Hip impingement rehab
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Hip impingement or femoroacetabular impingement (FAI) is a term to describe abnormal contact with the femur and the acetabulum. If left untreated this can cause irritation and result in degenerative changes to the hip. Often this is due to anatomical variance but also this may be due to capsular tightness and poor hip motor control.
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Impingement sign: The hallmark sign is pain with end-range flexion and internal rotation. This is a closing angle dysfunction.
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Rehab options using FRC concepts:
1️⃣Hip 90/90 Stretch + PAIL/RAIL to reduce passive restrictions and initiate end-range motor control.
2️⃣Hip Internal rotation lift off: This is a safe position to improve hip internal rotation mobility without working in aggravating ranges of motion.
3️⃣Hip controlled articular rotations: Focus on hip rotation control.
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Additional options may include Functional release manual techniques to the deep posterior hip capsule.
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Those with anatomical variance may require surgical intervention but I would recommend exploring conservative treatment first.
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