Up to 50% of patients with rheumatoid arthritis (RA) have hip lesions in the progressive phase. Pain in the groin area is the most common symptom of hip involvement and is often associated with difficulty walking and standing up. The hip is limited in internal rotation and often remains in a mildly flexed and externally rotated position, due to the comfort that this position provides the patient. Therefore, RA patients with hip involvement should pay special attention to exercise the hip joint to prevent joint ankylosis caused by prolonged relatively comfortable flexion and external rotation position. The hip joint has six degrees of freedom of movement, namely flexion and extension, internal and abduction, internal rotation and external rotation. The most important functions are flexion and extension and abduction, and the rehabilitation exercises for RA patients should focus on flexion and extension, abduction and internal rotation training. Exercise methods are as follows: ① hip flexion and extension exercises, 10-15 each time, 3-5 groups per day, hip flexion should exceed 90° to maintain function; ② hip abduction training, lying or standing outward leg swing, 10-15 each time, 3-5 groups per day (3) The physiological function of internal rotation is not as important as the first two, and the function of internal rotation can often be maintained to a certain extent after flexion and extension and abduction training are in place. RA patients with hip lesions have multiple sources of pain. In those with hip lesions, pain in the groin area may radiate along the anteromedial aspect of the thigh toward the knee. Lateral hip pain is rarely due to hip osteoarthritis per se, but is often due to rotor bursitis or radiating pain from the lower lumbar spine. The synovial swelling of the hip is usually not directly palpable, but it is often accompanied by iliopsoas bursitis causing spasm and pain in the iliopsoas muscle. Therefore, patients with hip lesions should exercise the lumbar muscles appropriately in addition to functional training of the hip joint to improve symptoms. The importance of joint rehabilitation exercises in RA patients is comparable to that of drug therapy. The vast majority of patients, even including clinicians, neglect functional exercise throughout the course of treatment or at some important stage. As a result, although the disease is controlled and symptoms are relieved, joint function is lost. This is a very regrettable result. However, for patients, rehabilitation exercises should be more painful and should have strong perseverance. For example, a hip lesion that results in limited internal rotation and often remains in a mildly flexed and externally rotated position is mainly due to pain, and because the position allows the patient to feel pain relief, prolonged maintenance in this position causes irreversible contracture of the muscles and soft tissues around the joint and consequent loss of function. This is true for virtually all joints. In the flexed position the joint capsule and surrounding muscles are relaxed, relieving the pain associated with joint swelling, and over time, contracture of the joint capsule occurs. The solution: first, let the patient understand that there is no danger of increased pain in certain positions; second, understand the importance of rehabilitation to increase confidence; third, there should be intermittent health education and rehabilitation guidance by an insider doctor. Rehabilitation tips: play the great leader Chairman Mao’s guiding ideology of rehabilitation on protracted warfare and guerrilla warfare. The patient’s mental state and tolerance are good at this time, and the exercise can be carried out under the condition of high emotion, which can achieve obvious effect; ④ Enemy retreat, I pursue: the disease remission stage, while exercising the joint function, strengthen the exercise intensity and increase the muscle strength exercise, the muscle strength can maintain the stability of the joint and delay the joint destruction. ⑤ on the idea of a protracted war: exercise a small number of times, perseverance is fundamental; ⑥ people’s war idea: more communication with doctors to understand the changes in the condition. More communication with patients to learn from each other’s experience. More hand in hand with family members to enhance confidence in recovery and courage to live. There is nothing difficult in this world, as long as you are willing to climb!