And here is why none of what I tried worked.
The chiropractor adjusted my joints. But the moment I got into bed and my top leg fell inward again, the cascade started again. Nothing he did addressed what was happening for eight hours every night while I slept.
The PT strengthened my glutes. But weak glutes weren't the problem. The problem was the position my hip was being held in, passively, all night, while my muscles were completely switched off.
The magnesium helped me fall asleep faster. But it had nothing to do with the mechanical pressure building in my hip tissue from the moment I lay down.
The mattress didn't matter. Because no mattress corrects what your leg does when gravity pulls it toward the mattress in the dark.
And the regular pillow between my knees? Closer. But it compressed flat within an hour. Slipped out before midnight. And it only separated my knees — my thigh above and my ankle below still drifted inward. Half a correction is not a correction.
And if nobody ever tells you this, you can go to appointments for another three years and never understand why you're not getting better.
The fix is not a drug. Not a stretch. Not twelve more appointments.
The fix is geometry correction.
Returning the top hip from roughly 30 degrees of adduction back to 0–5 degrees. Near-neutral. And holding it there, all night, without fail, even when you roll.
When you do that, the IT band releases. The tendons decompress. The sciatic nerve gets its space back. Blood flow to the tissue is maintained. The pressure never builds past the threshold. The pain receptors never activate. The 3am alarm never fires.
To stop the Hip Drift Cascade, you need something that holds the full length of your leg from thigh to ankle — not just at the knee. Something that doesn't compress flat. Something contoured so it stays in position when you roll. Something that actually holds the geometry. All night.
I started looking for something like that.
What I found was mostly the same thing in different colors. Round pillows. Flat pillows. None of them were designed around the actual mechanical problem. None of them corrected the full leg geometry.
Then I came across a pillow that was built differently. Not built for general back pain. Not built for pregnancy. Built for the specific geometry problem that causes hip pain in perimenopausal women who sleep on their side.