Hip Arthroscopy and Labral Repair Rehabilitation Protocols

23 Hip Arthroscopy & Labral Repair rehabilitation protocols from 15 institutions, published 2019–2025. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.

Institution	Weight-Bearing	Key Restrictions
Brigham and Women's Hospital — Hip Arthroscopy for FAI with…	PWB 20% foot-flat with crutches wks 0-2; wean crutches wk 3; FWB by wk 4	No long axis hip distraction until 8 wks (labral repair) or 12 wks (labral reconstruction); no grade III-IV…
Dr. Bradley Smith MD (Intermountain Health) — Hip Arthroscopy…	PWB 20 lbs foot-flat x 2 wks with crutches; progressive WB wks 3-4; FWB by wk 4	Checkbox format for procedures performed (acetabuloplasty, capsular repair, labral repair); no active SLR x 3…
Hughston Clinic (Florida) — Hip Arthroscopy with Labral…	TTWB x 2-3 wks (4 wks if microfracture); FWB by wk 4-6	Microfracture: TTWB x 4 wks (longer than labral repair alone); CPM 0-60 deg x 6 hrs/day x 4-6 wks for…
Massachusetts General Hospital — Hip Arthroscopy for FAI with…	PWB 20 lbs foot-flat step-to with bilateral crutches wks 0-3; WBAT wks 4-6; wean crutches…	Hip ROM Phase I: flex 0-90/ext 0 (no beyond neutral)/ABD 0-30/ER 0-30/IR 0-30; no active SLR or hip flexion x…
Massachusetts General Hospital — Hip Arthroscopy for FAI with…	PWB 20 lbs foot-flat step-to with crutches wks 0-2; wean crutches wk 3+	No active SLR; no active hip flexion x 21 days (self-assisted only); hip flexion 0-90 deg, ext 0 deg (no…
NYU Langone Health — Hip Arthroscopy — Labral Repair or…	FFWB (20 lbs)	20 lb flat-foot WB 0-2/3 wks (6 wks if microfracture); wean crutches at 3-4 wks (6 wks if microfracture); ROM…
Ohio State University Wexner Medical Center — Hip Arthroscopy…	PWB 20% foot-flat with crutches x 2 wks; wean off crutches beginning wk 3	Avoid any 'pinch' feeling in hip with ROM and exercises; avoid hip flexor/adductor aggravation; limit ER and…
Orthopaedic Associates of Maine — with Osteoplasty/Capsular…	WBAT; stationary bike starts day 1 postop with minimal resistance	Stationary bike begins day 1 postop (minimal resistance); passive ROM emphasis on IR and circumduction wks…
Orthopedic & Sports Medicine Specialists (OSMS) — Hip…	50% WB on operative leg with crutches/walker (foot flat, mimic normal gait); if regional…	Brace worn 4 wks (except sleeping/CPM/prone/biking/showering/car) to prevent hyperflexion and abduction; CPM…
Orthopedic & Sports Medicine Specialists (OSMS) — Iliopsoas…	WBAT with assistive device for 2 wks post-op	then wean off AD as tolerated
Orthopedic & Sports Medicine Specialists (OSMS) — Iliopsoas…	50% WB with bilateral axillary crutches (foot flat) for 2 wks, then WBAT; DonJoy brace…	Avoid active SLR and sit-ups x4 wks; no ballistic/forced stretching throughout; first 2 wks limit flexion to…
Orthopedic & Sports Medicine Specialists (OSMS) — Labral…	50% WB first 2 wks (non-WB if microfracture noted in op report); WBAT with bilateral AD…	No straight leg raises Phase I; PROM: extension 0 deg x4 wks, abduction 25-30 deg x3 wks, IR 0 deg x3 wks, ER…
Orthopedic & Sports Medicine Specialists (OSMS) — Labral…	50% WB first 2 wks (non-WB if microfracture noted in op report); WBAT with bilateral AD…	No straight leg raises Phase I; PROM: extension 0 deg x4 wks, abduction 25-30 deg x3 wks, IR 0 deg x3 wks, ER…
Orthopedic & Sports Medicine Specialists (OSMS) — Labral…	50% WB first 2 wks (foot flat, avoid anterior hip irritation from flexion); FFWB if…	No straight leg raises Phase I; PROM: extension 0 deg x4 wks, abduction 25-30 deg x3 wks, IR 0 deg x3 wks…
Saint Louis University (SLUCare) — Femoroacetabuloplasty with…	WBAT with crutches; wean off crutches week 3; FWB by ~week 6	Avoid combined hip motions/excessive flexion; avoid early iliopsoas activation; no isotonic hip flexion until…
SAM Health — Arthroscopic Hip Surgery (Labral Repair / FAI)	20 lb FFWB 0-2 wks; labral reconstruction/microfracture: 20 lb FFWB 0-6 wks	CPM 4 hrs/day x 8 wks; brace 0-6 wks; no anterior capsule stretch; no sitting >90 deg hip flexion >30 min x 2…
Sanford Health — Hip Labral Repair with FAI (Arthroscopy)	PWB: 20 lb foot flat x 2 wks; hip plications: PWB 4-6 wks; microfracture: PWB 6 wks; FWB…	Flexion 0-90 x 2 wks; avoid passive hyperextension x 3 wks; ER to 20 x 2 wks; abduction 0-45 by 2 wks; NO SLR…
SOMOS (Society of Military Orthopaedic Surgeons) — Hip…	WBAT with assistive device (dual crutches or rolling walker); D/C when pain controlled…	No hip hyperext >10°; no combined hip rotation + flexion; no pivoting on operative extremity; no active hip…
Sutter Health / Palo Alto Medical Foundation — Hip…	50% PWB wks 1-2 (Microfracture: touchdown WB wks 1-6); FWB wks 3-6 (Microfracture…	Flex 0-90°, ext 0°, abd 30°, IR neutral at 90° flex, ER 30° at 90° flex wks 1-2; avoid SLR wks 1-6; no…
University Hospitals — Hip Arthroscopy - Labral Repair /…	50% flat-foot WB (FFWB) first 2 weeks, avoid toe-touch WB (caution WB until nerve block…	Crutches immediately post-op, weaned based on hip extension ROM/heel-to-toe pattern, goal D/C 14-21 days…
University Hospitals — Hip Arthroscopy - Lysis of Adhesions	50-100% FFWB x3 days then WBAT	Crutches immediately post-op, weaned based on hip extension/pain/heel-to-toe pattern, goal D/C 10-14 days; no…
University Hospitals — Revision Hip Arthroscopy	50% FFWB first 2-4 weeks, avoid toe-touch WB (caution until nerve block wears off)	Crutches immediately post-op, weaned based on hip extension ROM/heel-to-toe pattern, goal D/C 21-28 days…
UW Health Sports Medicine — Hip Arthroscopy (Labral Repair /…	20% BW foot flat x 2 wks; WBAT by wks 3-4; labral reconstruction: 20% BW x 6 wks	Avoid ER >30° and hip hyperextension x 6 wks; avoid iliopsoas activation (SLR, resisted hip flexion) first…

Hip Arthroscopy and Labral Repair Rehabilitation Protocols

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