Hip Flexor Strain: Rehab Exercises (2024)

Introduction

Here are some examples of exercises for you to try. The exercises may be suggested for a condition or for rehabilitation. Start each exercise slowly. Ease off the exercises if you start to have pain.

You will be told when to start these exercises and which ones will work best for you.

How to do the exercises

Pelvic tilt with marching

Hip Flexor Strain: Rehab Exercises (1)

slide 1 of 6

slide 1 of 6, Pelvic tilt with marching,

  1. Lie on your back with your knees bent and your feet flat on the floor.
  2. Tighten your belly muscles and buttocks, and press your lower back to the floor.
  3. Keeping your knees bent, lift and then lower one leg up off the floor, and then lift and lower your other leg like you are marching. Each time you lift your leg, hold that position for about 6 seconds before lowering your leg.
  4. Repeat 8 to 12 times.

Scissors

Hip Flexor Strain: Rehab Exercises (2)

slide 2 of 6

slide 2 of 6, Scissors,

  1. Lie on your back with your knees bent at a 90-degree angle and your feet off the floor.
  2. Tighten your belly muscles and buttocks, and press your lower back to the floor. Keep breathing normally and don't hold your breath.
  3. Slowly straighten one leg, and hold that position for about 6 seconds. Your leg should be about 30 centimetres (12 inches) off the floor. Bring that leg back to the starting position, and then straighten your other leg. Hold that position for about 6 seconds, and then switch legs again.
  4. Repeat 8 to 12 times with each leg.

Hamstring stretch (lying down)

Hip Flexor Strain: Rehab Exercises (3)

slide 3 of 6

slide 3 of 6, Hamstring stretch (lying down),

  1. Lie flat on your back with your legs straight. If you feel discomfort in your back, place a small towel roll under your lower back.
  2. Holding the back of your affected leg for support, lift your leg straight up and toward your body until you feel a stretch at the back of your thigh.
  3. Hold the stretch for at least 30 seconds.
  4. Repeat 2 to 4 times.

Quadricep and hip flexor stretch (lying on side)

Hip Flexor Strain: Rehab Exercises (4)

slide 4 of 6

slide 4 of 6, Quadricep and hip flexor stretch (lying on side),

  1. Lie on your side with your good leg flat on the floor and your hand supporting your head.
  2. Bend your top leg, and reach behind you to grab the front of that foot or ankle with your other hand.
  3. Stretch your leg back by pulling your foot toward your buttock. You will feel the stretch in the front of your thigh. If this causes stress on your knee, do not do this stretch.
  4. Hold the stretch for at least 15 to 30 seconds.
  5. Repeat 2 to 4 times.

Hip flexor stretch (kneeling)

Hip Flexor Strain: Rehab Exercises (5)

slide 5 of 6

slide 5 of 6, Hip flexor stretch (kneeling),

  1. Kneel on your affected leg and bend your other leg out in front of you, with that foot flat on the floor. If you feel discomfort in the front of your knee, place a towel under your knee.
  2. Keeping your back straight, slowly push your hips forward. You should feel a stretch in the upper thigh of your back leg and hip.
  3. Hold the stretch for at least 15 to 30 seconds.
  4. Repeat 2 to 4 times.
  5. It's a good idea to repeat these steps with your other leg.

Hip flexor stretch (edge of table)

Hip Flexor Strain: Rehab Exercises (6)

slide 6 of 6

slide 6 of 6, Hip flexor stretch (edge of table),

  1. Lie on your back on a table or flat bench, with your knees and lower legs hanging off the edge of the table.
  2. Grab your good leg at the knee, and pull that knee back toward your chest. Relax your affected leg and let it hang down toward the floor until you feel a stretch in the upper thigh of your affected leg and hip.
  3. Hold the stretch for at least 15 to 30 seconds.
  4. Repeat 2 to 4 times.
  5. It's a good idea to repeat these steps with your other leg.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

Current as of: July 18, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Hip Flexor Strain: Rehab Exercises (2024)

FAQs

Can I exercise with a strained hip flexor? ›

After the immediate strain settles down and you can tolerate the pain and discomfort, it's time to get moving! Gentle motion and physical activity are appropriate, the goal is to get back to your normal routine and be able to tolerate simple things like walking, sitting, stairs, etc.

Why is my hip flexor strain not getting better? ›

Failing to rest and recover a hip flexor strain usually only results in a worse injury and greater pain at a later time. If your hip flexor strain is causing you to limp or your symptoms do not improve after at-home treatments for seven days, call your doctor.

How long does it take to fix hip flexor strain? ›

It typically requires one to three weeks of rest and treatment to recover from mild conditions fully. On the other hand, more severe cases can take around four to six weeks or longer. In addition, injuries that did not receive immediate treatment may take months to recover fully and may also cause chronic pain.

What not to do with hip flexor injury? ›

Avoiding bending at the hip, such as when reaching into a stove or picking up a child, in order to rest the affected area. Avoiding activities that put stress on the hip, including any sports that involve running, kicking, or turning.

What aggravates a hip flexor strain? ›

Football, hockey, running, and martial arts are more likely to create this type of injury. However, there are also aggravating factors that can lead to hip flexor strain include, such as: Weak muscles surrounding the hip flexors. Not warming up/ poorly conditioned muscles.

What exercises aggravate hip flexors? ›

Crunches — Sit-ups and crunches can strain the hip flexor muscles. This can increase your pain, especially if the crunches are done with improper form. Variations of crunching such as bicycle crunches can also be harmful. If you already have a strained hip flexor, resting is a vital part of the recovery process.

What can be mistaken for hip flexor pain? ›

Lower abdominal strains are sometimes mistaken for hip flexor strains because the pain can be in the same location.

Should you massage a strained hip flexor? ›

In a word - yes. Generally speaking, massage therapy can be highly beneficial for relieving pain and tightness in any of the body's muscles, and the hip flexors are no different.

Is hip flexor strain permanent? ›

You should expect to make a full recovery from a hip flexor strain. You should regain all your strength and ability to move after it heals. Make sure to warm up before exercising or playing sports, and give your body time to rest and recover after intense activity.

Why is my hip flexor hurting so bad I can barely walk? ›

Pain in the hip flexors occurs when the muscles and tendons are overused or pulled beyond their limits from sudden movements like kicking or sprinting. Tight hip flexors are usually caused by not properly warming up before physical activities or not exercising at all. A strain is a type of tear in the muscle tissue.

How long does it take to strengthen a weak hip flexor? ›

Developing greater strength and endurance of the hip stability muscles tends to occur between three and six weeks.

What is the fastest way to heal a hip flexor? ›

Follow these steps for the first few days or weeks after your injury:
  1. Rest. Stop any activity that causes pain.
  2. Gentle stretching to extend your hip can help with recovery.
  3. Ice the area for 20 minutes every 3 to 4 hours for 2 to 3 days. Do not apply ice directly to your skin. Wrap the ice in a clean cloth first.

Is it okay to walk with a strained hip flexor? ›

Some hip flexor pain can temporarily affect your daily activities. “A minimal strain might limit how long you can walk, while a moderate strain can limit walking, doing the stairs, and getting out of a chair,” says Maureen Lu, PT, DPT, a physical therapist at Hinge Health.

How do I know if I tore my hip flexor? ›

Sudden hip pain is the most common symptom associated with a hip flexor tear or strain. The pain and other symptoms can range from mild to so intense that it impacts your mobility. Other symptoms of a hip flexor tear or strain include: Pain when lifting the leg to the chest or stretching the hip muscles.

Is walking good for hip flexors? ›

Walking helps keep your hip flexors loose. In fact, one of the best things you can do to keep them from tightening up is to get up and walk around every 30-45 minutes during the day. This is especially helpful if you spend a lot of time sitting down.

How do I know if my hip flexor is strained or torn? ›

Symptoms of a hip flexor tear or strain

The pain and other symptoms can range from mild to so intense that it impacts your mobility. Other symptoms of a hip flexor tear or strain include: Pain when lifting the leg to the chest or stretching the hip muscles. Swelling, bruising or tenderness in the hip or thigh area.

References

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