Intermediate Hip Nerve Injury Rehabilitation

Pain at rest <3/10 on VAS scale, able to tolerate gentle passive hip range of motion without radicular symptoms,no exacerbation of神经症状 (nerve symptoms) with isometric contractions,stable hip joint without signs of labral irritation,tolerates offloading with assistive device as needed,minimal hip bursitis inflammation (tenderness <2/5 at greater trochanter)

→ Advance to: Phase 2 - Early Mobility

active hip flexion to 90 degrees withoutincreased nerve symptoms,hip extension tolerance improved to 0 degrees,able to perform submaximal isometrics for hip flexors and abductors,no worsening of acetabular labral symptoms with movement,pain with weight-bearing <4/10,tolerates 10 minutes of standing activity

→ Advance to: Phase 3 - Controlled Strengthening

hip flexion strength 4/5 on MMT,hip abduction strength 4/5 on MMT,full passive hip ROM within pain limits,no reproduction of femoral nerve or sciatic nerve symptoms with resistance exercises,able to perform straight leg raise without hip flexor pain,tolerates 15 minutes of functional ambulation

→ Advance to: Phase 4 - Progressive Strengthening

hip flexion and extension strength 4+/5,able to perform clam shells without hip labral discomfort,hip abduction strength improved by at least 1 grade,no pain with palpation of greater trochanteric bursa,tolerates 20 minute walking session,balanced single-leg stance >20 seconds

→ Advance to: Phase 5 - Advanced Strengthening

hip external rotation strength 4/5,hip internal rotation strength 4/5,able to perform single-leg squats to 45 degrees knee flexion without hip pain,no provocation of iliopsoas tendon symptoms,functional hop test tolerance initiated,active hip ROM within 10 degrees of contralateral side

→ Advance to: Phase 6 - Power and Functional Training

hip abduction power >80% of contralateral side,able to perform lateral stepping without hip tendon strain,tolerates agility drills at 50% speed,no recurrence of nerve-related symptoms with explosive movements,single-leg hop for distance >75% contralateral,completes 20-minute conditioning session

→ Advance to: Phase 7 - Sport-Specific Preparation

full hip ROM equal to contralateral side,hip strength 5/5 in all planes,tolerates cutting and pivoting activities,no hip labral symptoms with high-impact activities,able to complete sport-specific drills at 75% intensity,functional movement screen score >15/21

→ Advance to: Phase 8 - Return to Activity Initiation

completes full training session without increased pain,no post-exercise hip joint swelling,hip muscle endurance within 10% of contralateral side,maintains neutral hip position during dynamic activities,subjective function score >80% on hip outcome measures,no nerve-related complications post-activity

→ Advance to: Phase 9 - Progressive Return to Play

tolerates full practice participation,no limitations with high-demand functional tasks,hip proprioception intact on functional assessments,completes sport-specific endurance activities,pain-free full ROM with athletic movements,ready for graduated return to competition

→ Advance to: Phase 10 - Return to Full Activity

participates in unrestricted athletic activity,no recurrence of hip or nerve symptoms,performance metrics return to pre-injury baseline,able to complete full game/practice without modification,maintains hip strength and flexibility,no activity-related flare-ups

→ Advance to: Phase 11 - Maintenance and Discharge

full return to prior level of function,independent home exercise program compliance,demonstrates proper movement patterns,no compensatory strategies during activity,patient education on prevention and self-management completed,discharge criteria met with <10% deficit in functional tests