Deep learning has achieved great success in the field of computer vision, and the precision in image classification and image detection has surpassed humans. Therefore, this paper combines deep learning and medical image segmentation, focusing on how to improve the accuracy and speed of segmentation algorithm of medical exercise rehabilitation image. Aiming at the shortcomings of traditional medical image recognition methods, a medical exercise rehabilitation image segmentation algorithm based on hierarchical features of convolutional neural networks is proposed, this paper calls it as hierarchical features of convolutional neural networks (HFCNN). The algorithm firstly samples the convolution output of multiple layers in the convolutional neural network to a unified scale and combines them to construct a hierarchical feature. This hierarchical feature combines the structural information of objects contained in the shallow layer of the network with the semantic information of objects contained in the deep layers of the network, so it has a strong ability to express. Secondly, the image can be segmented into multiple super pixels by the super pixel segmentation algorithm. The classifier is trained using the hierarchical features of the super pixel, and then the classification result is mapped back to the pixel. Finally, a fully connected conditional random field algorithm including one-potential potential energy and paired potential energy is constructed. The corresponding energy function is used to smooth the classification result of the pixel, and the regional consistency and continuity of the pixel mark are improved. Compared with many classical convolutional neural network algorithms, this algorithm not only accelerates the network convergence speed, shortens the training time, but also significantly improves the accuracy of segmentation algorithm of medical exercise rehabilitation image, showing good practical value.