Hip Abductor (Gluteus Medius) Repair Rehab Protocol

Keys to a Successful Outcome

In order to allow the tendon to heal back to the bone after the procedure, weight bearing and strengthening exercises will be more protected and limited in the first rehabilitation phase.
Each patient will progress at a different rate depending on multiple factors including, but not limited to: the specific procedure performed, age, preexisting health status and rehab compliance.
Pushing to extremes of motion beyond pain tolerance does not enhance function but rather increases discomfort and may affect the healing tendon.

Phase	Brace	ROM	WB Status	Exercises
Weeks 0-4	Crutches	No active Hip Abd/IR; No Passive Hip ER/Add	PWB	Hip PROM; Begin Hip Ext, Add, ER isometrics at 2 weeks; Hamstring isotonics; Pelvic tilts; Upper body circuit training
Weeks 4-8	Crutches	No restrictions	Weeks 4-6: PWB; Weeks 7-8: Progress w/ WBAT w/ crutches	Progress core and hip strengthening; Start isometric hip flexion; Stool rotations IR/ER (20°); Begin isotonic Hip Add
Weeks 8-12	Wean from crutches	No restrictions	Progressive WBAT with no crutches and normal gait	Progress with ROM; Hip joint mobilization; Progress core strengthening (focus on posterior pelvic tilt)
Weeks 12+	None	No restrictions	WBAT	Closed chain and open chain strengthening exercises; Non-impact hip, core and balance training; Non-impact endurance training

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