Beginner Hip Acute Injury Rehabilitation

Pain at rest < 3/10 on visual analog scale with emphasis on acetabular and trochanteric regions,Hip flexor (iliopsoas) tolerance without exacerbation of iliopsoas bursa inflammation,Protection of acetabular labrum through restricted hip flexion beyond 90 degrees,Minimal pain with gentle passive hip rotation within pain-free range,Ability to perform basic transfers without increased hip joint pain,Reduction of trochanteric bursa tenderness on palpation

→ Advance to: Week 2-3: Early Range of Motion

Continued pain control with hip in neutral or slight abduction,Toleration of non-weight bearing hip external rotation without labral irritation,Reduction in ischial bursa pain with sitting tolerance,Hip capsule integrity maintained through limited end-range motions,Ability to perform ankle pumps and toe curls without hip compensation,Subjective report of decreased night pain in hip region

→ Advance to: Week 3-4: Early Range of Motion

Hip flexion tolerance to 90 degrees without anterior hip pain (iliopsoas/labrum),Pain-free hip external rotation to 30 degrees respecting labral constraints,Ability to perform supine hip slides without catching sensation in acetabular region,Gentle gluteal activation without provoking trochanteric bursa,Tolerance of prone hip extension without hamstring tendon irritation,Active assisted hip abduction to 20 degrees without adductor tendon strain

→ Advance to: Week 4: Early Range of Motion

Hip flexion to 110 degrees with proper iliopsoas activation pattern,Hip internal rotation to 20 degrees within pain-free range (cartilage tolerance),Full passive hip extension with neutral rotation,Toleration of seated hip flexion without labral symptoms,Gentle proprioceptive exercises in standing without hip awareness,Progression to pain-free heel slides in prone position

→ Advance to: Week 5-6: Early Strengthening

Gluteus medius activation in side-lying hip abduction without trochanteric pain,Pain-free hip adductor strengthening in neutral hip position,Tolerance of closed-chain hip strengthening with proper femoral head centering,Ability to perform standing hip hinge without anterior hip pinching (labrum protection),Hip flexor (rectus femoris) stretching maintaining pain-free range,Progression to 50% weight bearing with normalized hip mechanics

→ Advance to: Week 6-7: Strengthening Progression

Gluteus maximus activation in prone hip extension without posterior hip pain,Toleration of bridging exercises with proper sacroiliac and hip alignment,Hip abductor strength progression to 4/5 manual muscle testing,Pain-free progression from partial to full weight bearing,Adequate iliopsoas flexibility allowing symmetric hip extension,Tolerance of clam exercises without external rotator tendon irritation

→ Advance to: Week 7-8: Strengthening Progression

Hip abduction strength > 4/5 with proper gluteus medius firing pattern,Hamstring tendon tolerance with progressive resisted knee flexion,Adductor strengthening without adductor tendon strain at pubic insertion,Balance exercises on stable surface with proper hip alignment,Hip internal and external rotator strengthening with pain-free tolerance,Toleration of step-up exercises with controlled hip kinematics

→ Advance to: Week 8: Advanced Strengthening

Single-leg stance on affected hip > 30 seconds without hip compensations,Hip hinge pattern with load tolerance through posterior chain,Progression to functional movement patterns without labral symptoms,Cartilage tolerance to progressive loading through weight-bearing activities,Trochanteric bursa tolerance to side-lying exercises and sleeping on affected side,Ischial bursa tolerance to seated activities and furniture transitions

→ Advance to: Week 9: Advanced Strengthening and Functional Training

Hip abductor strength 5-/5 with endurance for functional activities,Full pain-free active range of motion in all planes (flexion, extension, abduction, adduction, rotation),Functional gait pattern without antalgic hip positioning,Tolerance of progressive loading through femoral head and acetabular cartilage,Progression to low-impact aerobic activities without hip symptom exacerbation,Proper movement patterns with sit-to-stand and stair negotiation

→ Advance to: Week 10: Return to Activity Preparation

Symmetrical hip range of motion within 10 degrees of contralateral side,Functional strength testing at 80% of contralateral hip,Painless completion of sport-specific or activity-specific movements,Tolerance of prolonged weight-bearing activities without hip fatigue,Subjective report of > 80% function return per hip outcome measures,Demonstration of proper hip mechanics during dynamic activities without compensatory patterns

→ Advance to: Discharge to maintenance program