How to Fix a Hip Shift: Causes and Corrective Exercises

A hip shift is a common movement pattern where the pelvis or torso deviates laterally, or side-to-side, during activities like squatting, walking, or running. This asymmetry compromises movement efficiency and may contribute to discomfort or injury. Addressing a hip shift involves recognizing the underlying muscular and mobility imbalances that drive this deviation. Understanding these mechanical causes and applying targeted corrective strategies restores a centered and balanced movement pattern by strengthening weak areas and improving joint mobility.

What Exactly Is Hip Shift

The hip shift is a biomechanical event where the body fails to maintain a centered alignment over the weight-bearing leg during dynamic movement. Instead of a straight descent or stable single-leg stance, the hips or torso visibly slide over to one side. This lateral movement is distinct from a simple pelvic tilt, which is a forward or backward rotation of the pelvis.

A hip shift is often identified during a bodyweight squat when one hip appears to drop, or the torso leans excessively toward the opposite side. In a single-leg stance, a shift manifests as the hip of the non-weight-bearing leg dropping downward, known as a positive Trendelenburg sign, indicating a lack of stability. This compensatory pattern places uneven strain on joints and muscles.

Common Underlying Causes of Asymmetry

The root cause of a hip shift involves asymmetry in muscle function and joint mobility, forcing the body to find the path of least resistance during movement. A frequent contributor is unilateral weakness in the hip abductors, specifically the gluteus medius and minimus, on the weight-bearing side. If these muscles are weak, they fail to stabilize the pelvis, allowing the opposite hip to drop and causing the torso to shift away from the weak side.

Another common factor is tightness in opposing muscle groups, such as the adductors (inner thigh muscles) or the tensor fasciae latae (TFL), which restrict necessary hip rotation and mobility. When one side is restricted, it can limit the depth or range of motion, prompting a shift to the more mobile side to complete the movement. Additionally, poor core stability, particularly a lack of engagement from the transverse abdominis, prevents the trunk from acting as a stable base for the hips.

Essential Corrective Exercises and Drills

Correcting a hip shift requires a multi-faceted approach that focuses first on restoring core stability and then addresses specific strength and mobility deficits. Integrating breathing techniques and low-level core engagement establishes foundational stability before moving to hip-specific work.

Core Stability

Restoring core stability often begins with exercises like the 90/90 Hip Lift. This technique involves lying on your back with feet on a wall and knees bent at 90 degrees to help position the pelvis neutrally and engage the hamstrings and abdominal muscles. Focus on slow, controlled exhales to fully activate the lower abdominal wall and stabilize the pelvis. The Dead Bug exercise further promotes core control by challenging the ability to keep the lower back stable while the limbs move independently.

Strengthening

For strengthening the weak side, targeted glute activation is necessary, focusing on the gluteus medius. Side-Lying Leg Raises and Clam Shells are excellent for isolating this muscle group without heavy loading. When performing the side-lying leg raise, ensure the hip is slightly extended and rotated out to maximize gluteus medius recruitment over the TFL. These exercises build endurance in the stabilizing muscles, allowing them to effectively hold the pelvis level during movement.

Mobility

To release the tight side, mobility work should target restricted tissues, such as the adductors and TFL. A Figure-Four Stretch or an Adductor Rockback stretch can improve hip internal rotation and overall joint capsule mobility. Hold these stretches for an extended period to encourage tissue relaxation and improve the available range of motion.

Integration

Finally, corrections must be integrated into functional patterns through drills that challenge the newly acquired symmetry. A Resistance Band Squat is a powerful integration tool; looping a band around the knees and anchoring it toward the side of the shift forces the weaker glute to activate reflexively to resist the pull. Single-Leg Stance Practice with a focus on maintaining a level pelvis helps transfer isolated strength gains into better balance and movement control.

Maintaining Alignment and When to Consult a Professional

Maintaining hip alignment requires integrating awareness into daily life habits. Pay attention to standing posture, avoiding the habit of always leaning to one leg, which contributes to muscle imbalances. Modify sitting habits by ensuring both feet are flat on the floor and avoiding sitting cross-legged for extended periods.

While self-correction is often effective, seek professional guidance, such as from a physical therapist, if the hip shift is accompanied by pain that worsens or does not improve after several weeks of dedicated corrective exercise. Consultation is also warranted if the shift is severe, or if you experience radiating pain or a noticeable limp (gait disturbance). A physical therapist or chiropractor can provide a precise diagnosis and a personalized program, especially if the underlying cause relates to a significant leg length difference or scoliosis.