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

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Meet Tera

Meet Tera
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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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When you have chronic pain and you’re trying to ge When you have chronic pain and you’re trying to get back to exercise, there is something no one really prepares you for.

Your threshold is a lot narrower than you think.

I still caught myself crossing my own threshold last week without realizing it until the next morning.

Not because you are weak or broken. But because your body has been managing a lot for a long time. And the window between “this is working” and “this is too much” is smaller than it looks from the outside.

Here is what makes it hard to see: you usually feel fine in the moment. Fine during the workout. Fine the next day. And then somewhere around day two your body lets you know it was actually a lot.

By the time you feel it, you have already crossed the line.

This is why slowing down is not the same as giving up. Slowing down is how you gather information. It is how you find out where your threshold actually is, what movements your body responds well to, and what tips you over the edge.

When I finally slowed down completely and went back to the foundation, I found out just how narrow my window actually was. The difference between my threshold and going over it was a single exercise. One progression. That is it.

One small change. One extra set. One progression too soon. That is sometimes all it takes. Not because something went wrong. Because the window is just that narrow right now.

But here is what knowing your threshold actually gives you: a way out of the cycle. When you know where your edge is, you stop guessing. You stop the pattern of a few good weeks followed by a flare that sets you back. You start making progress that actually holds because you are building from where you actually are, not where you think you should be.

That window gets wider over time. But only if you respect where it is now.

#returntomovement #painscience #paineducation #strengthtrainingwithpain #chronicpainrelief
If you sit most of the day and still work out, the If you sit most of the day and still work out, then we need to talk about something...

You are doing all the “right” things. But let me guess... 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 stillness. Your body adapts to what it experiences most. If 8 to 10 hours of your day are spent in the same position, that becomes the dominant input. Your body reflects it.

This does not mean you are damaged or injured. It means your body needs more variety throughout the day, not more exercise at the end of it.

The full breakdown is on the blog this week. Link in bio or comment “SITTING” and I’ll send you the direct link.

#deskwork #movementismedicine #movementvariability #chronicpain #painscience
6 months married to my best friend! And cheers to 6 months married to my best friend!

And cheers to finally booking our honeymoon!! 🌴☀️🌊🏖️
For most of my twenties, my approach to nutrition For most of my twenties, my approach to nutrition came from my bodybuilding background.

The focus was always the same:

✔️ very high protein
✔️ very low fat
✔️ very low carbs
✔️ low calories overall

Training was heavy strength workouts and a lot of cardio to stay as lean as possible. Over time, that mindset stuck with me. I thought “healthy” eating meant a plate with protein and maybe a small serving of greens and not much else.

What I didn’t realize was that this way of eating was slowly creating more stress on my body than support.

Over the years I started dealing with more and more symptoms. The biggest one eventually became severe, painful bloating that would come and go unpredictably. Eventually, it just wouldn’t go away. It was present 24/7 regardless if I ate or not.

Last year, I finally decided to approach nutrition differently. I discovered @beingbrigid and went through her 10 week program, “My Food is Health.”

It completely shifted the way I think about building meals. I do not count calories anymore. My focus is much simpler: high protein, fiber-rich, and very colorful plates. While I learned so much more in that program, these are the main things I have found that help me the most.

These are meals that support digestion, stabilize my blood sugar, lower inflammation, and support recovery.

When I build my plate now, I am thinking about things like:

- protein for tissue repair and satiety
- fiber for digestion, satiety, and blood sugar balance
- healthy fats to keep energy stable and support my hormones
- bitters to support digestion
- and a colorful plate for micronutrients and to support gut health

These small shifts made such a big difference for me. My digestion improved, my energy became more stable throughout the day, my brain fog disappeared, cravings decreased. I actually feel full after meals now. And I even sleep more deeply now.

Just like movement can support healing, food can too.

I am not chasing “perfect” nutrition anymore. I focus on building meals that actually support my body. The meals in this carousel are some of the simple ways I do that most days.

#nutritionforhealth #guthealth #wholefoodnutrition #nutritionandwellness
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