Aggravating movement | Why does it aggravate | Solution |
Lying on painful side | Direct compression from the mattress | Add a soft mattress cover eg use a spare duvet |
Lying on the non-painful side | Upper leg adducts, causing compression | Place pillows between your knees and ankles to reduce hip adduction |
‘Hip hanging” standing position | Increases tension of the ITB, increases compression and may lead to abductor weakness | Don’t hip hang |
Sitting with legs crossed | Compression from the ITB with adduction | Don’t cross your legs |
Sitting in low chairs | Hip rests in flexed position which increases tension on your TFL muscle and your ITB increasing compression. Can cause pain on rising from sitting. | Sit on a tall chair so hips are above the level of your knees |
Standing on painful leg | Pelvis drops on non-weightbearing side leadign to hip adduction | Use some support for single leg activities — eg dressing or do in sitting |
Walking (especially climbing hills or over striding) | If pelvic control is poor the hip can adduct during gait causing compression and pain | Stay active but stick to what you can comfortably do, avoid large hills and over- striding |
Climbing stairs | Pelvis drops on non-weightbearing side leading to hip adduction | Hold onto hand rail for support. If servere do 1 step at a time leading with the good leg. |