If you’ve been struggling with tight hips, limited range of motion, or discomfort in activities like deep squats, walking, or athletic movements, you’re not alone.
A lack of proper hip internal rotation exercises can wreak havoc on your body, affecting everything from posture and athletic performance to injury risk in everyday movements. Additionally, for proper movement, your hips need to internally rotate, allowing your legs and pelvis to move efficiently and safely.
Whether you’re an athlete, a weekend warrior, or simply someone who wants to move and feel better, this article will introduce a specific movement exercise called an internal hip rotation. Additionally, this exercise could be the missing link in your mobility routine.
Why Improve Internal Hip Rotation?
The hip is a ball-and-socket joint built for movement in all directions—flexion, extension, abduction, adduction, and rotation. Internal rotation also often becomes limited, especially in people who sit a lot, due to tight hip flexors, weak gluteus medius, and underactive internal rotators.
Poor internal hip rotation can:
- Lead to lower-body injuries
- Limit squatting, lunging, and walking
- Strain the knees, ankles, and lower back
- Moreover, impair athletic performance and daily function
Improving internal rotation restores mobility, strengthens the hips, and enhances movement quality.
Hip Anatomy: The Mobility Engine
The hip connects your upper and lower body, enabling powerful and versatile movement. Additionally, its design allows for a wide range of motion, and muscles like the gluteus maximus [2] and medius stabilize and guide that motion.
When internal rotators and surrounding muscles are weak or tight, hip function suffers—leading to pain and limited movement. Strengthening and mobilizing these muscles supports better alignment, prevents injuries, and boosts overall mobility.
According to Dr. Kelly Starrett, DPT Doctor of Physical Therapy, co-founder of The Ready State, author of “Becoming a Supple Leopard” “Loss of internal rotation at the hip is one of the first red flags we see when assessing movement dysfunction in both athletes and everyday movers. It’s a silent limiter of performance and a common contributor to back, knee, and ankle pain. Restoring internal rotation isn’t just about the hip—it’s about restoring normal human function.”
Dr. Starrett emphasizes that restricted hip internal rotation often goes unnoticed but can drastically affect full-body movement mechanics. His work promotes mobility drills that restore rotational capacity to support strength, balance, and pain-free performance across all levels of activity, from elite athletes to aging adults.
Step-by-Step: Leg Rotations on the Wall (Internal Rotation Exercise)
This internal rotation exercise is simple, effective, and can be done anywhere—even while watching TV.
A. Starting Position:
- Lie on a mat with your legs straight up against a wall, making sure to keep each leg straight throughout the exercise. For optimal alignment, ensure your toes and shins are in a neutral position during the setup.
- Additionally, keep your knees bent slightly and your upper body relaxed.
- Spread your arms out to about 45 degrees with palms up—this helps release tension in the upper body.
Tip: To further challenge your hip mobility [1] or to isolate one leg, try performing the exercise with one foot off the wall. Additionally, this variation can help target specific hip muscles more effectively.
B. Movement Instructions:
- Separate your legs slightly to create space in the hip joint.
- Then, gently rotate both thigh bones (femurs) outward by moving your foot outward, then slowly rotate inward.
- Focus on movement from the hips, not your ankles or lower legs, and keep your thigh and knee in the same position while rotating the foot.
- Moreover, hold the end-range for a second or two to deepen the internally rotated position.
- Repeat 10–15 times in a controlled, mindful manner, and slowly lower your legs back to the starting position each time.
Tip: Place your hands on your thighs to feel the motion. Additionally, this gives you tactile feedback to ensure you’re isolating the hip movement.
Progression: Add Challenge and Range
To increase difficulty and boost hip mobility:
- Widen your stance against a wall to engage hip abduction and deepen the stretch.
- Then, expect a gentle inner thigh stretch and better control in your tighter hip.
- Add resistance bands or light weights to build strength.
- Include hip extension exercises like glute bridges to complement internal rotation work.
- Moreover, use unilateral moves to balance strength—lift the right foot, thigh, or leg during side-lying or single-leg work.
- Tools like yoga blocks or varied foot positions can further increase range and glute activation.
Additionally, for best results, add two hip rotation drills to your warm-up to prep your joints and boost mobility.
Why This Exercise Works?
- Isolate Hip Movement – It teaches your body to move the hip independently—great for rehab, posture, and athletic control. Moreover, practicing these hip internal rotation exercises helps build precise hip awareness.
- Low-Load, High-Gain – Gentle on joints, ideal for beginners, those also with limited mobility, or anyone easing back from pain.
- Balances Hip Strength – Most routines favor external rotation. Also, this corrects that imbalance to build all-around hip health.
Hip Pain Prevention: Your Mobility Armor
Internal rotation exercises protect your hips [3] by:
- Distributing movement forces evenly
- Preventing overuse injuries and joint strain
- Additionally, supporting dynamic actions like cutting, pivoting, and twisting
Think of internal hip rotation as insurance for your knees, hips, and lower back. Moreover, train it regularly to stay mobile, strong, and pain-free.
Quick Hip Health Tips
- Do internal rotation drills 3–4x/week
- Then, stay active—avoid long periods of sitting
- Add flexibility training (yoga, Pilates)
- Moreover, progress to squats and lunges as mobility improves
- Maintain a healthy body weight to ease joint stress
- Don’t ignore discomfort—intervene early
Final Thoughts
Strong internal hip rotation isn’t optional—it’s essential. Moreover, whether your goal is injury prevention, improving your squats, or alleviating pain, incorporating these exercises pays off.
Stay consistent, stay mobile, and your hips will thank you.
Want to take your hip mobility even further? Check out our Unlock Your Hip Flexors program for a complete, expert-designed solution to loosen tight hips and move pain-free.
FAQ’s
What is hip internal rotation, and why does it matter?
Hip internal rotation exercises are the movement of the thigh inward toward the body’s midline. It’s essential for everyday actions like walking, squatting, twisting, and athletic moves like pivoting. Moreover, poor internal rotation can lead to joint stress, poor movement patterns, and injury over time.
How do I know if I have limited hip internal rotation?
Common signs include:
- Difficulty sitting cross-legged
- Knees collapsing inward during squats
- Tight hips when lunging or rotating
- Knee, ankle, or lower back pain during activity
A mobility test or movement screen can confirm your range of motion.
Can improving hip internal rotation relieve pain in other areas?
Yes. Restoring this motion can reduce strain on the knees, ankles, and lower back by improving alignment and distributing forces more evenly during movement. Additionally, it often helps resolve nagging issues in runners, lifters, and desk-bound individuals.
How often should I train hip internal rotation?
Aim for 3–4 sessions per week, especially if you’re active or have mobility limitations. Consistency is key—start with low-resistance drills and progress to loaded or functional movements as your range improves
Do I need equipment to train internal rotation?
Not necessarily. You can start with bodyweight exercises on the floor or against a wall. Over time, tools like resistance bands, yoga blocks, or ankle weights can help deepen the stretch and increase strength.
1. The Impact of Hip Mobility on Lumbar and Pelvic Mobility before and after Total Hip Arthroplasty
by Youngwoo Kim 1,*,Claudio Vergari 2,3,Yu Shimizu 1,Hiroyuki Tokuyasu 4 andMitsuru Takemoto 1
J. Clin. Med. 2023, 12(1), 331; https://doi.org/10.3390/jcm12010331
Submission received: 15 November 2022 / Revised: 18 December 2022 / Accepted: 29 December 2022 / Published: 31 December 2022
2. The human gluteus maximus and its role in running
Available to Purchase
Daniel E. Lieberman
Corresponding Author
, David A. Raichlen, Herman Pontzer, Dennis M. Bramble, Elizabeth Cutright-Smith
Author and article information
J Exp Biol (2006) 209 (11): 2143–2155.
https://doi.org/10.1242/jeb.02255
3. Evaluation of the Patient with Hip Pain
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JOHN J. WILSON, MD, MS, AND MASARU FURUKAWA, MD, MS
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Am Fam Physician. 2014;89(1):27-34