cord. Or as
Webster dictionary elucidates, the extension of the spinal
cord up into the brain. Considered the oldest part of the
brain, the stem is preverbal and controls the autonomic
functioning of breath, heart rate and flight/flight.
Called the reptilian brain, it focuses on life maintenance
such as breathing, swallowing and heart pulse. It manages
social behaviours affecting survival, such as hoarding,
dominance, preening and mating. It also controls
consciousness and determines whether one is awake or
asleep.
When the survival response is activated the
powerful iliopsoas muscle responds by bringing together
the two ends of the spinal cord; pelvis and head. Just as
when a child picks up an earthworm or caterpillar,
witnessing the tubular being curling, so too our spine
curls when afraid. It is the iliopsoas muscle that rolls
the body into a foetal ball, protecting the portals of
perception (located in the face) and vital organs from
harm’s way. Pulling the two ends of the spinal tube
together forms a resilient spine, protecting the organism
from blows and falls. The ignition of the iliopsoas
prepares the leg to kick high and jump quickly. Fleeing,
the dynamic iliopsoas propels forward into a run.
Fighting, it steels in time of combat. Playing dead, a
frozen iliopsoas expresses a heightened survival response
of protection or trauma.[2]
The Resolution of Trauma
Trauma is defined as any
short or long term overwhelming experience that ignites
the fight/flight survival response without
resolution. Trauma includes prenatal and birth
difficulties, physical and emotional abuse, neglect,
sexual violations, surgery, dental work, accidents,
natural disasters, violence, war, torture, all forms of
shock, as well as living under the threat of danger. With
this broad definition of trauma in mind, everyone
experiences some form of trauma while living on earth.[3]
Our innate ability for resolution of
trauma is as inherent a natural survival instinct as is
the need for protection. Resolution is part of
the survival response. Recovering personal safety is a
necessity of evolution. Otherwise we cease to exist. The
organism knows how to recover just as it knows how to
protect. David Berceli, an international Trauma Recovery
therapist, living in war zones throughout the world
(specifically in Ireland, Africa and the Middle East),
explains "Just as the human organism is designed to
experience and endure traumatic episodes, it is also
designed to recover from these experiences… recovering
from trauma is genetically encoded in us to complete one
process and begin something new as a part of our unending
cycle of evolution".
Recognizing the iliopsoas as the primary
mover of the survival response he clarifies, "Since this
contraction response of the human body is autonomic,
instinctual and primarily unconscious, it is not
necessarily under the control or awareness of the
individual. Because the human organism is genetically
encoded to preserve its existence, this process of
contraction is the emergency survival system designed to
engage itself in any real or imagined life threatening
experience. Since this emergency mode is not under the
control of the conscious brain, the behaviours, actions
and reactions of the individual(s) are instinctual rather
than calculated and conscious. So, unlike other
psychological issues, traumatic experiences cannot be
immediately dealt with via conscious and logical methods
to achieve a resolution. It is precisely this conscious
and logical resolution of a psychological crisis versus
the unconscious and illogical resolution of trauma that
has tremendous implications for the therapeutic
session".[4]
Berceli's work validates the need for
therapists to stop manipulating the iliopsoas muscle and
to support the survival response as our bio-intelligence
resets its priorities. Rather than view the body as
separate from its intelligence and unable to function
without a jump start, our thinking mind (i.e. the
neo-cortex) must reflect on and be willing to acknowledge
the presence of a life force within that can guide us to
safety if we are only willing to stop inhibiting its
capabilities.
Author and therapist Peter Levine's book Waking
the Tiger: Healing Trauma brought to light the
instinctual animal nature of trauma. Recognizing that
biological survival responses resolve quickly in the
animal kingdom, he asked himself why not in humans?
Looking at how animals naturally resolve trauma, he saw
shaking as the biological response for fear. Animals shake
to re-orient after a shock or trauma. Berceli, in looking
for the expression of human bio-intelligence, watched
young children for the cues to resolution. Young children
also shake when afraid and rock to comfort. This shaking,
they both discovered, quickly discharges previously
released neuro-chemicals within the tissue and resolves
deep muscular tension suspended for action. It switches
the sympathetic (flee/fight) mode off and parasympathetic
(rest/digest) mode on. Turning off the survival response
frees the organism to return to fully participate in the
flow of life.[5]
Diving into the Fluid Core
Emilie Conrad founder of Continuum
Movement is a somatic educator specializing in
spinal cord trauma. Having worked in the field of movement
for over 40 years, she invokes coherency in the cerebral
spinal fluid through subtle micro movements in cellular
motion. Movement she affirms is not something we do; it is
what we are!
A variety of sounds, she discovered, excite
the wave-like motion of cerebral spinal fluid, tissue and
nerves. One direct result of intentionally invoking wave
motion is hydrated tissue. Via wave motion and exploring
gravity her work hydrates the naturally succulent
iliopsoas muscle (the filet mignon), resulting in a
softening of muscular and neurological tension.
Using embryogenetics as a model for human
potentiality Conrad clarifies, "When we see a newborn,
essentially we are looking at the movement of water made
flesh. We are seeing a fluid system meeting the
vibrational field of the earth, where an elegant exchange
begins to take place…The fluid presence in our bodies is
our fundamental environment; we are the moving water
brought to land".[6]
It is no wonder that the iliopsoas responds
so positively to fluid movement; our bodies are composed
of 80 per cent water. But, it is specifically the muscle's
relationship to the survival response that makes fluid
motion so amazingly effective.
Cerebral Spinal Fluid
The brain and spinal cord are immersed in a
sea of cerebral spinal fluid (CSF). It is a pulsation of
wave motion like the tide that signals the difference
between life and death. The brain and spinal cord
literally swim in the CSF and it has been proposed that
when flowing optimally, it is the fluid that awakens our
consciousness. The pulsation of CFS is dependent upon a
variety of influences, including breath, heart pulse, and
physical movement. Unlike our blood circulation which is
moved by the heart, there is no specific pumping system
for cerebral spinal fluid. Gravitational forces, the
massaging effect of the iliopsoas while walking, the ebb
and flow of breath, all influence the expansion and
contraction of cranial sutures in the skull, pressure on
the brain tissue and pelvic rocking. Breath is key, as
inhalation and exhalation reflect succulent spinal
movement. The fundamental rhythm of life, contraction and
expansion, echoes through every aspect of our being.
Sound, breath and movement re-establish coherency in the
deep recesses of the spinal cord reverberating out into
the iliopsoas.[7]
Core Pendulum Motion
Ignited within the belly core, walking
emerges out from the core into legs and arms. Swinging the
leg in pendulum motion the iliopsoas is our walking
muscle.[8] Its rhythmic motion, combined with
diaphragmatic breathing, massages the spinal column;
elongating as we inhale and resuming balance as we exhale.
Paul Chek, a prominent expert in the field of holistic
health and corrective and high-performance exercise,
explains "Walking results in rhythmic contraction and
relaxation of muscles as well as rhythmic pressure changes
in body cavities. This results in improved circulation of
blood, lymph and even synovial fluid (the lubricating
fluid made in joints). Steady state rhythmic walking
further assists movement of body fluids. Steady state
walking, or walking at a consistent effort, synchronizes
breathing with movement, again causing wave-like
pulsations throughout body cavities… When you're walking
and breathing synchronizes directly, or in an octave
relationship with other fluid pressures and pulsations,
movement of all major body fluids, including cerebrospinal
fluid, is assisted".[9]
What inhibits the iliopsoas during walking
is a lack of safety most often due to a disruption of
relationship between pelvis and cranium. Tears and
stretched ligaments in the pelvis disrupt cranial sacral
communication. Braces, mercury fillings, even the use of
cell phones, disrupt CSF wave motion. When proprioceptive
receptors responsible for organizing posture (thought to
be located in the fluid joints) are disrupted, the
iliopsoas muscle is required to function as a stabilizer
rather than a mover. The inhibited iliopsoas is simply a
reflection, not the cause of disorientation, incoherent
movement.
Lifestyle Stressors
Man-made rhythms: TV, videos, movies (both
vibrational and contextual), cell phones, the speed of
computers, along with a barrage of stimulants in the form
of coffee, chocolate, sugar and chemical additives (such
as aspartame, MSG, NutraSweet) constantly signal the
ancient reptilian survival response. Such stressors,
combined with minimal repetitive physical movements based
on mimicking machines (such as driving a car, working a
computer, using exercising machines, disrupts rhythmic
wave motion. The survival response is elicited by
artificially stimulating the sympathetic nervous system.
By evoking the sympathetic nervous system we stay in high
gear. Drinking coffee, running fast- paced lives, we live
in a continuous flee or fight mode.
Constantly in survival mode our adrenal
glands (which sit on the kidneys and ride upon the
iliopsoas muscle), the immune system and the neuropeptides
essential for thriving, become exhausted. The ability to
sleep deeply for regeneration, digest and assimilate
completely for nourishment and make deeply pleasurable
sexual connections are normal parasympathetic functioning
of the autonomic nervous system. Referred to as rest and
digest mode (versus flee/fight mode) it is noteworthy to
recognize that when a rabbit is running from a fox it does
not eat, sleep, reproduce or play. Constantly in survival
response iliopsoas dysfunctions may simply reflect a pace
of life that is not sustainable.
Working with the Iliopsoas
Working to re-establish iliopsoas health
requires respect for its complexity and understanding its
part in the survival response. Palpating the iliopsoas (no
matter how sensitively approached), ignites the survival
response. Rather than find resolution, invasive techniques
at best bring only release. Distinguishing the difference
between release and resolution is crucial for
understanding the iliopsoas muscle. There is a qualitative
difference between release and resolution. David Berceli
in his Pathway to Healing video describes the
difference: "The key to a successful recovery from trauma
is to activate… the body to return to a state of rest and
recuperation. Because the excessive energy created in the
body during a traumatic event continually seeks an
organismic discharge, it will continually repeat some form
of the trauma creating a cycle of compulsive re-enactment,
an endless and unstoppable neurobiological feedback loop
that keeps the individual locked into a kind of
psychophysical imprisonment".[10]
Triggering the iliopsoas only achieves a
release through reaction. It should not be confused with
resolution. The tense or unresponsive iliopsoas is
expressing a process that will not be solved by
bio-mechanical manipulation. Resolution is found through
re-establishing safety on a very deep
neuro-chemical-biological level.
Integrity and its need for clear boundaries
is an important aspect of re-establishing safety. One of
life's many paradoxes: what brings a sense of wholeness in
the organism and a connection to life is an experience of
separation and containment. When therapists attempt by
direct palpation to touch the deep-seated iliopsoas
muscle, they set off the survival response, experienced by
the organism as intrusive and invasive. Just as poking the
worm held in a child's hand provokes the worm to curl
tighter. Using a logical approach in an attempt to
tolerate such behaviour only maintains and further
entrenches the disassociation or incoherency within the
organism. At worst therapists collude in a re-enactment of
the compulsive neurobiological feedback loop associated
with trauma.
Re-establishing Core Integrity
There are many non-invasive ways to work
with the iliopsoas that does support resolution. Rocking,
gentle jiggling, falling and catching motions (Koch) all
elicit safety and recovery. Sensitive non-invasive massage
strokes have been developed to encourage the flow of CSF
during normal massage.
Paying attention to cues coming from within
especially helps evoke participation with, rather than
control over, our bio-intelligence. Continuum Movement
cultivates the art of sensory awareness through breath and
wave motion, Brain Gym explorations mature primitive
reflexes, Core Awareness,[11] Hanna Somatics and
Feldenkrais (as well as Continuum Movement and Brain Gym),
all teach the art of direct sensing.
Most important is for every therapist to do
no harm. Being available to one's own iliopsoas muscle is
absolutely essential for being prepared to support another
person.
Conclusion
Perceiving the iliopsoas as an expression of
the survival response changes our understanding of the
difficult or dysfunctional iliopsoas. Unavailable, the
iliopsoas is only expressing the stress generated from a
lack of coherency. Rather than manipulate the iliopsoas,
with the potential of driving the unconscious disruption
deeper, show profound respect for the messenger requesting
a need be met.
To gain understanding, experience and
sensitivity for the iliopsoas requires living an open
inquiry into what it truly means to be human.
References & Resources
1 Koch L. The Psoas Within.
Positive Health. pp44-47. Issue 65. June 2001.
2 Koch L. The Psoas Book. Guinea Pig
Publications. Felton California. USA. ISBN 0-9657944-9-7.
First edition 1981. Second edition 1997.
3 Koch L. Psoas Health:Trauma Recovery Protocol.
Massage & Bodywork Magazine. pp61-66. Dec/Jan 2004.
4 Berceli D. Website. www.traumaprevention.com
5 Levine P. Waking the Tiger: Healing Trauma.
North Atlantic Books. Berkely California. USA. ISBN
1-55643-233-X. 1997.
6 Conrad E. Website www.continuummovement
7 Glassey D. MSW, DC, LMT. The Soul Swims in the CSF: The
Metaphysical Physiology of the Cerebrospinal Fluid. www.healtouch.com
8 Koch L. Walking With Your Iliopsoas Muscle.
Positive Health. pp48-50. Issue 74. March 2002.
9 Chek P. HHP, NMT. The Power of Walking. Printed on
Website www.mercola.com.
2004.
10 Berceli D. Pathway to Healing a Trauma Recovery
Program. Naka Productions. Charlotte North
Carolina. USA. Video. 2002.
11 Koch L. Core Awareness: Enhancing Yoga, Pilates,
Exercise & Dance. Guinea Pig Publications.
Felton. California. USA. ISBN 0-9657944-8-2. 2003.
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