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Hip Rehab Protocol


This section applies to all patients. 

  • No NSAIDS such as Advil, Motrin, ibuprofen, Naprosyn, and Aleve x 2 weeks.

  • Pain: Tylenol for mild pain and if needed use mild narcotic provided.

  • Driving restrictions: No driving until able to safely move foot from gas to brake if right hip, and/or safely use clutch if left hip.

  • Work restrictions: Depends on duration of weightbearing restrictions

  • Exercise restrictions: 2 weeks relative rest followed by 4 weeks progressive PT. No running, jumping, cutting, lunges or deep squats until 8 weeks.

The following may not apply to all patients. Your provider will complete this section, depending on your needs.

☐ Use crutches for __________ days, non-weight-bearing for _______ days

☐ Use crutches (partial weightbearing) until able to walk normally without limp

☐ Don’t flex the hip beyond 90 degrees for 2 weeks (don’t bring knee to chest)

☐ Hip unloader brace for 4-6 weeks when walking about

☐ Use SI belt for 3-4 days continuously and then for 4-6 weeks with ambulation

☐ f/u for PT in 5-7 days

Activities: In general, with strength and activities, keep pain level below 4/10.

First 2 Weeks:

  • Use crutches until able to walk without a limp and/or significant pain (<4/10)

  • Strengthening/Motion: Isometrics always good. Non weightbearing and passive range of motion is good too. Try to get full range of motion by 2 weeks.

  • Walking: No hiking. May walk on flat ground initially for 10-15 minutes. If this goes well, may walk 5 minutes longer the next day.

  • Cycling: May gently ride stationary bike for 15 minutes after week 1. Exertion level 1-3/10

  • Swimming: May use pull buoy after week 1. No kicking.

Weeks 2-4:

  • Strengthening/Motion: Start gentle low load closed chain concentric/eccentrics.

  • Walking: May begin gentle hiking (no more than 30 minutes), watch hip angles.

  • Cycling: May ride 30 minutes. No getting out of the saddle til after week 3. Exertion 4-6/10

  • Swimming: May begin gentle kicking mixed with pull buoy. No more than ½ -1 mile.

Weeks 4-6:

  • Strengthening/Motion: Progress to moderate load, progressive strengthening.

  • Walking: May progress to longer hikes up to 60 minutes, still no big step-ups.

  • Cycling: May ride 60 minutes. May get out of saddle. Exertion 7-9/10 during intervals

  • Swimming: May swim up to 1-2 miles now. Still encourage breaks with buoy.