Hello, I have a client who has arthritis in her right hip. During mobility tests, she has an asymmetrical weight shift to one side (her right side) during any squatting and hinging movements. I’ve been showing her many Glute Medius exercises (due to the imbalance). The only problem is, there’s pain whenever these exercises are performed (whenever she performs abduction with her right leg in general) I’ve also showed her some adductor and TFL stretches to incorporate.
I’m trying to program further leg training without machines, but I don’t want to worsen her imbalance. What’s your advice? Sorry for the complication.
Difficult to give an answer without complete history and assessment of the client.
I would want to know what type of arthritis she has (osteo?), is she overweight? Has she had doctor’s release and/or any PT? Also, although I understand the functional purpose of wanting to keep her off machines, perhaps one could help her simply because of this imbalance–she is only as strong as her weakest point, and multi-joint exercise may not help her in this case.
Regardless, you want the client to work in a pain-free range of motion.