This guide provides general education and does not diagnose a condition or replace individual medical or physiotherapy assessment.
Understanding Femoroacetabular impingement (FAI)
Femoroacetabular impingement (FAI) can involve joint surfaces, capsule, labrum, bursa or surrounding soft tissue. The same painful area can have several causes, so treatment should follow a clinical assessment rather than a label alone.
The diagnosis describes the starting point, not a complete treatment plan. Severity, irritability, medical history, previous injury and the demands of work or sport all influence rehabilitation.
Symptoms and physiotherapy assessment
Assessment aims to confirm the most likely pain or injury pattern, identify current limitations and decide whether physiotherapy is appropriate or medical investigation is needed.
- How the problem began and the exact aggravating movements
- Active and passive movement
- Strength, stability and functional control
- Whether imaging or medical review would change management
Treatment and early management
Early treatment is matched to the examination. It should protect irritable or healing tissue without creating avoidable stiffness, weakness or fear of movement.
- Temporary modification of the most provocative load
- Comfortable movement to limit avoidable stiffness
- Manual therapy where useful for pain or mobility
- Advice about sleep, work, sport and daily activity
A staged rehabilitation plan
Rehabilitation progresses from settling the current problem to rebuilding the physical qualities the person needs. Exercises are selected and adjusted according to response rather than copied from a one-size-fits-all list.
Later rehabilitation can include hip and trunk strength, single-leg control, stairs, running, change of direction and tolerance for deep flexion or lateral movement where relevant.
- Restore useful range of movement
- Progress strength around the joint
- Retrain control in the positions that provoke symptoms
- Gradually reintroduce lifting, impact or sustained activity
Returning to work, exercise or sport
The final phase should reproduce the real task—such as stairs, overhead work, running or change of direction—at a graded and repeatable level.
A useful return plan increases one variable at a time—such as duration, load, speed, range or complexity—then checks the response during the activity and over the following day.
When medical review is important
Seek prompt assessment after major trauma, visible deformity, a locked joint, fever, marked redness or swelling, or a sudden loss of function.
If the diagnosis is uncertain or progress is not following the expected pattern, the plan should be reviewed and referral arranged where appropriate.
Raby & Gledswood Hills