Hip Flexor Strain

What Is A Hip Flexor Strain? A strain is a stretch or tear or a muscle or tendon, a band of tissue that connects muscle to bone. The tendon may be inflamed. Inflammation of a tendon is called tendonitis. The hip flexor muscles allow you to lift your knee and bend at the waist.

How Does It Occur? Hip flexor strain occurs from overuse of the muscles that help you flex your knee or do high kicks. This injury occurs in bicyclists, athletes who jump or run with high knee kicks, athletes like soccer players who do forceful kicking activities and people who practice the martial arts.

What Are The Symptoms Of A Hip Flexor Strain? You have pain in the upper groin region where the thigh meets the pelvis.

How Is It Diagnosed? Your doctor will examine your hip and thigh. You will have tenderness at the muscle and tendon.

How Is It Treated? Treatment may include:

  • 1. Putting ice packs on the injured area for 20 to 30 minutes every 3 to 4 hours for 2 to 3 days or until the pain goes away.
  • 2. Taking anti-inflammatory medications prescribed by your doctor.
  • 3. Doing rehabilitation exercises to help you return to your activity.

 While you are recovering from your injury, you will need to change your sport of activity to one that does not make your condition worse. For example you may need to swim instead of of bicycling or running.

When Can I Return To My Sport Or Activity? The goal of rehabilitation is to return you to your sport or activity as soon and as safely as possible. If you return too soon you may worsen your injury which could lead to permanent damage. Everyone recovers from an injury at a different rate. Return to your sport or activity will be determined by how soon your hip recovers not by how many days or weeks it has been since your injury has occurred. In general, the longer you have symptoms before you start treatment the longer it will take to safely return to your sport or activity. You may start playing sports when, starting from the top of the list and progressing to the end, each of the following is true:

  • 1. You have full range of motion in the injured leg compared to the uninjured leg compared to the uninjured leg.
  • 2. You have full strength of the injured leg compared to the uninjured leg.
  • 3. You can jog straight ahead without pain of limping.
  • 4. You can do 45-degree cuts first at half-speed then at full-speed.
  • 5. You can do 20- yard figures-of-eight, first at half-speed, then at full-speed.
  • 6. You can do 90-degree cuts, first at half speed, then at full speed.
  • 7. You can do 10-yard figures of eight, first at half-speed, then at full-speed
  • 8. You can jump on both legs without pain and you can jump on the injured led without pain.


How Can I Prevent A Hip Flexor Strain? Hip flexor strains are best prevented by warming up properly and doing stretching exercises before your activity. If you are a bicyclist make sure your seat is raised to the proper height.

Hip Flexor Strain Rehabilitation Exercises: You can begin stretching your hip muscles right away by doing exercises 1 and 2. Make sure you only feel mild discomfort when stretching and not a sharp pain. You may do exercises 3, 4 and 5 when the pain is gone.

1. Hip flexor stretch: Kneel on both knees and place your uninjured leg forward, with the foot resting flat on the floor. From this position, lean forward at the hip and attempt to press your pelvis down toward the floor while slightly arching your back until you feel a stretch at the front of your hip. Hold this position for 30 seconds. Repeat 3 times.

2. Quadriceps stretch: Stand and hold onto a table or a counter. With the hand on your uninjured side, grasp the top part of the ankle on your injured leg and pull your foot toward your buttock until you feel a stretch on the front of your thigh. Hold this position for 30 seconds. Repeat 3 times.

3. Heel Slide: Sit on a firm surface with your legs straight in front of you. Slowly slide the heel of your injured leg toward your buttocks by pulling your knee to your chest as you slide. Return to the starting position. Repeat this 20 times.

4. Straight leg raise: Lie on the floor your back and tighten up the top of the thigh muscles on your injured leg. Point your toes up toward the ceiling and lift your leg up off the floor about 10 inches. Keep your knee straight. Slowly lower your leg back down to the floor. Repeat 10 times. Do 3 sets of 10.

5. Resisted hip flexion: Stand facing away from a door. Tie a loop in one end of a Thera-Band and put it around your injured ankle. Tie a knot in the other end of the tubing and shut the knot in the door near the bottom. Tighten up the front of your thigh muscle and bring your leg forward, keeping your knee straight. Repeat 10 times. Do 3 sets of 10.

All material provided is designed for information purposes only and should not be used to replace the care of a health care professional. Do not rely on any of the information for diagnosis or treatment. It is recommended that you visit a qualified health care professional for individual and personal attention.

What Is A Hip Flexor Strain? A strain is a stretch or tear or a muscle or tendon, a band

Hip Flexor Strain

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