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Intermediate Hip Acute Injury Rehabilitation

Published: July 26, 2026Updated: October 6, 2026

A 11-week intermediate program using barbells, back braces, wrist splints, and knee braces to aid in the recovery process.

Quick summary

Professional rehabilitation program designed for effective recovery and pain management.

Medically reviewed by WellAlly Editorial TeamLast reviewed October 6, 2026Editorial policy

Key facts at a glance

Body part
lower-limb · hip
Injury type
acute-injury
Level
intermediate
Duration
11
Sessions/week
4
Minutes/session
45
Evidence level
moderate
ICD-10
S72
Cost tier
moderate

Program Overview This guide outlines an 11-week, intermediate-level rehabilitation program for a recent hip injury. It is designed to help you rebuild hip strength, restore movement, and return to daily activities safely. You will work with your clinician to progress through phases using goal markers rather than rushing ahead.

Who This Program Is For and Its Goal This program suits people recovering from an acute hip injury who have some basic movement tolerance and are ready to build strength. The goal is to reduce pain, regain hip motion, strengthen the muscles around your hip and pelvis, and improve walking and balance—moving you gradually toward normal, confident movement.

Before You Start Do not begin without your clinician's sign-off. Equipment and exercises here (barbell, back brace, wrist splint, knee brace, electrical stimulation, pool work) should be set up and supervised as your clinician advises. Your specific brace or splint use must follow their instructions.

Safety Notes and When to Stop Follow all precautions: always warm up before activity, cool down afterward, and avoid overloading. Because of your compartment-syndrome caution, stop immediately and contact your clinician if you feel severe or escalating pain, tightness, swelling, numbness, or weakness in the leg, or if pain fails to ease with rest or position change. Never push through sharp pain.

Weekly Structure Plan for four sessions per week, about 45 minutes each, across 11 weeks. Sessions combine hands-on therapy, strengthening, pool work, electrical stimulation, and walking/balance practice. Early weeks focus on protecting the hip and gentle motion; middle weeks build strength and control; later weeks emphasize full weight-bearing, endurance, and confident daily function.

How the 11-Week Plan Is Organized The program moves through phases—Protection, then Early Rehabilitation, then progressive strengthening—each with clear goals to reach before advancing. Equipment like the barbell, braces, and splints are used as your clinician directs, and pool sessions reduce load while you practice walking and resistance work.

What a Typical Session Looks Like Each session follows a warm-up, main work, and cool-down pattern. Warm-up prepares the hip with gentle movement. Main work may include manual therapy, progressive hip strengthening, pool gait and resistance exercises, electrical stimulation to the hip abductors, and balance/proprioception drills. Cool-down brings heart rate and muscles down gently.

Warm-Up, Main Work, and Cool-Down Start with light warm-up movement to prepare the hip. Move into the main work your clinician sets: strengthening the hip abductors, extensors, and rotators; balance and pelvic stability drills; and equipment-based exercises as prescribed. Finish with a cool-down of gentle movement and stretching. Use braces and splints as directed and keep loads controlled to avoid overloading.

Tracking Progress Your clinician tracks you using the Harris Hip Score, Hip Outcome Score (daily living and sports subscales), Non-Arthritic Hip Score, single-leg stance test, and FABER test. These measure pain, function, strength, and motion over time. Keep notes on pain and activity so your team can adjust the plan.

How Progression Criteria Are Used You advance to the next phase only when you meet the listed goals—such as comfortable range of motion, adequate strength, and pain-free walking—confirmed by your clinician. These criteria prevent pushing too fast. Outcome measures add objective context, helping your team confirm real improvement rather than relying on feel alone.

Recovery and Self-Care Rest is part of training. Alternate harder and easier days, sleep well, and stay generally active as tolerated. Follow your clinician's guidance on ice, positioning, and brace or splint wear. Report any new or worsening symptoms promptly so your program can be adjusted safely.

Pain Management Cautions and Red Flags Do not self-adjust medications; ask your clinician or pharmacist. Mild soreness that settles with rest is expected, but seek care for severe or rising pain, marked swelling, numbness, weakness, or leg tightness that worsens—especially given your compartment-syndrome caution. Stop activity and call your clinician if these occur.

Recovery phases

Week 1Protection Phase

Pain at rest < 2/10 on VAS scale,Hip flexion ROM > 70 degrees with minimal discomfort,Able to ambulate with assistive device (canedecreased weight bearing),No night pain or pain resolved with position change,Hip abductor strength >= 3/5 on manual muscle testing,No pain with passive hip rotation within tolerance

→ Advance to: Week 2-3

Week 2Protection Phase

Pain with walking < 3/10,Hip extension ROM > -10 degrees,Greater trochanteric bursa tenderness decreased by 50%,Hip internal rotation within pain-free limits,Able to perform stationary biking with low resistance,No antalgic gait pattern with assistive device

→ Advance to: Week 3-4

Week 3Early Rehabilitation

Full weight bearing without assistive device,Hip abduction strength >= 3+/5,Hip flexion ROM > 90 degrees,No pain with active hip flexion against gravity,Can perform supine hip rotations without discomfort,Single leg stance > 10 seconds (eyes open)

→ Advance to: Week 4-5

Week 4Early Rehabilitation

Hip external rotation strength >= 3+/5,Hip adductor strength >= 3/5,Hip extension ROM within 10 degrees of contralateral side,No pain with FABER position (FABER test negative or greatly improved),Can perform clamshells without hip/pelvic compensation,Forward walking without limping

→ Advance to: Week 5-6

Week 5Intermediate Rehabilitation

Hip flexion strength >= 4/5,Hip internal rotation strength >= 3+/5,Hip abduction strength >= 4/5,Active straight leg raise without hip flexor compensation,Can perform side-lying hip abduction without Trendelenburg pattern,Single leg stance > 20 seconds with eyes closed

→ Advance to: Week 6-7

Week 6Intermediate Rehabilitation

Hip extension strength >= 4/5,Can perform prone hip extension without lumbar compensation,Hip circumduction gait pattern eliminated,Functional movement patterns pain-free,Can ascend stairs reciprocally without pain,Hip rotators strength >= 4/5

→ Advance to: Week 7-8

Week 7Advanced Intermediate

Full hip ROM in all planes (flexion, extension, abduction, adduction, internal/external rotation),Single leg squat > 15 repetitions without pain or valgus collapse,Can perform Romanian deadlift with proper hip hinge mechanics,Hip flexor flexibility within normal limits (Thomas test negative),No clicking/catching with hip movements (labrum symptom-free),Return to low-impact functional activities

→ Advance to: Week 8-9

Week 8Advanced Intermediate

Can perform hop testing without pain,Hip abduction endurance > 2 minutes per side,Pelvic stability during single leg loading,Can perform lateral step-downs without compensation,Return to jogging program (if applicable),Hip muscle power > 80% of contralateral side

→ Advance to: Week 9-10

Week 9Advanced Rehabilitation

Single leg hop for distance > 90% contralateral,Can perform sport-specific drills without pain,Hip adductor strength >= 4+/5,No pain with deep hip flexion (squatting),Can perform plyometric activities without discomfort,Patient-reported outcome measures improved by minimum clinically important difference

→ Advance to: Week 10-11

Week 10Advanced Rehabilitation

Full return to sport/training activities,Hip muscle power > 95% contralateral side,All functional tests within normal limits,No hip pain with prolonged sitting,Can perform cutting/pivoting movements without symptoms,Return to competition clearance (if applicable)

→ Advance to: Week 11 - Discharge

Week 11Return to Function

Maintenance of full ROM without stiffness,Hip strength 100% of contralateral side,Completion of sport-specific progression without setbacks,No residual symptoms (clicking, catching, groin pain),Patient satisfied with functional outcome,Independent home exercise program established

→ Advance to: Discharge

Return to activity milestones

Pain-free basic activities of daily living

Week 3

Ankle dorsiflexion adequate for normalised gait pattern over heel

Light functional activities and conditioning

Week 4

Weight-bearing tolerance increased by ≥ 25% from previous baseline

Moderate activity and sport-specific conditioning

Week 6

Able to ascend and descend 4 stairs with reciprocal pattern, no rail

Full return to sport, occupation, and recreation

Week 11

Weight-bearing tolerance increased by ≥ 25% from previous baseline

Precautions

  • cool-down-after
  • avoid-overloading
  • warm-up-before

Contraindications

  • compartment-syndrome

Pain management

Equipment & modalities

Manual therapy: hip joint mobilization and soft tissue mobilization to iliopsoas and tensor fasciae lataeTherapeutic exercise: progressive strengthening of hip abductors, extensors, and rotatorsAquatic therapy: gait training and resistance exercises in reduced weight-bearing environmentNeuromuscular electrical stimulation (NMES) to hip abductorsGait training and proprioception exercises for pelvic stabilitybarbellback-bracewrist-splintknee-brace

Frequently asked questions

Can I skip the warm-up if I'm short on time?
No—warming up protects the hip and reduces strain, and it is a required precaution for this program. Keep it brief if needed, but always include it before main work.
How do I know when to move to the next phase?
Your clinician confirms you have met the phase's goals, such as improved strength, motion, and pain-free walking. Don't advance on your own; the criteria keep progress safe.
Why do I need braces, splints, and electrical stimulation?
These are used as your clinician directs to support safe movement, protect healing tissues, and help activate hip muscles. Their use and timing should always be confirmed with your care team.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

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

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