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ASIS avulsion: exercises by authorised stage

5 exercises

Only in the late stage, after confirmed healing and clearance for movement, full weight bearing, stretching and strengthening. Do not use during the acute or protected phase; return to sprinting and sport is a separate decision.

Exercises

  • 1

    Slide your heel

    Illustration: Slide your heel

    Lie on your back with your leg supported on the bed.

    Slide your heel towards your bottom, bending your hip and knee within a pain-free range; slowly return.

    Stop for pain at the avulsion site; absence of pain does not allow you to exceed the permitted movement range.

    Up to 10 slow repetitions, 3 non-consecutive days/week; rest 1 minute between exercises.
  • 2

    Two-leg bridge

    Illustration: Two-leg bridge

    Lie on your back with knees bent and feet hip-width apart on the floor.

    Squeeze your buttocks and lift your pelvis to line up shoulders, hips and knees. Lower slowly without arching your back.

    Stop for pain at the front of the hip or in the groin.

    10 repetitions with a 3-second hold, once daily.

    Glute bridge

    Press Play to watch the movement.

    The video shows the movement. Follow the dose and precautions on this sheet.

  • 3

    Stretch the front of your hip

    Illustration: Stretch the front of your hip

    Rest one knee on a cushion and place the other foot in front.

    Squeeze the back buttock and move your pelvis forwards a little, keeping your trunk upright. Move back and change sides; do not arch your back.

    Stop for pain at the avulsion site.

    Hold for 20 seconds twice on each side; release fully between holds. Once daily.
  • 4

    Bridge with one knee straight

    After a painless two-leg bridge and clearance for single-leg exercise.

    Illustration: Bridge with one knee straight

    Lie on your back, knees bent and feet on the floor. Lift your hips slightly.

    Straighten one knee without tilting your pelvis; lower the foot, then your hips. Change legs.

    Stop for pain at the front of the hip.

    5 repetitions on each side, on 3 non-consecutive days each week; rest for one minute.
  • 5

    Forearm plank

    Illustration: Forearm plank

    Rest your forearms and toes on the floor, with elbows under shoulders.

    Lift your body into a line from head to heels. Breathe without letting your pelvis sag, then put your knees down and relax.

    Stop for pain at the front of the hip or in the groin.

    Hold for up to 20 seconds 3 times, on 3 non-consecutive days each week; rest for one minute.

    Front forearm plank

    Press Play to watch the movement.

    The video shows the movement. Follow the dose and precautions on this sheet.

Exercise sheet

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For children, an adult stays nearby. Use a clear surface, a stable support and secure band anchors; avoid small objects that could be swallowed.

When to stop

Stop exercising and contact your clinician for:

  • Acute or sudden pain during exercise
  • Significant swelling after exercises
  • Pain that progressively worsens over days
  • Fever or general malaise
  • Difficulty walking or using the limb after exercises
  • Any neurological symptoms (tingling, numbness, sudden weakness)
  • A red or hot joint, or inability to bear weight: seek prompt assessment; use emergency care if severe.

Suitability depends on the individual medical assessment. Starting exercises without assessment can be dangerous.

Sources