Hip Replacement

Hello Mukunda:

I have a student who had her hip replaced 6 yrs ago. They told her at the time to always keep her legs together; should she ever sit with her ankles crossed she could pop her hip out and should that happen a terrible pain would occur. That thought alone created extreme tightness in her hips and lower back. I’ve had students with hip replacements in the past, but none were told such a thing, and they experienced pretty good range of motion.

I would guess this student to be in her mid 50’s. Large boned and meaty in muscular structure. She has been fairly inactive since the hip replacement, but I see reasonable movement in her hips as we move through your joint freeing series (which I do with every class now as a ‘warmer’ for deeper asana work). But she has overall stiffness in moving her body, say, from a seated asana to hands and knees. I believe it is more in her mind, than the reality of her freedom of movement. But then again, I wish to honor where she is at this point in time.

My question: What is your knowledge regarding hip replacements, and what approach should I take in assisting her in developing more mobility and freedom of movement?

My teaching style (Indra Devi) is slow with breath and attentiveness to the inner workings of body and mind. No fast movements nor do I teach beyond the classes capabilities. Thank you for your response. Kat

There are valid cautions to be concerned with they are external hip rotation which is crossing the legs and/or ankles. In general these mild motions need little caution if the range of motion (ROM) is measured first and found to be near normal. External hip rotation should be 45 degrees; internal hip rotation 35. safest way to assess this is with client lying prone (on belly) and knees bent feet in the air ask them to widen the feet towards wall (internal hip rotation) and assess angles then reverse so feet are crossed with knees wider than hips width (external hip rottion). By doing these tests first you can see what they are capable of without pain. be sure to ask though, they may be in pain and not volunteer this information.
IF the ROM is ok or close to normal then definitely proceed with my joint freeing series motions (especially #5 for hip rotation tone). You can look in my book for more examples of asanas for hip tone in the kinesiology chart on page 254. In general my experience shows that focusing on muscle strength not stretch is the way to go. It will develop ROM without the danger associated with over stretching. Indra Devi’s method is great for this situation and in general her teaching style is optimal for yoga therapy. namaste mukunda