Tag Archives: pilates with injuries

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.

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Pilates And Physical Therapy: A Two-Part Approach

 Pilates and physical therapy. Two separate disciplines with different objectives, right?


In truth, Pilates and physical therapy (PT) have much in common – including a history rooted in building strength and maintaining mobility. Although the approaches may differ based on skill sets; pain free function and individual attention are two of many common threads that link the two disciplines.

Pain Free Function :The most important connection between Pilates and PT

For physical therapists, the approach to pain begins with pathology: searching for the structural drivers, both neuromuscular and articular, of a patient’s pain. PTs can then use techniques like manual therapy, strength training and movement re-patterning to help eliminate pain. Somewhat surprisingly, the practice of Pilates was also born out of a desire to help individuals recover from painful injuries. In fact, Joseph Pilates’ first innovation was attaching springs to hospital beds to help bedridden patients build strength. Still today Pilates maintains a place in the physical rehabilitative community for addressing pain.

Both modalities look to improve alignment, joint articulation and mobility, movement control and fluidity as means to becoming pain free. Because of this major overlap in objectives Pilates acts as an ideal transition out of PT and back into movement and sports.

 Individual Attention : Another link between Pilates and physical therapy? They’re built on the idea of a close relationship.

A physical therapist is a licensed medical professional. They diagnose and treat injuries – with the goal of eliminating pain. Of course, this calls for an open and intimate relationship with their patient.

Likewise, Pilates instructors are frequently tasked with developing new movement strategies and approaches based on observing their client’s unique movement patterns which also requires a very individual and personal relationship with their client.

A Path Towards Better Health?

When practiced together, Pilates and physical therapy can truly be the cornerstone of an overall recovery and health plan. With a shared focus on eliminating pain and restoring function through personal attention, the two modalities are not just complimentary but collaborative. When both practitioners are working in collaboration they can more effectively re-educate patients away from movement compensations that may cause a return of pain and dysfunction. We have found at Thrive PT and Mongoose Bodyworks Pilates that an open dialogue between PT and Pilates instructor has guaranteed the success of our patients and clients.

 Recover And Rebuild With Experts

 If you are interested in exploring Pilates or physical therapy in NYC soho, you need guidance from comprehensively trained professionals. Mongoose Bodyworks Pilates and Thrive Physical Therapy can help you recover and rebuild, even in the wake of an injury. With open atmospheres, and highly qualified staff, there are few better places to begin your recovery or fitness journey. You’ll be able to build strength, increase flexibility, and enjoy a more mobile life.

To get started with a consultation, contact Thrive Physical Therapy and Mongoose Bodyworks Pilates , New York, Soho.