Joanie · Fitness and weight

Psoas and hip flexors: what they do, how to stretch

“Psoas”, “hip flexor stretch”, “piriformis”: these deep muscles raise questions. This guide says where they are and what they do, based on anatomy references, then presents two stretches from British hospital handouts and the American College of Sports Medicine benchmarks.

By Joanie Roussy — certified NOOM coach; certified Strong Nation™, Zumba®, Zumbini® and CIRCL Mobility™ instructor; Shinkyokushin black belt karateka, sempai and director of the dojo. Her story.

01The short answer

The psoas starts at the lumbar vertebrae and attaches to the thighbone; with the iliacus, it forms the iliopsoas, the primary muscle that flexes the thigh, meaning it brings the knee forward and up. The rectus femoris, one of the four heads of the quadriceps, also flexes the hip. You stretch the front of the hip kneeling, in a lunge, leaning slowly forward. For adults, the American College of Sports Medicine advises holding a stretch for 10 to 30 seconds (30 to 60 seconds for older adults), at least 2 to 3 days a week. To get moving every week, Joanie Roussy's women's classes are at noon: the first week is free.

02The psoas, plainly

According to the medical reference StatPearls, the psoas major originates from the lumbar vertebrae; it joins the iliacus, and both insert onto the lesser trochanter, a bump near the top of the thighbone. Together, with the psoas minor, they form the iliopsoas, which StatPearls describes as the primary flexor of the thigh. The psoas also helps stabilize the lower back when sitting.

Flexing the hip is the movement of bringing the knee up: to walk, climb stairs, run. In karate, it is also the movement that chambers a kick.

03The other hip muscles

Rectus femoris. It is one of the four heads of the quadriceps, at the front of the thigh. According to StatPearls, it can flex the hip, and it extends the knee with the other three heads.

Sartorius. Cleveland Clinic lists it among the three main muscles at the front of the thigh. Leg muscles covers the whole thigh.

Piriformis. Further back, under the glutes, it starts at the sacrum and attaches near the top of the thighbone; it rotates the thigh outward. The sciatic nerve generally exits the pelvis just below it.

04Stretching the hip flexors

Here is the kneeling stretch described in a handout from South Tees Hospitals NHS Foundation Trust, in the United Kingdom:

As for how long, the American College of Sports Medicine advises adults to hold a static stretch for 10 to 30 seconds (30 to 60 seconds for older adults), for about 60 seconds in total per muscle, at least 2 to 3 days a week; gains are greater with daily stretching.

05Stretching the piriformis and glutes

The “Stretches for the hip” handout from Cambridge University Hospitals describes a “piriformis stretch”: sitting on the floor with one leg straight and the other crossed over it, bring the knee toward the opposite shoulder until you feel the stretch in your buttock. If it is painful, the handout advises asking your physiotherapist or doctor. Glutes: muscles, exercises, stretches covers the neighbouring muscles and more exercises.

06Less sitting, more mobility

The Canadian 24-Hour Movement Guidelines recommend that adults limit sedentary time to 8 hours or less a day and break up long periods of sitting. Joanie Roussy's women's classes, at noon on weekdays, are one way to break up an office day: Strong Nation™, Bootcamp and Zumba®, no experience needed. Adult karate, which is mixed, is open to everyone from age 14.

07After a bike ride

Cyclists on the Lachine Canal path, in Le Sud-Ouest, or on the Samuel-De Champlain Bridge path, open all year, can fit these stretches in after a ride. To reach the dojo at 550 chemin du Golf, suite 010, on Nuns' Island, see getting to the dojo and the schedule.

Good to know. This guide informs; it does not replace your doctor's advice. If you have an injury, pain, a health condition or are pregnant, talk to a physiotherapist or your doctor before these exercises. Start gently, and stop any exercise that hurts.

Sources

  1. Bordoni and Varacallo, StatPearls, “Anatomy, Bony Pelvis and Lower Limb: Iliopsoas Muscle” (2026) — www.ncbi.nlm.nih.gov/books/NBK531508/
  2. StatPearls, “Anatomy, Bony Pelvis and Lower Limb: Thigh Quadriceps Muscle” (2023) — www.statpearls.com/point-of-care/28132
  3. Cleveland Clinic, “Leg Muscles” (2021) — my.clevelandclinic.org/health/body/22220-leg-muscles
  4. StatPearls, piriformis muscle article — statpearls.com/sp/al/13/27239/
  5. South Tees Hospitals NHS, “Hip stretch in half kneeling” (2024) — www.southtees.nhs.uk/resources/hip-stretch-in-half-kneeling/
  6. Cambridge University Hospitals NHS, “Stretches for the hip” — cuh.nhs.uk/patient-information/stretches-for-the-hip
  7. Garber et al., American College of Sports Medicine position stand, Med Sci Sports Exerc (2011) — doi.org/10.1249/MSS.0b013e318213fefb
  8. CSEP, Canadian 24-Hour Movement Guidelines, adults 18–64 (2020) — csepguidelines.ca/guidelines/adults-18-64/

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