What’s the link between low back pain and a grumbly, windy gut? If you suffer from both have you even considered that the two might be linked? It could all be down to a tricky old muscle to treat called the iliopoas muscle.

Here’s the anatomy bit and you’ll have to use your imagination here as we’re talking about a muscle that isn’t visible on the surface because it lies deep within the abdomen. Don’t panic, I’ll keep it simple.  We have an iliopsoas muscle on both sides of the body and it runs from the front of the lumbar spine in the low back, underneath the intestines, then into the pelvis to eventually attach to the groin area.

Mechanically speaking it’s referred to as a hip flexor and if there are problems with this muscle it can lead to low back pain or hip pain.  However, it can also lead to a grumbling gut as a result of the muscle pushing forward into the intestine and generally compressing the passage of the gut. So this is why the achy back can also be accompanied by bloating and abdominal discomfort.

The other thing to bear in mind is that we have to think about this in a wholistic way by considering that whilst the iliopsoas might affect the gut the gut can also affect the iliopsoas.  If you have irritable bowel type symptoms this might in turn irritate the iliopsoas and cause it to spasm leading to an achy back.

Either way, from an osteopathic point of view we need to treat the muscle and the areas it attaches to. Given that it’s path is actually deep in the abdomen and beneath the gut you can appreciate that it’s not necessarily the easiest muscle to get to . . . Especially in those individuals with a touch of extra padding over the gut! However, it can still be worked on by working on the low back, pelvis and the hips.

It’s also good to find a stretch to reach the muscle to back up the osteopathic treatment to stop it from tightening up again.  This is where a nice deep hip flexor stretch is useful, especially in a kneeling lunge position. And you have to be prepared to hold the lunge for a while so as to get past the pull on the more superficial hip flexors like the quadriceps before it gets down to the iliopsoas.

So next time you’ve got a touch of wind along with your sore low back you might get the connection