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Intermediate Hip Acute Injury Rehabilitation

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

A 7-week intermediate program using TRX, and hand exercisers 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
7
Sessions/week
2
Minutes/session
30
Evidence level
moderate
ICD-10
S72
Cost tier
moderate

Program Overview This is a seven-week, intermediate-level rehabilitation program for an acute hip injury. It is designed to be delivered in two supervised sessions each week, with each session lasting about 30 minutes. The program uses a TRX suspension trainer and hand exercisers alongside hands-on therapy and other supported treatments. It moves you steadily from early protection and pain control through gentle mobility, then into progressive strengthening, with clear checkpoints at each stage.

Who This Program Is For and Its Goal This program is for someone recovering from an acute hip injury who has reached an intermediate stage and can begin guided movement and strengthening. The goal is to reduce pain, restore hip range of motion, rebuild strength in the hip and surrounding muscles, and return you safely toward everyday activities. Progress is gradual and guided by how your hip responds, not by pushing through pain.

Before You Start Please review this plan with your treating clinician before beginning and at each phase change. Your clinician will confirm it suits your specific injury and adjust it as needed. Do not start if you have been told you have severe muscle wasting, compartment syndrome, a recent fracture, or a risk of deep vein thrombosis. These conditions need medical clearance and a different approach.

Safety Notes and When to Stop Follow the precautions of avoiding overloading the hip and keeping your spine in a neutral position during exercise. Stop and contact your clinician if you develop sharp or worsening groin or hip pain, new swelling, numbness, calf pain or swelling, chest pain, or shortness of breath. These could be warning signs. Never push through sharp pain, and use your walking aid as advised until your clinician says otherwise.

Weekly Structure Each week includes two sessions of roughly 30 minutes, plus any home activities your clinician assigns. Early weeks focus on protecting the hip and controlling pain, with hands-on therapy, ice, and gentle movement. Middle weeks add mobility and light strengthening. Later weeks build progressive loading with the TRX and resistance work. Your clinician decides when you advance based on the checkpoints described below.

How the Seven-Week Plan Is Organized The plan is organized into phases that build on each other. Weeks one and two center on protection, pain control, and gentle range of motion. Week three introduces progressive mobility and the start of strengthening. Weeks four through seven focus on progressive loading and building tolerance for daily activity. The TRX supports controlled body-weight exercises, and hand exercisers add light grip and upper-body work. Your clinician advances you when you meet the phase criteria.

What a Typical Session Looks Like A typical session follows a warm-up, main work, and cool-down pattern. Warm-up uses gentle movement and light activity to prepare the hip. The main work includes the prescribed mobility and strengthening exercises using the TRX and hand exercisers, plus any hands-on therapy, ice, or other modalities your clinician provides. Cool-down includes gentle stretching and settling, with attention to how your hip feels afterward.

Warm-Up, Main Work, and Cool-Down Begin with easy movement to warm the hip and prepare the muscles, keeping your spine neutral. The main work uses the TRX for supported squats, assisted single-leg work, and controlled hip movements, while hand exercisers add light grip work. Your clinician may include soft tissue work, ice, or other supported treatments. Finish with gentle cool-down movement and stretching, and note any symptoms so you can report them at your next visit.

Tracking Progress Your clinician tracks your progress using standardized hip outcome questionnaires and simple physical tests, including hip range of motion measured with a goniometer and single-leg stance time. These give an objective picture of how you are recovering alongside your own reports of pain and function. Keep a simple note of your pain levels and how activities feel between sessions to share with your clinician.

How Progression Criteria Are Used You move to the next phase when you meet the checkpoints for the current one, such as comfortable rest pain, improving hip range of motion, and performing key exercises without flare-ups. These criteria are guides, and your clinician interprets them alongside your outcome measures and overall response. Progression is based on consistent, pain-controlled achievement rather than a fixed calendar, so some people advance faster or slower.

Recovery and Self-Care Recovery happens between sessions as much as during them. Get adequate rest, stay generally active within comfort, and follow your clinician's guidance on ice or other self-care. Keep your spine neutral during exercises and avoid overloading the hip. Report changes in pain, swelling, or function promptly so your program can be adjusted. Patience and consistency matter more than pushing hard.

Pain Management and Red Flags Use pain relief measures only as directed by your clinician, and avoid self-medicating beyond their advice. Ice may help settle symptoms after activity. Seek urgent care for sudden severe pain, marked swelling, calf pain or swelling, chest pain, or shortness of breath, as these could signal serious problems. Contact your clinician for persistent increases in pain, new groin catching, or symptoms that do not settle with rest.

Recovery phases

Week 1Protection and Pain Control

Pain at rest ≤2/10 on VAS scale,Able to ambulate with assistive device (caner) without increased pain,No worsening of symptoms with gentle passive hip range of motion within tolerance,Hip flexion range of motion 70-90 degrees without reproduction of sharp groin pain,Able to perform isometric gluteal and hip flexor contractions without exacerbating labral symptoms,No increased swelling or inflammation of trochanteric bursa with palpation

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

Week 2Early Mobility and Gentle Range of Motion

Pain with activities of daily living ≤3/10 on VAS scale,Hip flexion range of motion improved to 90-110 degrees,Able to perform active hip flexion and extension in non-weight bearing without catching sensation in groin,Hip external rotation ≥30 degrees without reproduction of acetabular labrum symptoms,Single leg stance time ≥10 seconds without compensatory trunk lean,Tolerance of soft tissue mobilization to hip abductors and iliotibial band without increased trochanteric bursa pain

→ Advance to: Week 3-4: Progressive Mobility and Initiation of Strengthening

Week 3Progressive Mobility and Initiation of Strengthening

Hip flexion range of motion 110-120 degrees,Able to perform pain-free stationary cycling for 10 minutes at low resistance,Hip abduction strength ≥4/5 on manual muscle testing,Able to perform clamshell exercise without hip impingement symptoms,Hip internal rotation ≥25 degrees without reproduction of anterior hip pain,No reproduction of symptoms with resisted hip flexion in sitting position

→ Advance to: Week 4-5: Strengthening Phase

Week 4Strengthening Phase - Progressive Loading

Hip flexion range of motion 120-125 degrees approaching symmetry,Able to perform single leg squat to 45 degrees knee flexion without compensatory hip adduction or internal rotation,Hip extension strength ≥4/5 on manual muscle testing,Single leg stance time ≥20 seconds without Trendelenburg sign,Able to tolerate progression to resistance band hip abduction without increased trochanteric bursa symptoms,Pain-free walking for 20 minutes at comfortable pace

→ Advance to: Week 5-6: Advanced Strengthening and Functional Training

Week 5Advanced Strengthening and Functional Training

Hip range of motion within 10 degrees of contralateral side in all planes,Able to perform single leg deadlift with proper hip hinge mechanics without labral symptoms,Hip abduction strength ≥4+/5 on manual muscle testing,Single leg hop for distance ≥75% of contralateral side tolerance,Able to perform step-up exercises onto 8-inch step without hip impingement pain,No recurrence of iliopsoas tendon irritation with resisted hip flexion against resistance

→ Advance to: Week 6-7: Return to Activity Preparation

Week 6Return to Activity Preparation

Able to perform running program initiation without increased hip pain,Hip strength ≥5/5 on manual muscle testing for hip flexion, extension, abduction, and external rotation,Single leg squat to 90 degrees knee flexion with proper mechanics and no compensation,Functional Movement Screen hip mobility score ≥2,Able to perform sport-specific or activity-specific drills at 50% intensity without exacerbation,No tenderness to palpation of greater trochanteric bursa or anterior hip joint line

→ Advance to: Week 7: Return to Full Function

Week 7Return to Full Function

Full symmetric hip range of motion in all planes (flexion, extension, abduction, adduction, internal and external rotation),Able to perform high-intensity functional activities (running, cutting, pivoting) without hip symptoms,Single leg hop for time ≤10% deficit compared to contralateral side,Hip Outcome Score sports subscale ≥80%,Return to prior level of function without modification of activities,No recurrence of symptoms with provocative movements (deep flexion, combined rotation)

→ Advance to: Discharge to independent maintenance program

Return to activity milestones

Pain-free basic activities of daily living

Week 2

Ankle dorsiflexion adequate for normalised gait pattern over heel

Light functional activities and conditioning

Week 3

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

Moderate activity and sport-specific conditioning

Week 4

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

Full return to sport, occupation, and recreation

Week 7

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

Precautions

  • avoid-overloading
  • maintain-neutral-spine

Contraindications

  • severe-muscle-atrophy
  • compartment-syndrome
  • recent-fracture
  • dvt-risk

Pain management

Equipment & modalities

Cryotherapy/ice massage to hip joint and greater trochanteric regionTranscutaneous electrical nerve stimulation (TENS) for pain modulationLow-intensity pulsed ultrasound to promote cartilage healingSoft tissue mobilization to hip abductors, rotators, and iliotibial bandAquatic therapy for low-impact mobility and strengthening when land-based exercise exacerbates symptomsTRXhand-exerciser

Frequently asked questions

How hard should I push during exercises?
Aim for controlled movement with mild discomfort at most, never sharp pain. If symptoms increase and do not settle with rest, ease back and tell your clinician.
What if a session makes my hip worse?
Some mild soreness can occur, but increasing pain or swelling is a sign to stop and check in with your clinician. They can adjust the plan or consider low-impact options such as aquatic therapy.
Do I need to complete all seven weeks?
The timeline is a guide, and your clinician advances you based on meeting phase criteria and your outcome measures. Some people progress faster or need more time, so follow their guidance rather than the calendar alone.

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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