Intermediate Hip Acute Injury Rehabilitation
A 11-week intermediate program using barbells, back braces, wrist splints, and knee braces 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
- 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
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
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
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
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
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
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
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
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
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
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
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 3Ankle dorsiflexion adequate for normalised gait pattern over heel
Light functional activities and conditioning
Week 4Weight-bearing tolerance increased by ≥ 25% from previous baseline
Moderate activity and sport-specific conditioning
Week 6Able to ascend and descend 4 stairs with reciprocal pattern, no rail
Full return to sport, occupation, and recreation
Week 11Weight-bearing tolerance increased by ≥ 25% from previous baseline
Precautions
- cool-down-after
- avoid-overloading
- warm-up-before
Contraindications
- compartment-syndrome
Pain management
- Cryotherapy (ice pack) applied 15-20 minutes post-exercise
- Activity modification to avoid deep hip flexion and excessive rotation
- Positioning with pillow between legs during sleep for hip abduction relief
- Non-steroidal anti-inflammatory medication (as prescribed by physician)
- Gentle hip mobilization within pain-free ranges
Equipment & modalities
Frequently asked questions
Can I skip the warm-up if I'm short on time?
How do I know when to move to the next phase?
Why do I need braces, splints, and electrical stimulation?
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