I can chime in here as well, i have been diagnosed with impingement and torn labrums on both sides, my experience with this lines up with goldenboy - the FAI surgery has a pretty poor track record, i went to 3 different orthos locally and none of them offered it as a solution for me - i also had reasonable cartilage in the joint - my understanding is how much cartilage that is left in the joint is the deciding factor for replacement surgery
i worked with a very good physiatrist - we did PRP for the tears and some entrapped nerves, trigger point therapy in the muscles around the hip where i had tender spots, i went through a whole bunch of PTs as well - i would say my experience with the PTs was more mixed than i would have liked - a few of the other things that i learned that i think are important - if you have pain in the front of the hip - stretching that area is likely to be counterproductive, several of the glute muscles attached to the back of the femoral head, strengthening them will pull the femoral head towards the back of the joint thus reducing the impingment, going to a range that 'hurts' likely makes things worse, cycling, skinning up and moguls can be tough if you are in the acute pain phase - i had a lot of success going this route - i dont have any real pain anymore
i've worked with a MAT practitioner for a couple years now - all my pain was cleared up by this time I started - but the working theory is a little different than most therapies - you get tight where there is weakness, treating the muscle to be stronger at the end of range will increase mobility
i was pretty aggressive trying to avoid surgery - i'm currently 50 and this stuff started 7-8 years ago, my father had his hip replace 3xs so i'm trying to avoid that fate
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