Therapeutic exercise approaches to nonoperative and postoperative management of femoroacetabular impingement syndrome

Review written by Dr Teddy Willsey info

Key Points

  1. Therapeutic exercise approaches for conservative and post-operative exercise management of femoroacetabular impingement (FAI) carry significant overlap, as the principles and goals are nearly identical.
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The use of hip arthroscopy to treat femoroacetabular impingement (FAI) has risen substantially over the last 15 years. Current evidence may not support the recent exponential rise in hip arthroscopy, as non-operative treatment has been shown to be an effective and oftentimes underutilized first line of care (1).

Exercise therapy for FAI focuses on postural control, core stabilization, hip strength, and hip mobility. Exercise strategies do not differ considerably between post-operative and non-operative patients. The goal of the authors’ current concepts review was to present an up-to-date clinical overview of FAI, and to review trends in exercise protocols for conservative and post-operative management of FAI.

The use of hip arthroscopy to treat FAI has risen substantially over the last 15 years.
In order to ensure continued adaptation, it is important to regularly test the limits of a patient’s threshold and incorporate more challenging exercises as they make improvements.


The authors utilized 47 articles in their review. They did not report on any criteria regarding their search and selection process. Their aim was to put together information on the anatomical and biomechanical underpinnings of FAI, common symptoms and presentation,

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