Similar studies already published by other researchers

1. Purpose: 1) compare three conservative treatment approaches for subjects with femoroacetabular impingement syndrome (FAI), and 2) analyze functional outcome comparatively across groups.
2. Interventions will be provided based on randomized assignment. Group 1 will receive treatment based on identified impairments and treated twice weekly to address said impairments with hip manual therapy and exercise, as well as a prescriptive exercise for strengthening and mobility of the hip. Group 2 will receive only the prescriptive exercise program. Group 3 will be a control group (supervised neglect)
3. Primary outcomes data analysis will involve a mixed design (repeated measures) ANOVA for assessment of the primary outcome measure of the HAGOS. Secondary analyses will include chi square analyses (PASS, surgery at 6 months, adverse events), ANCOVA (PPMs, and expectations measures), or other appropriate comparative measures. None of the proposed treatment is considered outside of 'standard of practice'.

Inclusion Criteria:

• Individuals age 18 to 60 years,
• diagnosed with FAI by an orthopedic surgeon and exhibiting
• hip/groin symptoms for at least 3 months (symptomatic); and
• signs, symptoms and imaging findings conducive to FAI will be recruited from a surgical practice of an orthopedic surgeon in Durham, North Carolina.

Exclusion Criteria:

• subjects that have radiographic evidence of hip osteoarthritis that is more than mild in severity defined as Tonnis >grade 1 or Kellgren-Lawrence >2;
• have other concurrent injury/conditions that will affect their ability to participate in the rehabilitation program and/or assessment procedures;
• exhibit hip dysplasia (center edge angle <20 degrees on AP radiograph
• are unable to attend a study physiotherapist or participate in the rehabilitation program if randomized to the PT group;
• are unable to understand English.