Make your hips feel better: The surprise fix to feeling tight

Written by
Dr. Jason Cooper, PT, DPT, CSCS, ART
Published on
May 13, 2024
woman wearing black sports bra and jogger shorts smiling
Photo by nappy on Pexels.com

As a sports physical therapist specializing in working with runners, I've encountered countless cases where athletes come to me complaining of tight hip flexors. It's a common issue, and while stretching might provide temporary relief, it's not always the most effective solution. In fact, I often find that strengthening the hip flexors is a more impactful and sustainable approach for addressing this concern.

Hip flexors play a vital role in running mechanics, and their health directly impacts performance and injury prevention. Let's delve deeper into why strengthening hip flexors outweighs simply stretching them when they feel tight.

Understanding the Hip Flexors

The hip flexors are a group of muscles responsible for flexing the hip joint, allowing us to lift our knees towards our chest. They include the iliopsoas (composed of the iliacus and psoas major muscles), rectus femoris, tensor fasciae latae, and sartorius. In running, these muscles are constantly engaged, especially during activities like lifting the leg during the swing phase and stabilizing the pelvis during the stance phase.

The Pitfall of Overstretching

When hip flexors feel tight, the instinctive reaction for many runners is to stretch them. While stretching can provide temporary relief by temporarily lengthening the muscles, it doesn't address the underlying issue. In fact, overstretching can exacerbate the problem by weakening the muscles and causing them to become even tighter in an effort to protect themselves from overextension.

Strengthening for Stability and Efficiency

Strengthening the hip flexors offers a more comprehensive solution. By increasing strength in these muscles, runners can improve stability and efficiency in their stride. Strong hip flexors provide better support for the pelvis, reducing the risk of excessive hip drop and promoting optimal alignment throughout the running gait. This stability translates to improved running mechanics and decreased likelihood of injuries such as IT band syndrome, patellofemoral pain syndrome, and lower back pain.

Balancing Muscle Strength

Moreover, focusing solely on stretching the hip flexors neglects the importance of muscle balance. In many cases, tight hip flexors are accompanied by weakness in opposing muscle groups, such as the glutes and hamstrings. Strengthening exercises that target these muscle groups in conjunction with the hip flexors can restore balance, promoting optimal function and reducing the risk of compensatory patterns that lead to injury.

Effective Strengthening Exercises

Effective strengthening exercises for the hip flexors include:

  1. Hip Flexor Marches: While lying on your back, lift one knee towards your chest while keeping the opposite leg bent. Alternate legs in a marching motion while maintaining a stable pelvis.
  2. Bridge with Leg Lifts: Perform a bridge exercise, then lift one leg off the ground while keeping the pelvis level. Alternate legs to target both sides evenly.
  3. Resistance Band Hip Flexion: Secure a resistance band around your ankles and stand with feet hip-width apart. Lift one knee towards your chest against the resistance of the band, then return to the starting position.

Conclusion

While stretching can provide temporary relief for tight hip flexors, it's essential to incorporate strengthening exercises into your routine for long-term benefits. By strengthening the hip flexors, runners can improve stability, efficiency, and overall performance while reducing the risk of injury. Remember, balance is key, so be sure to address muscle imbalances and incorporate a variety of exercises targeting the entire hip complex. Your hips will thank you, and your runs will be stronger and more enjoyable as a result.

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