Hip & Pelvis Muscles The hip and pelvis muscles work on the hip joint mainly, as well as stabilising the pelvis and sacroiliac joints. They can be divided into the groin muscles, the glute (buttock) muscles, the hamstrings and the hip flexors. For more information on these muscles, click on the picture to view origins, insertions, action and nerve supplies. Iliopsoas Deep hip and trunk flexor more Gluteus medius A hip abductor which stabilises the hip more Biceps femoris A hamstring muscle which extends the hip more Adductor brevis A short groin muscle which adducts the hip more Gluteus minimus The smallest glluteus muscle more Semitendinosus A hamstring muscles which extends the hip more Sartorius A hip flexor, abductor and external rotator more Adductor longus A short groin muscle (despite it's name!) more Gluteus maximus The largest glute muscle more Gracilis A long groin muscle which adducts the hip more Rectus femoris A quad muscle which flexes the hip more Adductor magnus A long groin muscle which adducts the hip more Piriformis A deep buttock muscle more Pectineus A short groin muscle which adducts the hip more Semimembranosus A hamstring muscle which extends the hip more Tensor fascia latae A hip abductor which attaches to the IT band more Movements of the Hip Joint Hip flexion - moving the thigh forwards. Hip extension - moving the thigh backwards. Hip adduction - moving the thigh across the body. Hip abduction - moving the thigh out to the side. Hip internal rotation - twisting the thigh inwards. Hip external rotation - twisting the thigh outwards. Iliopsoas Iliopsoas is sometimes classified as two muscles, Iliacus and Psoas major, with Iliacus arising from the Ilium and Psoas from the vertebrae. Origin Inner surface of the Ilium. Base of the sacrum. Sides of the bodies of T12-L5. Insertion Lesser trochanter of the femur. Actions Flexion of the hip Lateral rotation of the hip. Flexes torso when the legs are fixed (e.g. laying to sitting). Innervation Femoral nerve and branches of the lumbar plexus. Daily uses Climbing a step. Example stretches Hip flexor stretch. Example strengthening exercises Isometric hip flexion. Standing hip flexion with a resistance band. Related injuries Iliopsoas inflammation. Hip flexor strain. Related muscles Rectus femoris. Gluteus Minimus This is the smallest of the three gluteal muscles and sits underneath the gluteus medius. Origin Outer surface of the ilium, below the origin of Gluteus medius. Insertion Greater trochanter of the femur. Actions Hip abduction Internal rotation of the hip. Innervation Superior gluteal nerve. Daily uses Getting out of a car. Example strengthening exercises Standing abduction using a resistance band. Example stretches Outer hip stretch. Gluteal stretch. Related muscles Gluteus maximus. Gluteus medius. Gluteus Maximus Gluteus Maximus is the largest and most superficial of the three gluteal muscles which forms the rounded shape of the buttocks. Origin Posterior crest of the ilium. Posterior surface of the sacrum. Insertion Gluteal tuberosity of the femur Iliotibial band (ITB). Actions Hip extension. External rotation of the hip. Innervation Inferior gluteal nerve. Daily uses Extension phase of walking upstairs. Example strengthening exercises Hip extension using a resistance band. Example stretches Gluteus maximus stretch. Related injuries Myofascial pain in the buttock muscles. Related muscles Gluteus medius. Gluteus minimus. Piriformis The Piriformis muscle is an important muscle. The sciatic nerve passes underneath this muscle on its route down to the posterior thigh. In some individuals the nerve can actually pass right through the muscle. This can lead to sciatica symptoms due to a condition known as piriformis syndrome Origin Anterior surface of the lateral sacrum. Insertion Greater trochanter of the femur. Actions External rotation of the hip. Hip abduction. Innervation Branch of the sacral plexus. Daily uses Taking the first leg out of the car. Example strengthening exercises Lateral hip rotation with band. Example stretches Piriformis stretch. Related injuries Piriformis syndrome. Related muscles Gluteus minimus. Gluteus medius. Gluteus Medius Gluteus Medius is an important muscle in controlling the level of the hips. Weaknesses in gluteus medius often result in a trendelenburg sign, an abnormal gait cycle where the hip of the swinging leg drops down, rather than raises up. This results in increased degrees of knee flexion in order to clear the ground. Origin Outer surface of the ilium, just below the crest. Insertion Greater trochanter of the femur. Actions Hip abduction. Posterior fibres externally rotate the hip. Anterior fibres internally rotate the hip. Innervation Superior gluteal nerve. Daily uses Stepping sideways out of the bath. Example strengthening exercises Standing abduction using a resistance band. Example stretches Outer hip stretch. Gluteal stretch. Related injuries Myofascial pain in the buttock muscles. Related muscles Gluteus maximus. Gluteus minimus. Semitendinosus When running the hamstrings act eccentrically to slow down the knee extension motion. Hamstring strains are common in individuals with chronically tight hamstrings or who do not warm-up thoroughly. Origin Ischial tuberosity. Insertion Upper medial surface of the tibia. Actions Hip extension. Knee flexion. Internal rotation of the hip when the knee is flexed. Innervation Tibial part of the sciatic nerve. Daily uses Bending the knee to step over something. Example strengthening exercises Knee curl with resistance band. Nordic curl. Example stretches Sitting hamstring stretch. Standing hamstring stretch. Related injuries Hamstring strains. Hamstring tendinitis. Related muscles Semimembranosus. Biceps femoris. Gracilis Gracilis is another muscle which works in conjunction with the groin muscles, or adductors. Origin Lower pubic body, near the pubic symphesis. Insertion Upper medial surface of the tibia (pes anserine insertion). Actions Adducts hip. Flexes knee. Internally rotates the hip when the knee is flexed. Innervation Obturator nerve. Daily uses Sitting with the knees pressed together. Example strengthening exercises Hip adduction using a resistance band. Example stretches Long adductor stretch. Related injuries Groin strain. Related muscles Adductor magnus Adductor brevis. Pectineus Pectineus is positioned between the Iliopsoas and Adductor Longus muscles and is part of the short adductor group with adductors brevis and longus. Origin Upper front of the pubic bone. Insertion Upper medial shaft of the femur, inferior to the lesser trochanter. Actions Hip adduction. Hip flexion. Medial hip rotation. Innervation Femoral nerve. Daily uses Kicking a football. Example strengthening exercises Isometric groin contraction Hip adduction using a resistance band. Example stretches Short adductor stretch. Related injuries Groin strain. Related muscles Adductor brevis. Adductor longus. Biceps Femoris Biceps Femoris is one of the three muscles which form the hamstring group forming the back of the thigh. The muscle is often described as having a long head (the attachment from the ischium) and a short head (attached to the femur). Origin Tuberosity of the ischium. Lower 1/2 of the linea aspera of the femur. Lateral supracondylar ridge. Insertion Lateral condyle of the tibia. Head of the fibula. Actions Hip extension. Knee flexion. Lateral rotation of the hip when the knee is flexed. Innervation Tibial part of the sciatic nerve. Daily uses Bending the knee to step over something. Example strengthening exercises Knee curl with band. Squat. Example stretches Standing hamstring stretch. Sitting hamstring stretch. Related injuries Hamstring strain. Related muscles Semimembranosus. Semitendinosus. Sartorius The Sartorius is a two joint muscle and so is weak when the knee is flexed and the hip is flexed at the same time. It works better during single movements. Origin Area between the ASIS (Anterior Superior Iliac Spine) and AIIS (Anterior Inferior Iliac Spine). Insertion Anterior part of the medial condyle of the tibia. Actions Flexion of the hip. Flexion of the knee. External rotation of the hip as it flexes the hip and knee. Abducts the hip. Innervation Femoral nerve. Daily uses Sitting in a cross-legged position. Example strengthening exercises Standing hip flexion using resistance band. Isometric hip flexion. Example stretches Hip flexor stretch. Laying quadricep stretch. Standing quadricep stretch. Related muscles Rectus femoris. Gracilis. Rectus Femoris The Rectus Femoris muscle is part of the Quadriceps muscle group. It is the only muscle of the group which crosses the hip joint and is a powerful knee extensor when the hip is extended, but is weak when the hip is flexed. Origin Anterior Inferior Iliac Spine (AIIS). Insertion Top of the patella and the patella tendon to the tibial tuberosity. Actions Flexion of the hip. Extension of the knee. Innervation Femoral nerve. Daily uses Kicking a football. Example strengthening exercises Standing hip flexion using resistance band. Sitting hip flexion - isometric. Example stretches Hip flexor stretch. Laying quadricep stretch. Standing quadricep stretch. Related injuries Quad strain contusion. Rectus femoris tendon rupture. Related muscles Vastus medialis. Vastus lateralis. Vastus intermedius. Semimembranosus Semimembranosus is the most medial of the three hamstring muscles. Chronically tight hamstrings are often a contributary factor to lower back pain and knee pain. Origin Ischial tuberosity. Insertion Posterior part of the medial condyle of the tibia. Actions Hip extension. Knee flexion. Internal rotation of the hip when the knee is flexed. Innervation Tibial part of the sciatic nerve. Daily uses Bending the knee to step over something. Example strengthening exercises Knee curl with resistance band. Nordic curl eccentric exercise Example stretches Sitting hamstring stretch. Standing hamstring stretch. Related injuries Hamstring strains. Hamstring tendinitis. Related muscles Semitendinosus. Biceps femoris. Adductor Brevis Adductor Brevis is the smallest and shortest (hence the name brevis, meaning short in latin) of the three short adductor muscles. Groin strains are common injuries to the adductor muscles, which occur without a thorough warm-up or in individuals with chronically tight or weak adductor muscles. Origin Inferior ramus of the pubic bone Insertion. Upper part of the linea aspera of the femur. Actions Hip adduction. Hip flexion. Innervation Obturator nerve. Daily uses Bringing your second leg into the car. Example Strengthening Exercises Isometric hip adduction Hip adduction using a resistance band. Example Stretches Short adductor stretch. Related injuries Groin strain. Related muscles Adductor longus. Adductor magnus. Pectineus Gracilis. Adductor Longus Adductor Longus is the middle of the three short adductor muscles. Groin strains are common injuries to the adductor muscles, which occur without a thorough warm-up or in individuals with chronically tight or weak adductor muscles. Origin Superior pubic ramus, just below the crest. Insertion Middle third of the linea aspera of the femur. Actions Hip adduction. Hip flexion. Innervation Obturator nerve. Daily uses Bringing your second leg into the car. Example Strengthening Exercises Hip adduction using a resistance band. Example Stretches Long adductor stretch. Related injuries Groin strain. Related muscles Adductor brevis. Adductor magnus. Pectineus Gracilis. Adductor Magnus Adductor Magnus is the largest groin muscle and is one of the two long adductor muscles (gracilis is the other). It is usually decribed as having two parts, hamstring and adductor parts. Origin Adductor head: Inferior ramus of pubis and ischial ramus. Hamstring head: Ischial tuberosity. Insertion Adductor head: Gluteal tuberosity, linea aspera and proximal supracondylar line. Hamstring head: Adductor tubercle of the femur. Actions Adductor head: Adducts, flexes and medially rotates hip. Hamstring head: Extends hip. Innervation Adductor head: Obturator nerve. Hamstring head: Sciatic nerve. Daily uses Bringing your second leg into the car. Example strengthening exercises Hip adduction using a resistance band. Example stretches Long adductor stretch. Related injuries Groin strain. Related muscles Adductor longus. Adductor brevis Tensor Fascia Latae The Tensor Fasciae Latae (TFL) is a small muscle which attaches inferiorly to the long thick strip of fascia, known as the iliotibial band (ITB). Origin Anterior Iliac crest and ilium. Insertion Lateral condyle of the tibia via the Iliotibial band. Actions Flexion of the hip. Hip abduction. Innervation Superior gluteal nerve. Daily uses Keeping one foot in front of the other when walking. Example strengthening exercise Standing hip abduction using a resistance band. Example stretches Outer hip stretch. Standing outer hip stretch. Related injuries Iliotibial band friction syndrome (runners knee). Related muscles Gluteus medius. Gluteus minimus.