Hip Sprain and Strain Rehabilitation for Beginners
A 18-week program for beginners focusing on lower limb hip recovery, utilizing bosu ball, elliptical, foam roller, and stationary bike.
Professional rehabilitation program designed for effective recovery and pain management.
Key facts at a glance
- Body part
- lower-limb · hip
- Injury type
- sprain-strain
- Level
- beginner
- Duration
- 18
- Sessions/week
- 2
- Minutes/session
- 45
- Evidence level
- moderate
- ICD-10
- S72
- Cost tier
- moderate
Hip Sprain and Strain Rehabilitation for Beginners — Program Overview
This 18-week program is designed for people new to rehabilitation who are recovering from a hip sprain or strain affecting the muscles and soft tissues around the hip. The goal is to help you gradually rebuild hip strength, mobility, and confidence with everyday movement, using simple equipment and a steady, supervised pace. Your clinician will adjust the plan to fit your body and recovery.
Before You Start
This program is not appropriate if you have severe osteoporosis or a recent fracture, so please confirm with your clinician before beginning. Stop and contact your clinician if you feel sharp or worsening hip or groin pain, new numbness or weakness, sudden swelling, or pain that doesn't settle with rest. Always keep a neutral spine during exercises, and complete a cool-down after every session. Some people may use supports like taping, a brace, ultrasound, or electrical stimulation during early phases — these are decided by your clinician, not self-prescribed.
Weekly Structure
You'll do two sessions per week, about 45 minutes each, for 18 weeks. The plan moves through phases — early protection, gentle mobilization, early strengthening, and intermediate strengthening — and you only advance when your clinician confirms you've met that phase's goals. Equipment like the stationary bike, elliptical, bosu ball, and foam roller keeps sessions varied and low-impact. Expect the early weeks to feel gentle and the later weeks to feel more active.
What a Typical Session Looks Like
Each session follows a warm-up, main work, and cool-down pattern. A warm-up might use the stationary bike or elliptical at an easy effort to loosen the hips. The main work blends mobility, strengthening, and balance using the bosu ball and body-weight or band-based hip exercises. The cool-down includes gentle stretching and foam rolling of the surrounding muscles, finishing with relaxed breathing. Aquatic therapy may be offered separately for low-impact conditioning if your clinician recommends it.
Tracking Progress
Your clinician uses specific checkpoints — like pain levels, hip range of motion, strength, and single-leg balance — to decide when you're ready to move to the next phase. You'll also complete questionnaires such as the Hip Outcome Score and iHOT-33, plus simple pain and balance tests, to track how you're improving over time. These measures guide the plan but don't replace your clinician's judgment, so keep them informed of how you feel.
Recovery and Self-Care
Mild soreness that settles within a day or so is common; sharp, persistent, or worsening pain is not — rest and check in with your clinician if it happens. Don't push through pain to "get ahead." Watch for red flags like sudden severe pain, inability to bear weight, new swelling, or numbness, and seek care promptly. Follow your clinician's advice on pain relief and activity rather than self-medicating, and build in rest days between sessions.
Recovery phases
Pain at rest ≤2/10 on VAS scale,Weight-bearing tolerance achieved without increased hip/groin pain,Hip flexion range of motion ≥70 degrees without pain,Unable to provoke pain with passive hip external rotation,No tenderness over greater trochanteric bursa on palpation,Hip abduction strength ≥3/5 manual muscle testing
→ Advance to: Early Mobilization
Hip flexion range of motion ≥90 degrees,Hip external rotation ≥30 degrees,Hip abduction strength ≥4/5,Active straight leg raise without hip/groin pain,Hip adductor flexibility within 10 degrees of contralateral side,No pain with-resisted iliopsoas contraction
→ Advance to: Early Strengthening
Hip flexion range of motion ≥100 degrees,Hip internal rotation ≥25 degrees,Hip abduction strength ≥4+/5,Single leg stance ≥30 seconds without hip instability,Hip extension strength ≥4/5 (gluteus maximus),No pain with prolonged sitting >30 minutes
→ Advance to: Intermediate Strengthening
Full hip range of motion (flexion 110-120°, extension 20-30°, abduction 40-45°, adduction 20-25°),Hip abduction strength ≥5/5,Hip external rotation strength ≥4+/5,Single leg squat ≥10 repetitions without compensation,Tolerance for stationary cycling 20 minutes,No pain with functional movements
→ Advance to: Advanced Conditioning
Hip muscle endurance equal bilaterally (prone hip extension test),Functional movement pattern without compensation,Single leg hop test ≥90% contralateral side,Return to low-impact sports activities,No recurrence of hip/groin pain with increased activity,Proprioceptive testing within normal limits
→ Advance to: Return to Activity
Return to activity milestones
Pain-free basic activities of daily living
Week 5Ankle dorsiflexion adequate for normalised gait pattern over heel
Light functional activities and conditioning
Week 8Weight-bearing tolerance increased by ≥ 25% from previous baseline
Moderate activity and sport-specific conditioning
Week 10Able to ascend and descend 4 stairs with reciprocal pattern, no rail
Full return to sport, occupation, and recreation
Week 18Weight-bearing tolerance increased by ≥ 25% from previous baseline
Precautions
- maintain-neutral-spine
- cool-down-after
Contraindications
- severe-osteoporosis
- recent-fracture
Pain management
- Ice therapy to greater trochanteric region and anterior hip for 15-20 minutes post-exercise
- Non-steroidal anti-inflammatory medication as prescribed for bursa inflammation
- Soft tissue mobilization to iliotibial band and hip adductors
- Positional release technique for piriformis and hip flexor tenderness
- Heat therapy prior to stretching for improved tissue extensibility
Equipment & modalities
Frequently asked questions
Can I exercise if I feel a little sore the next day?
How do I know when to move to the next phase?
Do I need all the equipment and treatments listed?
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