Contemporary Non-Surgical Considerations in the Management of People with Extra- and Intra-Articular Hip Pathologies

Abstract

The hip joint can often be affected by extra-and intra-articular pathologies including gluteal tendinopathy, femoroacetabular impingement syndrome and hip osteoarthritis. Understanding alterations associated with these pathologies will provide greater insight into developing and optimising patient-specific treatments. A number of biomechanical and neuromuscular impairment are associated with FAI, GT and hip OA conditions including but not limited to muscle weakness , altered postural control, restricted range of motion and altered tendon/ joint loading. These alterations can present differently in subgroups of patients and result directly from the pathological process and/or indirectly from pain and its consequences (e.g. reduce activity). These impairments are often targets for conservative interventions but there is currently little clinical trial evidence to show that treatments can modify these impairments. Clinical trial evidence does, however , support conservative treatment options for each of the pathologies reviewed. Clinical outcome tools used to evaluate the effects of treatment and track change over time are recommended.