Pilates and hip replacement (anterior approach)

This is how FlowMat builds pilates classes for a student with hip replacement (anterior approach). They are the app's real rules, reviewed by a medical committee: what isn't recommended is never suggested, and what needs care comes with a warning for the teacher.

4never suggested
70with a warning and a gentler option
426available as usual

500 exercises in the catalog

Guidance for the class

Avoid deep squats: limit range to 90° and keep the knee soft when bearing weight.

Exercises FlowMat does not suggest

These are 4 of the catalog's exercises that FlowMat keeps out of the class when this condition is present.

Not suggestedKneeling hip flexor stretch
Not suggestedSeated Balance with Knee to Chest
Not suggestedJumping jacks
Not suggestedStanding hip circles

Exercises that come with a warning

Examples of exercises that do appear, with the guidance the teacher gets.

CarefulSwan prep

Limit hip extension if you're in an early post-surgical phase; check with your doctor.

CarefulClam

Limit the knee opening and avoid wide external rotation; reduce the range further if in early post-surgical phase.

CarefulFigure-4 stretch

Avoid this position if your surgery was less than 12 months ago; afterward, do it seated and assisted only, not past 100°.

CarefulThe Bug

Avoid leaning too deeply forward; keep the knee soft as you bend.

CarefulIT Band Release with Roller

Avoid flexing the hip past 90° when positioning the support leg.

CarefulFloor Adductor Stretch with Band

Avoid taking the operated leg back into deep extension or forcing the foot to turn outward.

CarefulEasy Pose

Sit on a tall cushion to avoid bending your hip past 90°.

CarefulReclined Butterfly

Avoid opening the knees fully if your surgery is recent; increase the range gradually.

CarefulAlternating prone leg lift

Reduce the hip extension range and avoid rotating the pelvis when lifting.

CarefulStanding leg swing

Limit the forward swing and keep the range small and controlled.

CarefulStanding quad stretch

Limit knee bend and avoid any discomfort in the operated hip.

CarefulSquat with arm raise

Limit hip flexion range and keep the knee aligned with the hip.

and 58 more in the app's catalog.

Medical clearance

Frequently asked questions

Can you do pilates with hip replacement (anterior approach)?

It depends on each person and on what their treating doctor says. FlowMat does not replace that judgment: it helps the teacher plan the class, avoiding what isn't recommended with hip replacement (anterior approach) and flagging what needs care.

What does FlowMat do with exercises that are not recommended?

It never suggests them when building the class, and they don’t show up as a replacement when you swap an exercise either.

Can I change the class FlowMat builds?

Yes. You can swap, remove, add or reorder exercises and adjust the reps. The catalog only offers exercises that are safe for the student.

Build every student’s class around their conditions

FlowMat is an app for pilates teachers: you note the student’s conditions and the app builds the class.

Other conditions

Important: FlowMat helps plan classes, but it does not replace a health professional’s judgment. If in doubt about a student, ask their treating doctor.