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Tight Hip Flexors and How to Treat Them

December 12, 2023 · In: Body Region Support, Hip, Science-Backed Education

The hip flexors are a group of muscles that are important for movement and mobility, as well as for powerful leg movements like kicking. Tight hip flexors can lead to pain in the low back, hip, and other regions. If you tend to deal with stiffness in the front of your hips, keep reading to learn about common causes of hip stiffness and what you can do to fix it.

**This is not medical advice. Please consult your medical provider for more information.

tight hip flexors

What Are the Hip Flexors?

The hip flexors are a group of muscles that are located at the front of the hip and perform the primary function of hip flexion. Think bringing your knee towards your chest. These muscles are commonly used when running or kicking a soccer ball. The hip flexors include iliacus, psoas, rectus femoris, and sartorius.

tight hip flexors back pain

Causes of Tight Hip Flexors

There can be multiple causes of tight hip flexors. For one, seated positions are a huge culprit. Desk workers are particularly prone to this due to the nature of their work. This is why it is important to get up and move frequently so the hip flexors don’t become adaptively shortened. This can lead to other postural issues and cause even more pain above and below the hips.

Hip flexors can become tight if they are overused. This is something commonly seen in runners. The hip flexors work pretty hard to lift the weight of the leg up. When repeated over lengths of time, this can lead to overuse injuries. Another reason for the hip flexors to be overused is if the abdominals are weak leading to compensatory movement patterns.

Poor posture can also lead to tight hip flexors. In what is known as lower cross syndrome, muscle imbalances in the lower body lead to certain muscle groups to be weak and others to be tight. Typically we see the hip flexors and thoracolumbar extensors become tight. The abdominals and the gluteals become weak. These muscle imbalances are seen in a posture that results in excessive lumbar lordosis and an anterior pelvic tilt.

Exercises for Tight Hip Flexors

If you know you have tight hip flexors that are giving you trouble, give these exercises a try. You can use the stretches after a long time sitting to loosen the hips up and use the foam roll or runner’s stick whenever you feel you need a little extra assistance to loosen up your muscles.

If you tend to have stiffness in the back of your legs, check out this post on other exercises to try.

Hip Flexor Stretch Off Table

Lie on your back on an elevated surface. You can do this on a massage table or a high bed. Bend your left knee and scoot to the edge so you can drop your right leg off of the side. Make sure to keep your low back on the table or bed. If your low back arches off, you will not feel the stretch like you should.

Hold the position with your leg off of the side for 30-60 seconds and repeat if desired. Perform the same thing on the other side.

1/2 Kneel Hip Flexor Stretch

Place a pad or pillow down for your knee. Place your left knee on the pad and your right foot down on the ground in front of you. you will be stretching your left hip flexors.

Move into a posterior pelvic tilt (tuck your butt like a scared dog tucks its tail).

Without losing your pelvic tilt, shift your weight forward by bending into your right knee. You should feel a stretch in the front of your left hip.

Hold this position up to 30 seconds and repeat. Switch legs and stretch the other side.

Standing Hip Flexor Stretch

Place your right leg up on an elevated surface. You will be stretching the left hip flexors.

Move into a posterior pelvic tilt (tuck your butt like a scared dog tucks its tail). Make sure your left toes are facing forward.

Keeping your left heel down, shift your weight forward. You can do this by bending your right knee and inching it forward. You shoulder feel a stretch in the front of your left hip.

Hold this position for up to 30 seconds and repeat 2-3 times. Switch legs and repeat on the other side.

Foam Rolling

With a foam roll, lay face down with the top of your thighs on the foam roll. You can do this with one leg at a time or both together.

Roll back and forth on the foam roll for 1-3 minutes or as long as you feel comfortable. Use the support of your upper body to take off some of the pressure from your legs if it feels too uncomfortable.

Self Massage with Runner’s stick

Using a runner’s stick or rolling pin, massage the top of the thigh. Do this for 1-3 minutes. Repeat more often if you tend to be more stiff in this region.

Still dealing with anterior hip stiffness? Head to this post to address groin stiffness and pain.

TL;DR

The muscles in the front of the hip, better known as your hip flexors, can get stiff from sitting too long, having poor posture, or from overuse. Try some of these stretches to help reduce the stiffness you may be feeling.

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By: Tera ยท In: Body Region Support, Hip, Science-Backed Education ยท Tagged: body mechanics, hip, mobility, posture and positioning

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I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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I help high-achieving women stuck in pain & burnout
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If you sit most of the day and still work out, you If you sit most of the day and still work out, you might feel confused.

You are doing โ€œall the right things.โ€ But by 4PM, your hips feel tight and your neck aches.

Here is the part no one talks about.

A single workout does not offset prolonged static positioning. Your body adapts to what it experiences most. If eight to ten hours of your day are spent sitting, that becomes the dominant input.

This does not mean you are damaged. It means you need movement variability.

Mobility is not about aggressive stretching, or even long spurts of stretching. It is about restoring range and control in the areas that do not move much during the day. You have to be intentional about it. Work on the areas that are prone to tightness from the sitting position.

I put together a realistic 10 minute mobility routine for desk workers that:

- Restores hip extension
- Improves upper back mobility
- Reactivates circulation
- Supports postural endurance
- Can be broken into 60 to 90 second pieces, sprinkled throughout your day

If you work at a desk and feel stiff by the end of the day, this will help.

Full breakdown is live on the blog. Link in bio or comment โ€œDESK WORKERโ€ for the direct link.

#deskwork #mobilityroutine #neckandshoulderpain #lowbackstiffness
Just when I started feeling better after my very b Just when I started feeling better after my very bold 15 minute jog, I decided to try a simple bodyweight leg workout.

And when I say simple, I mean squats and stationary lunges.

Two sets in, my left hamstring cramped so hard I could not fully straighten my knee. The next day, I also realized I had strained my quad.

FROM BODYWEIGHT LUNGES.

It would be funny if it were not so informative.

What this actually shows me is that my left side is still significantly behind my right after my major back flare two years ago. I never fully rebuilt it. I would start, flare, lose consistency, then life would happen. And I would stop completely. The cycle only repeats.

And this is how deconditioning quietly accumulates.

Not because you are lazy or because you donโ€™t care. But because healing is rarely linear and inconsistency compounds just as much as consistency does.

This was not a catastrophic setback. It was feedback.

My body is showing me exactly where my current baseline is. And apparently that baseline still requires patience, even with bodyweight work.

Rebuilding strength after pain is not about what you used to be able to do. It is about what your system can tolerate today.

So for now, bodyweight it is.

Humbling, necessary, and temporary.

More to come.

#chronicpainjourney #returntostrength #muscleimbalance #stronglooksdifferentnow
I really did start this series off by doing exactl I really did start this series off by doing exactly what I tell my clients not to do.

A 15 minute jog on a body that was already irritated, all because I felt good that morning.

And this is the nuance of chronic pain that people do not talk about enough. Motivation does not override tissue tolerance. Energy does not cancel out load capacity. And feeling good for one day does not mean your system is ready for more.

This is especially hard when you have been waiting years to feel motivated again. That is the part that caught me off guard.

For so long, I did not have the drive to strength train the way I used to. Now, I finally feel ready. And my body still needs gradual rebuilding.

If you live with chronic pain, you know this tension:
Mentally ready. Physically limited. Emotionally frustrated.

Instead here is the reframe I am sitting with:
A flare is information..not failure. It tells me my baseline is lower than my motivation. It reminds me that strength is not built on one good day. It is built on consistency that my nervous system can tolerate.

So this series is not about getting back to where I was. It is about rebuilding in a way that lasts. Strong looks different now. And that is okay.

If this resonates, you are not behind. You are adapting.

I will soon share how I am adjusting my training accordingly.

#stronglooksdifferentnow #returntostrength #strengthtrainingjourney #chronicpain
February ๐Ÿ’•๐ŸŒฎ๐Ÿช๐ŸŸ๐Ÿณ๐Ÿ“๐Ÿ““ February ๐Ÿ’•๐ŸŒฎ๐Ÿช๐ŸŸ๐Ÿณ๐Ÿ“๐Ÿ““
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