Intermediate Hip Acute Injury Rehabilitation
A 8-week intermediate program using therapy putty, and foam rollers 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
- 8
- Sessions/week
- 4
- Minutes/session
- 45
- Evidence level
- moderate
- ICD-10
- S72
- Cost tier
- moderate
Program Overview This is an eight-week, intermediate-level rehabilitation guide for a recent hip injury, designed to help you safely rebuild movement, strength, and confidence. It uses simple equipment (therapy putty and a foam roller) and progresses you through four phases, from early protection and pain control toward intermediate strengthening. It is intended to complement, not replace, care from your treating clinician.
Who This Program Is For and Its Goal This program suits people recovering from an acute hip injury who have been cleared to begin intermediate rehabilitation and can already bear some weight comfortably. The goal is to reduce pain, restore hip movement, rebuild strength in the hip and surrounding muscles, and improve balance and daily function, so you can return to normal activities gradually and safely.
Before You Start Please check in with your treating clinician before beginning, and confirm the plan matches your specific injury. Have your therapy putty and foam roller ready, wear comfortable clothing, and exercise on a clear, stable surface. Warm up briefly before each session, and stop any activity that sharply increases your pain.
Safety Notes and When to Stop Because your plan notes a risk of blood clots (DVT), watch for warning signs such as new swelling, warmth, redness, or calf pain in the leg, or sudden shortness of breath or chest pain. Stop exercising and seek urgent medical help if these occur. Also stop and contact your clinician if pain keeps rising, you feel faint, or symptoms worsen.
Weekly Structure You will train four sessions per week, about 45 minutes each, for eight weeks. Sessions combine gentle warm-up, targeted hip exercises using putty and the foam roller, and a cool-down. Over the weeks, the program moves through phases from early protection toward stronger, more functional movement.
How the Eight-Week Plan Is Organized The plan advances in phases: early protection and pain control, early mobility, early strengthening, and intermediate strengthening. In plain terms, you start with gentle movement and pain settling, then build range, then add resistance, and finally work on balance and functional strength. You move forward only when you meet the phase goals comfortably.
What a Typical Session Looks Like Each session follows a predictable pattern: a warm-up to prepare the hip, main strengthening and mobility work, then a cool-down. Your clinician may also apply treatment modalities such as heat, ultrasound, electrical stimulation, laser, or shockwave as appropriate. Consistency matters more than intensity, so keep sessions comfortable.
Warm-Up, Main Work, and Cool-Down Begin with a few minutes of gentle movement and, where advised, a heat pack to loosen tissues. In the main work, use therapy putty for controlled hip and leg strengthening and the foam roller for gentle soft-tissue work around the hip and thigh, staying within comfort. Finish with slow, relaxed stretching and easy breathing to cool down.
Tracking Progress Keep a simple log of your pain (using a 0–10 scale), what you did each session, and how you felt afterward. Your clinician will also use outcome measures such as the Hip Outcome Score, iHOT-33, single leg stance, and Y-Balance test to track change over time. This record helps you and your team decide when to progress.
How Progression and Outcome Measures Work You advance to the next phase when you meet the specific goals for the current one, such as comfortable pain levels, adequate strength and range, and tolerance for weight-bearing activity. Outcome measures give an objective picture of your recovery alongside your daily experience. Never rush ahead; let comfort and clinician guidance lead.
Recovery and Self-Care Rest is part of training. Get regular sleep, stay hydrated, and pace activities so you avoid pain flare-ups. Use heat as advised before exercise and gentle movement afterward. Listen to your body, and give yourself credit for steady, small improvements rather than expecting fast results.
Pain Management Cautions and Red Flags Some mild, brief discomfort during exercise can be acceptable, but stop if pain steadily climbs or lingers. Do not push through sharp pain. Seek urgent care for calf swelling or warmth, chest pain, or breathlessness (possible clot signs), or for sudden severe hip pain, inability to bear weight, or numbness.
Recovery phases
Pain at rest less than 2/10 on VAS scale,Able to ambulate with assistive device (cane) without increased pain,No pain with passive hip range of motion within tolerance,Hip flexor, adductor, and abductor strength rated 3/5 or greater,No pain with palpation of greater trochanteric bursa and iliopsoas bursa,Ability to perform ankle pumps and quad sets without exacerbating symptoms
→ Advance to: Early Mobility Phase
Pain with weight-bearing activities less than 3/10,Hip flexion range of motion 90 degrees or greater achieved,No increase in symptoms with active assisted hip flexion and extension, Able to perform straight leg raise without hip flexor compensation,Hip abduction strength 3+/5 or greater,Tolerance to 15 minutes of continuous weight-bearing activities
→ Advance to: Early Strengthening Phase
Pain less than 2/10 with resisted hip flexion, extension, and abduction,Hip external rotation strength 3/5 or greater (for piriformis/short external rotator function),Active hip flexion to 110 degrees without compensation,Hip extension within 10 degrees of symmetrical range,Can perform 10 repetitions of gluteal sets without pain,Tolerates prone lying for 10 minutes without increased hip or groin pain
→ Advance to: Intermediate Strengthening Phase
Hip flexion strength 4-/5 or greater,Hip abduction strength 4-/5 or greater,Single leg stance time greater than 20 seconds without loss of balance,Active hip range of motion: flexion 115 degrees, extension 0 degrees, abduction 40 degrees,Adductor strength 4-/5 or greater,Can perform mini squat to 45 degrees knee flexion without posterior hip or groin pain
→ Advance to: Advanced Strengthening Phase
Hip flexion and extension strength 4/5 or greater with isokinetic testing,Single leg squat to 45 degrees knee flexion with proper hip kinematics (no excessive hip adduction or internal rotation),Hip abduction strength 4/5 or greater in side lying position,Tolerates 20 minutes of functional activity without pain flare,Can perform clam shells with resistance without hip tendon irritation,No pain with palpation of ischial tuberosity (proximal hamstring/hamstring tendon origin)
→ Advance to: Power and Agility Phase
Hip extensor power greater than 70% of contralateral side,Able to perform lateral stepping over obstacles without pain,Can complete 10 consecutive single leg hops without compensation,Hip abduction endurance: 25 repetitions in side lying at moderate resistance,No residual pain with fast walking or light jogging,Functional movement screening score greater than 15/21
→ Advance to: Sport-Specific Training Phase
Tolerates cutting and pivoting activities without hip or groin pain,Running speed progression to 80% of maximum without compensation,Hip strength 90% of contralateral side on hand-held dynamometry,No pain with resisted hip external rotation in functional positions (for obturator internus/externus),Can complete agility ladder drills at sport-specific speed,Patient-reported outcome measures show improvement greater than MCID
→ Advance to: Return to Activity Phase
Hip strength 95% or greater of contralateral side on isokinetic testing,Symmetrical hip range of motion in all planes,Completion of sport-specific running and cutting progressions without symptoms,No pain withend-range hip flexion or abduction (for acetabular labrum stress),Functional Movement Screen score 17/21 or greater,Patient cleared for full return to activity by physical therapist and physician
→ Advance to: Maintenance and Discharge
Return to activity milestones
Pain-free basic activities of daily living
Week 2Ankle dorsiflexion adequate for normalised gait pattern over heel
Light functional activities and conditioning
Week 3Weight-bearing tolerance increased by ≥ 25% from previous baseline
Moderate activity and sport-specific conditioning
Week 4Able to ascend and descend 4 stairs with reciprocal pattern, no rail
Full return to sport, occupation, and recreation
Week 8Weight-bearing tolerance increased by ≥ 25% from previous baseline
Precautions
- stop-if-pain-increases
- warm-up-before
Contraindications
- dvt-risk
Pain management
- Cryotherapy (ice pack to hip for 15-20 minutes, 3-4 times daily)
- Non-steroidal anti-inflammatory medication as prescribed (for bursa inflammation)
- Manual therapy: soft tissue mobilization to iliopsoas, hip adductors, and tensor fasciae latae
- Joint mobilization: inferior and anterior glides of hip for capsule restrictions
- Gentle stretching of hip flexors and adductors in pain-free range
- Positioning modifications: avoiding sitting for prolonged periods with hip flexion greater than 90 degrees
Equipment & modalities
Frequently asked questions
How sore is too sore after a session?
Can I skip the warm-up if I'm short on time?
Will I definitely move to the next phase each week?
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