Physiotherapy Management and Post-Operative Rehabilitation in Femoroacetabular Impingement (FAI): A Case Study

Abstract

Background: Femoroacetabular impingement (FAI) is a morphological hip disorder characterized by abnormal contact between the femoral head and acetabulum, leading to pain, restricted range of motion, and progressive joint damage. Post-operative physiotherapy plays a pivotal role in restoring optimal hip function, strength, and quality of life. Case Presentation: We present the case of Mr. R.K., a 32-year-old male recreational football player who presented with chronic right hip pain, anterior groin discomfort, and significant functional limitation. Diagnostic imaging confirmed cam-type FAI. The patient underwent hip arthroscopy with osteochondroblastic and labral repair, followed by a structured 24-week post-operative physiotherapy rehabilitation programme. Outcome: Following comprehensive physiotherapy management encompassing pain modulation, progressive hip strengthening, neuromuscular retraining, and sport-specific conditioning, the patient demonstrated significant improvement in pain scores (VAS: 7/10 to 1/10), hip range of motion, and functional outcomes (Harris Hip Score: 54 to 91). Full return to sport was achieved at 24 weeks. Conclusion: A structured, evidence-based, phase-wise post-operative physiotherapy protocol is essential for optimal recovery and return to activity in patients with FAI. This case highlights the importance of individualized rehabilitation in achieving favourable functional outcomes...