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What is Hip Impingement and How Do We Treat It?

Hip impingement, medically referred to as Femoroacetabular impingement (FAI), involves abnormal contact between the thigh bone (femur) and the hip socket (acetabulum). Some cases require surgery while others can be managed successfully with physical therapy. Patients often present with groin, hip or buttocks pain with clicking/catching/locking and decreased range of motion. This can result in difficulty performing daily activities and/or sports.

Physical Therapy treatment includes:

  • Joint mobilizations to improve the flexibility of the hip joint
  • Soft tissue mobilizations to improve the flexibility of the surrounding hip muscles
  • Stretching/mobility exercises to improve flexibility of the hip capsule
  • Dry needling to reduce pain and muscle tension
  • Techniques and exercises to improve mobility at neighboring joints to compensate for hip flexibility impairments

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Physical Therapy Treatment for Hip Tendonitis/Tendinopathy

Hip tendonitis can affect multiple tendons attaching to the hip. Although the term “tendinitis” indicates the presence of inflammation (“itis” means “inflamed”), newer research indicates that the main driver of tendon pain comes from non-inflammatory pathologies known as tendinopathies.

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