Hip (Gluteal Tendon) — Ultrasound-Guided Lipogems / PRP Protocol

1. Week 1

   Protect the tendon

   • No weight-bearing 4 days, then toe-touch; wean off crutches by end of week 1
   • Gentle hip-flexion ROM from day 4, 4×/day
   • Optional BFR from day 4

2. Week 2

   Pain-free ROM

   • Progress weight-bearing with crutches
   • Begin isometrics, straight-leg raises, clamshells
   • Core stability; pool once wound healed

3. Weeks 3–6

   Build strength

   • Progress hip-abductor strengthening
   • May begin stationary bike

4. Weeks 6–12

   Return to sport

   • Sport-specific exercises; balance and higher-impact activity
   • Soft-tissue work (no foam rolling until week 6)

Do not use NSAIDs (ibuprofen, Aleve, aspirin) or ice for 4 weeks — both blunt the healing response. Acetaminophen (Tylenol) is fine for discomfort. Care is tailored to you; use these guidelines with your physical therapist.