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 nonoperative 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.u...
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/show...
iHot33 PDF https://www.carlosguanchemd.com/wpco...
Australian Trial: https://pubmed.ncbi.nlm.nih.gov/34399...

HELPFUL LINKS
Hip Impingement Surgery vs. Physical Therapy:    • Hip Impingement Surgery vs. Physical ...  
Hip Impingement Tests are BS    • The "Best" Tests for Hip Impingement ...  
FAI Surgery Success Rates https://www.uprighthealth.com/faisur...
FAI bone shapes have no correlation with pain https://www.uprighthealth.com/faibon...

Pinching or Jamming or Painful Hard End Stretches https://www.uprighthealth.com/blog/fi...

⚡Become a member!    / @uprighthealth  
Donate to support this channel: https://paypal.me/uprighthealth
⚡Become a Patreon Supporter:   / uprighthealth  
Want to improve your hip mobility? Check out the Healthy Hips program! https://uprighthealth.com/healthyhips
Healthy Hips for People with Hip Impingement! https://uprighthealth.com/fai


UPRIGHT HEALTH HOME TRAINING PROGRAMS: https://uprighthealth.com/diy
Recommended gear (shoes, bands, etc.): https://uprighthealth.com/recommended...
➡ Facebook:   / uprighthealth  
➡ Instagram:   / uprighthealth  
Podcast: https://www.uprighthealth.com/podcast...


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). Sadly, this hip impingement physical therapy protocol is used in the UK to treat patients with hip pain.


#FemoroacetabularImpingement #FAI #HipImpingement #HipImpingementExercises #uprighthealth

CHAPTERS
00:00 Intro
03:22 Study Overview / Methods
04:39 Patient Sessions
05:42 Exercises (and Preparation for Failure)
07:11 Deep Dive into PHT
08:37 4 Major Problems with PHT
09:59 Patient Miseducation
11:13 Exercises Weren't Chosen to Help
13:53 First Draft of PHT
15:15 Coexisting Conditions
17:15 The Idiotic Exercises
23:28 My FAVORITE Exercise for the VMO
24:50 Would PHT help your hip pain?
26:16 Pushups Analogy
28:46 How to approach hip pain
29:23 FAI bone shapes and flexibility
29:57 Summary on PHT
30:35 PHT vs. Surgery (the truth)
31:23 Fake Surgery vs. Real Surgery
32:39 Who can you trust?
34:32 How to help yourself out of hip pain