Fast Fitness - Better Posterior Hip, Iliotibial, and Piriform Stretch
Friday, September 21, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Quickly improve a common stretch for the back and side of the hip.
Note step 2 and 3
which slides the supporting leg sideways. That change makes it different from the usual ankle over knee stretch:
- Lie face up. Bend one knee to put one foot on the floor or bed, comfortably close to your backside. Other ankle crosses knee.
- Notice which direction the raised foot is facing. Slide the other foot (the one on the floor or bed) and knee in that direction. Reader David demonstrates. In the left photo, the raised foot faces left. Move the whole leg on the floor to the left. Feel the stretch increase in the raised leg.
- Switch sides. Right photo shows raised foot facing right. Slide supporting foot and knee sideways to the right.

The way this stretch is usually done, without moving the bottom foot, does not stretch the piriform (or pyriformis) muscles much, even though it is often called a piraform stretch. The piriform muscles are external rotators (turn the leg outward). Adding more external rotation with the usual "ankle over knee" does not stretch the piraforms. Changing the bottom foot position with this different stretch adds adduction, which means "moving toward from midline." A second movement action of the pyriform muscles is abduction (moving away from midline), so this new method lengthens it, and can truthfully be called a piraform stretch. Future articles will cover more on piriform.
Don't make this stretch hurt or send pain down the leg. The point is to relax and loosen the area, not tighten, constrict, and impinge. Breathe.
This is another
'ooh' stretch. As soon as you do it right, it feels good and you say
ooh.
Thank you to David's wife for photos
Labels: fast fitness, hip, hip stretch, iliotibial band, leg stretch, piriform muscles, stretch
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Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier
Wednesday, August 29, 2007
Jolie Bookspan, M.Ed, PhD, FAWM

Ivy had serious sciatica with foot drop. She had knee and other injuries. She was in awful pain. In this kind of foot drop, the nerve cannot serve the muscles enough to lift the foot to walk normally. The toes drag. The foot hangs limply and slaps the ground with each step.
Commonly, someone with foot drop is put in a leg brace for life. One surgery done for foot-drop fuses the ankle so the foot is rigid and doesn't hang. Other problems come over years from changes in walking mechanics. For the terrible pain, patients are often directed to drugs and surgery. These are not healthy.
We changed that:
- Monday's post Inspirational Ivy told the essentials of stopping the cause of the sciatic pain and nerve impingement, rather than treat the results with unhealthy means. Links to specific methods are there.
- Sciatica, disc damage, facet pain, and impingement are results, not the cause of pain. They are not a diagnosis. When you have them, find what is causing them. Then you can reverse the cause: The Cause of Disc and Back Pain
- The post How Often Should You Be Healthy? explains when and how to apply it.
Ivy followed my directions exactly and used her brain to understand how to get the intended results, not just "do a bunch of exercises." When she first began, she wrote,
"Over the past few days, I have been very conscious of my movements and, hey presto, I have not experienced any tingling or pain. I have to take total responsibility for every movement I make. I am constantly telling myself 'Think before you go to the fridge or need to pick up something off the floor - think lunges.'"
I gave her simple gait retraining. Ivy quickly discarded the cane she had used for nearly 7 months.
Ivy went on to teach several neighbors in her community how to fix their own pain. One story is posted in
Each One Teach One.
In April 2006, Ivy wrote,
"It is nearly 5 months since I started your wonderful programme so I thought it was time that I gave you an update. I am fit and well, the sciatica has disappeared, if I get a little niggle in that area, I ask myself as to what have I done wrong, my left knee (IT Band) is no longer a problem, my balance has improved immensely and the "dropped" foot is great, in fact, when I go for my daily walk, I no longer hear the plop, plop of which I hated. I can also now wear "normal" shoes.
"Without your help and support and putting me on the right road so to speak, I would still be in constant pain plus making the chiropractor richer. Please note, I no longer go to him for treatment - I DON'T NEED HIM."
At age 70, Ivy is steadily improving strength and range of motion using healthy movement for daily life. She is eating healthful vegetarian food. January 2007 brought this note:
"The reason for this e-mail being that I feel somewhat excited re a remark made by the son of one of my fellow villagers. His very words being, "How did you become the woman that you are now. I have watched you over the past couple of years - when I first met you, you were obviously in a lot of pain, what is your secret?"
"I also sent the photos to my son and daughter-in-law who live in the US, they too, could see the improvement - they thought I looked great. Mind you, over that 2 year period, I gradually lost 20 lbs."
What about Ivy's e-mail that I mentioned in the last post about the new hip stretch? I'm out of room again. Watch for the
next post - Good Life Works Better Than Bad Ab Exercise.
---
Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and
the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "
updates via e-mail" (under trumpet) upper right. For answers to personal medical questions -
Replies to Medical Questions.
Limited Class spaces for personal evaluation. Top students may apply to certify through DrBookspan.com/Academy. See Dr. Bookspan's Books. ---
Labels: disc, facet joints, feet, fix pain, footdrop/dropfoot, gait, iliotibial band, injury, knee, lunge, nutrition, readers inspiring story, sciatica, shoes, spirit, squat
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Fast Fitness - Great Hip, Side, Leg, and Iliotibial (I.T. band) Stretch
Friday, August 24, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness. Stretching the side of the hip and ilio-tibial (I.T. band) does several good things. Here is a fast, healthy way to do it:
- Lie flat, face up.
- Place legs like clock hands, one to 10 o' clock, the other to 2 o'clock (or wider).
- Bring one ankle over the other, leaving the other at 10 (or 2 o'clock). Keep hips flat against the floor, don't tilt or twist. Legs straight. Hold. Switch.

This is an "ouu" stretch because when you do it right, you say "ouu." If you don't feel an instant great stretch, pull both legs more to the side. Ouu.
Smile, breathe.
Labels: fast fitness, hip, hip stretch, iliotibial band, leg stretch, lower back, stretch
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