
The Show Up Fitness Podcast How to train a 71-yr old hip replacement w/ programming & screens
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A 71-year-old former physician breaks his hip, skips physical therapy because of what he was told, and still walks in with big goals: stronger legs, better balance, and a confident return to skiing, golf, and tennis. That’s the kind of client who can either pull you into overthinking or push you toward a simple, professional framework that actually works. We talk through how we handle that first meeting so the client feels safe, respected, and impressed without us pretending to be the medical provider.
We start with what you can see and measure right away: gait, sit-to-stand, confidence, basic single-leg balance, and how the hip tolerates flexion, abduction, and rotation. Then we build a session around the fundamentals: squat, hinge, and unilateral work with smart regressions like TRX squats, box squats, step-downs, bridges, and standing hinge options. We also share how to layer in balance progressions and mobility work without turning the workout into a random grab bag of drills.
From there, we zoom out to the long game: progressive overload for strength and bone mineral density, realistic timelines, and avoiding so much volume that the client can’t hike or live their life the next day. We also get into business: how having physical therapists “on your team” changes your confidence, your coaching decisions, and your referral network, plus practical outreach ideas you can use today.
If you coach older adults, train post-surgery clients, or want a clearer screening and programming process, listen through and take notes. Subscribe, share this with a trainer friend, and leave a review with your biggest takeaway.
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