What Causes Tight Hip Flexors? | Integrated Rehab (2024)

What Causes Tight Hip Flexors? | Integrated Rehab (1)

You may have heard a reference to “tight hip flexors” during a yoga class or other fitness program. Yet this condition is about more than tight muscles that need to be stretched back out. If unaddressed, they can reduce your range of motion and lead to a more serious injury.

How Hip Flexor Injuries Occur

The hip flexors are a group of pliable muscles that let you move with ease, more efficiently. Connecting the femur to the back, groin and hips, these muscles help coordinate the top and lower portions of your body, playing a key role in bending down and lifting your legs.

Hip flexors include:

  • The iliopsoas – two muscles designed to support your lower back
  • The rectus femoris – connects the pelvis to the knee
  • The Sartoris – helps increase flexible movement in your legs
  • The pectineus – helps with thigh movement

When this area gets overworked, injury can result.

Common incidents include:

  • Overuse or overstretching injuries, resulting in sharp pain and reduced mobility
  • Hip flexor strain, in which the muscles are torn, pulled or otherwise injured
  • Sprains, in which neighboring muscle and bone experience damage

How Do Tight Hip Flexors Occur?

Any time you draw your knees toward your torso, your hip flexors are working. Repetition of this motion can result in strain; common sources include:

  • Sports that regularly engage the hip flexors in training, without any counteracting movement, including martial arts, dancing and running.
  • Sitting in one place for an extended period, which causes the iliopsoas to atrophy over time.
  • Having a weak core, which forces the hip flexors to stabilize the spine and work overtime to provide such support. You may eventually notice pain and a tight sensation in this area.
  • Standing up after sitting for a long period of time.
  • Structural issues, like having a tipped pelvis or one leg naturally longer than the other.
  • Having poor posture, including leaning toward one side of the body or forward.
  • Excessive focus on lower-body exercises, like squats and deadlifts.

Symptoms of a Hip Flexor Injury

What begins as tight hip flexors can eventually give way to:

  • A sharp or sudden pain in the hip, pelvis or groin area
  • Cramping, tender or sore muscles along the upper leg
  • Swelling or bruising on the hips or thigh
  • Pain in an adjacent muscle group, like your glutes or core
  • Decreased strength along the groin area
  • Muscle spasms in the hips or thighs
  • Reduced or a lack of mobility when you attempt to jump, kick or run
  • Limping
  • Stiffness or tightness after you’ve been sitting for a long time
  • Lower back pain
  • Difficulty standing up fully
  • Tightness around the neck

How to Lessen Tight Hip Flexors

In general, stretches designed to lengthen muscles and lessen tension help strengthen the hip flexors and prevent injuries long term. Engaging the hips with counteracting movement, including cycling and swimming can also help strengthen this area.

Depending on the source, you can reduce your risk of injury by:

  • Warming up and stretching your muscles before and after a workout
  • Taking breaks during the work day to stand up and walk around
  • Stretching and massaging your muscles with a foam roller to improve blood flow
  • Applying heat to the muscles to warm up the area and increase blood circulation

If you regularly experience hip pain or tightness, work with our physical therapists to effectively strengthen and stretch the area.

To learn more about our services, contact Integrated Rehab today.

What Causes Tight Hip Flexors? | Integrated Rehab (2024)

FAQs

What Causes Tight Hip Flexors? | Integrated Rehab? ›

How Do Tight Hip Flexors Occur? Any time you draw your knees toward your torso, your hip flexors are working. Repetition of this motion can result in strain; common sources include: Sports that regularly engage the hip flexors in training, without any counteracting movement, including martial arts, dancing and running.

How do you rehab a tight hip flexor? ›

Active Hip Flexor Stretch
  1. Stand on your left foot with your toes slightly turned inward. ...
  2. Hold your arms straight out in front of you at chest level.
  3. Slowly raise your arms straight up as you squeeze your butt and gently push your pelvis forward. ...
  4. Return to the starting position and repeat on the other leg.
May 11, 2024

Can tight hip flexors be fixed? ›

Foam roller stretches and hip flexor stretches should help to loosen the tight hip muscles. Treatment from a qualified sports and remedial massage therapist can also provide relief. See your doctor if you have persistent pain in any part of your body.

Can physical therapy help tight hip flexors? ›

Your physiotherapist may also use manual therapy techniques such as massage or joint mobilization to reduce tightness or stiffness in your hips during treatment sessions. This approach helps improve flexibility while also giving you relief from discomfort felt in this area.

How long does it take for a tight hip flexor to heal? ›

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 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.

Does walking loosen tight hip flexors? ›

To keep your hip flexors supple, make sure to get up and move more throughout the day. “I recommend changing position every 30 to 45 minutes—or even sooner if needed—to avoid tightness,” says Kimberly Baptiste-Mbadiwe, a physical therapist at HSS. “Stand up, walk around, or perform a quick stretch, if necessary.”

What is the root cause of tight hip flexors? ›

Sitting in one place for an extended period, which causes the iliopsoas to atrophy over time. Having a weak core, which forces the hip flexors to stabilize the spine and work overtime to provide such support. You may eventually notice pain and a tight sensation in this area.

What to avoid with tight hip flexors? ›

Exercises to Avoid Following Hip Flexor Strains
  • Abrupt high-intensity workouts.
  • Jumping.
  • Running.
  • Squats.
  • Lunges.
Aug 23, 2023

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.

How to release chronically tight muscles? ›

Depending on the cause, the following therapies may help relieve tight muscles.
  1. Massage for tight muscles. Massage can help ease muscle pain and tension and induce relaxation. ...
  2. Heat for tight muscles. ...
  3. Stretching or yoga for tight muscles. ...
  4. Physical therapy for tight muscles. ...
  5. Magnesium for tight muscles.
Apr 17, 2024

How do chiropractors release tight hips? ›

Chiropractic treatment for hip flexor pain varies based on the severity and cause. It typically involves a combination of manual therapy, like spinal manipulation, massage, or trigger point therapy, and rehabilitative exercises, including stretching, strengthening, and range of motion exercises.

How long does it take to strengthen hip flexors? ›

Developing greater strength and endurance of the hip stability muscles tends to occur between three and six weeks. I often give runners a two-week challenge to improve their hip stability when they have sub-par scores on testing.

What aggravates hip flexor? ›

A lack of flexibility: If you're not very flexible, your muscles (and the fibers in them) are tighter, which makes them more susceptible to strains. Traumas: Traumas like falls and car accidents can cause hip flexor strains too, especially if you suddenly tense your muscles to brace for an impact or during a fall.

How to release tight hips in bed? ›

Lying on your back, straighten both legs on the bed. Then hug your right knee in toward your chest as you flex your left foot, keeping the left leg straight. Pull the right knee in to feel a sensation in your right hip crease. Hold for five breaths and then switch sides.

Is it OK 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 are the symptoms of tight hip flexors? ›

Symptoms and Causes
  • Pain.
  • A feeling of tightness or pulling in your hip.
  • Trouble walking or moving without limping.
  • Weakness in your lower abdomen or hip.
  • Bruising or discoloration.
  • Swelling.
  • Muscle spasms.

Is it good to massage sore hip flexor? ›

When it comes to hip flexor pain, massage therapy offers several key benefits: a. Muscle Relaxation: Skilled massage therapists use techniques such as kneading, friction, and stretching to target and relax the hip flexor muscles. This relieves tension, reduces pain, and improves flexibility.

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