FAI (Femoral Acetabular Impingement)

Femoral neck or acetabulum or both resected.

Protective Phase: 0-8 weeks post operative weight bearing restrictions

Foot flat weight bearing limited to approximately 20 pounds progressing to approximately 50% of body weight with crutches for 6 weeks
Passive range of motion in all planes, avoid adduction past midline
Active range of motion in sagittal plane to 90 degrees of flexion and frontal plane to 25 degrees of abduction
Core muscle stabilization exercise; should be initiated on the mat table
Isometric strength work within pain free limits, should be initiated around the hip without weight bearing
Week 0-4 Exercises
Week 4-8 Exercises

Restorative Phase: 8-14 weeks post operative

Progression to full weight bearing
Progressive range of motion to normal limits, mobilization and passive stretching should not encourage hypermobility of the hip joint, aggressive rotation or adduction should be limited
Piriformis, illiopsoas and gluteal flexibility normalized
Progressive close chain strength work starting in the sagittal plane and moving to multiplanar activities
Normalize gait
Proprioceptive deficits are progressively addressed
Highly compressive or high load activities (i.e. running) are avoided
Week 8-11 Exercises
Week 11-14 Exercises

Functional Phase: greater than 3 months post operative