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

Let's take a deep dive into a hip impingement physical protocol with some of the worst exercises for femoroacetabular impingement I've ever seen. These are exercises for FAI used as an alternative to surgery in two randomized controlled trials - and they are TERRIBLE.

RESEARCH LINKS
2016 Paper - Personalised Hip Therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial https://bjsm.bmj.com/content/50/19/1217
PHT Exercises - https://www.journalslibrary.nihr.ac.uk/publications/hta20320/Appendix4.pdf
2018 Paper - Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial - https://www.thelancet.com/action/showPdf?pii=S0140-6736%2818%2931202-9
iHot33 PDF - https://www.carlosguanchemd.com/wp-content/uploads/2012/08/12831-IHOT_office_doc.pdf
Australian Trial: https://pubmed.ncbi.nlm.nih.gov/34399702/

HELPFUL LINKS
🎥Hip Impingement Surgery vs. Physical Therapy: https://youtu.be/OGpEWgk1YGg
Hip Impingement Tests are BS - https://www.youtube.com/watch?v=Efo191J-bzg
FAI Surgery Success Rates - https://www.thefaifix.com/fai-surgery-success-rate/
FAI bone shapes have no correlation with pain - https://www.thefaifix.com/bones-dont-cause-fai-pain
FAI and development of arthritis - https://www.thefaifix.com/fai-does-not-lead-to-severe-arthritis
Pinching or Jamming or Painful Hard End Stretches - https://www.uprighthealth.com/blog/fix-muscle-imbalance-dysfunction

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At Upright Health we give you strategies and research to get your life back. 

With principled functional training, we believe everyone can beat chronic pain and get strong, mobile, and resilient.

Our home training programs help you troubleshoot and train your body safely. We help you tear down fear and build up muscle. We help you think right, move right, and feel right.

Matt Hsu's own battle with chronic pain from the age of 16 in his feet, knees, hips, back, shoulders, elbows, forearms, wrists, hands, and head gives him a uniquely thorough understanding of musculoskeletal pain, the ways in which it can undermine an entire life, and the mental and physical hurdles that keep people from getting out of it.

When not filming videos, he's working out in the living room, surfing, learning dance or gymnastics moves, or riding a bike with his son in tow.

ENDING CREDITS MUSIC
David Cutter Music - http://www.davidcuttermusic.com

ABOUT THIS VIDEO
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).

#FemoroacetabularImpingement #FAI #HipImpingement #HipImpingementExercises #UprightHealth