Strength training with recent hip, glute or hamstring pain and how to adapt your lower body day
Dr Nicola Tik

Your hip, buttock or the back of your thigh has started aching, and squats, lunges or deadlifts now come with a twinge. When lower body training is part of your routine, skipping it altogether can feel like losing ground. Most recent pain in these areas settles well with a few changes to your exercises and load.

Why lifting can affect your hip, glutes and hamstrings

Your hips, glutes and hamstrings drive most lower body lifts. Deep squats and lunges load the front and side of the hip. Hip thrusts work the glutes hard. Romanian deadlifts and good mornings stretch the hamstrings under load, especially near the sitting bone where they attach.

A jump in weight, more volume, a new programme or going deeper than usual can all raise the load faster than these areas can adapt. In most cases, the tissue is irritated rather than damaged.

Adapting squats and lunges

Some ideas:

Adapting hip thrusts and bridges

Hip thrusts and bridges are often comfortable, but if your buttock or the side of your hip is sore:

Adapting hamstring work

Hamstring pain, especially near the sitting bone, often flares with deep stretching under load. Some ideas:

What you can keep

Upper body work, core training and most machine-based exercises can carry on as usual. Leg press with a shorter range, step-ups to a low box and calf raises are often comfortable too.

If you would like to follow along, VIDA has short videos of bridges, sit to stands and heel raises you can use at your own pace.

Reading how you respond

A simple traffic-light check can guide your training:

Warming up

A thorough warm-up helps your hips and hamstrings feel ready. Something to try:

If your classes include sprints or jumps, leaving these out or swapping for marching or step-ups can help for now.

Outside the gym

Long spells of sitting can make pain near the sitting bone worse. Getting up every 30 minutes or so, or sitting on a cushion, can help. VIDA’s Pomodoro stretches, in the top right corner, can remind you to pause during focused work.

When to get it checked

You should get it checked by a GP or physiotherapist if you felt a sudden pop or sharp pain followed by bruising on the back of your thigh, if your hip locks or catches, or if pain spreads down your leg with numbness or tingling.

Building back up

When things have been in the green for a week or so, you can start bringing back depth, weight and the exercises you swapped, one at a time. Your VIDA pain check-in is a good way to keep track of how you respond.

What to take away

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