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)

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.

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 cardio can I do with a strained hip flexor? ›

Several exercise machines are gentle on your joints and provide a great cardio workout while strengthening your muscles, improving endurance, and boosting range of motion.
  • An elliptical trainer. ...
  • A stationary bike. ...
  • A rowing machine. ...
  • Pool exercises. ...
  • Short brisk walks. ...
  • Tai chi.
Aug 1, 2021

How long does pulled hip flexor take 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 not to do with hip flexor injury? ›

Avoiding bending at the hip, such as when reaching into a stove or picking up a child, in order to rest the affected area. Avoiding activities that put stress on the hip, including any sports that involve running, kicking, or turning.

Will my hip flexor ever heal? ›

You should expect to make a full recovery from a hip flexor strain. You should regain all your strength and ability to move after it heals. Make sure to warm up before exercising or playing sports, and give your body time to rest and recover after intense activity.

Should you massage a strained hip flexor? ›

Increased Circulation: Massage enhances blood flow to the affected area, promoting the delivery of oxygen and nutrients to the hip flexor muscles. This increased circulation aids in the healing process, reduces inflammation, and accelerates recovery.

How do I know if I tore my hip flexor? ›

Sudden hip pain is the most common symptom associated with 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.

Is walking good for hip flexor problems? ›

' Walking is good for the hip flexors, but to run far more efficiently (and, crucially, without pain), strategically opening and also strengthening your hip flexors needs to be part of your running routine.

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

Hip flexor tears or strains can occur from overusing the muscle groups that make up the hip flexor. The most common symptom someone with a hip flexor tear or strain will have is hip pain. However, other symptoms may include swelling, bruising, and tenderness.

How should I sleep with hip flexor pain? ›

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.

Is it better to rest or exercise hip pain? ›

Exercise. Your hip pain may improve with a few days' rest, but as soon as the pain begins to ease, start some gentle exercise to keep your muscles working and stop your hip getting stiff.

What is the best sitting position for tight hip flexors? ›

Maintain Proper Posture: Sit with your feet flat on the ground and your knees at a 90-degree angle. Keep your back straight, shoulders relaxed, and head in a neutral position. Sitting Positions: Avoid crossing your legs or leaning over to one side, as it can exacerbate hip tightness.

Does strengthening glutes help hip flexor pain? ›

Here's why: When you contract the glutes, your hip flexors loosen a bit (try it right now to feel what we're talking about). So when you strengthen the glutes, you'll relieve those tight hips while also taking some pressure off the other smaller muscles that work to move and stabilize the lower body.

Should I keep walking with hip pain? ›

Things like going on a daily walk or going swimming will help to improve your general health and take the strain off your hip, by strengthening other muscles in the body. Sometimes people stop exercising once their pain clears up, but when they do it's common for them to start having problems again quite quickly.

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.

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