Hip & Pelvis Pain

Hi, I'm Doctor Jo, a licensed Physical Therapist and Doctor of Physical Therapy. I hope you enjoy my video demos of stretches & exercises for common injuries and syndromes. Be safe. Have fun. And I hope you feel better soon.

Hip Flexor Stretches & Exercises

Your hip flexors are made up of many different muscles including the psoas, iliacus, rectus femoris, sartorius, tensor fasciae latae, adductors, and gracillis. The major hip flexor muscle is two muscles combined called the iliopsoas. These muscles work to move your upper thigh (femur) to your chest. When this muscle is injured, it can cause pain even with walking. Here are some stretches for your hip flexors.

First start in a kneeling position. Place the knee of the hip flexor you want to stretch on the ground, and take the opposite leg and bend it in front of you at a ninety-degree angle. You might want to place a pillow under your knee to protect it. You will be in a lunge position with the knee of your injured side on the ground. Now drive the knee of the uninjured side forward away from your body. Hold for 30 seconds, and do this 3 times.  

Next, you will be on your stomach, or in prone. Bring your foot of the injured side towards your buttocks and grab your ankle. Gently pull your foot towards your buttocks and then lift your thigh off the ground pushing your leg up in the air. To help lift your hip, push your foot away into your hand. Hold for 30 seconds and do it 3 times.

Finally, lie down on your bed or a high surface. You will need good balance for this so you won't fall off the bed. Slide to the side of the bed with the injured side hanging off the edge. Now bend the opposite knee towards your chest and hold onto it. Just relax your leg off the side and you should feel a stretch. Hold for 30 seconds and do it 3 times.

 

SI Joint Dysfunction

The exercises and stretches in this video will help if you have been diagnosed with an SI joint dysfunction. This is when the pelvis is out of alignment with your spine. The sacrum comes together with your iliac bones, and this joint is called the SI joint. 

Your doctor or therapist might tell you that you have a posterior or anterior pelvic rotation. This is also called an innominate rotation. It can cause pain in your hips or pelvis and sacrum area. Many times people will say it hurts in their butt cheek area. It will also be painful while walking or change your gait pattern. Once it is corrected by your therapist, you want to strengthen your hip and pelvic muscles to keep it in place. Occasionally, it will go back out, and here is a good way to self correct it. 

Here are some isometric hip exercises and techniques to get it back in place and keep it in place. Using a combination of hip flexion and extension, and then hip abduction and hip adduction will help rotate the hips back into place. With isometric exercises and all exercises, make sure you are not holding your breath. If you cannot talk while you are performing exercises, then most likely you are holding your breath.

 

IT Band Stretches

Your IT band is on the outer portion, or the lateral part of your thigh. IT stands for iliotibial band, and it goes from your hip, illium, to the lower part of the knee, tibia. The IT band can get very tight and cause a lot of pain in the knee and hip. Runners often get really tight IT bands when they increase their training. This video will show you some great ways to stretch your IT band.

The first stretch you can do standing. Find a wall to lean against, and stand sideways to the wall with your injured side towards the wall. Cross the injured leg behind the good side, and lean your hip towards the wall. Hold for 30 seconds, and do it three times. The next stretch will be lying down on your back. Grab a belt or dog leash and put it around your foot. Keep your leg straight and gently pull the leg across your body. Then turn onto your side with the injured leg on top. Pick up your leg and pull it back behind you. Then slowly drop your leg behind you and let it stretch.

The last stretch is a very intense stretch and will hurt some people. If you have a noodle or foam roll, lie on your side with the injured side down on the roll. Gently roll/pull your leg up and down from the hip to just past the knee. 

 

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