Overview
Side-lying hip abduction strengthens the muscles at the outside of the hip while the trunk and pelvis remain supported.
How to Do It
- Lie on one side with the lower leg comfortable—straight as shown, or bent for added balance—and the top leg straight in line with the trunk.
- Stack the hips and point the top toes forward.
- Gently brace the trunk and lift the top leg a short distance, leading with the heel.
- Pause briefly, then lower slowly without rolling backward.
- Begin with 2 sets of 6–12 repetitions per side.
What You Should Feel
Expect effort at the outer hip and buttock. Stop if side-lying pressure or the movement causes sharp or steadily increasing pain.
Common Mistakes
- Rolling the pelvis backward
- Turning the toes toward the ceiling
- Lifting too high
- Swinging instead of controlling the leg
Progression
Add repetitions and pauses first. An ankle weight is a later option when body-weight repetitions are controlled.
References
- South Tees Hospitals NHS Foundation Trust. "Hip Abduction in Side Lying." https://www.southtees.nhs.uk/resources/hip-abduction-in-side-lying/
- Oxford University Hospitals NHS Foundation Trust. "Returning to Exercise." Side-lying hip abduction. https://www.ouh.nhs.uk/patient-guide/leaflets/files/109181exercise.pdf
This is general education. Side-lying abduction may not suit every stage of lateral hip pain or postoperative rehabilitation; follow your clinician's plan.

