Hip Pain and Movement Dysfunction Associated With Nonarthritic Hip Joint Pain: A Revision

This APTA Orthopedics guideline covers hip pain in people without arthritis, such as femoroacetabular impingement syndrome and labral or ligamentum teres injuries: how to assess it, what to measure and how to treat it. It revises an earlier edition that is not listed on KinaVara.

Negative FADIR and FABER tests help rule out impingement. Clinicians should track hip-specific outcome scores, hip range of motion and strength in every direction, and performance tests such as the single-leg squat, balance and hop tests, and may screen for depression, anxiety and fear of movement.

Treatment centers on multimodal care: activity modification plus strengthening of the hip, trunk and leg muscles, combined with manual therapy, movement correction, stretching and balance work. Movement-pattern training, patient education, joint and soft-tissue mobilization and neuromuscular re-education may also be used. Evidence was too conflicting to recommend bracing on its own.