Hip Flexor Strain: Rehab Exercises (2024)

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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 on the floor, with your knees bent and your feet flat on the floor. (Or you can lie on any flat surface, such as a bed.)
  2. Tighten your belly muscles by pulling your belly button in toward your spine. Press your lower back to the floor. You should feel your hips and pelvis rock back. Try to keep the belly muscles tight while you do the exercise.
  3. Slowly lift and lower one foot at a time, like you are marching.
  4. Continue until you have done this 8 to 12 times with each foot.

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 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, 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 15 to 30 seconds.
  4. Repeat 2 to 4 times.
  5. It's a good idea to repeat these steps with your other leg.

Quad stretch (lying on side)

Hip Flexor Strain: Rehab Exercises (4)

slide 4 of 6

slide 4 of 6, Quad stretch (lying on side),

  1. Lie on your side with your affected leg on top. You can use your hand or a pillow to support 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.
  4. Hold the stretch for at least 15 to 30 seconds.
  5. Repeat 2 to 4 times.
  6. It's a good idea to repeat these steps with your other leg.

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 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 17, 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.

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.

How long does it take to rehab a hip flexor? ›

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.

How to pop a hip flexor? ›

Butterfly stretches
  1. Sit up straight with your buttocks firmly touching the floor.
  2. Bend your knees and place the bottoms of your feet together so that your heels touch.
  3. Take a deep breath in to center your stretch.
  4. Gently press your knees down on both sides toward the floor and breathe out. You may hear your hip pop.
Aug 21, 2018

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.

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

Severe pain, spasms, bruising and swelling. The top of the thigh muscle may budge. It will be hard to walk. These are signs of a complete tear, which is less common.

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 fastest way to heal a hip flexor? ›

How are hip flexor strains treated? You can treat most hip flexor strains at home using the RICE method: Rest: Stop the physical activity that caused your strain to avoid further damaging your muscle. Ice: Apply an ice pack or cold compress for 10 to 15 minutes every hour for the first day after your injury.

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.

What are the worst exercises for tight hip flexors? ›

You'll also want to avoid exercises that bring your legs up toward your torso, such as starfish crunches or mountain climbers since they shorten the hip flexors and you want to lengthen to relieve tension.

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.

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.

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