After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. To ensure that the program is safe and effective for you, it should be performed under your doctor's supervision. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals.

  • Strength : Strengthening the muscles that support your hip will help keep your hip joint stable. Keeping these muscles strong can relieve pain and prevent further injury.
  • Flexibility : Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible.
  • Target Muscles : The muscle groups targeted are - Gluteus maximus and medius (buttocks), Adductors (inner and outer thigh), Hamstrings (back of thigh), Piriformis (buttocks), Tensor Fascia (outer thigh)
  • Warm up : Before doing the exercises, warm up with 5 to 10 minutes of low impact activity, like walking or riding a stationary bicycle.
  • Stretch : After the warm-up, do the stretching exercises before moving on to the strengthening exercises.
  • Do not ignore pain : You should not feel pain during an exercise. Talk to your doctor or physical therapist if you have any pain while exercising.

There are many exercises which will help you meet your rehabilitation goals.

1. Standing Iliotibial Band Stretch

Main Muscles : Tensor fascia

Equipment Needed : None

Repetitions : 2 sets of 10

Days per week : Daily

Step-by-step directions:

~ Stand next to a wall for support
~ Cross the leg that is closest to the wall behind your other leg.
~ Lean your hip toward the wall until you feel a stretch at the outside of your hip. Hold the stretch for 30 seconds.
~ Repeat on the opposite side, then repeat the entire sequence 4 times.

standing iliotibial band stretch - hip recovery exercise

2. Seated Rotation Stretch

Main Muscles : Piriformis

Equipment Needed : None

Repetitions : 2 sets of 4

Days per week : Daily

Step-by-step directions:

~ Sit on the floor with both legs straight in front of you. Cross one leg over the other.
~ Slowly twist toward your bent leg, putting your hand behind you for support.
~ Place your opposite arm on your bent thigh and use it to help you twist further.
~ Look over your shoulder and hold the stretch for 30 seconds. Slowly come back to center.
~ Reverse leg positions and repeat the stretch on the other side. Repeat the entire sequence 4 times.

seated rotation stretch - hip recovery exercise

3. Knee to Chest

Main Muscles : Gluteus maximus, gluteus medius

Equipment Needed : None

Repetitions : 2 sets of 4

Days per week : Daily

Step-by-step directions:

~ Lie on your back on the floor with your legs extended straight out.
~ Bend one knee and grasp your shinbone with your hands.
~ Gently pull your knee toward your chest as far as it will go.
~ Hold the stretch for 30 seconds and then relax for 30 seconds.
~ Repeat on the other side, then pull both legs in together. Repeat the entire sequence 4 times.

knee to chest - hip recovery exercise

4. Supine Hamstring Stretch

Main Muscles : Hamstrings

Equipment Needed : None

Repetitions : 2 sets of 4

Days per week : Daily

Step-by-step directions:

~ Lie on the floor with both knees bent.
~ Lift one leg off of the floor and bring the knee toward your chest. Clasp your hands behind your thigh below your knee.
~ Straighten your leg and then pull it gently toward your head until you feel a stretch. (If you have difficulty clasping your hands behind your leg, loop a towel around your thigh. Grasp the ends of the towel and pull your leg toward you.)
~ Hold for 30 to 60 seconds and then relax for 30 seconds.
~ Repeat on the other side, then repeat the entire sequence 4 times.

supine hamstring stretch - hip recovery exercise

5. Hip Abduction

Main Muscles : Gluteus medius, abductors

Equipment Needed : Begin with a weight that allows 8 repetitions and progress to 12 repetitions. As the exercise becomes easier, add weight in 1-pound increments. Each time you increase the weight, start again at 8 repetitions, working back up to 12.

Repetitions : 8

Days per week : 2 to 3

Step-by-step directions:

~ Lie on your side with your injured leg on top and the bottom leg bent to provide support.
~ Straighten your top leg and slowly raise it to 45°. Keep your knee straight, but not locked.
~ Hold this position for 5 seconds.
~ Slowly lower your leg and relax it for 2 seconds.
~ Repeat, then complete exercise on the other side.

hip abduction - hip recovery exercise

6. Hip Extension (Prone)

Main Muscles : Gluteus maximus

Equipment Needed : Begin with a weight that allows 8 repetitions and progress to 12 repetitions. As the exercise becomes easier, add weight in 1-pound increments. Each time you increase the weight, start again at 8 repetitions, working back up to 12.

Repetitions : 8

Days per week : 2 to 3

Step-by-step directions:

~ Lie on your stomach on a firm, flat surface with a pillow under your hips.
~ Bend one knee 90°.
~ Lift your leg straight up as shown.
~ Slowly lower your leg down to the floor, counting to 5.
~ Repeat, then complete exercise on the other side.

hip extension (prone) - hip recovery exercise

7. Internal Hip Rotation

Main Muscles : Medial hamstrings

Equipment Needed : Begin with a weight that allows 8 repetitions and progress to 12 repetitions. As the exercise becomes easier, add weight in 1-pound increments. Each time you increase the weight, start again at 8 repetitions, working back up to 12.

Repetitions : 8

Days per week : 2 to 3

Step-by-step directions:

~ Lie on your side on a table or physical therapy bench with a pillow between your thighs. Place your lower arm in front of your body and use a pillow under your head for comfort, if needed.
~ Bring your top leg forward and lower your foot so that it is below the tabletop, as shown in the “start” position. Your bottom leg can be slightly bent for balance.
~ Rotate your hip and lift your foot as high as possible, as shown in the “finish” position.
~ Slowly lower your leg back to the “start” position, counting to 5.
~ Repeat, then complete exercise on the other side.

internal hip rotation - hip recovery exercise

8. External Hip Rotation

Main Muscles : Piriformis

Equipment Needed : Begin with a weight that allows 8 repetitions and progress to 12 repetitions. As the exercise becomes easier, add weight in 1-pound increments. Each time you increase the weight, start again at 8 repetitions, working back up to 12.

Repetitions : 8

Days per week : 2 to 3

Step-by-step directions:

~ Lie on your side on a table or physical therapy bench. Place your lower arm in front of your body and use a pillow under your head for comfort, if needed.
~ Bring your bottom leg forward and lower your foot so that it is below the tabletop, as shown in the “start” position. Your top leg is mostly straight to help you balance.
~ Rotate your hip and lift your foot as high as possible, as shown in the “finish” position.
~ Slowly lower your leg back to the “start” position, counting to 5.
~ Repeat on the other side.

external hip rotation - hip recovery exercise

The small puncture wounds take several days to heal. The operative dressing can usually be removed the morning after surgery and adhesive strips can be applied to cover the small healing incisions.

Although the puncture wounds are small and pain in the joint that underwent arthroscopy is minimal, it takes several weeks for the joint to maximally recover. A specific activity and rehabilitation program may be suggested to speed your recover and protect future joint function.