Physiotherapy is an excellent non-surgical treatment for hip impingement or femoroacetabular impingement (FAI). The treatment depends on the initial assessment. Physiotherapy may include a range of strengthening and stretching exercises tailored to the condition. Other treatment options include:
Transcutaneous electrical stimulation (TENS):
Transcutaneous electrical stimulation (TENS) machines can be used to help decrease hip pain and increase the ability to enjoy everyday activities.
Soft tissue massage:
Soft tissue massage, myofascial and trigger point release like piriformis or gluteal minimus release can be done
Manipulation and mobilization:
Mobilization is used to improve hip flexion and decrease symptoms of hip impingement. These techniques are used to help improve motion, decrease pain, and help move better and more comfortably. Hip mobilization like a distraction, AP glides can be recommended. Other examples are quadriceps soft tissue mobilization, ITB soft tissue mobilization can be done.
Passive stretching hip exercises of hip and pelvis:
Passive stretching like hip flexor stretching, groin stretching, piriformis stretching are recommended stretching exercises.
Strengthening exercises like seated isometric hip flexion, supine hip flexion with theraband, reverse lunge with front ball tap, or side plank, and core stability exercises can be done.
Kinesio-taping can be done for modification of the posture e.g thigh into abduction and external rotation.