Proximal Hamstring Repair Rehabilitation Protocols

12 Proximal Hamstring Repair rehabilitation protocols from 11 institutions, published 2021–2025. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.

Compare by institution

Institution	Weight-Bearing	Key Restrictions
iOrtho	TDWB with crutches wks 0-2; PWB 50% with crutches wks 2-6; progressively wean to FWB wks…	Hip brace limiting flex to 45 deg wks 0-2; brace hip flex limit 60 deg wks 2-6 (gradually to 90 deg by wk 6)…
Mammoth Orthopedic Institute / Sierra Park PT — Proximal…	TDWB x1 week with crutches; PWB 50% x2-6 weeks with crutches; FWB by week 8	No active HS contraction or active hip extension x6 weeks; no hip flexion with knee extension x6 weeks; hip…
Massachusetts General Hospital — Proximal Hamstring Tendon…	TDWB Phase I (0-2 wks); PWB 50% Phase II (2-6 wks); wean to FWB Phase III (6-12 wks)	Post-op hip brace limiting hip flexion to 45° at all times Phase I; hip flexion ROM limit 60° Phase I-II…
NYU Langone Health — (Open or Endoscopic)	NWB/TTWB	TTWB w/ axillary crutches 0-2 wks, crutches up to 8 wks; hinged knee brace locked at 45-50 deg: until wk 4…
Orthopaedic Associates of Maine	NWB in brace locked at 60° flexion 4 wks; TDWB wks 4-6; WBAT wks 6+	NWB brace locked at 60° flexion for 4 wks; avoid hip flexion coupled with knee extension for 6 wks; no…
Orthopedic & Sports Medicine Specialists (OSMS)	TTWB 0-2 wks; 15-40% WB progression 2-6 wks; gait initiated Phase II; progressing through…	Hinged knee brace locked at 45 deg at all times until wk 6; avoid hip flexion coupled with knee extension…
Orthopedic & Sports Medicine Specialists (OSMS) — Endoscopic…	FFWB with crutches/walker 0-2 wks with T-Scope brace locked in neutral (unlocked only for…	No hamstring stretching x6 wks; ROM limits: PROM hip flexion 45 deg at wk 2, 60 deg with SLR limit 30 deg at…
Sanford Health — Proximal Hamstring Reattachment	TTWB with axillary crutches x 4-6 wks; 50% WB at wks 4-6; FWB without AD by wk 12	Axillary crutches TTWB x 4-6 wks; brace at all times x 6 wks; no hamstring stretching or long sitting; avoid…
Sutter Health / Palo Alto Medical Foundation	50% PWB wks 1-6; FWB wks 7+; brace locked 0° extension wks 1-6 (prevents hip flex + knee…	Brace locked 0° extension wks 1-6; no hip flexion with knee extended; no active knee flexion wks 1-6; no…
University of New Mexico (UNM) Sports Medicine — Hamstring…	50% WB with crutches 0-2 weeks; advance to full WB and wean crutches by 4 weeks	No hamstring stretches until 6 weeks post-op; passive ROM only for hip and knee initially; avoid terminal…
University of Virginia Orthopaedic Surgery	TTWB weeks 0-2; 50% WB weeks 2-6; wean crutches over 2 weeks in Phase 3 (weeks 6-8); WBAT…	Knee brace locked at 30° extension for ambulation x6 weeks (may unlock for therapy); no active knee flexion…
UW Health Sports Medicine — Proximal Hamstring Primary Repair…	TDWB wks 0-2; 15-40% WB wks 3-4; WBAT wks 5-6; FWB at wk 6	Axillary crutches x 6 wks; hinged knee brace (flexion angle set at surgery); avoid hip flexion + knee…