Rehabilitation after Proximal Hamstring Tendon Repair Surgery
Post-op Phase |
Weight bearing status |
Use of brace |
Passive ROM and Active ROM |
Strength Training |
Return to running and sports |
Recommended Restrictions |
Phase One |
TDWB with crutches |
Post-op hip brace to limit hip flexion. Hip flexion limit to 45 degrees |
Quad sets, active-assisted and passive hip and knee flexion, ankle pumps Hip flexion ROM limit 60° flexion |
None |
None |
Weightbearing TDWB crutches Post-op hip brace Limit hip flexion to 45° |
Phase Two |
PWB 50% with crutches |
Continue post-op hip brace Hip flexion limit to 60 degrees through week 3 Weeks 4 to 6 |
Quad sets Active-assisted and passive hip and knee flexion SAQ Ankle pumps Side-lying hip abduction Standing calf raises |
None OK for non-involved limbs |
None |
Weightbearing PWB 50% crutches |
Phase Three |
Progressively wean crutches over the next 2 weeks to FWB |
Discontinue brace per MD |
Progressive active hip and knee flexion Active stretching all uninvolved muscle groups Stationary bike |
HS curls antigravity |
Progressive slow walking on level surfaces |
No running yet |
Phase Four |
FWB |
Neoprene support as needed |
Full ROM |
Cautious use of weight training machines Single leg closed chain exercises |
Walk progression on level surface with gradual increase in speed and distance |
Preparing to run |
Phase 4 |
FWB |
Neoprene support |
Same as phase 3 |
Progressive strengthening avoiding overload to HS |
Walk-to jog progression |
No sprinting or speed work |
Phase 5 |
FWB |
Neoprene support |
Same |
Same |
Progressive run/speed/agility Jump training after 24 weeks post-op |
Proceed gradually with caution |