Chapter 20 · Hip
Hip Pain protocol
Indexed — full page in progressSource: Rehab Science · Ch 20 · PDF pp. 686–717📖 Rehab ScienceBuild my programme →
AMBER — get assessed before starting rehab
Screen for red flags before starting any protocol (safety check). Progress by symptoms and function, not by the calendar: > 3/10 pain → start phase 1; < 3/10 → phase 2 (PDF p. 205).Follow this programme to treat
- General hip joint pain
- Hip impingement (pain on the inside of the hip and groin when squatting or sitting)
- Labral tear (sharp pain in the groin or front of the hip)
- Osteoarthritis (hip arthritis)
- Gluteal tendinopathy (pain in the gluteal region or lateral hip)
Conditions in this protocol
- Hip impingement (FAI) PDF p. 686
- Hip labral tear PDF p. 689
- Hip osteoarthritis PDF p. 691
- Gluteal tendinopathy and trochanteric bursitis PDF p. 693
Questions the book answers
Good for
- Alleviating pain stemming from the hip, glutes, and groin
- Improving hip range of motion
- Warm-up for phase 2 and 3 exercises
Guidelines
- Perform every day
- Tools: stretch strap, balance pad, dowel
- Add phase 2 when you have no pain at rest and no more than mild pain (3/10) with the exercises
Stretching Exercises
▶ Do 3 reps with 30- to 60-second holds · Perform in any order on both sides · Don’t stretch into pain
Mobility Exercises
▶ Do 3 sets of 10–15 reps · Active range of motion (AROM)—move as far as you can without pain · Perform in any order on both sides · Pause at end range for 2–3 seconds
Good for
- Reducing hip pain
- Improving hip range of motion
- Early hip and glute strengthening
- Warm-up for phase 3
Guidelines
- Perform 3 or 4 days a week
- Do 3 sets of 10–15 reps unless otherwise noted
- Push sets to fatigue
- Tools: resistance loop, dumbbells
Exercises
diagram pending
Side plank
PDF p. 706 · instructions pending
diagram pending
Banded hip abduction
PDF p. 707 · instructions pending
diagram pending
Banded hip flexor march
PDF p. 708 · instructions pending
diagram pending
Banded squat
PDF p. 709 · instructions pending
diagram pending
Split squat
PDF p. 710 · instructions pending
Good for
- Strengthening the hips, glutes, and legs
- Preventing hip pain and injury
Guidelines
- Perform 3 or 4 days a week
- Do 3 sets of 10–15 reps unless otherwise noted
- Push sets to fatigue
- Add load or reps to increase difficulty
- Tools: bench, resistance loop, dumbbell, plyo box
Exercises
Single-leg hip extension (choose one)
choose oneSource: Rehab Science · Ch 20 · PDF pp. 686–697· 13 original research citationsshow sources ▾
Also cited by the book on these pages:
- [Ch 20·1] Griffin DR, Dickenson EJ, O’Donnell J, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med. 2016;50(19):1169-1176. find original ↗
- [Ch 20·2] Hoit G, Whelan DB, Dwyer T, Ajrawat P, Chahal J. Physiotherapy as an initial treatment option for femoroacetabular impingement: a systematic review of the literature and meta-analysis of 5 randomized controlled trials. Am J Sports Med. 2020;48(8):2042-2050. find original ↗
- [Ch 20·3] Wall PD, Fernandez M, Griffin DR, Foster NE. Nonoperative treatment for femoroacetabular impingement: a systematic review of the literature. PM R. 2013;5(5):418-426. find original ↗
- [Ch 20·4] Zhu Y, Su P, Xu T, Zhang L, Fu W. Conservative therapy versus arthroscopic surgery of femoroacetabular impingement syndrome (FAI): a systematic review and meta-analysis. J Orthop Surg Res. 2022;17(1):296. Published 2022 Jun 3. find original ↗
- [Ch 20·5] Heerey JJ, Kemp JL, Mosler AB, et al. What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis. Br J Sports Med. 2018;52(9):581-593. find original ↗
- [Ch 20·6] Johnson VL, Hunter DJ. The epidemiology of osteoarthritis. Best Pract Res Clin Rheumatol. 2014;28(1):5-15. find original ↗
- [Ch 20·7] Litwic A, Edwards MH, Dennison EM, Cooper C. Epidemiology and burden of osteoarthritis. Br Med Bull. 2013;105:185-199. find original ↗
- [Ch 20·8] National Clinical Guideline Centre (UK). Osteoarthritis: Care and Management in Adults. London: National Institute for Health and Care Excellence (UK); February 2014. find original ↗
- [Ch 20·9] Zampogna B, Papalia R, Papalia GF, et al. The role of physical activity as conservative treatment for hip and knee osteoarthritis in older people: a systematic review and meta-analysis. J Clin Med. 2020;9(4):1167. Published 2020 Apr 18. find original ↗
- [Ch 20·11] Wellsandt E, Golightly Y. Exercise in the management of knee and hip osteoarthritis. Curr Opin Rheumatol. 2018;30(2):151-159. find original ↗
- [Ch 20·12] Long SS, Surrey DE, Nazarian LN. Sonography of greater trochanteric pain syndrome and the rarity of primary bursitis. AJR Am J Roentgenol. 2013;201(5):1083-1086. find original ↗
- [Ch 20·13] Reid D. The management of greater trochanteric pain syndrome: a systematic literature review. J Orthop. 2016;13(1):15-28. find original ↗
- [Ch 20·15] Torres A, Fernández-Fairen M, Sueiro-Fernández J. Greater trochanteric pain syndrome and gluteus medius and minimus tendinosis: nonsurgical treatment. Pain Manag. 2018;8(1):45-55. find original ↗
Page numbers are those of the uploaded PDF edition. "Find original" opens a PubMed search for the cited study.