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in Injury Prevention, Runners' Roundup, Running, Strength Training · April 16, 2025

Hip Internal Rotation for Runners: Why and How to Improve It

We all know that the hips are important for running. They can have a huge impact on our gait and can get tight or weak easily. Everyone talks about stretching and strengthening your hips, but often what we see is doing these things to focus on external rotation. A key piece of hip mobility and strength is from hip internal rotation. There are likely already things you are doing to work on internal rotation without even realizing it. However, paying a little more attention to this may help your hips to feel even better for running.

Hip internal rotation is a movement at the hip that allows the femur to move inward, towards the midline. It is important for runners to have enough internal rotation at the hips to ensure that the muscles around the hip are balanced, mobile, and stabile. Working on hip internal rotation can help prevent imbalances that can potentially lead to injuries and can help to ensure that the muscles around the hip are working efficiently.

When you think of exercises for your hips. what usually comes to mind? Often times it’s clamshells, side steps, or a pigeon pose stretch. While these are important, they are focusing on the external rotators of the hips. The hips move in 6 directions: flexion, extension, internal rotation, external rotation, abduction, and adduction. We want to have balanced motion from one side to the other in all directions.

What is hip internal rotation

Hip internal rotation is the movement of the thigh bone towards the body by rotating it at the hip joint. You can check your own hip internal rotation by laying down with your feet up and knees bent to 90 degrees. Take one foot and move it out to the side while keeping your knee in line with your hip. Then move it back to the starting position and try it on the other side. You can take a video while you do this to compare one side to the other. You can also check your external rotation by starting in the same way, but moving your lower leg inwards so that your hip externally rotates.

What movements use hip internal rotation

Hip internal rotation happens during alot of daily movements, including walking, running, getting in and out of the car, putting on pants. and more. When we are running our pelvis moves forward on the side we are leading with, which means the other side is moving back. In order for the back leg to stay pointing forward, we need to be able to internally rotate at that back hip as we move through the gait cycle.

Exercises that involve hinging at the hips also require internal rotation. If you struggle with proper form for a deadlift you may need to look into this. Some of the exercises below use a hip hinge to work on IR.

Why this is important for runners

As I said above, hip internal rotation is part of the gait cycle, and we use this movement all the time. If we don’t have adequate internal rotation at the hip our bodies will compensate in another way. If we are not finding true internal rotation at the hip then we will struggle to stabilize at the pelvis and will likely have imbalances around the hips.

Additionally, when we are running our hips help to push off the ground during the push off phase when our back leg is internally rotated. Lack of internal rotation will result in less power during that movement.

How to improve hip internal rotation

If you suspect you need to work on hip internal rotation there are some exercises you can do to address this. Even if you think your movement at the hips is fine, it’s important to incorporate these kinds of movements into your routine so that you maintain the mobility and stability to run efficiently and to keep your hip muscles balanced.

Mobility

Mobility is all about being able to move your joints through their full range of motion with control. It’s not the same as flexibility, although they can be related. As runners we need to have control of our joint movements, and this includes internal rotation.

To work on hip mobility for internal rotation you want to do movements that move the thighbone inwards towards the body. Here are a few examples.

90/90 Hip Rotations

Hip IR with movement

Hip IR with band

Stability

Along with having mobility in the hips, it is also important to strengthen the muscles that support hip internal rotation to provide stability. Here are a few exercises to try.

Hip Dissociation Technique, End Range Expansion Drill, Hip Hinge with IR

Standing hip rotations with band

Hip IR Biased Hip Hinge

Have you ever worked on your hip internal rotation?

You may also like:
8 Ways for Runners to Improve Mobility
Stretching for Runners: Do You Really Need to Stretch?
How to Increase Hip Extension for Stronger Running

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Now it’s time for the Runners’ Roundup! Link up your running and fitness posts below! Join myself, Coach Debbie Runs, Confessions of a Mother Runner and Runs with Pugs to post your favorite running tips, experiences, race and training recaps, workouts, gear, and coaching ideas.

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Reader Interactions

Comments

  1. Catrina says

    April 16, 2025 at 2:38 am

    I’ve never really focused on internal hip rotation before—but now I can feel it’s something I definitely need to work on!
    We do deadlifts and similar movements at CrossFit, but clearly, targeted exercises make all the difference—even when we think our hips are fine. Thanks for sharing all the videos, Lisa. They’re a great source of inspiration!

  2. Deborah Brooks says

    April 16, 2025 at 8:13 am

    My hips have always been tight and can be the source of injury for me if I do not do these types of exercises. I have hip mobility and stretches in my workout each week. It really can make a huge difference to add in these types of exercises. You have a few of my favorites here

  3. Debbie says

    April 17, 2025 at 9:30 am

    Such great information. I work on internal (and external) hip rotation on my stretch clients but I’m afraid not so much on myself. Off to try out that assessment!

  4. Jenn says

    April 18, 2025 at 11:08 am

    Yes! And we women carry SO MUCH in our hips.

    I often try to do similar movements as you shared when I’m just sort of hanging around. I should do it more, but I’m lazy. I always end up feeling so much better after I rotate though.

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Alright, my last post about the Richmond Marathon Alright, my last post about the Richmond Marathon (maybe). This one is about lessons learned/areas for improvement.

1) Starting in the right corral- I knew I wanted to start a little slow but I think I started too far back and I ended up boxed in later in the race. 

2) Increasing fueling- I think I did the best I could on this day but now that I know more about what works/doesn’t work for me I think I can try to get my carbs/hr a little higher for next time

3) Self-doubt- On paper I knew my training showed I could run a certain time. My coach knew I could run a certain time. But deep down did I believe I could run that time? I’m not really sure.

4) My right piriformis- This little muscle has been giving me trouble FOREVER and it likes to rear its ugly head the most during races. I’m working with a PT but it’s hard to address the issue when I can go months without any problems and then at mile 15 of a marathon it starts acting up. So while this is certainly an area for improvement I am not really sure what I’ll be able to do to keep it from happening next time.

5) Ignore the data leading up to the race- During race week my sleep scores were horrible, my HRV tanked, and my watch told me I was “strained”. I might just stop wearing it during the taper next time.

What lessons have you learned during a marathon or big race?

@richmondmarathon #racerecap
It’s been 5 days since the Richmond Marathon and i It’s been 5 days since the Richmond Marathon and it feels like a lifetime ago! I am working on my full race recap which I will post on my website but I wanted to share some reflections on here. Today I want to focus on what went well. Every finish line is an accomplishment, and while every race can teach us something I think it’s always important to focus on the positive.

First off, Richmond was a great race with amazing crowd support! There were some hills (a few steeper than I expected) but nothing crazy.

Fueling went well- after my train wreck of a run a few weeks ago I had to adjust my fueling plan and took out the Tailwind High Carb and went back to regular Skratch instead. I tried to make up for the difference with gels but my overall carbs per hour was a little less than it had been when using the Tailwind. I think I got about 65 g/hour so I’d like to get that up a bit next time but I didn’t get nauseous and took gels up until the end of the race.

Shoes felt good- during that same training run I had some top of foot soreness from my laces. I changed my lacing technique and had no issues on race day. 

Mindset- I did a lot of work preparing for the race mentally and was able to use those strategies during the race. I focused on one mile at a time and shifted my goals when I knew my original goal was not going to happen. 

Pacing- Even though I didn’t run my goal pace I was able to run fairly consistently without drastically slowing down at the end. 

Recovery- I felt pretty good following the race and wasn’t even sore anymore by Tuesday. This was probably the least sore I’ve been after a marathon.

Strong training cycle- this year I feel like I’ve been clawing my way back to where I was a year ago after several illnesses last winter and spring. I had a great training cycle with @lauranorrisrunning and I know I’ve made more progress than my race time shows.

Marathons are a huge investment so I really tried to make the most of the experience!

@richmondmarathon #racerecap
Happy Medal Monday! I can’t believe the Richmond M Happy Medal Monday! I can’t believe the Richmond Marathon was only 2 days ago. I’m barely sore (probably because I was trained for a faster time than I ran) and am feeling good.

I included a list of my marathon times on the last slide here, which I posted in my stories yesterday. I got some messages about how others can relate to feeling like their times “reset” at a certain point- whether it was after an injury, having kids, or just time off from running.

I think we can get so caught up in PRs that it may take away from the overall progress made in the process of training. Sure, there are runners who come back from having kids and immediately set a new lifetime PR. But many of us will need to chip away at our times to get to where we want to be.

Focusing on progress and the gains made in a training cycle vs a specific race time can help to keep things in perspective!

Now, I’m trying to figure out spring racing plans. What’s everyone running this spring?

#medalmonday
What a day! This race (and really, this week) was What a day! This race (and really, this week) was a rollercoaster. I knew pretty early on that my legs and my lungs were not feeling my goal pace. Each time I sped up it felt really hard- way too hard to not even be at 10 miles yet. So I just focused on running the effort that my body would allow. I used all the mental strategies I had to get through each mile. Ultimately, I wanted to run faster than my marathon last November, which I did by almost 2 minutes, making this a postpartum PR. More importantly, I smiled almost the whole time.

After finishing we had to rush to get out of our hotel room and spent the whole afternoon driving home. Over the past 2 days I’ve spent almost 10 hours in the car.

More to come soon…just hoping to get home and get some rest soon!

#richmondmarathon
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