Hip mobility is key to the health of the spine. When we lack the motion at our hip joints, the spine will take up the slack by moving into flexion or extension. Here I am trying to lift my leg backward. Compare the two pictures. You can see the increase of the lumbar curve on the left, this is called extension. This creates compression and degeneration of the tissues and tension in the back muscles. This picture on the right shows my true hip motion without compensating by getting more motion through my spine. Now, here I am lying on my back with my knees bent. On the pic on the top, the dots demonstrate having a level pelvis. As I bring my knee toward my chest, I moved past my actual motion at my hip joint and my pelvis tilts posterior or toward the floor. This action creates flexion at my spine and places more stress on the lumbar discs making me more susceptible to a disc herniation or degeneration. Restore mobility to your hips, and save your spine from wear and tear from all that extra motion! Below are 10 of my favorite Restorative Exercises™ to free up the hips and the spine! Unless stated otherwise, hold the stretch for one minute each side. Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
103 Comments
alexa kim
10/5/2012 05:13:38 am
This is a great sequence. Your pictures and cues are very clear. Thanks very much!
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Susan
10/5/2012 08:22:09 am
Thanks Alexa!
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April Storms
10/5/2012 05:56:29 am
This is a fabulous post! My son has been experiencing some hip pain when golfing, he and I will be doing this sequence together.
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Susan
10/5/2012 08:23:33 am
I would love to hear what happens to his golf game once the pain goes away!
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Susan
3/9/2016 11:47:35 am
Hi Holly, 10/5/2012 07:54:28 am
I'm going to share this with my friends. Your stretches and classes keep my hip flexor from flaring up even when I spend lots of time on my bike. Thanks Susan.
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Susan
10/5/2012 08:24:45 am
Thanks. Consistency pays off!
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Lisa Gillispie
10/5/2012 09:42:50 am
Really helpful post Susan! Look forward to doing this sequence.
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gal gery
10/6/2012 03:34:27 am
can these exercises potentially help with diastasis recti? especially seperation at the lower abdominal area? thank you!
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Susan
10/7/2012 09:27:40 am
Yes. Hip motion is crucial for core stability. There are many factors to the cause of diastasis recti: alignment and how the core stabilizers are working together also contribute. Learning to stack it up in standing and getting your diaphragm, pelvic floor, deep abdominal muscle and deep back muscle integrated is key. Check out these two links to give you more info on this:
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gal gery
10/8/2012 02:36:02 am
thank you for that.
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Susan
10/8/2012 02:58:29 am
Gal,
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gal gery
10/9/2012 01:12:26 pm
thanks alot, i will check them out.
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Annie
10/13/2012 02:16:36 pm
I really enjoyed this sequence. Just a question - do we need to do it in that order?? After finishing, the front of my hips felt 'compressed', so I did the first couple of hip opening exercises again.
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Susan
10/14/2012 03:20:11 am
Annie,
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10/20/2012 02:51:54 am
Love this whole sequence, I have very wacky hips and this helps alot. thank you.
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Heather
11/5/2012 11:02:47 am
I had a baby 5 months ago and my friend suggested these exercises after I was complaining of tight hips. I just got through the sequence and it was really uncomfortable and almost painful to do some of these releases. My back felt like it arched very high when I tried doing the butterfly release with my legs and the psoas release. Could this be due to my hips just being really tight or could I be doing it wrong?
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Susan
11/5/2012 11:47:21 am
Heather,
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Heather
11/5/2012 12:06:01 pm
Thanks for the information. I would love to attend your class....but I live in Albany, NY! Thanks again :)
Sihem
4/8/2013 06:07:10 pm
Hi,
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Susan
4/9/2013 02:55:06 am
Sihem,
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Sihem
4/13/2013 02:00:37 pm
Thanks Susan, I will follow your instructions, actually I doubt that my back pain is caused by the epidural, as the injection site is still tender and I feel the pain is mostly in the morning after I wake up and when standing only, when sitting I feel nothing, but cant stand standing for 1 mn specially in the morning, sorry I am so confused. but thank you again for the information.
sihem
4/13/2013 02:01:43 pm
Thanks Susan, I will follow your instructions, actually I doubt that my back pain is caused by the epidural, as the injection site is still tender and I feel the pain is mostly in the morning after I wake up and when standing only, when sitting I feel nothing, but cant stand standing for 1 mn specially in the morning, sorry I am so confused. but thank you again for the information.
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Kay
4/16/2013 05:09:35 am
I have a torn ligament ... connects my sacrum to my pelvis on the left side. This happened about 8-9 years ago. The only thing the dr. told me was not to do sit-ups and "you don't want it to tear completely in two." :-\ I was given a "hip belt" to wear when doing housework or other movements that might compromise the area. I have occasional flare-ups in my left hip. Taking flexoril helps relax the area, but I need to be able to keep everything in alignment. Will I be able to do these exercises without harming the ligament? Or can you recommend others? I am considering Tai Chi, but cannot find a class in my area yet.
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Susan
4/18/2013 01:37:00 am
Kay,
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Kay
4/18/2013 07:46:33 am
I was never sent to a PT or MT. Can't say I got the best of medical care. The Dr who assessed the MRI wasn't even a MD. I am seeing a PT now but for my trigger thumb, not my back.
Yonha
7/26/2013 08:37:44 am
I'm a soccer player and I had an MRI back in 2009 on my back that showed I have a buldge disc in my L5 I've had two chortozone shots for the pain back in 2010. I'm currently doing physical therapy, which has reduced my lower back pain but I still can't straighten my right leg an lift it more than a few inches without feeling pain. What's your opinion on that? I haven't had an MRI since
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Susan
7/27/2013 01:10:38 am
Yonha,
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Susan
9/5/2013 12:03:25 am
Hi Carolyn,
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9/6/2013 09:48:12 pm
This is beneficial excises tip for all person.i did some excise which is awesome.
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james
9/11/2013 06:59:22 am
i did the excercises and could feel my hips trying to realease but they never did. i have had lower back pain and been to a chiropractor over the last several years. he says it is my hips out of alignment but i can't seem to get them back right. is this something that repetition my correct?
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Susan
9/11/2013 07:22:43 am
James,
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Hannah
10/9/2013 06:56:46 pm
I have been suffering with back pain for the last 10 months since the birth of my second child. Could these excercises help with this?
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Susan
10/9/2013 11:04:24 pm
Hannah,
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Christina
10/28/2013 05:13:47 am
I am trying to do these stretches because my hips range of motion is limited before it starts becoming very painful. I think they are misaligned or something.
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Susan
10/31/2013 07:51:52 am
Cristina,
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Maristella
11/9/2013 01:45:02 am
Hi Susan,
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Susan
11/9/2013 06:17:42 am
Maristella,
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bill blair
4/3/2014 02:08:11 pm
If there is hip pain caused by siatic nerve pain following disc bulging
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Susan
4/5/2014 11:24:06 am
Bill,
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Kristin
4/7/2014 11:33:56 am
I recently went back to a desk job and was ready to call a chiropractor, which i have always refused to do. Instead i looked online and found this and I'm feeling instant relief! This will probably be a daily routine for me!
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Susan
4/7/2014 12:49:05 pm
Kristin,
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Kristin
4/9/2014 10:54:15 pm
Hi! I've been following you for a short while. I like your posts!
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Jamie Dickson
5/29/2014 09:02:03 am
I experienced a fall a few years ago - I fell while snowboarding and landed on my backside. My tailbone was quite painful for about 4 weeks. After the pain went away, I found that when I clenched my butt-cheeks, the tailbone would pop like a joint. Anyway, to get to the point, I went running last April in an effort to get some exercise in order to start losing a bit of weight. After about 10 minutes, the pain I started to experience in my right pelvic region was unbearable. I was unable to see a doctor, so I rested an saw a physio a few weeks later. Someone suggested, not the physio, that I might have some SI joint trauma - it was weakened by the initial fall. The muscles get very very tight and my motion is quite limited for the first 15 minutes in the mornings.I get pain roughly where the SI joint is and also pain through to the groin area with sciatica-like pain radiating down the back of the right thigh.
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Susan
9/22/2014 12:04:09 am
Jamie,
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sandeep tiwari
6/21/2014 02:34:13 am
Dear susan
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craig
7/11/2014 02:50:42 am
recently went to get xrays on my spine. Slightly out of alignment and I'm wondering how often i need to stretch (4 times per week?) in order to see results. Also, I'm sure it varies by person, but how long until we can expect to see results?
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Chris
8/3/2014 12:29:15 am
Hi Susan,
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Susan McLaughlin
8/6/2014 03:46:56 am
Chris,
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Eugene
9/21/2014 08:24:42 pm
How many times a day should we do these exercises if we have a serious psoas problem?
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Susan
9/22/2014 12:00:23 am
Eugene,
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Susan
9/23/2014 12:05:50 am
Carol,
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Sharon Peralta
11/4/2014 04:55:26 pm
I am having problems with spine alignment, particularly pelvis and neck. These problems seem to affect my walking and thighs and calves feel tight all the time. Would these exercises benefit me? I have been unable to exercise and now things just feel as if they are getting worse instead of better.
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Susan
11/4/2014 10:58:48 pm
Sharon,
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Sharon
11/5/2014 09:02:31 pm
Further to what I said yesterday, I wanted to tell what happened. I have suffered with a misaligned spine since my teens. Despite this, I was sporty and even rowed competitively in my 20s. About 6 weeks ago, a neck manipulation went wrong and I hurt my SCM, causing pain, numbness and dizziness. The back especially pelvis, has lost all equilibrium and been shot to hell. Pain and problems walking and tense legs. I've seen a McTimoney chiropractor for last 4 weeks but seen no improvement except that neck seems better. For someone previously v active, I'm in hell. I was wondering if your exercises would help me and should I ditch the chiropractor. I've never been so bad for so long. Ever!!!
Susan
11/6/2014 01:37:14 am
Sharon,
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Carolyn
1/29/2015 07:26:53 am
Your exercises were an absolute godsend when I was away from home on a trip. My hips went out of alignment and I, obviously, wouldn't have been able to see my chiropractor. I turned to the internet and found your sequence of exercises, which put my hips right back into balance. Thank you so very much!
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Susan
1/29/2015 07:43:39 am
Carolyn,
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trasi
3/31/2015 01:55:18 pm
I have had 2 lower lumbar fusions, the last one being about 2&1/2 months ago. since then I have had a lot of pain in my hips, especially when laying in bed at nite. my surgeon says that my hips aren't aligned right, that one sits higher than the other. with having to go through this surgery for now a second time I am very cautious as to what I do.. while I'm walking like the doctor suggests, its not helping my hips any. So are these exercises safe for me to do? Will they help my hips without messing up the healing of the fusion?
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Susan
4/1/2015 01:58:57 am
Trasi,
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Holly
5/17/2015 12:19:40 pm
I like the look of the exercises. Before I start, I had both hips replaced. 1st in NOv and 2nd in Dec. So it has been less then 6 months. My Dr. said I am free to do anything. My biggest problem is squatting down to get in cabinets, or planting flower in the ground. I can't get back up. Think I need some exercise somewhere. ( I am 75 and in good health otherwise, other than arthritis and I have scoliosis in my back. I just keep going and I have a part time job. maintain my lawn and house etc.
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Pravin Patil
6/2/2015 06:08:50 am
I have pain in my lower back and right leg occasionally and I can't make free moves. Experiencing it past 2 years. Visited a orthopaedic and chiropractor but still it is not getting resolved. Recently had an x-ray Dr. Says your spine is normal. I am doing your exercises past two days feels relief for couple of hours but then its the same situation may be it will take time.
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Susan
6/2/2015 06:07:55 pm
Pravin,
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Pravin Patil
6/2/2015 08:54:44 pm
I am doing Allign integration & movment is it the correct exercise for me
Pravin Patil
6/3/2015 05:55:39 am
Thanks susan
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brittany
8/26/2015 11:58:45 am
Is it normal to have pelvic cramping while laying on the block
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Susan
8/26/2015 12:24:30 pm
Brittany,
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Angela
10/1/2015 11:55:05 am
Susan,
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Susan
10/1/2015 12:18:35 pm
Hi Angela,
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Rachel
12/3/2015 08:08:46 pm
Great post! Question about the exercise with the half dome or block between your knees. What do you mean by rotate hips as feet move away. Do you mean lower the feet but maintain stability in the pelvis and ribs? Wasn't sure. thanks!
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Susan
12/4/2015 08:29:31 am
Hi Rachel,
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Terra
2/9/2016 07:39:12 am
Hi Susan, I just wanted to let you know that I sent this link to an older friend who is in her 70s, and had been having a lot of hip and back pain. Her chiropractor had told her that her legs were extremely uneven, one was shorter by inches. She faithfully did them twice a day and told me that it has helped her tremendously, more so than anything else, and that when she had a follow up with her chiro, her legs were nearly even. She's super pleased and has kept up with it and recommends them to everyone she knows. Pretty amazing, just wanted to say thanks. (I'm in the certifying RES program - I had an awesome skype session with you in Oct.)
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Terri
2/9/2016 10:49:58 am
On the very last ex what muscles are you stretching?
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Susan
2/9/2016 10:59:04 am
This is a pretty general hip stretch.
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Rebekah
2/13/2016 05:33:07 pm
Hi Susan,
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Susan
2/15/2016 11:21:32 am
Rebekah,
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Rob
3/1/2016 02:42:15 am
Hi Susan, I've been battling with my back and pelvic torsion for about 5 yrs now. I regularly have trips to the chiro on a weekly basis to have my back and pelvis put back into place. I'm an ex semi pro cyclist, as soon as I do any form or long sitting or exercise, I'm in pain plus my left side of my pelvis rotates forward.
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Susan
3/1/2016 10:08:20 am
Hi Rob,
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3/14/2016 07:27:53 pm
I have seen exercises like this for misaligned hips but I need something to make one leg straight. It was turned side ways when I was young and hurt my arch and not I'm trying to turned it back straight. People have said it is just muscle memory. It is not noticeable because I always focus on it to make it straight. Can you help?
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Susan
3/14/2016 07:46:36 pm
Daniel,
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Carissa
3/18/2016 09:59:05 pm
Hi Susan,
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Susan
3/19/2016 12:43:20 pm
Hi Carissa,
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Linda
6/2/2016 05:09:46 pm
Susan, How would I find someone in Ventura, Ca, who has similar qualifications as you do? I am dealing with sciatica and a possible herniated disc at L-5, S-1. I like the combo of PT & restorative exercise specialist that you bring to this work. Thanks!
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Susan
6/4/2016 06:47:15 pm
Hi Linda,
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Aishwarya
8/26/2016 07:45:41 am
Hey Susan!!
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Susan
8/26/2016 09:44:41 am
Without being able to assess your mobility and movement, it is impossible for me to know if these exercises would be suitable for your condition. It would helpful to work with someone in your area in order to address your specific needs. Susan
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Bryan
11/13/2016 11:53:39 pm
For a while now I've been having a weird feeling in the left middle part of my spine area, it feels like it needs to be popped, like an uncomfortable out of place feeling. There's usually no pain just that out of place feeing. Although I've had a few "flare-ups" at random times where I got bad pain that hurt to move or even breathe, and I would lay down for 10-20 minutes until it died down, then with ibuprofen it would be fine. So I've been looking online for what it could be. I tried all these exercises just for good measures but I truly think a chiropractor may be my best bet. I'm hoping it's nothing major and a visit with one can maybe just pop it or align it back in order and relieve me of this discomfort. I lift weights almost everyday and this issue is keeping me from trying to go too heavy in fear of bringing on an even worse problem out of it.. does that feeling sound like anything familiar to you?
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Susan
12/6/2016 07:51:50 am
Yes, that feeling sounds like tension to me. Best, Susan
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Colleen
12/5/2016 07:53:40 pm
I went to Physical Therapy for Sacroiliac Joint dysfunction. Received best exercises for hips, lower abs and glutes with some of these shown in your photos. I know I need to do 4 x/week to stay on top of it. No aches or pains in past 10 months. Thanks for sharing these.
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Susan
12/6/2016 07:52:40 am
Thank you for your feedback! I bet it feels good not to have aches and pains! Susan
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Ute
1/31/2017 05:19:38 pm
Are these safe for someone with very little cartilage left in the hip?
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Susan
2/1/2017 07:56:45 am
Ute,
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Teri
3/24/2017 07:33:55 am
I've been trying to get accurate diagnosis of injuries post boating accident and was recently informed I have scoliosis. This wasn't a known issue, but since the accident my spine has felt our of alignment, muscles along the spine don't activate like they used to, and I've had a lot of pain. These exercises feel good, accept the hip flexor results in outer left hip pain & a numb left foot and I'm unable to lower my right shoulder to the ground for the 2nd thoracic stretch. Is adult scoliosis reversible? Are these exercises appropriate? Suggestions for others?
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Priya
7/7/2018 10:08:48 am
Hi Susan i am not able to do the knee to chest on left side post spine decompression surgery. I sm relieved of sciatica but have developed some pain in left gluteal region. Its just a month after surgery. I am otherwise mobile and doing fine. Can u tell me why i am facing this pain
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12/3/2018 11:06:56 pm
Certainly the case for people with arthritis, many of whom tend to avoid exercise when a hip, knee, ankle or other joint hurts. ... Taking a walk on most days of the week can actually ease arthritis pain and improve other symptoms. It's also good for the heart, brain, and every other part of the body.
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Erica
7/3/2020 07:08:41 pm
This is very helpful. I came across this site as my right hip is numb. I was looking for a way to elevate my hip. A block under the sacrum does the trick and feels good. Right now it hurts me when I pull my knee to my chest so I will return to these poses later. Right now, trying to figure out how to get rid of numbness, possible bursitis.
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Ginger
8/1/2024 01:24:01 pm
Do you have a video of these exercises? I have an unaligned spine and hips will these be ok to do?
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