We’re seeing it more and more — hip replacements at younger and younger ages. In fact, over 544,000 people get hip replacements every year. That’s wild.
But here’s the thing: surgery isn’t your only option.
Whether you’re dealing with hip pain, trying to prevent it, or just want to move better and stay strong, the key is training your hips proactively — not reactively.
Let’s talk about why most people end up under the knife, and how you can avoid it by taking control of your body with a holistic plan that actually works.
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Why Most Hips Break Down
It usually starts slow. You feel a little something, go to PT for 10 sessions, maybe take some pain meds or anti-inflammatories. Then cortisone shots. Then, one day, surgery.
It doesn’t have to go that way.
As someone who’s been in this field for 30 years — first as a personal trainer, now as a SomaTrainer and SomaTherapist — I’ve seen this cycle play out too many times. But I’ve also seen how the right training can keep your hips healthy for decades.
The 3 Factors That Destroy Hip Health
Let’s look at what really causes hips to break down:
1. Load: The Hidden Stress in Your Hips
Every time you move — walk, stand, sit — your hips absorb massive force. There’s an actual equation (called Pauwels’ Balance) that shows just how much pressure goes through your hips with every step.
If your muscles aren’t trained to handle that force, the cartilage in your hips starts to wear down layer by layer. And once it’s gone, it’s gone.
That’s what leads to arthritis, bone spurs, and joint degeneration — not old age, but untrained structure under constant load.
If you’re overweight, that force multiplies dramatically.
2. Imbalance: The Silent Saboteur
When your body is out of alignment — tight on one side, weak on the other — that force doesn’t distribute evenly. Instead, it grinds into your joints.
You might notice pain or tightness in your hips, or maybe you just feel a little off.
Most people ignore these signs or treat them as “normal.” But they’re messages from your body: “Help me get back in balance.”
Muscles like your glute medius, pelvic rotators, adductors, and deep hip stabilizers must work together. If even one of them is off, your hip health suffers.
This is why clamshells and cookie-cutter PT routines don’t work. You need a plan that understands how the body really functions — holistically and fascia-connected.
3. Time: The Slow Creep of Wear and Tear
If you’re not proactively training your hips, time will catch up with you.
People often tell me, “It just started hurting out of nowhere.” But unless there was trauma, that’s rarely true. It’s years of imbalance and neglect that finally surface.
Pain isn’t the problem. It’s the signal that something deeper has been brewing for a long time.
What a Holistic Hip Program Actually Looks Like
Most programs only treat the symptom or isolate muscles. But your body doesn’t work in pieces — it’s an integrated system.
A holistic approach does two things:
Macro Work: Full-Body Support
You need a foundation. That means training your body as a whole — posture, fascia tension lines, spine, core, hips — so your system supports itself from the ground up.
Micro Work: Targeted Hip Support
Then, focus on areas that get the most load — hips, spine, deep stabilizers. You need to:
- Strengthen all fibers of key muscles (e.g. glute med: anterior, middle, posterior)
- Stretch strategically (e.g. pelvic rotators, iliopsoas, spinal extensors)
- Integrate movement so your nervous system knows how to use what you’ve built
The way you train is the way your body behaves in life.
Stop Waiting. Start Building.
If you want to avoid surgery and move better for life, now is the time.
And you don’t have to do it alone.
I offer 3 free ways to start:
- ✅ Download my Free Ebook
- ✅ Schedule a Free Consult — no pressure, just real advice
Let’s build a body that can keep up with the life you want to live.
Building a foundation for a better life.
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