The wisdom that Sahrmann shares in her book Diagnosis and Treatment of Movement Impairment Syndromes explains many of the injury riddles of the Strength and Conditioning field, particularly the “hip flexor pull” or “quad pull.” The key to understanding the motion of hip flexion comes from looking at the anatomical leverages of the different muscles involved. There are five muscles that are capable of assisting in hip flexion:
Tight hips can stem from multiple things, so I recommend you see a physical therapist, physiotherapist, or personal trainer to help identify the actual issue. Like I mentioned before, your hip flexors may be tight because they are shortened and weakened from desk jockeying all day, or maybe your workout is leading to a muscular imbalance. Perhaps your back is weak and some muscles are pulling double duty, creating extra tension. There’s also a good chance your core is weak and your glutes are underdeveloped.
The patient generally presents with leg stiffness, weakness in the hip flexors, and impaired foot dorsiflexion in the second through fourth decades, although symptoms may be apparent in infancy or not until late adulthood. The gait disturbance progresses insidiously and continuously. Patients may also have paresthesia and mildly decreased vibratory sense below the knees and urinary urgency and incontinence late in the disease. On neurological examination, generally there are no abnormalities of the corticobulbar tracts or upper extremities, except possibly brisk deep tendon reflexes. In the lower extremities, deep tendon reflexes are pathologically increased and there is decreased hip flexion and ankle dorsiflexion. Crossed adductor reflexes, ankle clonus (Video 82, Cross‐Adductor Reflex; Video 84, Sustained Clonus), and extensor plantar responses are present. Hoffman's and Tromner's signs, as well as pes cavus, may be present. Occasionally, slight dysmetria may be seen on finger‐to‐nose testing in patients with long‐standing disease.
Hey Sunny! I’m so sorry you’ve been experience hip pain since your C-section! I hope these help! :) I actually have an exercise program to help women recover properly from C-sections (mainly rebuilding their core and pelvic floor) if that sounds like something you might be interested in, let me know! I’m wondering if we could get your strength balanced some of that hip pain would go away? Thanks so much for your comment!
In addition to these exercises, there are simple things you can do every day to help reduce your risk of hip flexor pain. If you sit at a desk for long periods of time, try to get up and move around every hour or so. Warm up properly before any physical activity, and stretch regularly at the end of each workout. Your hips will thank you for it!
Imagine not being able to climb stairs, bend over, or even walk Changes in hip joint muscle-tendon lengths with mode of locomotion. Riley, P.O., Franz, J., Dicharry, J., et al. Center for Applied Biomechanics, University of Virginia, Charlottesville, VA. Gait & Posture, 2010 Feb; 31 (2): 279-83.. All pretty essential if you ask us! But that’s what our bodies would be like without our hip flexor muscles. Never heard of ‘em? It’s about time we share why they’re so important, how your desk job might be making them weaker (ah!), and the best ways to stretch them out.
The illiacus attaches on the upper portion of the femur and begins on the inside crest of the illium (inside of the pelvis), where the psoas attaches all the way through the transverse processes of the lumbar spine, even binding into the discs directly. The rectus femoris begins at the base of the anterior superior illiac spine, and attaches all the way down to the knee cap, whereas the sartorius starts in the same place as the rectus femoris, but attaches on the medial aspect of the knee, blending with the MCL and portions of the hamstrings.
Hi Autumn! Thanks so much for your reply. I am so sorry about your car accident and the pain that you’ve been in! Here’s a link describing my postpartum program. I think it would be helpful, but it also sounds like it would go better in conjunction with your primary care provider/physical therapist/chiropractor- someone along those lines! I’ll also shoot you an email so we can chat more about this! https://thefittutor.com/a-safe-and-effective-postpartum-workout-program/
I think you should mention that for some people, stretching is not the solution and that it will deteriorate their posture. Some people need stretching, but most people I know need to strengthen their "overstretched" hip flexors. Many people can't do a single hanging leg raise. Check this site if you want to know more about the importance of hip flexors bit.ly/Unlock_Your_Hip_Flexor Report
Because you won’t stop stretching them. Many people who have consistent hip flexor tightness would be a lot better off if they just stopped stretching them. This often provides only a temporary relief, giving just a small window of comfort. And guess what? The more you stretch them, the shorter that window of relief becomes, until you’re at the point where you’re stretching them multiple times a day for a long duration just to feel good! That’s no way to live!
When a muscle contracts, it shortens. Take the biceps for example. Without getting too technical, the biceps are attached at the forearm and shoulder. When your biceps contract, they shorten and bring those two points closer together. When you rest, the muscle returns to its normal length, and the two points move farther away. Constantly contracting your biceps over a long period of time would cause them to get shorter, even at rest.
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The hip flexors in particular can be troublesome little cusses. These muscles are crucially tied to the functionality of everyone from elite athletes to senior citizens, but working them can make anyone feel silly. After all, you never see videos of Ronnie Coleman walking with his arms extended in front of him like a zombie, attempting to raise his toes up to his hands.
How to: Lie on your back with your right knee bent and foot flat on the floor (a). With your left leg fully extended, press into your right foot to shift onto your left hip. This is your starting position (b). Then, squeeze your right glutes to press your left hip open until you feel a stretch, pause, then return to start. That’s one rep (c). Perform six to eight reps, then repeat on the opposite side.