The Worst Exercises for Hip Impingement? Why Personalized Hip Therapy Doesn't Work

This is a deep dive into the Personalized Hip Therapy protocol which was used in the UK's FASHION Trial for Hip Impingement. This physical therapy protocol was designed by an orthopedic surgeon and several physical therapists to be used in randomized controlled trials to compare physical therapy with hip surgery. Because the PHT protocol has poor exercise selection, bad advice about pain killers, and a focus on the cam and pincer bone shapes, it fails to provide any real benefit for patients. As a result, the nonsurgical FAI treatment failed to do better than hip surgery (even though hip surgery did poorly too).


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