Hip Drop Running Gait: Causes & Fixes

Hip Drop Running Form



You may recognise the presence of a hip drop in your own running gait. Perhaps you’ve run behind a fellow athlete who’s hips seem like they would be more at home on the catwalk!

In the video above I discuss this common running technique trait, often referred to as a Trendelenburg Gait.

Hip Drop Running Form: Poor Lateral Stability

It was in one of the first articles on this website that I wrote about the importance of training all three planes of motion for us runners. This is despite the fact that running itself (at first glance at least) looks like a very linear movement pattern.

While running forward in a straight line looks to be a linear action, dig deeper and you can observe what’s happening joint-by-joint with every stride. You’ll see that loading occurs in the forward-and-back (sagittal) plane, side-to-side (frontal) plane and rotational (transverse) plane.

When it comes to the hips. We know that the majority of the movement during running gait happens in the forward-and-back plane. You can no doubt visualise the knee driving forwards, while the opposite leg driving backwards. This can only happen efficiently if the hips are stable and controlled in the other planes of motion.

The Role of Glute Medius in Hip Stability

When the foot is on the ground, supporting us on one leg through mid-stance of running gait, Glute Medius has to work hard to create lateral stability around the hip. This enables us to effectively maintain a level pelvis in the frontal plane.

If there’s a problem with this process, and Glute Med is weak or inhibited, then commonly we’ll see the hip drop running trait that is sometimes linked to injuries such as ITB Syndrome and Low Back Pain.

Todd Kenyon does a great job of describing this hip drop, amongst other running technique observations in this video of the Elite Women’s field at Boston Marathon a few years ago:

Boston Marathon 2013 Pro Women Run Form – TTBikeFit

We’ve written before here about “Trendelenburg Gait” and how this lack of hip stability can often be part of the bigger picture when it comes to running injury.

Of course, it’s never as simple as saying that runners who move like this will end-up suffering with X, Y, or Z injury… training errors play just as bigger part in causing injury as biomechanics!

However, at very least, a lack of hip stability and subsequent hip drop is likely to negatively affect the efficiency of a runner.

Exercise to Correct Hip Drop

Correcting a Hip Drop in Your Running Gait

If you’ve noticed that you have a tendency to drop one hip when you run, leading to a lateral shift of the pelvis, there are a number of exercises you can practice. Improve your hip stability and running form will improve along with it.

Having said that this isn’t specifically predictive of injury. If you do happen to suffer with ITB Syndrome, Patellofemoral Pain, Shin Splints, Piriformis Syndrome, Low Back Pain… (you get the point) I wouldn’t ignore the hip drop. In fact, here are some simple things you can do to improve lateral hip stability:

Exercises to Correct Your Hip Drop

Here’s a simple routine you can follow 3-5 times weekly for 6 weeks to help improve lateral control of the hip, and reduce hip drop when you run:

I hope this helps. Do let me know in the comments below if you have any questions…

About The Author 

James has an academic background in Sport Rehabilitation and a special interest in Applied Biomechanics. He currently coaches a large number of Runners and Triathletes across all levels of ability and performance. He's grown a strong reputation for enabling athletes to improve their running performance and overcome running injuries through improving their Running Technique and developing Running Specific Strength.



  • […] Trendelenburg Gait (aka Hip Drop) […]

  • Would a hip drop cause me to suffer from pubic symphysis?

  • If you have a pain in say the left hip would you recommend doing more hip hikes on the right side?

  • I have pain in my left foot, left shin, left hip and in my lower back on my left side. I also have a hip drop on my left side – could this be causing all of my injuries?

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