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Show Notes & References:
- https://fitnesspainfree.com/2025/09/hip-dysplasia-the-non-surgical-solution-evidence-based-guide/

In today's episode we go over 5 Essential Strategies to Manage Adult Hip Dysplasia Without Surgery - FPF Show Episode 179

0:00 Introduction
0:04 Why should we care about hip dysplasia?
1:40 Are there any RCTs looking at physical therapy for dysplasia or comparing surgery (PAO) vs. conservative management?  
8:10 Step 1: Activity modification to help unload the hip and allow it to calm down
9:51 Step 2: Therapeutic exercise.  Should we use exercise and how do we introduce and advance it?
19:45 Should we train the hips flexors in these patients or will we just aggravate them?
28:51 Should we stretching our patients with hip dysplasia?
35:45 Step 3: How we should be introducing and advancing cardiovascular fitness in our patients with hip dysplasia
39:52 Step 4: How should we introduce return to running programs in our patients with hip dysplasia?
45:37 How should we introduce plyometric training in our patients with hip dysplasia?
50:46 When can hip dysplasia patients return to sport after an onset of pain?
54:50 Return to sport criteria for getting back to sport and activity
58:39 Step 5: When to refer back to the physician if not progressing.
59:56 Should patients with more severe hip dysplasia (less then 20 degrees LCEA) be sent back to the surgeon faster?
1:03:19 Diagnosing Hip Dysplasia: What Every PT Needs to Know

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Normal Hip Image source: https://upload.wikimedia.org/wikipedia/commons/e/e3/Biomechanik-H%C3%BCftdysplasie-Normalstellung.svg  Attribution: Original: Redlinux Vector:  Anka Friedrich, CC BY 3.0 https://creativecommons.org/licenses/by/3.0, via Wikimedia Commons

Dysplasia Hip Image source: https://upload.wikimedia.org/wikipedia/commons/6/65/Biomechanik-H%C3%BCftdysplasie-dysplastisch.svg Attribution: Original: Redlinux Vector:  Anka Friedrich, CC BY 3.0 https://creativecommons.org/licenses/by/3.0, via Wikimedia Commons 

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