Skip to content

Beginner Hip Sprain and Strain Rehabilitation

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

A 14-week beginner program using rowers, foam rollers, dip stations, and weight vests 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
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

Week 1Protection and Pain Control

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

Week 3Early Motion and Flexibility

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

Week 5Strengthening 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

Week 7Strengthening 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

Week 9Advanced 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

Week 11Sport-Specific and Functional 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

Week 13Return to Full 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 4

Ankle dorsiflexion adequate for normalised gait pattern over heel

Light functional activities and conditioning

Week 6

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

Moderate activity and sport-specific conditioning

Week 8

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

Full return to sport, occupation, and recreation

Week 14

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

Precautions

  • maintain-neutral-spine
  • avoid-overloading

Contraindications

  • acute-inflammation
  • limited-range-before-assessment

Pain management

Equipment & modalities

Therapeutic ultrasound for deep heating of hip joint capsuleTranscutaneous electrical nerve stimulation (TENS) for pain modulationLow-level laser therapy for cartilage and soft tissue healingAquatic therapy for early weight-bearing and range of motionShockwave therapy for chronic greater trochanteric bursitisrowerfoam-rollerdip-stationweight-vest

Frequently asked questions

Can I do this program without a therapist?
No—this guide is meant to be used with clinician supervision, especially since it involves loading and supportive therapies. Your clinician assesses your hip and adjusts the plan safely.
What if I miss a week or feel pain?
Missing sessions is okay; resume gently and let your clinician reassess before advancing. If pain increases, pause the activity and check in rather than pushing ahead.
How will I know I'm ready for the next phase?
Your clinician confirms progress using movement, strength, balance, and pain checkpoints along with outcome measures. Meeting them means your hip is tolerating the current load before you advance.

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

More hip protocols

View all