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Hip Impingement Syndrome and its Treatment (1)

What is Hip impingement syndrome?

Hip impingement syndrome affects athletes who participate in sports that involve a lot of hip movements, such as football, hockey, basketball, kickboxing, taekwondo, and other high-impact sports. Femoroacetabular impingement is another term for hip impingement syndrome (FAI). Early detection is critical for avoiding serious secondary harm. Hip impingement syndrome causes hip and groin discomfort, which can be exacerbated by accelerated sports, crouching, climbing stairs, and extended sitting. Stiffness around the hip & groin, Restricted ROM, and clicking locking, or giving way may be present. Consult an orthopedic surgeon or a skilled physiotherapist for an early and precise diagnosis. It is caused by repeated and typically supraphysiologic hip rotation and flexion.

Hip Impingement Syndrome is classified into three types: Pincer Impingement (occurs due to bony overgrowth along the anterolateral rim of the acetabulum), Cam Impingement (femoral head is not round and cannot rotate smoothly inside the acetabulum, a bump forms on the edge of the femoral head), and Mixed Impingement (femoral head is not round and cannot rotate smoothly inside the acetabulum, a bump forms on the edge of (both the pincer & cam-type impingement present).

Physiotherapy treatment and preventive measures of Hip Impingement-

MANUAL THERAPY (hip extension, internal rotation, and lateral rotation with distraction, as well as mobilization with movement).

HIP MUSCULATURE STRENGTHENING.

EXERCISE FOR STRENGTHENING (for glut max, glut med, external rotators, abdominal and lower limb muscles in general).

USE A BRACE – The brace did change the kinematics of individuals with Hip Impingement Syndrome by reducing hip motions (flexion, internal rotation, and adduction) during everyday activities (squat, stair climbing, and stair descending).

SUPER INDUCTIVE SYSTEM (SIS).

Physiotherapy rehabilitation after hip impingement surgery.

MANUAL THERAPEUTICS (Myofascial release, trigger point release, soft tissue mobilization, and lumbar mobilization).

MASSAGE of the rectus femoris, adductors, TFL, glut medius/minimus, and pectineus muscles, as well as the fascia.

Deep Hip rotator muscle retraining.

STRETCHING of hip muscles and posterior capsule.

Gym / aquatic exercise program.

Stationary cycling.

Walking in pool.

SWIMMING (no kicking until 6-8 weeks post-op).

Cross-training.

Squatting, lunges, leg extension & hamstring curls.

Core stability & postural balance exercise.

Functional program (6-8 weeks post-surgery).

Also, Agility training.

SPORTS SPECIFIC DRILLS (like: foot drills/serving practice (tennis); corner hit-outs/tackling drills (hockey)).

Return to sports.

In addition, Training in the patient’s normal sports environment started, 10-12 weeks post-surgery.

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