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The One Stretch That Can Help You Avoid Lower Back Pain

As you may already know, I’m not the biggest fan of static stretching.  Which is why you won’t see any photos or videos of me doing any static stretching in my book or website.  But, there is one static stretch that I do like.  It’s a Hip Flexor Stretch. 


What the heck is a hip flexor and what does it do?

Your hip flexors are large muscles that attach your upper femur (thigh bone) to your lumbar spine (low back).  These are large and powerful muscles that allows you to flex your hips and are used anytime you lift your foot off the ground like walking, running, riding, kicking, etc.  They’re also used in movements that require you to flex your torso from your hips when your feet are planted on the ground, such as squatting or bending over.  And of course, they’re used when doing traditional abdominal exercises like sit ups, leg raises, v-sit ups and so on.  Believe it or not, they’re even used when you’re sitting down or driving!  So, if you spend 9 to 5 sitting at a desk and spend an additional hour or more driving to work and from work, your hip flexors are getting a lot of use.  

Now, each muscle in your body has opposing muscles—these are called agonists and antagonist muscles.  For instance, your biceps (agonist) opposes your triceps (antagonist), or you quads (agonist) opposes your hamstrings (antagonist).  So the  opposing muscle for your hip flexors (agonist) are the hip extensors (antagonist) which is a group of muscles made up of your glutes, low back and hamstrings.  A gross imbalance between your agonists and your antagonist muscles can lead to injury.  And one of the leading causes for low back pain is the imbalance between the hip flexors and hip extensors. 

How your hip flexors can wreak havoc on your spine, causing lower back pain

When your muscles get overused, they start to shorten and lose their ability to fully lengthen and contract.  This eventually leads to a chronic shortened state.  By shortened, I mean they’re more active (since the muscles are in a semi-contracted state).  This leads to a lengthening of the opposing muscles, which in this case are your hip extensors.  When your muscles lengthen, they become weaker since they’re less active or are in a less contracted state.  So you can see what eventually happens…  the shortened muscles get strong while the opposing muscles get long and weak.  

Your pelvis acts as a fulcrum and depending on you posture, the shortened hip flexors will exacerbate your posture.  There are essentially two types of postures that cause low back pain when your hip flexors are overactive. 

- The first type of posture is especially common in women.  I call it  the high heel posture or the sway back - it’s when your low back sways back and the butt gets accentuated.  This posture may enhance the curves, but it’s not ideal for your low back.  In this posture, short hip flexors will compress the spine.  People with a sway back have a hard time activating the hip extensors since their hip flexors are too strong. 

- The second type of posture is “butt tuck”.  This is more common in men and in taller women who are uncomfortable with their height.  You stand with your butt tucked in, head jutted forward with a rounded upper back in a slouched position.  In this posture, a shortened hip flexor will lengthen your low back muscles, make your hip extensors weak—making you more prone to lower back injuries. 

How to alleviate your lower back pain with one easy stretch

To put it simply: Lengthen your hip flexors and strengthen your hip extensors.  One way is to lengthen the hip flexors is by static stretching.  Although there is no solid evidence that static stretching permanently lengthens the muscles, there is strong evidence that static stretching temporary lengthens the muscles and dampens the “active” nature of these shortened muscles.  Immediately following the stretch and during the short window that “dampens” your hip flexors, you want to stimulate your hip extensors by doing simple hip extension exercises such as bridges to “reactivate” your hip extensors.  This process will help counter act the overactive hip flexors by lengthening it and strengthening your hip extensors.  By bringing the correct balance back to these opposing muscles, you will help alleviate low back pain and reinstate a healthy state of balance.

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About The Author

Shin Ohtake is a widely recognized strength coach and fitness & fat-loss expert. His unconventional, no-nonsense approach to getting fit has made him the go-to source for fitness enthusiasts and trainers alike. Shin is also the author of the world famous, MAX Workouts book, which has transformed and reshaped the bodies of thousands of people across the globe - without requiring hours in the gym. To learn more about how MAX Workouts can help you achieve your fitness goals, visit maxworkouts.com.
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15 Comments

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schmadrian says: 04/07 06:59 AM

Excellent stuff.

I do a variation of this stretch in my rehabilitation of my current PfPS (patellofemoral pain syndrome) predicament: in mine, the front knee is supported by cushions, the back foot’s instep rests on the seat of a wooden chair. Some great processes going on there!

(My favourite stretch is the Scorpion; so glad I came across it!)

Laura Scotten says: 04/07 06:59 AM

Dear Shin,
Thank you so much for sharing the Hip Flexor Stretch video. I’ve been in discomfort for over a year, and spent over $1,500 with DRs and Physical Therapists, on MRIs, arch supports, medications, etc… The only thing that helps is stretching and massage, but I was never able to determine the actual problem until after seeing your video. It now makes perfect sense! I do sit and drive about 9 hours of each day, I’m moderately active, but that being said the answer is stretching. Stretching is very good, especially for someone like me who works a very stressful, sedentary job.

Many thanks for your help! Wish I saw this video a year ago.

Best,
Laura

Zaar says: 04/07 07:01 AM

Another good one is to start standing hip-width apart. Slightly bend your left leg, cross your right leg behind your left leg as far as your body will let you while keeping your hips square (facing forward), and stretch your right above your head and lean your torso slightly to the left side. You’ll feel it immediately. Don’t forget to hold the abs tight to prevent toppling over!

I love these stretches!

Carmel says: 04/07 07:05 AM

Is there a variation of this exercise standing up? Most of my clients are elderly.
Thanks

schmadrian says: 04/07 07:07 AM

What Zaar suggests is part of my broad ITB routine; Shin, maybe you could do a video on the importance of tying everything together?

Shin Ohtake says: 04/07 12:06 PM

Zaar,

Great stretch for the ITB (Iliotibial Band)!

susan says: 04/07 12:09 PM

This is a GREAT stretch.  My hip flexors tend to get really really tight .  I need to do this one more often!

Shin Ohtake says: 04/07 12:10 PM

Carmel,

You can do the same stretch in a split stance position. Everything else stays the same except.  Your foot of your trailing leg will have to be on your toes to enable the stretch.

Shin Ohtake says: 04/07 12:13 PM

Schmadrian,

Good idea.  Maybe in the future post I’ll put everything together : )

Ronnie Robinson says: 04/07 12:44 PM

Thanks for the video Shin. I workout on the Elliptical Machines. That works the old hart rate 138 to 142. than work out with the nautilus machines after that I swim laps.———PS listen to your body it talks to you all the time.

JONAH BAILEY says: 04/08 02:09 PM

Shin, hey thanks again.Back pain has been a problem for me for years! Thanks once again for your tips on staying healthy and fit! Peace cool smile  cool smile

Gabby says: 05/24 08:01 AM

This is the BEST strech ever!
Thank you Shin!!

margie says: 07/21 03:18 PM

thanx Shin for this particular exercise - I know of someone very close who could use this exercise

rgds
fj

Micha says: 08/09 07:16 AM

Shin, I just started last week and was looking through the archived articles when I came upon this one and after watching the video and your explanation, I think this may be the answer to the tightness I always feel in my lower back, just above my left cheek. I do sit at a desk 8 hours a day and had not been exercising for quite some time. when I would stretch (only because of that tightness) I had been trying to find a position that would target that area, but nothing felt like it was really hitting it. As I watched your video and did it along with you, I was amazed at how all of the muscles in that whole area felt and I do believe this stretch will take care of it! Question: should I do this stretch everyday as soon as I get home so I can counteract the daily affects of sitting so long?
Thanks, Micha.

Shin Ohtake says: 08/09 02:10 PM

Hi Micha,

Yes you can definitely do this stretch on a daily basis.  I think that will be very helpful for you!
smile

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