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Pilates After Total Hip Replacement

Pilates After Total Hip Replacement

The are over 200,000 hip replacements a year with the majority being performed on people between the ages of 50-80. Hip replacements are recommended to relieve pain and decreased mobility in the hip often due to arthritis and other degenerative processes .

A total hip replacement involves replacing the femur head ( proximal end of the thigh bone) with a metal facsimile as well as replacing the part of the pelvis the makes up the hip socket known as the acetabulum. The surgery is either performed with incisions in the front ( anterior approach ) or the back ( posterior approach) of the hip. With a posterior approach it is necessary to cut through the muscle to access the hip joint which usually requires a longer recovery time. Because of this some surgeons recommend an anterior approach . When done this way there may be less trauma to the surrounding muscle tissue which is moved aside instead of cut and patients can therefore  get back to their daily activities sooner. After either surgery patients will embark on an intensive course of physical therapy with the goal of getting them up on their feet and walking unassisted as soon as possible.

Total Hip Replacement

One often overlooked issue in rehab is that any muscular imbalances that the client had before the surgery will most likely still exist. This could include muscular compensations that the person developed in response to their painful hip or could even be the dysfunctional patterning that created the wear and tear in the first place. The significance of this is that if the patient’s pain was partially due to muscular imbalance ( not just the pain from bone on bone contact in the joint) they may continue to feel hip pain long after the surgery has healed and may continue to until this imbalance is remedied . That is where an experienced Pilates instructor can be of great help.

A knowledgeable instructor will first assess the strength and flexibility of the joint. Then look for recruitment dysfunctions, identifying muscles that are dominating the movement at the hip and muscles that are under active as well. The retraining will begin with isometric holds which safely support the joint in a variety of positions and the core musculature that stabilizes the pelvis and lumber spine ( lower back) will need to be optimized . Then based on the initial assessment the instructor will create a strengthening program that takes the hip safely through all ranges of motion , while focusing on the clients individual needs. Special attention will be paid to exercises that protect the the joints of the body as a whole. And balance training will be incorporated to minimize falling and the possibility of future injury.

Pilates serves as an important and valuable adjunct to Physical Therapy and helps people return to life!


Mongoose Bodyworks is a boutique Pilates studio in soho NYC that focuses on delivering customized private sessions designed for your exact needs.

Halle is a 2nd generation master teacher having studied  closely with two of the great NYC protégés of Joseph Pilates: Kathy Grant and Romana Krysanowska. Halle opened Mongoose Bodyworks, a boutique Pilates Studio in New York City in 1999 .

As well as training in Pilates Halle has pursued studies in ideokensiology, anatomy , biomechanics, muscle energy technique, trigger point therapy ,neuromuscular re-patterning, Alexander technique, The Feldenkrais Method, Polartity therapy and Cranio-Sacral Therapy. She has additional certifications from the PMA-CPT and ACE. Halle integrates all of her extensive studies of the body into her work as a New York based Pilates Instructor and Teacher Trainer.

She has been conducting Pilates Teacher Trainings for Balanced Body since 2006 both in New York and around the country. Halle has taught Master Pilates classes nationally and internationally, including at The PMA Conference and Mind Body Expo.

Related Links:

Pilates and Physical Therapy

Back Pain Relief in Soho NYC

The Connection Between Low Back Pain and Weak Gluteals: Part 2

Low Back Pain and Weak Gluteals: Part 2  

Welcome to part II of a three part series about weakness in the gluteal muscles and the relationship to low back pain . In part I  I discussed what can mechanically happen in the body when the Gluteus Medius (a lateral gluteal muscle) presents weak. This blog outlines the imbalances that can occur when the Gluteus Maximus, the largest of the gluteal  muscles, is weak or inhibited due to tight hip flexors. 

Second picture shows what happens when the hamstrings predominant.

The Gluteus maximus ( GMax) is a powerful hip extensor responsible for getting you up out of a chair and propelling you through space when running or jumping . If your hip flexors ( the muscles in front of your hip- rectus femoris , iliopsoas, and anterior fibers of the adductors ) are short , perhaps from spending much of the day sitting ,  your Gmax can become inhibited and weak. In addition, to sufficiently extend the leg behind you with tight hip flexors the pelvis has to roll forward in an anterior rotation. This positioning causes the hamstrings ( the muscles down the back of your thigh) to predominate which in turn sends the femur into the anterior hip capsule.   Potentially causing anterior hip pain .

Sacrum during gait

When walking the two pelvic halves move in opposition. While one rolls anterior the other rolls posterior relatively. The sacrum , the bone at the end of the spine and between the two pelvic halves, rotates and side bends to accommodate the opposing movements of the pelvic halves  and the lumbar spine counter rotates to balance the system out. If one side of the pelvis is stuck in anterior rotation (as described above )the other  pelvic half may posterior rotate farther to try and create balance. This increased motion between the sacrum and the lumbar spine puts undue stress on the lumbar discs potentially creating injury and nerve compression .

Stretching the hip flexors is an important part to rebalancing but also needs to be accompanied with gluteus maximus re-training that teaches proper recruitment .  At Mongoose Bodyworks in NYC soho we teach clients to balance their low back and pelvic musculature to achieve and maintain a pain free body.

Contact us for an appointment today!

Mongoose Bodyworks

594 Broadway #904

New York, NY 10012

Info@mongoosebw.com

212 431 8377


Mongoose Bodyworks is a boutique Pilates studio in soho NYC that focuses on delivering private session designed for your exact needs.

Halle is a 2nd generation master teacher having studied  closely with two of the great NYC protégés of Joseph Pilates: Kathy Grant and Romana Krysanowska. Halle opened Mongoose Bodyworks, a boutique Pilates Studio in New York City in 1999 .

As well as training in Pilates Halle has pursued studies in ideokensiology, anatomy , biomechanics, muscle energy technique, trigger point therapy ,neuromuscular re-patterning, Alexander technique, The Feldenkrais Method, Polartity therapy and Cranio-Sacral Therapy. She has additional certifications from the PMA-CPT and ACE. Halle integrates all of her extensive studies of the body into her work as a New York Pilates Instructor and Teacher Trainer.

She has been conducting Pilates Teacher Trainings for Balanced Body since 2006 both in New York and around the country. Halle has taught Master Pilates classes nationally and internationally, including at The PMA Conference and Mind Body Expo.


Related Links:

Low Back Pain and Weak Gluteals Part 1

Pilates and Physical Therapy

Back Pain Relief in Soho NYC

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A Holistic Approach to Wellbeing

A holistic approach to wellbeing in NYC; Pilates and Naturopathy

It’s no surprise that Pilates is on the rise – with a focus on efficient movement and core awareness, there’s a lot to love about this mind body fitness program. At the same time, Naturopathic medicine – a holistic and natural approach to healing – has become a welcome health alternative for many.

While the two disciplines may seem worlds apart, they both value looking at the whole body, illness prevention, and educating their clients.

The Total You

 The most obvious connection between Pilates and naturopathy? A holistic approach.

While naturopathy differs from traditional medicine in numerous ways, one of the most powerful is its concern for the “whole” you. This means considering a range of factors including physical, mental, and environmental conditions of a patient.

Similarly, Pilates exercises consider the whole body. The body works best when it is experienced as an integrated whole and not compartmentalized into unrelated parts. A painful knee may be a misalignment in the back and a misaligned neck and cause problems lower down. Because of this whole body approach Pilates delivers a whole body experience and workout.

 

Prevention

 

Because Pilates focuses on moving with proper mechanics one is constantly learning and reinforcing efficient and safe ways of moving. These new patterns will carry over into other disciplines like sports, as well as help guide an aging body. This attention to alignment and moving well prevents injury down the road.

For Naturopathy patients, prevention is also critical. Whereas traditional medicine typically operates on a diagnose-treat basis, many Naturopathy professionals try to predict health issues and complications before they occur.

Wellness With Education

A final commonality between Pilates and naturopathy: proper education.

Both disciplines involve a personal client – teacher and patient-doctor relationship. Most of all, Pilates and naturopathy are built on the idea of ongoing education, improvement, and self-discovery. With the goal of empowering clients to take care of themselves as a lifestyle and prevent dis-ease in the future.

 

This means a qualified and knowledgeable guide is critical. If you are interested in exploring therapeutic Pilates and naturopathy in NYC , the experts at Mongoose Bodyworks and Dr. Maura can help. Mongoose Bodyworks Pilates is located in Soho NYC convenient to many subways. Dr Maura is located Chelsea, NYC. We look forward to meeting you!

Pilates and Acupuncture

A Match: The Powerful Connections Between Pilates and Acupuncture

 In recent years, holistic approaches to health have all seen a surge in popularity – and with good reason. More than just placebo effect, practices like acupuncture promise to have a measurable impact.

Simultaneously, Pilates has seen a resurgence in popularity – bolstered by its focus on core strength and balance.

These two different disciplines– Pilates and acupuncture—have much in common. From similar effects on the body to a concentration on mental cohesion, Pilates and acupuncture offer a world of tangible benefits, especially when practiced simultaneously.

Same Systems?

 So, now that we understand that Pilates and acupuncture have similar effects on the body, it’s important we understand why.

Acupuncture works by targeting “meridians” or the points that surround various muscle and organ groups. The needles of acupuncture serve to stimulate naturally bodily responses in these points and the tissues that surround them.

Pilates works in a similar fashion – with a focus on bodily movement. A typical Pilates regimen features movements designed to engage and rebalance the “myofascial meridians”. When these fascial and muscle chains are working in coordination the body can work as an integrated whole – a collaboration of many systems.

Real Relief

 So, what really happens when you combine Pilates and acupuncture? According to new research published by The Mayo Clinic, acupuncture was found to dramatically relieve back pain and improve overall mobility.

With the addition of Pilates, the overall impact of acupuncture is only increased. Given that the overarching goal of Pilates is to improve core balance and function, the two practices can truly work in tandem – building a healthier and more balanced you.

Mindfulness

 No mention of any physical activity or natural health treatment is complete without noting mental and emotional benefits. Interestingly, both acupuncture and Pilates directly focus on your body’s natural energies – albeit in slightly different ways.

 Indeed, Pilates instructors and professional acupuncturists share a recognition of the psychological and cognitive reach of both disciplines. According to acupuncture experts at Integrative Healing Arts, the “stress response” of acupuncture helps “us to experience whole body balance – aligning ourselves on physical, energetic, emotional, and spiritual levels.” When adding Pilates and Acupuncture one can imprint the positive changes happening in their acupuncture sessions into conscious changes in how their body feels and moves.

 

Similarly, the Pilates staff at Mongoose Bodyworks note that their discipline is most concerned with “improving one’s kinesthetic awareness” and that acupuncture specifically relaxes the nervous system and increases blood flow which in turn improves kinesthetic awareness making it a “wonderful co-treatment with Pilates…especially for movement re-education.”

The message? Acupuncture and Pilates just go together.

 

 

Reformer Pilates in Soho NYC

The Pilates Reformer

Joseph Pilates on Reformer
Joseph Pilates on Reformer

The Pilates Reformer is the primary piece of equipment designed by Joseph Pilates. It is used in private sessions and small group settings alike.  Although the design has gone through some modern revisions the essence of the machine has remained the same. The reformer provides resistance for some 500 + Pilates exercises designed to coordinate and strengthen the body in a myriad of ways making it suitable for both beginner and advanced movers.

Pilates Reformer
Pilates Reformer

The reformer looks like a single bed frame that houses a sliding wheeled carriage. The carriage is tensioned by adjustable springs at one end and straps with handles on the other. The front end of the reformer has a foot bar with adjustable height settings that can be pushed by the hands or feet to move the carriage. This varied design provides for a vast number of positions in which to train the body. One can sit, stand, kneel, lie down front, side or back,  all while pulling the straps or pushing the bar.

Pilates Reformer Exercises

Pilates is more than an ingenious and versatile piece of exercise equipment. It is the philosophy behind the exercises and their relationship to the Reformer that make it truly unique. The movements, although strengthening, are not always used in direct resistance with the springs. In fact, sometimes the springs support the weight of the body and act as a teaching tool for proper mechanics. This allows one to learn how to lengthen, lift and open the body creating more ease and efficiency throughout the system at the same time building tone and endurance.  Counter intuitively, it is often the lighter spring tensions that are more challenging and strengthening as one aims to balance and control the movement.

man on reformer

One of the main Pilates principles is the idea that movement can be supported by the intrinsic muscles of the core.  When the core is coordinated with the rest of the body one moves with grace and efficiency, leaving less wear and tear on the joints and allowing a body to stay healthier and pain free longer. Core awareness can be the key to relieving back pain and many other neuromuscular issues.

Benefits of a Pilates Reformer Practice

The benefits of a Pilates practice on the reformer are an elongated spine, improved posture, increased strength and flexibility and an improved ability to participate in other physical activities such as sports, running and skiing, to name a few. What also makes Reformer Pilates so remarkable is that it works at all levels. The basic philosophies outlined above can be taught to anyone and at any level. Beginners thrive from learning the primary skills and there is still room to grow and accommodate even the most accomplished dancer or athlete.

women on reformer

Pilates Reformer at Mongoose Bodyworks Soho NYC

At Mongoose Bodyworks in Soho, NYC our sessions start with teaching the core principles on the mat and then reinforcing them on the Reformer. The majority of our NYC clients take private sessions but we do offer a few small group classes on the reformers for those that are interested. Although not required, we do recommend taking three privates before embarking on the group reformer classes. If you have any questions about the Pilates Reformer or our Soho NYC studio please contact us at info@mongoosebw.com.