Pilates and hip replacement (posterior approach)

This is how FlowMat builds pilates classes for a student with hip replacement (posterior 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.

27never suggested
130with a warning and a gentler option
343available as usual

500 exercises in the catalog

Guidance for the class

Avoid flexing your hip past 90° and don't cross or rotate your leg; keep a soft knee when bearing weight.

Exercises FlowMat does not suggest

These are 27 of the catalog's exercises that FlowMat keeps out of the class when this condition is present.

Not suggestedKnee to chest
Not suggestedHip lift with bent knee
Not suggestedAdductor lift with bent top knee
Not suggestedAlternating knee to chest
Not suggestedSeated Balance with Knee to Chest
Not suggestedSeated forward fold with hanging arms
Not suggestedRolling like a ball
Not suggestedSide passé
Not suggestedBicycle on Roller
Not suggestedRoll over
Not suggestedJackknife
Not suggestedJackknife plank on roller

and 15 more in the app's catalog.

Exercises that come with a warning

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

CarefulStanding knee to elbow

Keep the knee at hip height and avoid crossing the elbow past the operated side.

CarefulInner thigh lift

Place a pillow between your knees and avoid letting the operated hip rotate inward.

CarefulSupine hamstring stretch

Raise the leg only to 90° of hip flexion, without pulling further.

CarefulFigure-4 stretch

Avoid pulling the knee toward your chest beyond 90° of hip flexion.

CarefulSupine leg press with band

Bring the knee to your chest only up to hip height, not beyond 90°.

CarefulHamstring stretch with band

Lift the leg only to 90° of hip flexion, without forcing it higher.

CarefulThe Bug

Keep hip flexion moderate and avoid crossing or rotating the leg.

CarefulIT Band Release with Roller

Don't cross the top leg in front of your body; keep the hip in a neutral position.

CarefulFloor Adductor Stretch with Band

Keep the leg straight and open only to a comfortable range, without crossing toward the midline.

CarefulEasy Pose

Avoid crossing your legs tightly; sit on a cushion with less hip flexion or use a chair if needed.

CarefulCross-Legged Forward Bend

Don't cross your legs while sitting; use a chair or extend your legs forward and limit hip flexion.

CarefulReclined Butterfly

Keep the knee opening soft and controlled; stop if you feel tension in the operated hip.

and 118 more in the app's catalog.

Medical clearance

Frequently asked questions

Can you do pilates with hip replacement (posterior 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 (posterior 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.