Tag Archives: low back pain nyc

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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Low back pain and Pilates

Low back Pain and the Gluteals

Clinical studies have shown that a majority of low back pain can be traced to weak and inhibited gluteal muscles . There are three gluteal muscles that make up the side and back of the hip and pelvic region: gluteus maximus, gluteus medius and gluteus minimus. The following blog describes how a dysfunctional gluteus medius can specifically contribute to low back pain.

The glute med is a lateral hip muscle that is responsible for keeping the pelvis level when standing on one leg. For example if you are standing on your right leg and have trouble keeping your left hip from dropping your right glute med is not doing it’s job. What the body often does to compensate for this is lean to the right , creating a side bend in the lumbar spine . Although in itself not an invalid motion but repeated over and over again during the gait cycle can cause a lot of problems. Side bending to the right compresses the facet joints on the right, forces the intervertebral discs to the left potentially impacting nerves as they exit the spine, puts a stretch strain through the left  iliolumbar ligament and facet joints and encourages the left quadratus lumborum (low back muscle) to work overtime. Any of these compensations could be a source of pain. And although massage and stretching may temporarily relieve the pain until the right glute med is strengthened, the back pain will return.

At Mongoose Bodyworks in NYC we use the Pilates Method seamlessly combined with contemporary bio-mechanical knowledge to undo muscles imbalances and keep you pain free. Contact us at info@mongoosebw.com or 212 431 8377 to make an appointment. See you at the studio !

Halle Clarke

594 Broadway ( between Houston and Prince)

New York City, New York 10012

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.