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?
Hi All! My client explained that she had a cam deformity. The top of her femur was thickened so it wore unevenly in the hip joint and partially tore the labrum. In the surgery, they reshaped the bone, but also scraped out some cartilage that was shredded. She’s now missing cartilage on about quarter of her femur. In general, she feels tight in her low back and glute. When she has pain, she feels like she’s been hit with a hammer in the hip joint and the pain radiates down the side of her leg.
When she did pt, they had her doing exercises like clam shells, bridges, single-leg squats, and side plank. (When I programmed for her first workout, I warmed her up with all of those exercises [except SL squats] and included SL machine knee extensions and SL machine hamstring curls in her workout.)
I can give her squatting movements and low step ups and other lower-body pushing movements, but I’m at at a loss for lower-body pulling movements that won’t put her hip into flexion and potentially exacerbate the issue. Do you think that’s okay or will that create/perpetuate an imbalance?