Clam Shell Exercise: How to Get the Best Workout from Simple Body-Weight Routines

Clam Shell Exercise: How to Get the Best Workout from Simple Body-Weight Routines

Healthy’s Summary

The clam shell exercise might not look like much—but don’t let its simplicity fool you. This unassuming, body-weight movement packs serious benefits for your hips, glutes, and lower back. If you’re chasing better balance, joint stability, or pain-free movement, the clam shell deserves a spot in your regular routine.

Why? Because so many of us (especially desk sitters!) have underactive gluteus medius muscles. That can throw off alignment, strain our knees, or even cause lower back tension. The clam shell helps correct those imbalances—without fancy equipment or sweaty gym sessions.

Whether you’re working with a physical therapist or just want to future-proof your joints, this humble move is a go-to. Let’s break down how to do it right, how to feel it working, and how to level it up as you get stronger.

What is the Clam Shell exercise good for, really?

Most people first meet the clam shell exercise during physical therapy. It’s often prescribed after injuries, for postpartum recovery, or for folks dealing with IT band pain or weak hips. But it’s not just rehab—it’s prehab too.

Here’s what the clam shell targets:

  • Gluteus medius and minimus — the small but mighty hip stabilizers
  • Hip external rotation — especially important for balance and joint control
  • Pelvic alignment — which helps everything from your stride to your spine

And here’s why that matters: underactive glutes or poor hip control can mess with your gait, overload your knees, or even trigger lower back discomfort. The clam shell, when done with intention, helps retrain your body to move more efficiently.

Bonus: It’s low impact, requires zero equipment, and takes up as much space as a yoga mat. Win-win-win.

How do you get the most out of the Clam Shell exercise?

Short answer: slow down, and focus.

The clam shell exercise is simple—lie on your side, knees bent, feet together, and open your top knee like a clam. But doing it right is about control, not speed or range. Here’s how to make it count:

  1. Stack your hips — no rolling back. You want a vertical line from hip to hip.
  2. Engage your core — lightly draw your belly in to keep your pelvis stable.
  3. Lead with your heel — not your thigh. This helps activate the right muscles.
  4. Hold the top — a 1–2 second pause at the peak makes a big difference.
  5. Start with fewer reps — aim for 2 sets of 10 per side and build from there.

And if you’re not feeling it in your glutes after a few reps? Something’s probably off. A mini resistance band around your thighs can also help wake up those sleepy muscles.

Ask Healthy

Is the Clam Shell enough on its own?

It depends what you’re after. If your goal is to improve hip stability, rehab an injury, or counteract glute amnesia from long hours sitting, the clam shell exercise is a great place to start. But if you’re looking for comprehensive lower-body strength or athletic performance, you’ll need more.

That said, the clam shell pairs well with other body-weight moves:

  • Bridges for glute strength
  • Bird dogs for core and hip control
  • Lateral walks with a band for more dynamic movement

Think of it as the foundation—then layer on top. Even seasoned athletes revisit this one when they need to clean up form or prevent injury. There’s no shame in simple when it works.

The Takeaway

The clam shell exercise might be small, but it delivers big when it comes to stability, injury prevention, and smarter movement. Do it with focus, add resistance when ready, and use it to build a better base—especially if you sit a lot or struggle with hip or knee pain.

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