I have a new client who needs to avoid hip flexion exercises because of low cartilage. (She is young and otherwise fit.) I’m trying to compile a list of lower-body exercises. She’s allowed to do body-weight squats. She’s not allowed to do lunges or anything that brings her hip up more than 90 degrees. I’d imagine things like reverse hypers or hamstring curls or bridges are okay. What about romanian deadlifts? Hip thrusts?
If your client can remember, you might want to find out a little more about the surgery, at least within your scope of understanding and practice. Not so that you can rehabilitate her if corrective exercise is out of your scope, but so that you can better anticipate what will work for her.
She might not remember. I have some clients that can recite their medical history by heard, and I have one client who cant remember which knee had which injury and whether it was the lateral or medial meniscus, because both knees still hurt.
If you don’t have a pool at your gym, you could recommend pool exercises for the days that she isn’t working out with you. It’s OK to recommend things that we don’t teach / train, as long as you define that as part of your training relationship. I use a sort of “hub and spoke” method of training. I’m the “hub” or “lead” trainer, but if there is someone else that would be good for my client, I’ll talk to that trainer first and say, “Hey, can you work with client X in the pool for four sessions and then report back to me what you learned?” then I’m comfortable cross-referring to another professional. It’s about building a network of other trainers who you trust and will mutually refer for specialties.