Why Your Hips Feel Tight And How Physiotherapy Can Help
If you’ve noticed your hips feeling stiff, achy, or tight, especially after sitting for long periods or during exercise, you’re not alone. Hip tightness is incredibly common and can affect the way you move, sit, walk, and train. The good news? You don’t have to just “live with it,” and physiotherapy can help.
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Why Your Hips Feel Tight And How Physiotherapy Can Help
From runners and gym-goers to desk workers and parents chasing kids around, hip tightness affects people from all walks of life. When the hips stop moving well, the body finds ways to compensate and that’s often when discomfort, stiffness, or even pain begins to show up.
In today’s post, we’ll break down what hip tightness really means, common causes, when to seek help, and how physiotherapy can restore mobility so you can move freely again.
What Does “Hip Tightness” Actually Mean?
Many people describe their hips as:
✔ tight
✔ stiff
✔ blocked
✔ restricted
✔ sore
✔ “pinchy” in certain positions
This can show up in everyday activities such as:
Sitting cross-legged
Getting up from a chair
Squatting or lunging
Running, walking, or climbing stairs
Bending forward or rotating the leg
Sometimes hip tightness is muscular. Other times, it’s coming from the joint itself, the surrounding tendons, or even the lower back.
Common Causes of Hip Tightness
There’s no single cause, but these are some of the most common patterns we see in clinic:
1. Prolonged Sitting
Sitting shortens the hip flexor muscles over time, especially the iliopsoas, leading to stiffness when standing or moving. People who work at a desk, drive frequently, or spend long hours gaming or studying often experience this.
2. Muscle Weakness or Imbalances
Weak hip stabilisers (such as the gluteus medius) can cause other muscles to overwork and tighten in compensation. This is common in:
Runners
Weightlifters
Cyclists
New parents carrying young children
When one muscle group does the heavy lifting for another, tightness is almost inevitable.
3. Increased Training Load
Sudden spikes in running, lifting, or sports activity can overload the hip and lead to tightness, particularly around the hip flexors, TFL, and glutes.
4. Lower Back Contribution
The hip and lumbar spine share movement and nerve pathways. If the lower back is stiff or irritated, the hips often tighten as a protective response.
5. Reduced Joint Mobility
Sometimes the issue isn’t muscular, it’s joint-related. Restrictions inside the hip joint capsule can make motions like rotation or deep hip flexion feel blocked or uncomfortable.
6. Stress & Guarding
Believe it or not, emotional stress can show up physically. Many people hold tension through the neck, shoulders, and hips without realising.
Signs Your Hip Tightness Needs Attention
It’s worth getting assessed if you notice:
Pain or pinching during exercise
Discomfort sitting for long periods
Clicking or catching sensations
Stiffness when getting out of bed
Difficulty squatting or lunging
Tightness that isn’t improving with stretching
If tightness lingers for more than a few weeks, there’s usually an underlying driver beyond simply “being tight.”
How Physiotherapy Can Help
A physio assessment determines what’s causing the tightness, which is important, because treating every hip the same way doesn’t work.
Treatment may include:
✔ Soft tissue techniques
✔ Joint mobilisation
✔ Stretching and mobility drills
✔ Strengthening exercises
✔ Gait or movement retraining
✔ Load management advice
Once the true cause is identified, improvements are often quicker than people expect.
How Physiotherapy Can Help
If tight hips are holding you back, whether at work, in the gym, or at home, we’re here to help.
Book an appointment today and let’s get you moving comfortably again.
👉 Book Online: https://khyphysio.com.au/make-a-referral/
