Skip to main content

Emergency? Call 911

The Health InitiativeTelehealth in Puerto Rico
Book from US$35 (Doctor visit, US$69)

Telehealth menu

The Health Initiative
Book a visit

US$69Doctor visitCharged when you request

Guides

Hip mobility exercises: 8 moves for tight hips, step by step

Hip mobility exercises move your hip joint through its full, comfortable range with control. Eight simple moves, such as the 90/90 hip switch, the half-kneeling hip flexor stretch and the glute bridge, take about 10 minutes. Do them at least two days a week, hold static stretches 10 to 30 seconds, and work without pain. If your hip hurts after a fall, get checked.

Can we help by telehealth?SometimesIt depends on the evaluation.
US$69Doctor visit

Is it an emergency? Call 911.

Pay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.

See the cancellation policy

You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.

If you choose a time less than 24 hours away, it can't be cancelled or changed.

If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.

Is this an emergency?

This is not an emergency service. Call 911 or go to the nearest emergency room if you have:

  • Hip pain after a fall, especially if you can’t stand or put weight on the leg
  • A leg that looks shorter or turned outward after a fall
  • Fever with a hot, swollen or very painful hip
  • Sudden, severe hip or groin pain
  • Numbness or weakness in the leg, or loss of bladder or bowel control

Warning signs: when to go to the ER

On this page (14)

Why hips get stiff

Your hip is a ball-and-socket joint built to move in every direction: forward, back, out to the side and in rotation. On most days, though, many of us use only a small slice of that range. Long hours of sitting keep the hips bent, and many people notice tight hips, especially at the front, when they stand up. This is a common experience, not a diagnosis.

Age plays a part too. MedlinePlus notes that joints become stiffer and less flexible as we get older, and that exercise is one of the best ways to slow or prevent problems with muscles, joints and bones. The US Physical Activity Guidelines put it simply: move more and sit less.

Mobility is not the same as flexibility: flexibility is how far a muscle can lengthen, and mobility is how well you control a joint through its range. See mobility vs flexibility for the difference. If stiffness comes with swelling, redness or pain that doesn’t go away, read about joint pain first.

Before you start: warm up, stay pain-free, breathe

These five points apply to every move in this guide:

  • Warm up for 2 to 5 minutes. March in place, walk around the house or climb a few stairs. The American College of Sports Medicine (ACSM) notes that stretching works best when your muscles are warm.
  • Work in a pain-free range. A stretch should feel like mild tension or slight discomfort, never sharp, pinching or burning pain. A pinch at the front of the hip in deep bends is a signal to use a smaller range.
  • Breathe slowly. Breathe in through your nose and out slowly through your mouth. Many people find a long exhale helps them relax into a position. Don’t hold your breath.
  • Move slowly and with control. Mobility work is not about bouncing or forcing range.
  • Keep support nearby. A sturdy chair, a wall or a kitchen counter makes every move safer if your balance isn’t what it used to be.

1. 90/90 hip switch

Works hip rotation inward and outward, a range daily life rarely asks for.

  • Setup: Sit on the floor with both knees bent about 90 degrees and your feet flat, a little wider than hip width. Put your hands on the floor behind you.
  • Movement: Slowly let both knees fall to the right until the right leg rests on its outer side and the left leg on its inner side, both knees still bent. Pause, bring both knees back up through the middle, and lower them to the left.
  • Breathing: Breathe out as the knees lower; breathe in as they come up.
  • Reps: 6 to 8 switches to each side, slow and controlled.
  • Easier: Lean back more on your hands, or use a smaller range. If getting to the floor is hard, sit tall in a chair with your feet wide and let one knee drop inward, then back out.
  • Harder: Lift your hands off the floor and sit tall, or pause in each position and lean your chest gently over the front shin for 2 or 3 breaths.

2. Half-kneeling hip flexor stretch

One of the most useful hip flexor stretches: it targets the front of the hip, the spot many people feel after long hours of sitting.

  • Setup: Kneel on your right knee on a cushion or folded towel, left foot flat in front, both knees bent about 90 degrees. Hold a chair or the wall for balance.
  • Movement: Tuck your tailbone slightly under and squeeze your right buttock. Then shift your hips forward a few inches until you feel a stretch at the front of the right hip. Keep your back upright; don’t arch it.
  • Breathing: Slow breaths; with each exhale, let the front of the hip soften a little more.
  • Hold: 20 to 30 seconds, 2 or 3 times per side.
  • Easier: Do it standing: take a split stance holding a counter, back heel lifted, and tuck your pelvis the same way.
  • Harder: Raise the arm on the kneeling side overhead and lean slightly to the opposite side.

3. Glute bridge

Strengthens the glutes, the muscles that extend the hip, so you can use the range you gain.

  • Setup: Lie on your back with knees bent, feet flat and hip-width apart, arms by your sides.
  • Movement: Press through your heels and lift your hips until your body makes a straight line from shoulders to knees. Pause, then lower slowly.
  • Breathing: Breathe out as you lift, in as you lower.
  • Reps: 10 to 12 lifts, 2 sets.
  • Easier: Lift only a few inches, or do a standing version: holding a counter, squeeze your buttocks and push your hips gently forward.
  • Harder: Hold the top for 5 seconds, or do single-leg bridges with one foot lifted.

4. Supported deep squat hold

Takes the hips into deep bending while your hands help control your weight.

  • Setup: Stand facing a sturdy counter, railing or door frame, feet a little wider than shoulder width, toes turned slightly out. Hold on with both hands.
  • Movement: Sit your hips back and down as far as is comfortable, heels down if you can, knees pointing the same way as your toes. Use your arms to control the depth. Push through your feet to stand back up.
  • Breathing: Breathe slowly through the hold.
  • Hold: 20 to 30 seconds, 2 or 3 times.
  • Easier: Squat only as far as a chair seat behind you, or put a folded towel under your heels. If squatting bothers your knees, see knee pain.
  • Harder: Let go with one hand, or gently press your knees outward with your elbows at the bottom.

5. Standing hip circles (controlled articular rotations)

Slow, controlled circles that move the hip through its whole range. In fitness circles they are called controlled articular rotations, or CARs.

  • Setup: Stand tall beside a wall or chair and hold it with one hand. Shift your weight onto the leg nearest the support.
  • Movement: Lift the outside knee in front of you, open it out to the side, take it behind you and bring it down, drawing the biggest circle you can control without your trunk twisting or leaning. Then switch direction.
  • Breathing: Breathe normally; don’t hold your breath.
  • Reps: 3 to 5 slow circles in each direction, each leg.
  • Easier: Make smaller circles, or keep the toes of the moving foot on the floor and draw the circles with your knee.
  • Harder: Take about 10 seconds per circle and hold the support more and more lightly, or do them on hands and knees.

6. Figure-four stretch

Stretches the outer hip and buttock, including the piriformis area.

  • Setup: Lie on your back with knees bent. Cross your right ankle over your left knee and let the right knee open to the side.
  • Movement: Lift your left foot off the floor and draw the left thigh toward your chest, holding behind it, until you feel a stretch in the right buttock.
  • Breathing: Slow breaths; let your shoulders relax on the floor.
  • Hold: 20 to 30 seconds, 2 or 3 times per side.
  • Easier: Sit tall in a chair, rest your right ankle on your left knee, and lean forward slightly with a straight back.
  • Harder: Draw the thigh closer, or in the seated version bring your chest farther toward your shin.

7. Side-lying clamshell

Strengthens the side and back of the hip, muscles that help keep your pelvis steady when you walk.

  • Setup: Lie on your left side with hips and knees bent about 45 degrees, heels together and in line with your buttocks. Rest your head on your arm.
  • Movement: Keeping your feet together and your pelvis still, lift the top knee as high as you can without your hips rolling back. Pause, then lower slowly.
  • Breathing: Breathe out as the knee lifts.
  • Reps: 10 to 15 per side, 2 sets.
  • Easier: Make the lift smaller, or sit in a chair and press your knees outward against your hands.
  • Harder: Add a light resistance band just above your knees, or hold the top for 3 seconds.

8. Quadruped rock-back

Moves the hips into deep bending while your hands and knees share the load.

  • Setup: Get on your hands and knees, hands under shoulders, knees under hips, back flat. Put a cushion under your knees if you need one.
  • Movement: Slowly rock your hips back toward your heels as far as you can without rounding your back, then rock forward to the start.
  • Breathing: Breathe out as you rock back; breathe in as you come forward.
  • Reps: 8 to 10 slow rocks.
  • Easier: Use a smaller range, or do it standing: hands on a counter, step back and push your hips back as if taking a bow.
  • Harder: Widen your knees, or pause for 3 breaths at the back of each rock.

How often to do hip mobility exercises, and how long to hold

The American College of Sports Medicine (ACSM) recommends flexibility exercises for each major muscle group at least two days a week. For most adults it suggests holding a static stretch 10 to 30 seconds; older adults may get more benefit from 30 to 60 seconds. Aim for about 60 seconds in total per stretch, for example 2 to 4 holds of 15 to 30 seconds.

A 2016 systematic review found that the extra range from a single stretching session usually lasts less than 30 minutes, so consistency matters more than any one session. The CDC advises muscle-strengthening activity at least 2 days a week, and the bridge and clamshell fit there. How much and how fast your hips change varies from person to person; there is no guaranteed timeline.

Hip mobility for seniors: chair-supported options

According to the CDC, more than one in four older adults falls each year, and falls cause the large majority of emergency visits and hospital stays for hip fractures. The CDC advises exercises that make your legs stronger and improve your balance, such as tai chi. Hip mobility work fits alongside that, always with support:

  • Instead of the floor 90/90: sit tall in a chair and let one knee drop inward, then out.
  • Standing hip flexor stretch holding a counter, instead of kneeling.
  • Seated figure-four instead of lying down.
  • Hip circles with one hand on a counter, small circles first.
  • Standing up from a chair and sitting back down slowly; the CDC lists this as a balance activity.
  • Standing bridge: holding a counter, squeeze your buttocks and push your hips forward.

The CDC’s STEADI initiative helps doctors screen for, assess and reduce fall risk. If you have fallen in the past year, feel unsteady, or worry about falling, ask your doctor for a fall-risk check before you start a new routine.

Safety: when to skip a move and when to see a doctor

After a hip replacement, do not start any move on this page until your surgeon or physical therapist clears it. Precautions depend on the surgical approach; MedlinePlus lists common ones such as not crossing your legs, not bending the hip past 90 degrees and not turning the leg in or out. The 90/90, deep squat, figure-four, rock-back and hip circles conflict with those most directly.

If you are pregnant, check with your prenatal care provider first. MedlinePlus explains that a pregnancy hormone loosens ligaments and makes them easier to injure, so don’t force deep ranges, and ask whether exercises on your back are right for you later in pregnancy.

Stop if you feel sharp or pinching pain, groin pain, numbness or tingling down the leg, or pain that lasts after you finish.

See a doctor for hip pain after a fall, if you can’t put weight on the leg, for hip pain with fever, or for pain that wakes you at night. If a leg looks shorter or turned outward after a fall, call 911.

For pain that keeps coming back, read about joint pain, osteoarthritis and low back pain. If you are in Puerto Rico, you can book an online visit with Dr. Diana Nieves Castro, a general practice physician licensed in Puerto Rico; online visits are only for people physically in Puerto Rico.

In-person retreat in Puerto Rico

Want mobility coaching in person?

Mobility coaching is part of our in-person medical and wellness retreat in Puerto Rico. See what a typical day at the retreat looks like.

  • Five days starting November 15, 2026
  • Applications close November 5, 2026
  • 10 places in the first cohort
  • US$4,500 per person

Online visits are for patients who are in Puerto Rico at the time of the visit.

A 10-minute hip mobility workout

Put the moves together in this order; the warm-up is built in. Times are approximate; go slower if you need to.

  1. Minutes 0 to 2: warm up by marching in place or walking.
  2. Minutes 2 to 3: standing hip circles, 3 in each direction with each leg.
  3. Minutes 3 to 4: supported deep squat hold, 2 holds of 20 seconds.
  4. Minutes 4 to 5: 90/90 hip switch, 6 to each side.
  5. Minutes 5 to 6½: half-kneeling hip flexor stretch, 2 holds of 20 seconds per side.
  6. Minutes 6½ to 7½: quadruped rock-back, 8 rocks.
  7. Minutes 7½ to 8½: figure-four stretch, 30 seconds per side.
  8. Minutes 8½ to 9¼: side-lying clamshell, 10 per side.
  9. Minutes 9¼ to 10: glute bridge, 10 to 12 lifts.

How we care for you

  • We evaluate, diagnose and treat; if needed, we give you a lab order for a lab near you.

  • We see adults and children of all ages. Patients under 21: a parent with patria potestad (parental authority) or a legal guardian is on camera for the whole visit and shows photo ID.

  • Real-time video visit. We send you a secure video link. It works on your phone, tablet or computer.

  • If appropriate, the doctor prescribes and we send your prescription to your pharmacy.

  • You must be physically in Puerto Rico during the visit (visitors, tourists and cruise passengers are welcome).

  • In an emergency, call 911.

Frequently asked questions

How long does it take to improve hip mobility?

It varies. Your starting point, age, activity level and consistency all matter, and research doesn’t give a reliable timeline. One session gives a short-lived boost; flexibility work at least two days a week, as the ACSM recommends, is a sensible floor. Track something simple, like how low you can squat comfortably, and judge progress over weeks, not days.

Are hip mobility exercises good for back pain?

They may help some people, but the evidence is about exercise in general rather than hip moves in particular. The American College of Physicians recommends exercise, tai chi and yoga as first-line options for chronic low back pain. Start gently, and check the warning signs on our low back pain page.

Should I stretch if my hip hurts?

Mild stiffness that eases as you move can usually be worked gently in a pain-free range. Sharp or pinching pain, groin pain, pain that lasts after you stop, or pain after a fall is different: stop and get checked. Hip pain can also come from your back or from arthritis.

Can seniors do hip mobility exercises?

Many can, with support. Use the chair-supported options, hold a counter for standing moves, and start with a small range. The ACSM notes that older adults may benefit from holding stretches 30 to 60 seconds. If you have fallen in the past year or feel unsteady, ask your doctor for a fall-risk check first.

How do I know if my hip flexors are tight?

A common sign is a pulling feeling at the front of the hip when you stand up after sitting or when you take a long step back. That is a clue, not a diagnosis: a doctor or physical therapist can measure your hip range. If what you feel is pain rather than tightness, get checked.

Is yoga good for hip mobility?

Yoga can be a good way to move your hips through their range, and NCCIH notes that most studies in one review found yoga improved at least one measure of balance in healthy people. Injuries do happen, and emergency visits for yoga injuries are more common in people 65 and older, so choose a beginner class and modify poses. If you are pregnant or have a health condition, talk to your provider first.

Video visit

US$69· Doctor visit

Video doctor visits 24/7 — book online and choose your time right away.

Pay now, then choose your time right away. Full refund if you cancel 24 hours or more ahead.

See the cancellation policy

You can cancel for a full refund or change the time up to 24 hours before your visit. Within 24 hours you can't cancel and there's no refund. If you don't join in the first 10 minutes, there's no refund.

If you choose a time less than 24 hours away, it can't be cancelled or changed.

If the clinic can't see you, for example because of a technical problem on our side, we refund you in full.

  • Doctor licensed in Puerto Rico (24027) Verify (opens in a new tab)
  • Visits are not recorded
  • No insurance needed
  • Secure card payment (may include Apple Pay or Google Pay)

Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)

About this page

Author: The Health Initiative

Medical care provided by Dr. Diana Nieves Castro, MD (PR license 24027)

Disclosure: Founding Executive Director of The Health Initiative

Published: 2026-10-09 · Updated: 2026-10-11