In this video I am going to show you four exercises that you absolutely need to start now to
loosen up and begin to heal your bone-on-bone, hip arthritis. If these exercises even slightly loosen
up your hip joints, then you've got an excellent chance at healing your bone-on-bone hip arthritis,
and possibly escaping having a hip replacement surgery. Now if these exercises work for you,
you're going to want to watch to the end of the video so that you can learn about the next steps
to take after you've done these exercises. My name is Dr. David Middaugh, and I am a
specialist physical therapist at El Paso Manual Physical Therapy. And this channel is dedicated
to helping people stay healthy, active, and mobile while avoiding unnecessary surgery, injections,
and pain medications. Please consider subscribing so that you don't miss
out on any of the helpful tips we upload every single week. Let's get to it guys.
The first exercise is called windshield wipers for your hips, and it looks just like this,
you're going to find a place to lie down, on the floor on the bed wherever you like,
with your knees bent like so, and just be comfortable, it doesn't matter how close your feet
are to the rest of your body, get a comfortable position. All you are going to do here next
is open your knees and bring them together. And just an easy motion just like this just out in a
to do this for five minutes. Now you don't have to go all the way out or
all the way in because if you have hip arthritis, you got that bone-on-bone situation inside your
hip joints, you may have lost some motion and it may feel uncomfortable to go all the way out here
or all the way into it is typically the more aggravating position. So just move
where you feel comfortable. The point of this is to lubricate
the hip joint by getting the fluid inside the hip joint to move around and circulate. And because
you're not standing, you're not bearing weight. And this is generally pretty easy exercise to do.
It's ideal for getting that hip fluid to move and give nourishment provide nutrition to the
layers of cartilage on the inside of the joint. So, I want to do this for five minutes,
set a timer go for five minutes. If you're doing the video the exercises along with
me in this video. Then just pause this right here and set a timer somewhere and go for five minutes.
While you figure out how far out and in you can go, and just move at a comfortable, pace you can
slow down if you need to if you need to control it or you can go a little faster if you want as well.
This just should not hurt it should feel comfortable to do and you should feel like
your hips warm up a bit. It shouldn't feel aggravating, painful, or achy in any way it
should feel good after you're done doing it. Okay, after you've done your five minutes’
worth of hip windshield wipers. Next, you're going to do butt squeezes. Now for this one,
it's critically important to get the buttock muscles active to get them to wake up. And
that's what you're focusing on in this exercise, you're trying to get your brain to connect to your
butt muscles, so that you can begin to use them on command for other exercises that you
need to do as you progress through strengthening. Keep in mind these exercises I'm showing you are
just the first things you should do when you have a bone-on-bone hips situation once you're going to
start to fix it, this would be a great starting point for most people. So, in the same position,
you're going to just squeeze your butt muscles and hold it for 10 to 20 seconds.
Now what you need to feel is just these muscles back here, the butt tightening up, what you
shouldn't feel is the front of the thighs working if you do feel the front of the thighs working,
then you've got to lighten up how hard you are contracting or change the position a bit.
An alternative way to do this exercise is to put your legs down
just like this so that your flat and tighten up your butt muscles from this position.
For me personally, I feel this works the best for me, but this could be aggravating to some people,
if they have back problems because of lying down with your legs flat like this
could bother a back problem. So having the knees bent just
like this, or putting a small pillow behind the knees and then lying flat with the knees slightly
bent because of the pillow. That may work as well. So, play with the positioning. The goal of this
exercise is to get your butt muscles to tighten up. You're going to hold for 10 to 20 seconds
and do this five to ten times you're trying to get in about 100 seconds or more ideally,
of but contractions without getting into the front of the thighs or the inner thighs involved.
You want to try to get the back of hips back here, the butt muscles to tighten up and work. So, you
can work from this position right here tightening the buddy and you are really not lifting up you're
just squeezing butt muscles. And if that doesn't work, find some in between, between your legs all
the way flat and bent. I'm tightening up right here, but muscles are working and just tighten
them up as hard as you can without them muscles working for 10 to 20 seconds, five to 10 times.
And after you've done your butt squeezes, your glute muscles should be more woken up now.
Now you're going to be ready to do clam, clam shell exercises a modified clam shell,
you're going to have to lie down on your side just like so. And ideally do both sides. I'll flip over
here in a moment so you can see the other side. Once you get onto your side, you're going to lie
down with your legs bent just like this, how far up your hips are and your knees are is up to you.
The point of this exercise is that you feel the muscle burning or tightening up back here,
where your back pocket would be, I would put my hand in my back pocket, that's where my muscle
is it, I want to fire. It's the gluteus medius, actually the back half the posterior half of the
gluteus medius, you might get glute maximus as well, I want that muscle to fire because it's
going to help to position the hip joint better to optimize the motion to get better range of motion
and get the mechanics the movement inside the hip joints to improve so that you can
have less of a bone-on-bone hip joint situation and offload the cartilage inside your hip joint.
So once you're bent like this, what you got to look at with your eyes is you want the top knee
to stick out past the bottom knee by you rolling over just like so you're not trying to slide your
leg correlate that you don't want to do that, you want to roll your hips and even your upper
body over just like this. So that this top leg sticks out forward past the bottom leg.
Once you're in this position, now what you're going to do is pick up your knee and it doesn't
need to be very high, you're just going to hold it for 10 seconds. If you come up higher, you
might feel like your thigh muscles are working, we don't want that. Remember, we want the back
pocket muscle right here working the butt muscle, the side of the butt should be tightening up.
So, for me if I roll over a bit more, right here, I feel my butt muscle tightening up the most,
after 10 seconds, you can relax and repeat this 10 times on each side.
So, roll over, pick up the hip and play with the position like I feel
right here, I get the best contraction. That's what I'm after is the best contraction, not the
hardest feeling necessarily, I want it to be focused, I want my quad to not work,
and my hamstrings to not work, I wanted to be focused right back here, because that's
what's going to affect the hip joint the best. Right there I feel my quad fire and then relaxed.
I'm going to relax right here rolling forward, picking up just a bit. If I come up higher,
it's not necessarily better. Now if I roll forward a bit more and come up higher, I feel it.
So, you can do this modification. And then one of the tweaks that you can make is if you point your
toe up, so I'm keeping my heels touching that I'm pointing my toe up on my top leg that could light
up that hip more as long as you can tolerate it and you're not firing a bunch of thigh muscles.
That's okay, this is not going to be productive for you if your whole thighs working.
Remember, you want to keep it to the glute right here. It's roll forward and get that
muscle to work right here. After you've done 10 reps then you’re just going to, you can roll over.
I'll just do that for you. Or you can put your head over there.
But just see so that you can see the other side of this exercise.
Knees bent, roll forward like that. I want this muscle right here to work.
And I'm just picking up my knee so that this muscle works right here. After about 10 seconds,
you can relax it and I'm going to add my toes up. To get this to burn I must roll forward a bit more
in order to get this muscle to work. Now this is where this is modified.
Because a normal clamshell you're not rolling forward so much you're just straight up and
down. You're coming up just like that, and it's probably going to fire more the thigh muscles.
We don't want that in this case and when this muscle to work back here, the side of the buttock
muscle. In order to get the best effect for that hip joint pressure you check you're trying to take
off pressure from the hip joint when you do this. After you've done your clams, modified clams.
Next, what you're going to do is a screwdriver exercise. Now if you've done all the exercises in
order, you should have your glutes pretty warm so that you'll be ready for the screwdriver exercise.
Now what you'll need for this is ideally if you have a rotating chair, like I've got this stool
right here and it rotates, and computer chair works pretty well too. It's okay if it has a
backrest on it. And if you don't have a rotating chair, there's a modification that I can show
you that I'm sure you'll have the equipment for a chair and a pillow will work just fine.
I'm going to just raise this tool the way and all you got to do for that screwdriver
is, you know, kneel onto the rotating chair. And you can hold on to something for balance,
I feel pretty comfortable right here. But if you feel like you need to hold on to a
table a counter a piece of furniture, you know, like a couch or something, then do so. So that
you're not going to tip over, you're going to put some weight through this leg through your knee.
And then what you're focusing on here is rotating in and out and specifically when you rotate
outwards with your legs, so the front of your thigh goes that direction, your foot goes that
direction, you need to tighten the butt muscle. So, you're just getting a better position here.
All right, there we go. So, you're tightening up right here. Tighten up, tight up when I go out,
squeeze, squeeze a butt, muscle squeeze.
Another term I've heard for the exercise is a ratchet, kind of like a ratchet tool, screwdriver,
the idea is that you're twisting back and forth. And you have to squeeze a butt muscle this will
not be as effective. If you don't squeeze the butt muscle because you're turning on the muscle that
shoves the ball in the right position in the socket to alleviate the pressures that are causing
the bone-on-bone hip joint problem. T hat arthritis inside the hip joint
wears down the cartilage inside the hip joint. And that's what sets up the bone-on-bone situation.
And it's not long entire surface of cartilage that's gone. Usually, it's usually just a spot.
And there's a lot of pressure inside the joint. If you can offload the pressure by getting the
buttock muscles to work, then you can, there's a good chance that you can alleviate the pain
and get back to normal activities. But you've got to begin to activate
the glutes, you've got to depressurize the hip joint,
and you've got to get lots of repetitive movement. That's why this exercise.
Now what I would do for this is time yourself go for two to three minutes. If you want to go
even more than that, even better, as long as your glutes can tolerate it, and you're okay
being in this position, you know, as long as you're balanced, and then you can go for it.
But after two to three minutes, if you feel like you need to stop then you can do so
you want to do the other side. If you want to the other side, then you can do that as well.
Now good frequency for this exercise would be to do them five times a day.
In total, they'll take you anywhere from 10 to 20 minutes depending on how fast you go.
And if there's any of these exercises that bother your hip, then you should leave it
out so that you don't aggravate your hip, and potentially be in a situation where you can't
do anything because it just hurts to move in any direction. You want to do exercises
that make you feel good in your hip if you've got a bone-on-bone hip arthritis situation.
Now let's talk about what to do next. If you've been doing these exercises for several days,
maybe even several weeks for some people, they might even take months of doing this exercise
this exercise routine, so that you can get the hip joint flare down enough to tolerate the
next level. If you're moving on to the next level. A good milestone or landmark to judge that you've
surpassed these exercises would be if you can tolerate standing and walking for 20 minutes or
more without flaring up your hip joint. If you can take 20 minutes’ worth of steps are being on your
feet and your hip isn't biting you or isn't sore, achy or you're not paying for it the next day.
And that's a great position to be in. That's a great sign that your cartilage
has healed enough for you to tolerate weight bearing through it. The pressures in the in
the hip joint have begun to normalize and you're benefiting from these exercises. If
you're in that position that you need to move on to the next step. If you're looking for
those exercises, subscribe to our channel. We've got tons of videos coming your way
and we've got some in the past as well go check out our playlists. You'll find more strengthening
exercises that you can do if you subscribe to our channel. I hope this video was helpful.
Give us a thumbs up and please subscribe so you don't miss out. Have a wonderful day. Bye-Bye