Intermediate Hip Acute Injury Rehabilitation
A 24-week intermediate program using tennis balls, balance boards, TRX, barbells, and therapy putty to aid in the recovery process.
Professional rehabilitation program designed for effective recovery and pain management.
Key facts at a glance
- Body part
- lower-limb · hip
- Injury type
- acute-injury
- Level
- intermediate
- Duration
- 24
- Sessions/week
- 3
- Minutes/session
- 45
- Evidence level
- moderate
- ICD-10
- S72
- Cost tier
- moderate
Program Overview This is a 24-week, intermediate-level rehabilitation plan for someone recovering from an acute hip injury. It uses simple equipment — a tennis ball, balance board, TRX suspension trainer, barbell, and therapy putty — alongside optional clinical treatments your care team may apply. Sessions run three times per week for about 45 minutes each, and the plan is built in four progressive phases so your hip gets stronger and steadier in a safe, stepwise way.
Who This Program Is For and Its Goal This program suits people past the earliest stage of an acute hip injury who can already put weight on the leg and want to rebuild strength, balance, and everyday function. The goal is to gradually restore hip movement, hip and gluteal muscle strength, single-leg stability, and confidence with walking and activity — always within a pain range your clinician approves, and without pushing through warning signs.
Before You Start Clear this plan with your treating clinician or physical therapist first. They will confirm it fits your injury, check the equipment is safe for you, and advise on any clinical treatments such as ultrasound, electrical stimulation, shockwave, aquatic therapy, or a hip brace or compression sleeve. Ask them to show you each exercise before you try it alone, and get your home space set up so you can hold a rail or sturdy surface for balance work.
Safety Notes and When to Stop Tell your clinician if you have severe osteoporosis or compartment syndrome, as certain loading and swelling-sensitive exercises may need to be avoided or changed. Stop and call your clinician if pain keeps rising during or after exercise, if you develop sudden severe hip, groin, or thigh pain, new numbness or weakness, marked swelling, or a hot, red joint. Never push through sharp pain, and always include the cool-down.
Weekly Structure Plan for three sessions each week, roughly 45 minutes per session, across 24 weeks. Keep sessions spaced with rest days between them. Each session follows the same rhythm — warm-up, main strengthening and balance work, then cool-down — using your tennis ball, balance board, TRX, barbell, therapy putty, and any brace your clinician recommends. Consistency matters more than intensity.
How the 24-Week Plan Is Organized The plan moves through four phases. Phase 1 (starting week 1) focuses on protecting the hip and controlling pain with gentle activation. Phase 2 (around week 5) adds mobility and muscle activation. Phase 3 (around week 9) builds strength and stability. Phase 4 (around week 15) adds advanced strengthening and functional training. Your clinician decides when you move up based on how you meet each phase's goals, not just the calendar.
What a Typical Session Looks Like Each session has three parts. Warm up with easy movement and gentle glute activation using the tennis ball and putty. The main work uses the TRX, balance board, and barbell for controlled strengthening and balance, plus any clinical treatments your team applies. Cool down with slow stretching and calm breathing. Keep your spine in a neutral position throughout, and stop any exercise if pain increases.
Warm-Up, Main Work, and Cool-Down Pattern Start with five to ten minutes of easy warm-up — gentle hip circles, marching in place, and light putty squeezes to wake up the hip muscles. The main block pairs balance-board work with TRX-supported squats and split squats, barbell work only as your clinician directs, and ball-rolling or putty exercises for hip control. Finish with a cool-down of slow stretches and relaxed breathing, always cooling down after every session.
Tracking Progress Keep a simple log of each session: what you did, your pain level before and after, and any exercises that felt easier or harder. Your clinician will also use standardized measures — the Hip Outcome Score (daily activities and sport sections), Modified Harris Hip Score, Single Leg Stance Test, Timed Up and Go, and 30-Second Chair Stand — at set intervals. These show whether you are truly improving, not just feeling better on a good day.
How Progression Criteria and Outcome Measures Are Used You move to the next phase when you meet that phase's goals — for example, comfortable hip movement, adequate strength on testing, steady single-leg balance, and no pain with the phase's key movements. Your clinician checks these along with your outcome-measure scores. Meeting the targets means your hip is ready for more load; falling short means staying a little longer in the current phase is the safer choice.
Recovery and Self-Care Recovery happens between sessions. Get regular sleep, stay hydrated, and keep moving gently on rest days as your clinician advises. Use ice or heat only as directed, and wear any brace or compression sleeve exactly as instructed for feedback and comfort. Pace your activity so you are not sore for days afterward, and build daily walking and functional tasks gradually alongside the program.
Pain Management Cautions and Red Flags Some mild, short-lived soreness during or after exercise can be normal, but pain that steadily increases, lingers, or wakes you at night is a signal to ease off and check in with your clinician. Do not self-adjust medications or add new ones. Seek urgent care for sudden severe pain, a joint that looks swollen or deformed, fever with hip pain, or new numbness, tingling, or weakness in the leg.
Recovery phases
Pain at rest ≤2/10 on visual analog scale,Weight bearing as tolerated with assistive device (if needed),Hip flexion range of motion 70-90 degrees within pain limits,No signs of hip joint effusion or significant synovitis,Iliopsoas and greater trochanteric bursa not inflamed to palpation,Ability to perform isometric contractions of gluteus medius and hip adductors without increased pain
→ Advance to: Phase 2: Early Mobility and Activation
Hip flexion range of motion 90-110 degrees,Hip external rotation ≥20 degrees in prone position,Hip abduction strength ≥3/5 on manual muscle testing,Pain ≤3/10 during active hip range of motion,No pain with palpation of acetabular labrum or hip capsule,Tolerance to stationary cycling without exacerbation
→ Advance to: Phase 3: Strength and Stability Building
Hip flexion range of motion 110-120 degrees with full extension,Hip abduction strength ≥4/5,Hip external rotation strength ≥3+/5 in neutral,Single leg stance time ≥20 seconds without compensation,No pain with resisted hip flexion or adduction,Cartilage tolerance confirmed by lack of crepitus with movement
→ Advance to: Phase 4: Advanced Strengthening and Functional Training
Hip range of motion within 10 degrees of contralateral side,Hip abduction strength ≥4+/5 on dynamometer (≥80% contralateral),Hip external rotation strength ≥4/5 in functional positions,Single leg squat to 45 degrees knee flexion without valgus collapse,Plyometric tolerance without hip or groin pain,No tenderness of ischial tuberosity or proximal hamstring tendons
→ Advance to: Phase 5: Return to Activity Progression
Full hip range of motion equal to contralateral side,Hip abduction strength ≥90% of contralateral side,Hip flexion and extension power symmetrical,Running progression completed without pain,Functional movement patterns pain-free including cutting and pivoting,Patient subjective readiness and confidence for full activity
→ Advance to: Return to Full Activity
Return to activity milestones
Pain-free basic activities of daily living
Week 7Ankle dorsiflexion adequate for normalised gait pattern over heel
Light functional activities and conditioning
Week 10Weight-bearing tolerance increased by ≥ 25% from previous baseline
Moderate activity and sport-specific conditioning
Week 14Able to ascend and descend 4 stairs with reciprocal pattern, no rail
Full return to sport, occupation, and recreation
Week 24Weight-bearing tolerance increased by ≥ 25% from previous baseline
Precautions
- cool-down-after
- stop-if-pain-increases
- maintain-neutral-spine
Contraindications
- severe-osteoporosis
- compartment-syndrome
Pain management
- Non-steroidal anti-inflammatory medication (as prescribed)
- Ice therapy to hip joint and greater trochanteric region (15-20 minutes, 3-4 times daily)
- Manual soft tissue mobilization to hip abductors, adductors, and iliotibial band
- Positional unloading and ergonomic education for sitting and sleeping
- Gentle hip range of motion within pain-free limits
Equipment & modalities
Frequently asked questions
Can I skip the cool-down if I am short on time?
How will I know it is time to move to the next phase?
What if an exercise causes pain during a session?
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed October 6, 2026. · Read our editorial policy