Mohammed FA, Alotaibi AN, Hamdi MA, Alshoweir NA, Albarrati AM. Physical therapy management of ischiofemoral impingement syndrome: A case report. World J Clin Cases 2025; 13(20): 105606 [DOI: 10.12998/wjcc.v13.i20.105606]
Corresponding Author of This Article
Ali Mufraih Albarrati, PhD, Professor, Rehabilitation Sciences, King Saud University, King Saud University, Riyadh 11433, Saudi Arabia. albarrati@ksu.edu.sa
Research Domain of This Article
Rehabilitation
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2025; 13(20): 105606 Published online Jul 16, 2025. doi: 10.12998/wjcc.v13.i20.105606
Physical therapy management of ischiofemoral impingement syndrome: A case report
Faisal Adnan Mohammed, Abdulmajeed Nasser Alotaibi, Mousa Ahmed Hamdi, Noorah Abdullah Alshoweir, Ali Mufraih Albarrati
Faisal Adnan Mohammed, Noorah Abdullah Alshoweir, Department of Physical Therapy, Al Hada Armed Forces Hospital, At Ta'if 26792, Makkah al Mukarramah, Saudi Arabia
Abdulmajeed Nasser Alotaibi, Department of Physical Therapy, King Faisal Medical Complex, Taif Health Cluster, At Ta'if 26792, Makkah al Mukarramah, Saudi Arabia
Mousa Ahmed Hamdi, Department of Physical Therapy, Alhurrath General Hospital, Jazan Health Cluster, Jazan 86923, Saudi Arabia
Ali Mufraih Albarrati, Rehabilitation Sciences, King Saud University, Riyadh 11433, Saudi Arabia
Author contributions: Mohammed FA, Alotaibi AN, Hamdi MA, Alshoweir NA, Albarrati AM contributed equally to the conceptualization, methodology, investigation, and writing the original draft of the study. All authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ali Mufraih Albarrati, PhD, Professor, Rehabilitation Sciences, King Saud University, King Saud University, Riyadh 11433, Saudi Arabia. albarrati@ksu.edu.sa
Received: January 30, 2025 Revised: February 24, 2025 Accepted: March 17, 2025 Published online: July 16, 2025 Processing time: 69 Days and 22.8 Hours
Abstract
BACKGROUND
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.
CASE SUMMARY
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.
CONCLUSION
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.
Core Tip: A tailored physical therapy program, including activity modification, stretching, strengthening, kinesiology taping, and dry needling effectively reduced her pain and improved her quality of life. The study highlights the importance of a comprehensive approach to diagnose and manage ischiofemoral impingement syndrome, combining clinical assessment with imaging and implementing a multi-modal rehabilitation program for optimal outcomes.
