Osteopathic treatment for cam-type Femoroacetabular impingement syndrome: A case report

Background

Femoroacetabular impingement (FAI) syndrome treatment is initially conservative, but the number of studies is limited.

Objectives

To examine the results of an osteopathic treatment approach in a patient with FAI.

Clinical features

The evaluation and osteopathic treatment of an 18-year-old male athlete diagnosis of left hip cam-type FAI are presented.

Intervention and outcomes

Exercises and protective measures were applied together with osteopathic techniques. Treatments were applied for 6 weeks, two days a week for a total of 12 sessions. The Numerical Evaluation Scale was used for pain evaluation. Functional scores were obtained by the Harris Hip Score, and deep squat test. Muscle strength was measured using the Handheld Dynamometer. Short Form-36 was used for the assessment of the quality of life. The final evaluations showed improvement in pain, function, muscle strength, and symptom-specific test results. Three weeks after the treatment, the patient made a complete return to sports, and there was no recurrence in the first year after treatment.

Conclusion

Osteopathic therapy may be effective in the conservative treatment of FAI. Well-designed clinical trials are needed to further evaluate this conclusion.