A Physical Therapy Program Versus Surgery for Femoroacetabular Impingement: Randomized Clinical Trial

Inclusion Criteria: * Tricare beneficiaries between the ages of 18 and 65 * Diagnosis of FAI and/or labral pathology confirmed by a combination of the following: * Pain at the anterior hip or groin * Pain with hip flexion * Positive FADIR test * Patient report relief of pain after intra-articular injection * Surgical candidate for hip arthroscopy defined by (must have both): * No less than 2 mm of joint space based on imaging (CT scan, radiographs and MR arthrogram) * Positive crossover sign and/or alpha angle \>50 deg based on imaging (CT scan, radiographs and MR arthrogram) * Failed 6 weeks of conservative management Exclusion Criteria: * Pregnancy * Has other concurrent systemic disease that may affect the condition (cancer, rheumatoid arthritis, or other systemic arthralgia/arthritis) * Has had surgery on the same hip that will be analyzed in the study * Diagnosis of hip osteoarthritis is more likely * Clearing the lumbar spine reproduces the patient's hip symptoms * Plans to move/relocate out of the local area within 6 months * Pending litigation for their hip condition * Unable to give informed consent to participate in the study * Unable to speak or read or write in English (due to inability to fill out outcome measures)