What treatment options exist for patients with femoroacetabular impingement syndrome but without surgical indication?

Exercise Therapy for the Management of Femoroacetabular Impingement Syndrome: Preliminary Results of Clinical Responsiveness

“…To our knowledge, this is the first study that evaluates differences in hip function, strength and morphology between responders vs. non-responders to exercise therapy for FAIS. The identification of patient characteristics, which may predict the success vs. failure of exercise therapy, is of interest in orthopaedics and sport medicine to provide valid non-surgical treatment options and strengthen surgical indications (7). The main limitation of this study is the absence of a control group.…”

“…High-level evidence demonstrating the actual effectiveness of hip surgery for the management of FAIS is growing (4,5), but the best surgical indications are still subject of discussion (6). In contrast, non-surgical treatment options for FAIS have been largely overlooked (7), even if their failure should be the most important indication for surgery (7,8). In addition, valid non-surgical treatment options are required for those patients, who are not candidates for hip surgery (7,9).…”

“…In contrast, non-surgical treatment options for FAIS have been largely overlooked (7), even if their failure should be the most important indication for surgery (7,8). In addition, valid non-surgical treatment options are required for those patients, who are not candidates for hip surgery (7,9).…”

Hip muscle atrophy in patients with acetabular labral joint pathology

“…Surgery to correct the bony alignment and repair or resect the damaged acetabular labrum has been advocated, with good outcomes reported postoperatively (Kemp et al, ; Kierkegaard et al, ) although recent research has indicated that function and participation in sport and physical activity is still reduced 1 year after surgery (Thorborg et al, ). More recently, conservative nonsurgical management approaches focusing on improving neuromuscular function around the hip have been proposed as an alternative (Casartelli et al, ; Casartelli et al, ; Casartelli et al, ; Pennock et al, ).…”

“…An imbalance among the muscles surrounding the hip joint may also result in altered loading of joint surfaces (Lewis et al, ) with injury and/or degeneration as a possible consequence. As dynamic hip joint instability is thought to be related to the pathomechanism of acetabular labral injury associated with FAI, conservative nonsurgical management focusing on improving hip neuromuscular function has been recently advocated (Casartelli et al, ; Casartelli et al, ). However, to design effective neuromuscular treatment protocols, it is first important to know what deficits in hip neuromuscular function are present in association with intra‐articular hip joint pathology.…”