Start in a runner’s lunge, right leg forward with knee over ankle and left knee on ground with top of your foot flat on the mat. Slowly lift torso and rest hands lightly on right thigh. Lean hips forward slightly, keeping right knee behind toes, and feel the stretch in the left hip flexor. Hold here, or for a deeper stretch, raise arms overhead, biceps by ears. Hold for at least 30 seconds, then repeat on opposite side.
Some stretching basics: you should feel a stretch, but not pain. If it really hurts, contact a physical therapist and figure out what’s really wrong. If your hip flexors are truly tight, a few weeks of doing these stretches should help you feel better! You should notice relief, so if you’re not, you may have something else wrong besides “tightness,” or you might need to address what you’re doing the other 23 hrs and 50 minutes of each day.
The hip flexors are a group of five muscles that connect the femur (or thigh bone) to the pelvis. They move in one of two ways. When the pelvis is stationary, a contraction of the hip flexors will draw the femur upward—think the classic "goose step." Conversely, if the femur is stationary, a contraction of the hip flexors will tilt the pelvis forward and the butt back—think of the pull-back portion of Garth's many hip thrusts beginning at about 40 seconds in ... foxy lady!
The iliopsoas muscle is the prime hip flexor and shortening may affect the lower back, pelvis, and/or hip joint. Caution should be taken during this release due to the sensitive area in which the therapist's hand pushes, i.e. proximity to the appendix, possible abdominal aortic abnormalities, potential tissue weaknesses predisposing to inguinal hernias, ovarian conditions, or general irritation/inflammation of the gastrointestinal system; hence, this release may occasionally be replaced by the regular therapeutic stretch presented in Chapter 7 (see Fig. 7.14).
The hip flexor muscles flex the hip during swing. They are particularly important for initiating swing91 when walking at slow speeds. Without adequate hip flexion during swing, knee flexion is more dependent on hamstring muscle activity.59 Patients with paralysis of the hip flexor muscles attempt to advance the swing leg by either externally rotating the hip and using hip adductor muscles as hip flexors or by circumducting the leg.59,61 The effects of hip flexor muscle paralysis on gait are particularly evident when walking up stairs or slopes, which requires lifting the leg.
Keep adjusting your position until you find a hot spot ("A what? I don't know what you're ... Oh! My God! There one is!"), and then hold that position for at least 30 seconds. Your first impulse will be to tense up when you feel tenderness, but it's important that you relax and continue to move around the area. Keep it up, and don't hurry. The more slowly and more often you can do this, the better.
The hip is a very stable ball and socket type joint with an inherently large range of motion. The hip contains some of the largest muscle in the body as well as some of the smallest. Most people lack mobility due to a relatively sedentary lifestyle. Periods of prolonged sitting results in tightness of the hip flexors and hamstrings. Tightness in the muscles and ligaments can created joint forces that result in arthritis, postural problems, bursitis, and mechanical back pain.
The hip flexors help balance the posterior pelvic muscles. Three key muscles often become tight and shortened as a result of activities of daily living. These are the iliacus, psoas major, and the rectus femoris. The iliacus and the psoas major are often referred to as the iliopsoas because they share the same insertion at the lesser trochanter of the femur. The psoas minor inserts on the superior ramus of the pubis bone and mainly supports the natural lordotic curvature of the spine, but is only found in about 40% of the population. The psoas major originates on the anterior surface of the lumbar vertebrae and runs over the pubis bone and inserts into the lesser trochanter of the femur. This muscle not only helps to flex the hip, but also has an effect on the lordotic curvature of the lumbar vertebrae. The rectus femoris has a proximal attachment at the acetabulum and inserts into the tibial tuberosity. This long muscle plays a role in both hip flexion and leg extension (Figure 9-4).
Those are some great stretches! I own a personal training studio in Severna Park, Maryland. Majority of my clients have physical limitations – so it’s important for them to stay flexible. I send these to my clients and even do these exercises for myself. I highly recommend these stretches to anyone, even people without physical limitations. I love the fact these are actually videos and not just stretches because it’s so much easier for people to figure out how to perform the stretches. You guys are the real MVP!
You’ve heard the saying: it’s all in the hips, but for many of us, our hips – or more precisely, our hip flexors – are tight, stiff and inflexible. If you’re an office worker you can probably thank sitting down at your desk 8 or more hours a day for your tight hip flexors. Habitual sitting causes your hip flexors to tighten and shorten – adjustable standing desks, anyone?