Blog Details

physical therapy for hip injuries

Physical Therapy for Hip Injury: When Every Step Hurts, What Actually Helps?

Have you ever stood up from a chair and felt a sharp reminder in your hip that something simply isn’t right? Not the fleeting stiffness that disappears after a few steps, but the kind of pain that makes you rethink walking, sitting, or even sleeping on your side.

I still remember my first real encounter with hip injury rehabilitation—not as a clinician, but as a patient. After weeks of ignoring a dull ache following long hours of desk work and weekend sports, I found myself limping through daily routines. What surprised me most was not the pain itself, but how targeted physical therapy, when done correctly, restored movement far more effectively than painkillers or rest ever did.

Hip injuries are rarely “just about the hip”. They affect how we walk, sit, climb stairs, exercise, and ultimately how confidently we move through life. This article draws on clinical evidence, real-world physiotherapy practice, and expert-backed insights to explain how physical therapy works for hip injuries, why it is often the gold standard of care, and how you can apply its principles immediately.

Why Hip Injuries Deserve Serious Attention

The hip is one of the body’s most powerful and complex joints. It bears body weight, absorbs shock, and allows multi-directional movement. According to the National Institute for Health and Care Excellence (NICE), musculoskeletal conditions involving the hip are among the leading causes of long-term pain and disability in adults.

Left untreated—or treated incorrectly—hip injuries can trigger a cascade of problems:

  • Altered walking patterns (antalgic gait)
  • Chronic lower back or knee pain
  • Reduced balance and higher fall risk
  • Long-term joint degeneration, including osteoarthritis

Dr Alison Grimaldi, a well-known Australian sports physiotherapist and researcher specialising in hip pathology, notes:

“Many patients present with hip pain that has been mismanaged for months or even years. The issue is rarely lack of treatment—it’s lack of the right treatment.”

This is where evidence-based physical therapy becomes indispensable.

What Is Physical Therapy for a Hip Injury?

Physical therapy for hip injury is a structured, progressive rehabilitation approach aimed at restoring mobility, strength, stability, and pain-free function. It is not merely a set of generic exercises handed out at random.

A properly designed physiotherapy programme typically addresses:

  • Pain and inflammation control
  • Joint mobility and range of motion
  • Muscle strength and neuromuscular control
  • Functional movement retraining (walking, sitting, squatting)

Unlike medication, which masks symptoms, physical therapy targets the root cause—whether that is muscle imbalance, poor joint mechanics, or faulty movement patterns.

Common Hip Injuries Treated with Physical Therapy

Hip Muscle Strains and Tendinopathies

Often seen in athletes and active adults, these involve injury to muscles such as the gluteus medius, hip flexors, or adductors. Research published in the British Journal of Sports Medicine shows that progressive loading exercises significantly outperform rest alone in long-term recovery.

Hip Labral Tears

While some labral tears require surgery, many respond well to conservative care. A 2018 systematic review in Sports Health found that structured physiotherapy improved pain and function in a large proportion of patients, delaying or even avoiding surgery.

Hip Osteoarthritis

According to the World Health Organization, hip osteoarthritis is a leading cause of disability worldwide. Exercise therapy is strongly recommended as a first-line treatment, with consistent evidence showing reduced pain and improved mobility.

Post-Surgical Hip Rehabilitation

Whether following hip replacement or arthroscopy, physical therapy is essential. NICE guidelines clearly state that supervised rehabilitation improves outcomes and reduces complications after hip surgery.

How Physical Therapy Actually Heals the Hip

Restoring Mobility Without Damaging the Joint

Contrary to popular belief, avoiding movement often worsens hip pain. Gentle, controlled mobility exercises help nourish joint cartilage and reduce stiffness.

In my own rehabilitation, one early breakthrough came from simple hip joint mobilisation techniques. Within two weeks, everyday actions like tying my shoes became noticeably easier.

Strengthening What Really Matters: The Glutes

Multiple studies confirm that weak gluteal muscles increase hip joint stress. Professor Paul Hodges, a renowned researcher in movement science, emphasises:

“Hip pain frequently reflects a failure of load distribution, not structural damage alone. Strengthening the surrounding musculature is key.”

Targeted strengthening of the gluteus medius and maximus improves pelvic stability and reduces compensatory strain.

Retraining Movement Patterns

Many patients return to pain because they resume the same faulty movements that caused the injury. Physical therapists analyse walking, sitting, and lifting mechanics, correcting errors that patients are often unaware of.What a High-Quality Hip Physiotherapy Programme Looks Like

Initial Assessment

A thorough evaluation includes posture, gait, joint mobility, muscle strength, and functional testing. Red flags are screened to rule out serious pathology.

Individualised Treatment Plan

There is no one-size-fits-all protocol. A runner with hip pain requires a very different approach from an older adult with osteoarthritis.

Progressive Exercise Prescription

Exercises evolve as recovery progresses—from basic activation to advanced functional movements.

Education and Self-Management

Patients are taught how to manage flare-ups, pace activity, and avoid re-injury.

Physical Therapy at Home vs In-Clinic: What Really Works?

While online videos and generic exercise sheets are widely available, evidence consistently favours supervised therapy. A Cochrane Review found that guided physiotherapy leads to better adherence, technique, and outcomes compared to unsupervised home programmes alone.

That said, the best results come from a hybrid approach: expert supervision combined with structured home exercises.

Physical Therapy for Hip Injury at Cure On Call

At Cure On Call, we provide professional physical therapy for hip injuries through convenient home-based and clinical rehabilitation services in Faisalabad. Our approach is grounded in evidence-based practice, personalised assessment, and functional recovery—not short-term pain suppression.

Our licensed physiotherapists:

  • Conduct detailed movement and pain assessments
  • Design personalised hip rehabilitation plans
  • Provide hands-on therapy and guided exercises
  • Support recovery after injury or surgery
  • Educate patients for long-term joint health

Whether you are recovering from a sports injury, managing chronic hip pain, or regaining mobility after surgery, Cure On Call brings expert physiotherapy directly to you.

Actionable Steps You Can Start Today

  1. Stop resting excessively – gentle, guided movement is usually more beneficial.
  2. Assess your daily habits – prolonged sitting and poor posture worsen hip load.
  3. Strengthen before stretching excessively – stability often precedes flexibility.
  4. Seek professional assessment early – delays increase recovery time.
  5. Commit to consistency – meaningful improvement typically occurs over weeks, not days.

Frequently Asked Questions (FAQ)

How long does physical therapy take for a hip injury?

Most patients notice improvement within 4–6 weeks, though chronic or post-surgical cases may require longer.

Can physical therapy prevent hip surgery?

In many cases, yes. Evidence suggests conservative management can delay or avoid surgery for conditions like labral tears and osteoarthritis.

Is physical therapy painful?

Some discomfort may occur initially, but therapy should never cause sharp or worsening pain. Programmes are carefully progressed.

Can I do hip physiotherapy at home?

Yes, when guided by a qualified physiotherapist. Supervision ensures correct technique and progression.

Final Thoughts: Your Hip Is Built to Move—Let It

Hip pain has a way of shrinking lives quietly. People stop walking as far, exercising as freely, or trusting their own bodies. The evidence is clear: well-designed physical therapy does not just relieve hip pain—it restores confidence in movement.

If you have experienced hip discomfort that lingers or limits your daily activities, consider taking the next step with professional support. And if you’ve already tried physical therapy, share your experience—what helped, what didn’t, and what you learned along the way.

Your recovery journey might help someone else take their first pain-free step.

Read Also: Chicken Noodle Soup Diet: Comfort, Health, and Science Behind the Bowl

Recent Posts