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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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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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After my race on Sunday I was thinking about how my Kindergartner has been working for a special award all year long. Many times he has told me he just wants to give up, because he works so hard for months at a time and still hasn’t earned it. I keep telling him that if he keeps working hard he will earn it, but what’s most important is that he gives his best each and every day. All those good days add up and even if he doesn’t earn the award, it will mean he had a great year.

Don’t I need to take my own advice and remember that all the good training days add up, even if I don’t get the outcome I want on race day? Before my race he kept telling me to do my best, and that he would give me a prize (artwork) even if I don’t win. So maybe all the lessons I am teaching him are starting to pay off? #motherrunner #halfmarathon  #frederickrunfest
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