Beginner Hip Sprain and Strain Rehabilitation
A 14-week beginner program using rowers, foam rollers, dip stations, and weight vests 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
- sprain-strain
- Level
- beginner
- Duration
- 14
- Sessions/week
- 2
- Minutes/session
- 60
- Evidence level
- moderate
- ICD-10
- S72
- Cost tier
- moderate
Program Overview This is a 14-week, beginner-level rehabilitation guide for a hip sprain or strain. It combines supervised strengthening with supportive therapies to help you regain comfortable movement and confidence.
Who This Program Is For and Its Goal This program is for adults recovering from a hip sprain or strain who are new to structured rehabilitation. The goal is to protect the healing tissue early, gently restore motion, then build strength and control so you can return to daily activities without pain. Progress is gradual and guided by how your hip responds, not by rushing a calendar.
Before You Start Have your hip assessed by a licensed clinician first. Do not begin loading exercises while the hip is acutely inflamed or if your movement has not yet been assessed, as this program is not a substitute for an individualized evaluation.
Safety Notes and When to Stop Skip or pause any activity if your hip is hot, swollen, or very painful at rest—signs of acute inflammation. Never push into sharp pain, and keep your spine neutral during lifts. Stop and call your clinician if pain worsens, swelling increases, you feel numbness or groin pain, or you cannot bear weight. Clinician supervision is advised throughout.
Weekly Structure Plan for two sessions each week, about 60 minutes per session, across 14 weeks. Your equipment includes a rower, foam roller, dip station, and weight vest. Early weeks focus on gentle motion and pain control, middle weeks build flexibility and basic strength, and later weeks add controlled loading—always guided by your clinician's checkpoints.
How the Plan Progresses The 14 weeks are organized into phases. You start with protection and pain control, then move to early motion and flexibility, then two strengthening phases. You advance only when you meet the movement and strength checkpoints your clinician sets, not simply when a week passes.
What a Typical Session Looks Like Each session follows a warm-up, main work, and cool-down pattern. Expect gentle mobility, supported strengthening, and recovery work using your equipment, with rest as needed between sets.
Warm-Up, Main Work, Cool-Down Begin with light rowing and foam rolling for the hips and legs to warm tissues. Main work uses body-weight or weight-vest exercises, with the dip station for supported upper-body and trunk control. Cool down with gentle stretching and aquatic or low-impact movement if available. Supportive therapies such as ultrasound, TENS, laser, or shockwave are clinician-applied and not self-administered.
Tracking Progress Keep a simple log of pain, swelling, and what you completed each session. Your clinician uses checkpoints—like comfortable range of motion, single-leg balance, and strength grades—plus outcome measures such as the Hip Outcome Score and step-down test to decide when you move to the next phase.
How Progression Criteria and Outcome Measures Work Progression is based on meeting specific movement, strength, and pain checkpoints rather than time alone. Outcome measures track your function over the weeks and help your clinician adjust the plan. If a checkpoint isn't met, you stay in the current phase longer—that is normal and safe.
Recovery and Self-Care Rest, sleep, and gentle activity support healing. Use ice or heat only as your clinician advises, and avoid overloading the hip on sore days. Keep movements controlled and maintain a neutral spine during exercises.
Pain Management Cautions and Red Flags Do not use this guide to self-prescribe medication. Report sudden sharp pain, new swelling, fever, numbness, or inability to bear weight promptly. These red flags mean you should stop and contact your clinician rather than push through.
Recovery phases
Pain at rest less than 2/10 on VAS scale,Ability to ambulate with assistive device (cane or crutch) without increased pain,No increase in hip swelling or inguinal/trochanteric tenderness after gentle ROM,Tolerance of passive hip flexion to 70 degrees without exacerbation,Hip external rotator strength greater than 3/5 on manual muscle testing,Patient demonstrates understanding of weight-bearing restrictions
→ Advance to: Week 3 - Early Motion
Passive hip flexion tolerance increased to 90 degrees without pain,Active hip flexion to 70 degrees with minimal discomfort,Hip internal rotation improved to 15 degrees, external rotation to 30 degrees,Tolerance of prone hip extension without anterior hip or groin pain,Single leg stance time greater than 10 seconds without compensations,Hip abductor strength greater than 3+/5 on MMT
→ Advance to: Week 5 - Strengthening Phase I
Full passive hip ROM in all planes (flexion 120°, extension 30°, abduction 45°, adduction 30°, internal rotation 40°, external rotation 45°),Hip flexor strength greater than 4-/5 on MMT without provoking labral symptoms,Hip abductor strength greater than 4/5 on MMT,Tolerance of side-lying hip abduction without lateral hip (trochanteric) pain,Single leg squat to 45 degrees knee flexion without compensatory hip adduction or internal rotation,Patient reports less than 3/10 pain during activities of daily living
→ Advance to: Week 7 - Strengthening Phase II
Hip flexor strength greater than 4/5 on MMT with functional testing,Gluteus medius strength greater than 4+/5 without provoking greater trochanter pain,Hip external rotator strength greater than 4/5 on MMT,Single leg stance greater than 30 seconds without Trendelenburg sign,Forward step-down test (8-inch step) without excessive hip adduction or knee valgus,Patient able to perform 2 sets of 12 repetitions of hip abduction, adduction, flexion, and extension with 2 lb resistance
→ Advance to: Week 9 - Advanced Strengthening
Hip abduction strength greater than 5-/5 on MMT,Single leg squat to 70 degrees knee flexion with proper mechanics,Functional movement screen hip mobility score of 2 or greater,Tolerance of resisted hip external rotation in neutral and 90 degrees flexion,Y-balance test anterior reach within 4 cm of contralateral side,Patient reports minimal to no groin or lateral hip pain during exercise
→ Advance to: Week 11 - Sport-Specific Training
Hop testing symmetry greater than 85% for single leg hop for distance,Hip flexion strength symmetry greater than 90% on isokinetic testing,Tolerance of cutting and pivoting movements without hip pain or catching sensation,Patient reports return to low-impact recreational activities,Hip Outcome Score activities of daily living subscale greater than 85%,No reproduction of hip labral symptoms with end-range hip flexion and internal rotation
→ Advance to: Week 13 - Return to Activity
Full sport-specific movement patterns without compensation,Hip Outcome Score sports subscale greater than 80%,Single leg hop for time less than 10% asymmetry,Patient confident in return to pre-injury activity level,No hip pain or mechanical symptoms (clicking, catching, locking) with high-impact activities,Isokinetic hip strength symmetry greater than 95% in all planes
→ Advance to: Discharge - Maintenance Program
Return to activity milestones
Pain-free basic activities of daily living
Week 4Ankle dorsiflexion adequate for normalised gait pattern over heel
Light functional activities and conditioning
Week 6Weight-bearing tolerance increased by ≥ 25% from previous baseline
Moderate activity and sport-specific conditioning
Week 8Able to ascend and descend 4 stairs with reciprocal pattern, no rail
Full return to sport, occupation, and recreation
Week 14Weight-bearing tolerance increased by ≥ 25% from previous baseline
Precautions
- maintain-neutral-spine
- avoid-overloading
Contraindications
- acute-inflammation
- limited-range-before-assessment
Pain management
- Ice therapy (15-20 minutes every 2-4 hours for acute inflammation)
- Non-steroidal anti-inflammatory medications (as prescribed)
- Gentle soft tissue mobilization of hip flexors and adductors
- Activity modification to avoid positions that impinge the labrum (deep flexion with internal rotation)
- Hip joint mobilization (glides) for pain relief and mobility
Equipment & modalities
Frequently asked questions
Can I do this program without a therapist?
What if I miss a week or feel pain?
How will I know I'm ready for the next phase?
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