What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Foot and Ankle pain
Elbow pain
Head and Neck pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Foot and Ankle pain
Elbow pain
Head and Neck pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Foot and Ankle pain
Elbow pain
Head and Neck pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Foot and Ankle pain
Elbow pain
Head and Neck pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Foot and Ankle pain
Elbow pain
Head and Neck pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Foot and Ankle pain
Elbow pain
Head and Neck pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Foot and Ankle pain
Elbow pain
Head and Neck pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

The Only Way to
Long-Term Pain Relief

You’ve tried everything, but why hasn’t it worked? 

You may have experienced 1 or all of the following:

  • They told you to stretch because you had “tight muscles”
  • They gave you exercises because you had “weak muscles” 
  • You went and got adjusted because there was some “misalignment”
  • You received surgery because they found a “tear” 

These methods only give temporary relief because they are just fighting the symptoms and not connecting the dots from the deepest root. The body is too complex for such a basic approach. 

You need a specialized solution that will treat the body as a whole and get to the root cause of your pain.

Conditions Treated

  • Arthritis & Joint Pain
  • Broken/Fractured Bone
  • Bursitis
  • Gluteal Muscle Strains
  • Hamstring Muscle Strains
  • Hip Flexor Pain
  • Hip Impingement (FAI)
  • Hip Instability
  • Ischial Tendinitis
  • Labral Tear
  • Misalignments & Postural Dysfunctions
  • Piriformis Syndrome
  • Post-Surgical Rehab
  • SI Joint Dysfunction
  • Sciatica
  • Snapping Hip Syndrome
  • Sports Hernia
  • Stress Fractures
  • TFL Syndrome
Pain-Free Secrets Guide 2.0
Our new guide dives deeper into the Next Level System, giving you clear, actionable strategies to eliminate pain, improve movement, and achieve lasting results.
Athlete's Guide
Unlock your full potential with our free guide for athletes. Learn how to move better, prevent injuries, and perform pain-free with the proven Next Level System.
End Back Pain Guide
Discover the proven steps to finally end back pain for good. This free guide reveals the root causes of pain and how to move, strengthen, and recover with confidence.
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Take the first step into your pain-free life by clicking the button below.
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Why Stretching Won’t Fix Your Tight Hips (The #1 Most Overlooked Aspect Of Hip Mobility)
(The #1 Most Overlooked Aspect Of Hip Mobility) “My hip flexors are always so tight.” “I always stretch but my hips just feel stiff again later.” “My foam roller is my best friend, why aren’t my hips more flexible?” Stiffness or feelings of tightness around the hips are some of the most common complaints I hear from friends, family, and patients. Stretching is also the most common solution people believe they need more of. At first glance, this makes sense. Something feels tight, stretching gives temporary relief, so doing more stretching should fix it. But what if that view is incomplete. All of these statements have something in common. The strategies being used are not addressing what is actually driving the issue. To understand what more effective strategies look like, we need to first understand how muscles actually work. Kinesiology 101: What Is the Job of Our Muscles? Muscles attach to tendons, and tendons attach to bones. Muscles are simple. When they contract, they shorten, flatten, and compress to create movement. When they are not contracted, they exist in a more lengthened and expanded state. Notice what term is missing here. Tightness. Muscles themselves are not tight. They exist on a spectrum from relatively compressed to relatively expanded. Their behavior is largely dictated by the position of the bones they attach to. [caption id="" align="aligncenter" width="718"] Source: https://dannyomokha.blog/tag/hip-complex/[/caption] Muscles of the Hip Complex Let’s use a specific example to make this clearer. One of the most important muscles in hip mobility is the psoas major. This is your primary hip flexor and it is considered a biarticular muscle because it crosses multiple joints. It runs from the lumbar spine, across the pelvis, and attaches to the femur. Because of this, the behavior of the psoas is influenced by the position of the spine, pelvis, and hip. If we are trying to change how this muscle behaves, we must consider all three of those regions. How Position Drives Hip Flexor “Tightness” Now let’s look at a position that would cause the psoas to be more shortened or compressed. When the lower back and pelvis are oriented forward into an anterior position, the attachments of the psoas are brought closer together. This places the muscle in a position where it is already shortened and primed to contract. This is one of the most common postures seen in people who complain of tight hip flexors. [caption id="attachment_1669" align="aligncenter" width="408"] Figure 2: An Anteriorly Oriented Lower Back and Pelvis[/caption] Now consider one of the most common hip flexor stretches people perform. The individual lunges forward and arches through the lower back while trying to stretch the front of the hip. While a stretch sensation is often felt, the position of the pelvis and spine has not changed in a way that would allow the hip flexors to truly lengthen. In fact, this position often reinforces the same forward orientation of the pelvis and spine that created the issue in the first place. What is frequently happening is not a stretch of the hip flexors, but increased pressure at the front of the hip joint and capsule. The muscle behavior has not changed. Only the sensation has. A More Effective Approach to Hip Mobility Rather than forcing static stretches, a more effective strategy is to first address joint position. An exercise like the hooklying two arm reach is often far more effective. This position places the spine into relative flexion, brings the pelvis into a more posterior orientation, and allows the hip to extend. All of the regions that influence the psoas are addressed at the same time. [embed]https://www.youtube.com/watch?v=C7hLRzrWF_4&t=3s[/embed] This creates a genuine opportunity for the hip flexors to move into a more lengthened and expanded state. The same principles can be applied in movements like a half kneeling cable press. This positions the pelvis and hip to encourage length through the hip flexors of the down leg, while the pressing action reinforces a spine position that influences the upper portion of the psoas. [embed]https://youtu.be/DJJI28xT5og[/embed] An added benefit is that these movements improve mobility while also building strength and coordination, instead of requiring separate time dedicated solely to stretching. The Takeaway Muscles do not get tight. Tightness is a sensation. Muscle behavior exists on a spectrum from relatively compressed to relatively expanded, based on the position of the bones they attach to. If stretching has not improved your hip mobility, it is likely because position has not been addressed. When you start respecting joint position first, changes in muscle behavior follow, and results tend to come much faster and last much longer.
How To Improve Hip Mobility Without Static Stretching
Hips are not born to be “tight,” but with how often people describe their hips as feeling more like rusty gears than Stretch Armstrong, it is easy to believe they are. The good news is that, for most people, hip mobility issues can be significantly improved by shifting how you think about what is actually limiting your motion. Before we talk about solutions, let’s look at the anatomy of the hips and then break down how to identify what deserves your attention. Anatomy Think of the pelvis as the house that your hips live in. It is made up of two wing-like structures called innominates, which are connected by the sacrum. Your lower back connects directly into the top of the sacrum, forming a complex relationship between the spine, pelvis, and hip joints. In a previous post, I talked about why “stretching” a muscle that has the perception of tension, or that might be a contributor to a reduction of joint motion might be a simplistic, reductionist way of viewing how the body creates movement. Muscles attach to tendons, which attach to bones. If we only pursue the feeling of a stretch in an area that feels restricted, we may miss the underlying factor that is actually driving that sensation. To make this more actionable, let’s break hip mobility into a few buckets. Bucket 1: What Does My Total Hip Rotation Look Like? One of the easiest ways to assess hip mobility is to look at total hip rotation. This means adding together your hip external rotation and hip internal rotation. (Figure 2).  [caption id="" align="aligncenter" width="882"] Figure 2: Hip ER and IR measured on an examination table.[/caption] A general benchmark for most people is around 100 degrees of total rotation between these two movements. When this is present, it suggests that the innominates can move well relative to the sacrum and that the hips have access to a wide range of positions. If you are missing a significant amount of total hip rotation, a good starting point is learning to move with less muscular tension and restoring relative motion between the pelvis and sacrum. A simple and effective option is sidelying rolling with lateral pelvic compression. This exercise helps reduce unnecessary muscular effort, restore rotation, and build awareness of how your hips actually move. That awareness becomes incredibly valuable as exercises become more challenging. [embed]https://youtu.be/oeLwLrrsSI4[/embed] Figure 3: Sidelying Rolling with Lateral Pelvic Compression Other commonly used movements that serve a similar purpose include the supine cross connect and the hooklying two arm reach. [embed]https://www.youtube.com/watch?v=TcsiqnDrd0g[/embed] Figure 4: Supine Cross Connect [embed]https://youtu.be/C7hLRzrWF_4[/embed] Figure 5: Hooklying Two Arm Reach  Both of these exercises help reorient the pelvis as a unit and can rapidly restore access to hip rotation when position is the primary limitation. If you are missing total hip rotation, start here. Restoring potential movement comes first. Bucket 2: What Are My Tissues Calibrated To Do? Think about guitar strings. Their tension changes depending on how they are used and how the guitarist prefers them tuned. Your body works in a similar way. Beyond muscles and bones, connective tissues play a huge role in absorbing and transmitting force. These tissues adapt to the demands placed on them. If you recently restored hip rotation but still feel stiff or restricted, it may be time to recalibrate how your connective tissues handle force. A great starting point is a goblet box squat with a rockback. This symmetrical movement encourages the body to absorb force and reduce stiffness by relaxing into the bottom position. [embed]https://youtu.be/R26W48oflok[/embed] Figure 6: Goblet Box Squat with Rockback Once that feels comfortable, a lateral lunge with a static hold introduces similar demands but emphasizes side-to-side motion. This helps the body learn to manage force in frontal plane positions that are often undertrained. [embed]https://youtu.be/wXljK0b7vhM[/embed] Figure 7: Lateral Lunge with Static Hold Putting It All Together If you are missing a large amount of hip rotation, focus first on getting the pelvis into positions that allow that motion to exist. This restores your potential to move freely in multiple directions. Once that potential is there, the next step is tuning your body’s connective tissues to do what you actually need them to do. That means being able to absorb force when necessary and create force when needed. Both qualities matter. Mastering them is what allows you to move well, train hard, and stay active without constantly feeling stiff. Give these strategies a try and see how your hip mobility changes when you stop chasing stretches and start respecting position and force instead.
Why Stretching Isn’t Working: Hamstring Edition
Stretching is something most of us do, but have we ever stopped to think about why. Usually the logic is simple. The muscle feels tight, so we stretch it. If a muscle is tight because it is shortened, stretching it to make it longer makes sense. But what if the reason a muscle feels tight has nothing to do with it actually being shortened. If that is the case, how effective is stretching really. Let’s use the hamstrings as an example to explain this idea more clearly. And do not worry. At the end of this article, I will still show you my top three exercises to fix “tight” hamstrings.   Why Everyone Thinks Their Hamstrings Are Tight Almost everyone believes they have tight hamstrings, and almost everyone stretches them. Common ways hamstrings are assessed include the active straight leg raise and the toe touch. Many of us also remember the sit and reach test from physical education class growing up. If you could not lift your leg high enough, touch your toes, or reach far down the ruler, you were told you had tight hamstrings and needed to stretch them. But just because something feels tight does not mean stretching is the solution. How many people have stretched their hamstrings consistently and seen little to no lasting change. If stretching does not change anything long term, maybe the hamstrings are not actually shortened and stretching is not the answer. A common response is, “But I really feel tension in the back of my leg when I try to touch my toes or when my leg is lifted.” That feeling is real. The tension is real. The reason for it is just often misunderstood. To understand why, we need to talk about position. Understanding Hamstring Anatomy The hamstrings originate at the ischial tuberosity of the pelvis, often referred to as the sit bone. They cross the knee joint and attach to the tibia and fibula in the lower leg. An easy way to visualize the hamstrings is to think of them like a rubber band running from the pelvis down to the back of the lower leg. When you lift your leg during a straight leg raise, the hamstrings are lengthened and tension increases. However, because the hamstrings attach to the pelvis, the position of the pelvis plays a major role in how much tension is already present. Pelvis Position Changes Everything Now let’s talk about pelvic position. If someone stands, sits, or lies down in an anterior pelvic tilt, the pelvis is tipped forward. When the pelvis is tipped forward, the hamstrings are already placed under tension. In other words, the rubber band is already stretched before you even move. So when you go to touch your toes or lift your leg, you feel tension much earlier. Your nervous system interprets this as approaching a limit and creates a protective response by stopping the movement. This is not because the hamstrings are short. It is because they are already lengthened due to pelvic position. Figure 5 illustrates this clearly. With a neutral pelvis, the hamstrings sit at a more optimal resting length. With an anteriorly tilted pelvis, the hamstrings are visibly longer and already under tension. When you then try to stretch further, your body says no. Why Stretching Often Fails If your hamstrings already feel stretched due to pelvic position, stretching them more does not solve the problem. In many cases, it simply reinforces the same limitation. This is why some people can stretch daily and never see meaningful changes in flexibility. Before forcing more stretching or having someone push you deeper into a toe touch, it is worth looking at position first. If you improve pelvic alignment or get out of an overly extended posture, you may find that hamstring mobility improves without stretching at all. This often leads to better movement, less pain if pain is present, and reduced injury risk. A Quick Disclaimer This is not an argument that stretching is bad. Stretching can improve tissue quality, elasticity, and durability. It absolutely has a place. However, if stretching has not improved your hamstring mobility, there is a good chance you are addressing the wrong problem. Sometimes the solution is not to stretch harder, but to change position first. If you want to learn how to do that, click below to see my top three exercises to fix “tight” hamstrings.
Why Bands Aren’t Helping Weak Hips
Many people are told that their knee pain, hip pain, or low back pain is caused by weak hips. This conclusion is often made after strength testing shows difficulty activating muscles like the glutes, which play a major role in hip and pelvis stability. The most common solution is banded hip strengthening. This usually looks like placing a resistance band around the knees for side steps, monster walks, or clamshells. While these exercises are popular, they often fall short and do not lead to meaningful pain relief or long term improvement. Let’s look at why that might be, and what a more effective approach actually looks like. Understanding the Length Tension Relationship All muscles operate under what is known as the length tension relationship. This means the amount of force a muscle can produce depends on the length it starts at. A simple way to understand this is by thinking about a pull up. Starting from a dead hang at the bottom is very difficult. If you start with your elbows already bent, the movement feels much easier. At the very top of the pull up, the last portion is also challenging. The strongest point is somewhere in the middle of the movement. This happens because muscles produce the most force when they are neither fully stretched nor fully shortened. Much like the Goldilocks principle, the middle range is just right. What Is Happening Inside the Muscle Muscle fibers contain tiny structures called actin and myosin. These filaments overlap and interact to create contraction. Myosin heads attach to actin and pull, shortening the muscle. When a muscle is overly stretched, there is less overlap between actin and myosin, making it harder to generate force. When a muscle is fully shortened, there is very little room left for further contraction. In both cases, force production is reduced. Maximum strength occurs when the muscle starts in the middle of its available range, where overlap is optimal. Why Your Hips May Appear Weak Now let’s apply this to the hips. Sometimes hip weakness is real. However, very often the issue is not true weakness but the position the hips are resting in. If the glutes are already held in a shortened or contracted position, they will struggle to squeeze any further. This presents as weakness during testing. On the other hand, if the glutes are excessively lengthened, they may not be able to generate enough force either. These resting positions are influenced by pelvic position. Tight or loose muscles are often the result of the position they are held in, not the original cause of the problem. This is something that can be identified with a proper movement assessment. Why Bands Often Miss the Mark If hip position is the underlying issue, adding a resistance band and doing more strengthening does not solve the problem. In fact, if someone is already in an over contracted state, banded exercises can make things worse by reinforcing poor starting positions. This can further limit force production and continue to feed pain patterns. This is why many people perform band exercises consistently and never feel stronger or more stable. A Better Approach The first priority should be restoring the hips to a more neutral position so they can operate in that strong middle range. Once the hips are in a better position, strengthening exercises become far more effective. At that point, resistance training reinforces good mechanics instead of fighting against them. The exact exercises needed depend on how the hips and pelvis are positioned at baseline. This requires an individualized assessment to determine whether muscles are starting in a contracted or lengthened state and what needs to change to restore balance. After that, strength training can be layered on safely and productively. Whether you are dealing with knee pain, hip pain, low back pain, or simply feel like your performance has plateaued, addressing hip position is often the missing piece. When that foundation is restored, strength gains come more easily and pain is far more likely to resolve.

Testimonials

See How We Created Massive Transformations For People Just Like You
Charlie B.
"I had double hip surgery and spent years in constant pain, just walking around hurt. I felt like I was on a hamster wheel with every other PT… If you’ve been stuck like I was, you’re going to feel the difference here."
Joanna C.
"Before Next Level, every time I felt pain, I would get scared... My only wish was to feel somewhat out of pain… and with Next Level, I achieved far more than that."
Bill T.
“If I hadn’t found Next Level, I would’ve been struggling with this hip problem for the rest of my life. They were the first ones to show me what was really causing it.”
Kam G.
"Next Level looked at me as an individual instead of assuming everyone reacts the same way. The breathing techniques were something I’d never seen before, and they actually worked."

Reviews

John F.
Active Adult

I am a fit 50-year old who has had tight hip flexors, hamstrings and hips for my whole adult life. I have been to many other healthcare professionals who gave me different stretches etc… Maybe minor improvements but still tight. In my first session with Dr Wehrhahn in April 2016, he discovered the root of my long-term tightness and provided me several exercises to work into my workout routine. The results have been outstanding. A five-star rating is not enough. I want a 6-star rating!!!! Thanks Dr W!!!!!

Justin B.
Active Adult / Hockey Player

I have been putting off Physical Therapy on my hips for years now. All my previous experiences have been very poor. You show up, the PT has 40 other clients at the same time, they throw a band at you and tell you to do a few reps and then they don’t come back for 10 minutes. That was my impression of all PT until I saw an ad for Next Level PT on google.

I called and spoke with someone who seemed interested in my injuries and my plan to get better.

I showed up and met Dr. Elyse. She walked me through the whole process and set goals and expectations for me before we got to work.

Once we got to work, it was an experience UNLIKE any other program I had gone through. It was 1:1, it was personal and Dr. Elyse took her time with me and pushed me at the times when I needed it.

I have just wrapped up my 10 weeks. When I started, there were nights when I couldn’t walk up the steps without tears in my eyes. Those nights are gone. I am much stronger than I was when I started.

I will always have to work at this to keep the pain under control and fight off hip replacements, but Dr. Elyse gave me the tools and the confidence to be able to live a more active life and I am truly grateful for that.

I will recommend Next Level Physical Therapy to anyone looking for PT.

Also, Nicki, the client care Specialist, is an absolute delight to see before every session and always made the effort to find times for appointments that fit my schedule.

Dan B.
Volleyball Player

As a high-level beach volleyball player who suffered a torn hip flexor in September 2019, learning the root cause of the injury and fixing it so it could be prevented in the future was paramount. My trainer, Kevin Wagner, recommended Dr. Ben Fan at Next Level Physical Therapy because of his personal experience as a beach volleyball player as well as his deep understanding of human movement. Within an hour, Dr. Ben was able to diagnose my issue and its root cause (misaligned hips), recommend a treatment plan, and give me a timeline to fully recover. However, he reinforced the idea that in order to stay healthy, the program I was about to begin would need to become a part of my athletic routine. Dr. Ben put me through rigorous workouts, combining body positioning with breathwork to help my body open up and correct its positioning. Every day he was attentive, receptive, and patient working with me, fielding dozens of questions in order to explain his recommendations and their benefits. His easy-going demeanor and high levels of professionalism are a reflection of the expectation of service that Next Level Physical Therapy offers. I could not be more grateful I went to Next Level – I am a better patient and athlete as a result.