HIP Arthroscopic Labral Repair Rehabilitation Protocol
WEEK 1-2:
Weight Bearing
- 50% Partial Weight Bearing with crutches
Brace
- Wear brace at all times for first 2 weeks except for exercises and hygiene
- Wear brace at night
ROM
- Avoid pinching feeling with ROM
- Flexion: 0-90⁰
- Extension: 0⁰ (avoid hyperextension)
- Abduction: 30⁰
- IR in 90⁰ of flexion: Neutral
- ER in 90⁰ of flexion: 30⁰
Therapeutic Exercise
- Exercise bike without resistance immediately (POD#1 if possible)
- Isometrics: Quad setting, gluteal setting, hamstring digs with knee support, plantarflexion/ dorsiflexion, eversion/inversion strengthening
- Prone lying
- STM mobilization, scar massage
- No joint/capsular mobilizations
WEEK 3-6:
Weight Bearing
- Transition to full weight bearing
Brace
- Transition away from brace
ROM
- As tolerated within pain free ROM
Therapeutic Exercise
- Avoid straight leg raises (flexion) to prevent post-operative hip flexor tendonitis
- Continue to protect repaired tissue, avoid joint/capsular mobilizations
- Restore hip ROM
- Restore normal gait pattern
- Weight shifting
- Step over small obstacle on non-operative leg emphasizing hip extension on operative leg
- Emphasize gluteus medius strengthening (clamshells, side lying abduction)
- Stationary bike without resistance – add resistance at Weeks 5-6
WEEKS 6-12:
Weight Bearing
- Full
Brace
- None
ROM
- Full
Therapeutic Exercise
- Begin straight leg raises (flexion)
- Continue to protect repaired tissue, avoid joint/capsular mobilizations
- Progress gluteus medius strengthening (single leg balance on foam pad, then bosu ball, side steps with therband)
- Stationary bike with resistance
- Slide board if without pain
- Crab / Monster walk
WEEKS 12+:
Weight Bearing
- Full
Brace
- None
ROM
- Full
Therapeutic Exercise
- Treadmill walking, progressing to jogging if tolerated
- Single leg squats
- Lunges
- Side planks
- Plyometrics
- Sport Specific Training if hip strength 80% of contralateral side
- Return to sport 4-6 months if cleared by MD
