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

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

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

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.

How do I rehab my hip flexor? ›

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. ...
  2. Keeping your back straight, slowly push your hips forward. ...
  3. Hold the stretch for at least 15 to 30 seconds.
  4. Repeat 2 to 4 times.

Is it good to stretch a strained hip flexor? ›

Light exercise is encouraged to relieve hip flexor pain. There are several exercises recommended to stretch, strengthen, and reduce hip pain. These exercises do not require any equipment and can easily be done at home.

What exercises should I avoid with hip flexor strain? ›

Avoid exercises involving repetitive hip flexion, the motion involving bringing your hip or leg up toward your chest. If doing squats, keep them shallow and hold off on lunges entirely, until you receive a diagnosis from your doctor. Do not work through pain. When walking or running, pay attention to pain.

Is walking good for hip flexor strain? ›

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.

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 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.

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.

Are squats good for hip flexors? ›

Squats are the king of exercises, period. They work a tremendous amount of muscle in the body (including the hip flexors). Basically, if you're not performing some form of squatting pattern in your training program you're missing out on building stronger glutes and firmer legs.

Is heat good for hip flexor strain? ›

Right after an injury or pain flare, it's usually better to use ice. Ice eases pain and swelling by constricting blood vessels and decreasing circulation to the area. After this period, when the area tends to feel tight but not painful, it often helps to switch to heat, says Dr. Lu.

How should I sleep with a strained hip flexor? ›

Try sleeping on your back

Try adding a pillow or bolster under your knees. Not only does this further ease strain on your hip flexors, but it can also help you stay on your back through the night. That added bit of extra support might be what you need to wake up without pain that's worse than the night before.

How to tell if a hip flexor is torn? ›

Hip flexor tear or strain symptoms
  1. Sharp pain in the hip or pelvis after trauma.
  2. Sudden hip pain.
  3. Upper leg feeling tender and sore.
  4. Muscle spasms.
  5. Swelling and bruising on the thighs or hip.
  6. Tightness and stiffness after long periods of rest.
  7. Cramping in the upper leg.
  8. Pain when lifting your leg to the chest.

Why is my hip flexor pain not going away? ›

Hip flexor pain are muscle strains and minor ligament sprains can be caused by overuse. These less serious acute injuries generally heal in a short period of time with minimal treatment. However, chronic or recurring hip flexor pain may be a sign of a more serious injury.

What is the best position to sleep in with tight hip flexors? ›

Try sleeping on your back

If you're not normally a back sleeper, it can be tricky to get used to this position. Try adding a pillow or bolster under your knees. Not only does this further ease strain on your hip flexors, but it can also help you stay on your back through the night.

References

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