A thread on the IT-Band, why it frequently gets irritated, & what the underlying cause usually is

How often do you see people foam rolling their IT-Band, running down the outside hip/thigh?

That is often the approach for managing issues, but I think we can do better... Image
I believe the biggest misconception about the IT-Band is that it is actually the issue in the first place.

The IT-Band attaches at our pelvis and runs down into the outside tibia (lower leg). Image
It actually blends with the Tensor Fascia Lata (TFL) muscle, which is more often the culprit than the IT-Band itself. Image
The TFL assists in internal rotation of the hip but also in flexion and abduction of the hip/thigh as well.

Basically, the TFL is a muscle that is positioned to easily compensate for a lack of mobility or muscular coordination within the hips or legs. Image
Another underrated muscle in the context of a “tight IT-Band” is the Vastus Lateralis, the most outer quad muscle.

When the femur is rotated inward, this muscle actually has leverage to hold the femur in an internally-rotated position. Image
So the point is, it’s probably not your IT-Band.

It’s probably another muscle near it.

All the foam rolling in the world won’t help this much because it is very often a pelvic orientation issue first. Image
Anterior Pelvic Tilt drives the femurs into internal rotation, so addressing that first is key by restoring hip extension via glutes and hamstrings.

Here is one simple drill you can do at home to cook your hip extensors, but be sure to stay within the limits you can handle,
meaning you aren’t arching your low back at any point.

Following that, since the most of the internal rotation work has been compensatory, we want to restore proper IR.

I would start on the floor with a simple exercise to target IR/adductor muscles with this @postrestinst drill
Then, I would move to more of a dynamic and upright activity.

I am partial to staggered-stance deadlifts for that, as hinge patterns bias lots of internal rotation and need the hips to coordinate with the lower body in IR.

I’m reaching for the opposite-side toes to bias IR here
The TFL should actually be working in IR to some extent, but it should not be the only muscle involved.

Hopefully those who have read my threads before have seen that the position of the hips influence much of what happens below them.

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More from @Conor_Harris_

20 Mar
A thread on hip flexors - common myths, why they’re important, and how strengthen or release them

Hip flexors might be the most unfairly demonized group of muscles in the human body.

My goal is to dispel myths while also giving you better options to “release” them...
Hip flexors are like any other muscles - the adapt to the demands imposed on them.

If those demands are only:

- Sitting
- Squatting without full hip extension
- No single leg work

What do you think is going to happen?⁣
It is important to consider that muscle length is secondary to skeletal position.

For example, if I tip my pelvis forward, my hip flexors are naturally in a shortened position, while my glutes and hamstrings are in a lengthened position.

If I exercise in that orientation, it’s
Read 13 tweets
20 Feb
A thread on Box Squats & their use for improving pelvic mechanics, a squat pattern, & force output

Box squats are often used as a means to improve squat strength.

In addition to that, a deeper look into the biomechanics can help us appreciate contextual application of them...
The first thing to consider is that box squats usually stop at ~90 degrees of hip flexion, which is associated with high degrees of internal rotation of the hips.

At this point, the sacrum bone tips forward and the pelvic bones rotate inward for femurs (leg bones) to pick up
room to move back into internal rotation.

This is necessary for producing force through the sticking point of a squat.

When someone is lacking proper internal rotation of the hips, you’ll often see them push their hips forward and arch their low back.

This anterior orientation
Read 11 tweets
8 Feb
A thread on ankle mobility, pronation, common misconceptions, & how to improve it

If you want to:
- Run fast
- Squat/deadlift a lot of weight
- Have good ankle mobility

You want your foot to properly pronate.

Pronation is the transition from force absorption to production...
The biggest misconception I see is that people think pronation is the collapsing inward of the foot as a whole.

That is not the case, and a collapsed foot is indicative of a foot that is likely compensating into pronation, rather than achieving true pronation.
True pronation of the foot involves relative:

- Tibial internal rotation (IR)
- Rearfoot eversion (turning in)
- Forefoot inversion (turning out)

Pronation occurs most in mid-stance in gait, where it is coupled with relative IR of the hips, femur, and tibia.
Read 12 tweets
21 Dec 20
A thread on the biomechanics of hip extension & how to train it

If you want to:
- Stand upright
- Sprint
- Train your glutes & hamstrings properly

You want to have hip extension. Problem is, majority of people & athletes don’t fully have it.

The reason why it’s often.. Image
missing is for a few common reasons:

- Sitting too much: Sitting is hip flexion and the body will adapt to the demands placed on it

- Not training through a full range of motion. Ending your squats and deadlifts with your butt out means you’re not in full hip extension Image
You’ll commonly see people who don’t have full hip extension stand in an Anterior Pelvic Tilt.

I think we know this tightens the hip flexors and back extensors, but it also tightens & restricts ligaments of the hips like the iliofemoral ligament.

This creates a hip flexion Image
Read 11 tweets
6 Nov 20
A thread on knee injuries in females and strategies to help minimize their potential

Weakness of the hip abductor & external rotator (ER) muscles is surprisingly common in otherwise normal & healthy females (Malinzak et al, 2001; Robinson, 2007).

That is just one piece of the..
overall puzzle.

Females tend to have a higher Q-Angle due to wider hips. The research is murky whether or not higher Q-Angle leads to more injuries, but honestly I’m not concerned about that as much as the biomechanical relevance of a higher angle.
When hips are wider, the sacrum is in a relatively higher amount of counter-nutation and the pelvic bones follow it into:

- External rotation
- Abduction
- Flexion
Read 10 tweets
16 Oct 20
A thread on how to improve hip internal rotation

If you want to:
- Be agile
- Be fast
- Get through the sticking point of a squat
- Deadlift

You want to have adequate hip internal rotation (IR).

However, in my experience it is often missing to some degree in many people.
The hip musculature responsible for hip IR are primarily:

- Adductors
- Inner Hamstrings
- Anterior fibers of the Gluteus Medius
- Tensor Fasciae Latae
In human movement, IR is necessary for mid-stance when we have our bodyweight on one leg and we need to propel it to the next leg. In cutting, we obviously need hip internal rotation to drive out of it effectively in a propulsive manner.
Read 13 tweets

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