OpenTube

How YOU Can Heal Your Hip Arthritis in 2025 (MUST WATCH!)

El Paso Manual Physical Therapy

24,211 views

Hip Arthritis Recovery Program: https://epmpt.mykajabi.com/hip-arthri...

If you’re struggling with hip arthritis in 2025 and want to heal without surgery, this video will show you exactly what steps to take.

Dr. David explains why common advice like strengthening the hip flexors or quads and relying on walking or low-impact cardio exercises like cycling and swimming can actually make the problem worse.

The secret lies in addressing the root cause: muscle imbalances. Weak glutes and overworked muscles in the front of the hip pull the joint out of proper alignment, creating pressure and pain.

This isn’t about quick fixes; it’s about finding long-term freedom from pain and avoiding unnecessary surgery.

00:00 - How YOU Can Heal Your Hip Arthritis in 2025
00:05 - Start strengthening your glutes
01:05 - Muscle imbalance explained
01:49 - Start offloading
04:18 - Stop cycling & swimming
06:32 - Glute strength test
07:10 - Hip Arthritis Recovery Program
08:01 - Start getting stronger lower abs
09:46 - Stop relying on mainstream treatments

#elpasomanualphysicaltherapy #drdavidmiddaugh

====================================================================
✅ Subscribe for more FREE tips on how to stay healthy, active & mobile while avoiding unnecessary medication, injections, or surgery:
https://www.youtube.com/Epmanualphysi...

👟 Because we've had so many comments about what shoes Dr. David is wearing, here's a link to the shoes on Amazon:
Dr. David's Shoes With Insoles - Olukai Brand
https://amzn.to/3GwFJeh

💆‍♀️The massage table Dr. David uses can be found at this link:
https://amzn.to/36pcFsg

//SHOP OUR COURSES!
https://www.epmanualphysicaltherapy.c...

//COME SAY HI!
Find us online at: https://www.epmanualphysicaltherapy.com
Facebook: epmanualpt
Instagram: elpasomanualpt
TikTok: elpasomanualpt

//CONTACT:
Have questions or would like to get in touch with us? Send us a message https://www.epmanualphysicaltherapy.c...

DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.

20 Comments

@TheKakamukaKavithaViswam 1 year ago Pinned

Hi doc
I just completed your 28 day hip arthritis program and cannot thank you enough! I am finally free of sciatica and am able to sleep without pain! I am planning to continue incorporating your glute strengthening exercises in my daily routine. I am truly grateful to you 🙏

@woodnc4u2c 1 year ago

Sir I just wanted to let you know while being somewhat reluctant to believe your advice for hip arthritis would help me, I’ve doing some of your exercises for about three months now, and I’m really beginning to reap the benefits. I use to have so much left hip
pain at the end of a day , I could barely walk. I learned how to flex my glutes while walking by following your advice over several weeks and now I’m doing it more naturally without thinking about it much! I also started using 4 pound ankle weights on each ankle because of your advice of swinging your painful hip, I keep them on when not playing golf doing daily shores. I’m 71 years old and am beginning to believe I may have found a way to avoid hip surgery, I’ve actually visited a surgeon already who seem quite confident I would be back for surgery soon, that was 5 months ago. He is the same surgeon that replaced both my knees at the same time. I don’t want to do that again if at all possible, thank you sir for being on my You Tube where I could find an alternative. I come back to you channel from time to time to remind myself of what need to keep doing, tonight I felt like I needed to acknowledge your help, thanks again, Woody from NC

@englishgarden2036 7 months ago

You are so right!!! I severe degenerative disc disease and can't walk on the treadmill because of the constant pounding on the nerve and hip is painful. I weight train and focus on the core but still I could feel the annoying nerve pain in my back. Walking on the treadmill put way too much pressure on my hip and back. The pain was unbearable. I knew I had to take control of the situation and not rely on physical therapy and injections. I cut out some physical therapy exercises I was given and created my own exercise regimen. I knew Pilates were great for strengthening smaller, deeper muscles so I added Pilates to my strength training program. I started feeling better and my lower body was so much STRONGER. I had to listen to my body and figure out which exercises made a difference. It was the slow controlled movements and glute exercises that helped. My glutes were weak and my quads were strong. Lots of muscle imbalance in my lower body. Pilates, body weight exercises saved me. The nerve pain is gone. And thank you so much for this video.

@Yonasma 1 year ago

I used to have a hip problem, but I stay in home for like a week. I didn’t even move that much. I didn’t eat. And my body is fix it. 😂❤

@katerinasouckova212 1 year ago (edited)

There is one issue you don't mention. Usually with hip arthritis comes also an imbalance within the legs. One glute is always stronger and when you try to strengthen the weak one the strong one takes over. Especially while doing minibridges and even the hydrant and clam exercises So it is crucial to strengthen the weak glute enough to be able to do single leg bridge and later maybe hip drop/ raises on the weaker. leg.

@nickyw.6485 1 year ago

Dr David I’m so lucky I found you I got recently knee and hip arthritis love your videos learning about the glutes feeling better no meds or surgery ever 🙏❤️‍🔥

@christinefischetti7444 9 months ago

I have never commented on YouTube before, after watching for years. I am commenting now in deep gratitude to you for your helpful exercises. They’re hardly even exercises! Within days of beginning glute squeezes, “fidgeting” and clams I felt relief from hip pain that plagued me for months. Now, about 10 days later I am almost pain free. Never gonna stop!

@johnduffin9425 1 year ago

Happy New Year to everyone!

@phfoenix192 1 year ago

I just wanted to say thank you, the most important information I got from your videos was about the muscle imbalance and needing to strengthen the glutes. I was going to physio and stopped due to the increasing levels of agonizing pain in the front of my thigh and groin crease. It was frustrating when I realized how weak my glutes were, and how difficult it was to even get 5%, but I persevered and am closer to 80% now, and experiencing much less daily pain. I also bought a cane, and use it when I feel pain starting to increase, and usually one day is enough to feel better. I have a long way to go still but I love your videos and how truly helpful they have been. So again, thank you

@henriettelubbe 1 year ago

Dear Dr David (or shall I say Dr Muscle Imbalance?😂),

I've been struggling with hip bursitis/tendonitis after an awfull fall 4 months ago and have been trying out many of your recommended exercises. I am amazed to find how well butt squeezes work! Now that I do them almost hourly, I can at least walk without pain. I'm so grateful!! Getting to know you (and learning from your excellent videos) has been the best thing that happened to me during 2024. THANK YOU for that and may you be blessed during 2025! Warm regards from South Africa.

@keikipalmtree1365 1 year ago (edited)

Sorry. But I am a walker and swimmer and for my mental health I won't stop walking or swimming. I will do the glutes exercises. Thx

@PotterSpurn1 1 year ago

Hi doc,

Thanks for you inspiring messages. I am absorbing your videos like a sponge. I am 64 with left hip (possibly trauma induced through driving cars a lot - now don't) OA (Stage 4) and Osteopenia (pre-porosis), so walk with a limp, can't walk more than 5 mins, standing for a while is agonising, use a walking stick, offered total hip replacement. Can't go anywhere now - car dependent even for short journeys, yet car seat trauma likely caused it when I drove a lot. Used to do weights squats probably making it worse. Old doctor never even diagnosed it as OA until I changed, fobbing me off with guess diagnosis of Sacroiliitis, never offering me a scan despite my efforts to get x-rayed to explain the niggling pain, weak leg that gave way at times and sciatica I had when I could walk much better even on a bad day. If I had known it was anything to do with OA I would have got it treated long before now. He said Sac couldn't be cured.

I really don't want a THR, as I am unwilling to be out of action for weeks after and I hear they may not always work and can leave you in pain and you have to observe rules like not crossing your legs.. I have hip displasia too (born with twisted hip, which precipitated this problem, apparently). Not sure HR would work for me, therefore. In fact I have OA in both legs only the right one feels fine, strong without issue.

I would prefer to lose weight, walk properly, work my glutes and do whatever I need to do to get rid of the pain.

@brucemcleod6395 1 year ago

Fifty two years ago my (then) doctor recommended working on muscle balance to build a girdle around my spine to mitigate pain from a sports injury. I've been pain free most of the time since then. Now I'm dealing with hip and knee arthritis. My doctor asked how I wanted to approach this, up to and including joint replacement surgery. My goal is to use the techniques you're recommending rather than invasive procedures. Like most things in life...address the cause of the problem rather than the symptoms. Thanks for these great videos and the sane advice.

@great-garden-watch 1 year ago

I went to pt for 6 months and did these exercises and probably caused lots of the problems I have now

@carolanndonahue4790 1 year ago

Doc, your informative videos are great. When I first viewed rotor cuff recovery without surgery video... My doctor was ready to start injections and then on to surgery. He was put off by my suggestion of rest, recovery, and physical therapy, but agreed. I took 4 weeks off, and used your recommended exercises with 3 days week therapy. I had a full recovery. That was in May of 2024. I am conscious now of this very important point you make of balanced counter muscles. You speak of it here concerning the hip and the lack of strength in the glute muscles. I am so glad you provide these incredibly detailed and informative videos. I am starting work on my glutes now. I have a very physically demanding job. Thank you, thank you, thank you. Your business can only prosper through the means of reciprocity because you truly care.
I can really enjoy playing with my grandkids now and for many years.

@sharmaraygoldman9415 1 year ago (edited)

This information is so valuable! Thank you. When Covid happened I became more sedentary therefore I started to have issues in my pelvis. I don’t have a family doctor and health care has been a big challenge for me because I am an alternative gal. I unpacked all kinds of emotional baggage from my childhood. It was recently that was able to get some X-rays and after a month have a doctor read the X-ray to tell me I have severe deterioration in voth my hips. I have very little mobility. I just turned 60, I don’t want surgery…I desire to learn more about how I can thrive. I am changing my habits in relationship to my body. So learning that focusing on my glutes is a good start. I do walk with my feet turned more inward and learned to walk with feet outward. I have been watching your videos as they come up, so I am grateful for some guidance!

@fastover60 1 year ago

I m so glad I found your channel🎉. After one day do the exercises and not doing the wrong exercise the pain was almost gone😮. Now I have listen to al lot more video's. Now I understand what the problem is😅. I m so grateful to you💛