Physical therapy management of ischiofemoral impingement syndrome: A case report

While existing literature on ischiofemoral impingement syndrome (IFI) predominantly emphasizes surgical interventions or generalized physical therapy approaches, there remains a paucity of evidence regarding structured, multimodal rehabilitation programs targeting biomechanical deficits in IFI. This case report evaluates the efficacy of a multimodal rehabilitation program addressing a critical gap in conservative management strategies.

The patient underwent comprehensive physical and clinical examination, including hip X-ray and magnetic resonance imaging investigations. The patient completed the Musculoskeletal Health Questionnaire (MSK-HQ) and numerical pain rating scale (NPRS). The patient underwent a two-month tailored structured physical therapy intervention and repeated the same assessment afterwards. The patient's substantial reduction in pain, reflected by a significant decrease in the patient's NPRS score from 9 to 3 points, signifies a positive clinical response. This outcome, coupled with the significant improvement in the patient's health-related quality of life according to the MSK-HQ score, which increased from 12 to 48 points, underscores the success of our research.

The study highlights the importance of a comprehensive approach to diagnosing and managing IFI, combining clinical assessment with imaging and implementing a multimodal rehabilitation program for optimal outcomes.