Hip Labral Repair Rehabilitation [Guide for Physical Therapists]

By dpope2020

July 11, 2025

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Hip Labral Repair Rehabilitation [Guide for Physical Therapists]

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In today's video we go over: Hip Labral Repair Rehabilitation [Guide for Physical Therapists] - FPF Show Episode 176

  • 0:00 Introduction
  • 3:49 What happens during a hip labral repair surgery?
  • 11:28 What are the different rehabilitation phases to be used after hip labral repair surgery?
  • 12:38 What is the weight bearing status for these patients after surgery? 
  • 13:49 What are the general contraindications after hip labral repair surgery?
  • 19:27 What range of motion restrictions are there in the beginning stages of hip labral repair surgery rehabilitation?
  • 23:11 What are the early range of motion goals for patients after hip labral repair surgery?
  • 25:00 Strategies for restoring early range of motion and strength
  • 27:38 Early stage (Phase 1) goals, pitfalls and criteria for progression after hip labral repair surgery
  • 35:08 Why we need to be cautious about the introduction and advancement of hip flexor exercises in patients hip labral repair surgery
  • 37:14 How to introduce and advance closed chain exercises like squats, deadlifts, lunges and step-ups
  • 1:06:04 When can we start the return to sport phase of physical therapy rehabilitation?
  • 1:08:23 What type of exercises should be included in the return to sport phase?
  • 1:10:50 When can running, cutting, agility, plyometrics and sport specific activities be introduced?
  • 1:16:10 What return to sport tests should be used for patients prior to returning to sport hip labral repair surgery?
  • 1:20:21 What does an accelerated protocol look like for hip labral repair surgery?
  • 1:25:35 What is the return to sport criteria to return to sport after hip labral repair surgery?
  • 1:29:20 Hip labral repair surgery protocols
  • 1:30:37 Hip Labral Repair Physical Therapy | Case Study | Week 0-6 | CAM Reduction

Tie That Labrum Up!

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Hanish S, Muhammed M, Kelly S, DeFroda S. Postoperative Rehabilitation for Arthroscopic Management of Femoroacetabular Impingement Syndrome: a Contemporary Review. Curr Rev Musculoskelet Med. 2023 Sep;16(9):381-391. doi: 10.1007/s12178-023-09850-2. Epub 2023 Jun 13. PMID: 37310616; PMCID: PMC10427582.

  2. Philippon MJ, Ryan M, Martin MB, Huard J. Capsulolabral Adhesions After Hip Arthroscopy for the Treatment of Femoroacetabular Impingement: Strategies During Rehabilitation and Return to Sport to Reduce the Risk of Revision. Arthrosc Sports Med Rehabil. 2022 Jan 28;4(1):e255-e262. doi: 10.1016/j.asmr.2021.10.031. PMID: 35141559; PMCID: PMC8811550.

  3. Kuhns BD, Weber AE, Batko B, Nho SJ, Stegemann C. A FOUR-PHASE PHYSICAL THERAPY REGIMEN FOR RETURNING ATHLETES TO SPORT FOLLOWING HIP ARTHROSCOPY FOR FEMOROACETABULAR IMPINGEMENT WITH ROUTINE CAPSULAR CLOSURE. Int J Sports Phys Ther. 2017 Aug;12(4):683-696. PMID: 28900574; PMCID: PMC5534158.

  4. Kwiecien SY, Mueller MP, Grossi JJ, Tyler TF, McHugh MP, Galano GJ. Accelerated rehabilitation and return to sport after hip arthroscopy for femoroacetabular impingement syndrome is safe and effective. J Hip Preserv Surg. 2024 Dec 12;12(1):33-39. doi: 10.1093/jhps/hnae044. PMID: 40331066; PMCID: PMC12051851.

  5. Voight ML, Robinson K, Gill L, Griffin K. Postoperative rehabilitation guidelines for hip arthroscopy in an active population. Sports Health. 2010 May;2(3):222-30. doi: 10.1177/1941738110366383. PMID: 23015942; PMCID: PMC3445109.