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Femoroacetabular impingement (hip pain)

Published: April 17, 2019

Femoroacetabular impingement (FAI) syndrome is a clinical condition that can cause hip pain. It was suggested the morphology of the one’s hip bone can increase the risk of having a symptomatic premature contact between the hip bone and the hip labrum (as known as acetabulum).

 

Recent consensus has advocated that non-operative management should be the first line of treatment for FAI syndrome. This is underpinned by the facts that patient with FAI syndrome demonstrated weak hip musculatures reduced hip range of motion and changes in lower limb walking biomechanics; which all can be managed well via individualised physiotherapy and exercise program.

 

A clinical protocol has recently been developed by clinical physiotherapist in the United Kingdom. This protocol consists of FOUR core components:

  1. Patient education and advice
    • Education about FAI syndrome
    • Treatment options
    • Activity modification and postural advice
  2. Patient assessment

    • Gathering history
    • Strength and range of motion examination
  3. Help with pain relief

    • Advice about medication use
    • Adherence to personalised rehabilitation program
    • Exercise-based hip program
  4. Supervised, individualised and progressive program

    • Muscle/motor control, stretching and targeted muscle group exercises
    • Stability exercises around the hip and abdomen

 

Additional recommendations for managing FAI syndrome includes:

  • Hands on physiotherapy treatments
  • Taping
  • Orthotics advice
  • Managing co-existing pathologies (i.e. back pain)

 

Delivery of Care:

It was recommended that a minimum of 6 physiotherapy sessions within the first 12 weeks. Additional booster sessions (approximately 4 sessions) can be organised between the physiotherapist and the clients if patient is making progressively recovery.

Should you experience any difficulty managing a persistent hip pain, feel free to get in touch with us at 03 9481 1626. Alternatively, make a booking with us via: https://www.backinmotion.com.au/Northcote/make-a-booking

 

Author

Ryan Hon (DPT) – Physiotherapist, Back in Motion Northcote