Saturday, February 24, 2024

Exercise With Arthritis In Hip

Towel Press With Pulses

Hip Arthritis Exercises (Light Strengthening)

Lay on your back with your knees bent. Wrap a towel around the outside of your thighs.

With both legs, press outwards into the towel twice. Use the same technique as the previous exercise, thinking press, press before relaxing.

Repeat this exercise 5 times.

This movement works the external rotators of the hips, strengthening the muscles known as our Abductors.

These movements create more balance between the two muscle groups, mitigating the risk of injuries caused by imbalances.

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If Surgery Is Necessary

In severe cases of hip OA, the hip joint degenerates until bone is rubbing on bone. This condition can require hip joint replacement surgery. Physical therapy is an essential part of postsurgical recovery, which can take several months.

If you undergo hip joint replacement surgery, a physical therapist will visit you in your hospital room to help you get out of bed and teach you how to walk, and will explain any movements that you must avoid to protect the healing hip area.

Physical therapists will work with you daily in the hospital and then in the clinic once you are discharged. They will be an integral part of your care and recovery, helping you minimize pain, restore motion and strength, and return to normal activities in the speediest yet safest manner possible after surgery.

Other Hip Arthritis Treatments May Be Necessary

A doctor may also recommend other treatments besides physical therapy and exercise. In fact, hip osteoarthritis commonly requires a combination of treatments. For example, a treatment plan may include exercising regularly, losing excess weight, and using oral or topical pain relievers as needed. Pain relievers may allow you to participate in certain exercises that are otherwise painful, maximizing your potential benefits.

Read more about Hip Osteoarthritis Treatment

If nonsurgical treatments fail to relieve hip pain over time, your doctor may suggest surgery. The most common surgical option is hip arthroplasty, also known as a total hip replacement.

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The 5 Best Hip Exercises For Arthritis

Hip osteoarthritis pain and stiffness can make simple tasks like sitting down in a chair or bending over to put on your shoes more difficult. It’s one of the main reasons more than 370,000 people get hip replacement surgery each year, according to the American Association of Retired Persons.

Fortunately, hip arthritis exercises that strengthen the muscles surrounding the joint, such as your glutes, can make a big difference in managing your symptoms and preventing the need for surgery.

Below are five hip exercises for arthritis from Grayson Wickham PT, DPT, CSCS, founder of Movement Vault. They’re a mix of strength moves and stretches â both of which are needed for joint health.


Make sure you talk to your doctor before starting an exercise program. If you feel any pain during exercise, stop doing the exercise altogether, says Danine Fruge, MD, medical director at Pritikin Longevity Center.

âIt is always wise to listen to your body and stop, modify the activity or decrease the amount of exercise if you have increased pain during or after exercise, can indicate more inflammation and wear and tear and lead to more joint degeneration.â

The Best Exercises For Hip Arthritis

What exercises should you do if you have hip pain?

According to the Centers for Disease Control and Prevention , arthritis affects 54 million Americans, up to 24 million of whom experience limited mobility and discomfort. If you are one of these people, the idea of doing physical activities may seem counterintuitive, especially when you have hip arthritis and youre in pain. However, did you know that a lack of exercise can actually exacerbate your condition?

Although it may seem painful and uncomfortable, exercise can provide you with relief in the long run. Regular exercise can help strengthen your muscles and make your hip joint more stable, which is why orthopedic specialists recommend it as a crucial part of hip arthritis treatment.

Here are the best exercises for hip arthritis that you should discuss with your bone and joint specialist. Make sure to start with very little intensity and increase it slowly.

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How Is It Diagnosed

If you see your physical therapist first, the therapist will conduct a full examination that includes your medical history, and will ask you questions such as:

  • When and how frequently do you feel pain and/or stiffness?
  • What activities in your life are made difficult by this pain and stiffness?

Your physical therapist will perform special tests to help determine whether you have hip OA, such as:

  • Gently moving your leg in all directions
  • Asking you to resist as the physical therapist tries to gently push your leg and hip in different directions
  • Watching you walk to check for limping
  • Asking you to balance while standing
  • Testing the mobility of the hip joint
  • Watching how you climb stairs, how you move from one position to another, etc.

Your physical therapist may use additional tests to look for problems in other parts of your body, such as your lower back. The therapist may recommend that you consult with an orthopedist, who can order diagnostic testing such as an X-ray or MRI to confirm the diagnosis.

+ Best Exercises Recommended For Hip Arthritis

Hip osteoarthritis is the medical term for the more commonly known hip arthritis. The degenerative disease, osteoarthritis causes cartilage to break down. This makes the bones rub together which creates bone spurs, pain and stiffness. With osteoarthritis of the hip, you may not exercise because of the pain. It becomes a vicious circle because the lack of exercise may contribute to muscle atrophy and osteoarthritis. It is suggested to enjoy physical activity regularly to help keep muscles strong, promote balance and keep your hip joints healthy.

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Half Crunch On The Ball

  • Sit on the exercise ball with your feet flat on the floor and your arms crossed over your chest.
  • Slowly lean back at a 45-degree angle, bending at your hips and lifting your heels off the ground.
  • Use your abdominal muscles to pull yourself back up into a sitting position, setting your heels back on the ground and returning to a flat-footed position.
  • Do 2 sets of 5 to 10 repetitions.

  • Sit on the exercise ball with your feet flat on the floor and your arms raised straight overhead.
  • Slowly lean back at a 45-degree angle, bending at your hips and lifting your heels off the ground.
  • While holding this position, slowly lower your left arm to your right knee.
  • Return your left arm overhead and alternate sides, doing the same exercise with your right arm.
  • Repeat 10 times.

    The number of repetitions and sets recommended here are just thatrecommendations. You may do more or less depending on your ability. Remember that keeping good form is more important than doing multiple sets or repetitions. If you have questions about form, a doctor or physical therapist can help guide you.

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    Tips For A Smoother Recovery After Hip Surgery

    Hip Arthritis Stretches & Exercises – Ask Doctor Jo

    Both patients and doctors share their perspectives on the big and little things that make recovery progress as easily as possible.

    Be realistic about your expectations. Even with the advances that have improved the patients experience, this is still major surgery. Dr. Parks

    Dont wait as long as I did to have it done. I walked with a bad limp before I dont limp at all now. I feel like a different person, and I keep telling people its like a miracle. If youre told this is the only way to get better, dont be afraid of it. Patient Lois W.

    I did all the exercises the home physical therapist gave me to a T and that helped. Patient Lois W.

    If you dont have a walk-in shower, its important to have a bench in the shower and to have a hand-held shower head so you can take a full shower sitting on the bench. I wouldnt have wanted to stand in a slippery shower while still regaining function. Patient Kassie C.

    I had my second hip replacement two months ago. I would recommend having the anterior hip replacement. The recovery is a lot faster and no precautions are put on after the replacement like years ago! Patient Lynn S., via Facebook

    Ive had both of my hips replaced in my mid-twenties and again in my late thirties. Best piece of advice I can give is to go into your operation with the strongest leg muscles you can muster. Having existing strength post-op aids in recovery. Patient Naomi C., via Facebook

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    Data Collection And Management

    Fig. 1

    Paper-based or electronic questionnaires are sent to participants at baseline, 3months and 9months to complete self-reported primary and self-reported secondary outcomes. At the 3-month follow-up, participants return to the University of Melbourne and Monash University for re-assessment of performance-based physical function, strength, cardiorespiratory fitness, quantitative sensory measures and body composition. Participants who provided a blood sample at baseline are asked to attend a study pathology clinic to provide a follow-up blood sample. Participants also complete a logbook to record adherence to the exercise program over the first 3months. If questionnaires or logbooks are not returned, the participants are contacted to prompt a response, or as a last resort, to obtain primary outcome data via telephone or email.

    Is Rowing Machine Good For Hip Arthritis

    Rowing machines can be a great way to help people with arthritis or other conditions that affect the core muscles. Because rowing engages all of your core muscles, it will help you get stronger and more flexible.

    You dont have to be able to row forward or backward you can use a rowing machine in any direction. It doesnt require much strength or endurance, so anyone can use it even kids. Rowing also helps reduce wear and tear on joints, making it an ideal exercise for those who are aging well

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    Full Range Of Motion Hip Activation

    This hip exercise not only strengthens all the muscles around your hip but also improves range of motion and flexibility. Known as hip CARs , this move gets nutrient-rich synovial fluid moving in your joint to help reduce pain.

  • Start on all fours, with your hands under your shoulders and knees under your hips. This is the starting position.
  • Keeping the rest of your body still, bring one knee up toward your elbow .
  • Next, bring it out to the side so your knee is parallel to the ground.
  • Now bring your knee back behind you, rotating it so the knee remains bent and the foot is up toward the ceiling.
  • Bring the knee back down to the starting position.
  • Go as far as you can go with each motion, but keep it in your pain-free range.
  • Do 3 circles in one direction, then 3 three in the other direction.
  • Tip

    If you have difficulty getting on all fours, you can also perform a standing CAR exercise to improve hip mobility.

    Top Hip Arthritis Exercises For Relieving Chronic Pain

    Hip Arthritis Exercises  Therapy Insights

    Exercise 1 Stand up and place hands on something sturdy like a non-moving chair or countertop for stability.

    Keeping the body upright and both legs straight, lift one leg out to the side. Do 10 repetitions with that leg, then switch sides and do the same on the other side.

    Be careful to use the hip muscles rather than letting momentum do the work!

    Exercise 2 Stand and place hands on something sturdy like a non-moving chair or countertop for stability.

    Keeping the body upright and both legs straight, lift and extend one leg back behind the body. Do 10 repetitions on that leg, then switch sides and do the same on the other side.

    Be careful not to bend the knee and to use the hip muscles rather than letting momentum do the work!

    Exercise 3 Stand and place one hand on something sturdy like a non-moving chair or countertop for stability. Make sure the active side of the body has space to move.

    Keeping the body upright, do a single leg march in place. Do 10 repetitions on that leg, then switch sides and do the same on the other side.

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    How Can A Physical Therapist Help

    Your physical therapist will explain what hip OA is, how it is treated, the benefits of exercise, the importance of increasing overall daily physical activity, and how to protect the hip joint while walking, sitting, climbing stairs, standing, carrying loads, and lying in bed.

    Testing will reveal any specific physical problems you have that are related to hip OA, such as loss of motion, muscle weakness, or balance problems. Addressing the problems in surrounding body regions, such as the spine and the lower extremity, is important to the treatment of hip OA.

    The pain of hip OA can be reduced through simple, safe, and effective physical activities like walking, riding a bike, or swimming.

    Although physical activity can delay the onset of disability from hip OA, people may avoid being physically active because of their pain and stiffness, confusion about how much and what exercise to do, and not knowing when they will see benefits. Your physical therapist will be able to guide you in learning a personal exercise program that will help reduce your particular pain and stiffness.

    Your physical therapist will work with you to:

    • Reduce your pain.
    • Improve your leg, hip, and back motion.
    • Improve your strength, standing balance, and walking ability.
    • Speed healing and your return to activity and sport.

    Hip Exercise: Hip Extension

    Strengthens your buttocks

    • Lie on your stomach on a firm, flat surface with a pillow under your hips. Keep your head, neck, and upper body relaxed.
    • Bend one knee 90°.
    • Lift your leg straight up.
    • Slowly lower your leg down to the floor, counting to 5.
    • Do 8 reps then complete the exercise on the other side.

    Tip: Begin with 8 reps, using only your body weight and progress to 12, recommends Dr. Johnson. When that becomes easier, add ankle weights in one-pound increments. Each time you increase the weight, start again at 8 reps, working back up to 12.

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    Benefits Of Exercise For Managing Hip Arthritis

    “Personalized exercise can be beneficial for hip arthritis by increasing muscle strength for joint stability, increasing flexibility for a better range of motion, and decreasing weight and body fat, which decreases inflammation and pressure on the joint,” Dr. Fruge says.

    Case in point: A small January 2017 study in the âJournal of Osteoporosisâ found that women 65 and older who performed hip exercises for arthritis three times a week had 30-percent less hip pain and 20-percent improved range of motion and strength after 12 weeks.

    In addition to strengthening your muscles and improving flexibility, exercise helps with hip arthritis by moving the nutrient-rich synovial fluid in your joint, Wickham says.

    “The synovial fluid contains all of the nutrients that your joint needs to maintain healthy cartilage and tissues. The main way that this joint synovial fluid is moved and distributed to different areas of the cartilage located within your joint is by movement.”

    Exercise can also help ease hip pain by sending signals to your brain and nervous system that your joint isn’t in danger, which is one of your body’s main mechanisms for producing a pain signal, Wickham says.

    “Having weak hip muscles on top of having hip arthritis usually exacerbates hip pain and decreases the function of the hip. A stronger hip will be a more resilient hip.”

    âAdditional reporting by Tim Petrieâ

    What Aggravates Hip Arthritis

    3 Exercises For An Arthritic Hip

    Overexertion or carrying out repetitive movements can aggravate hip arthritis. The sudden or unexpected activity can also cause stress on the joints, causing pain.

    Hip arthritis sufferers may find relief through a combination of rest, ice packs and medication as needed to control symptoms at their own pace. Rehabilitation therapy is often recommended for those with hip arthritis in order to regain mobility and strength in the joint area.

    Although treatment options vary from person to person, learning about your specific case and managing any associated triggers will help ease suffering

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    Water Exercise Is Also Easy On The Joints

    Some fitness trainers and physical therapists also recommend swimming or water aerobics, but thats not practical for everyone. Another low-impact workout that will elevate your heart rate is working out on an elliptical trainer. If you have access to such a machine, its another low-impact option that will boost your heart rate. Plus, you can always do interval training on an elliptical by increasing and decreasing the resistance.

    Another low-impact cardio option is walking. To boost your heart rate more, walk faster at intervals, and then recover. If it doesnt aggravate your hip pain, you can also add hills for more of a challenge. Walking can be as easy or as challenging as you make it. If you walk, be sure to do it on even terrain. For example, hiking on an unpaved path with lots of twists and turns can be hard on your hips.

    No matter what type of exercise you do, warm up beforehand with dynamic movements like legs swings and arms swings to raise your core body temperature. Your joints should be warm and fluid before launching into a sweat session. Dont go into a workout with cold muscles and joints. At the end of the workout, do slow, gentle stretches without forcing the muscles and joints to the point of discomfort.

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