Episode 19: Hip and FAI Post-Op Rehab with Drs. Keelan Enseki and Ashley Disantis

By Dan Bien, PT, DPT
March 21, 2026

– 2024 Intl. Society for Hip Preservation agreement on post-op rehab for hip arthroscopy for FAI paper (ATTACHMENT INCLUDED)

Disantis A, Byrd T, Campbell A, Christoforetti J, Dienst M, Bonin N, Ellis T, Enseki K, Kohlrieser D, Lifshitz L, Manske R, McClincy M, O’Donnell J, Safran M, Takla A, Tyler T, Voight M, Martin R. PL3.9 The 2024 International Society for Hip Preservation (ISHA) physiotherapy agreement on post-operative rehabilitation following hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS). J Hip Preserv Surg. 2025 Dec 22;12(Suppl 2):ii21. doi: 10.1093/jhps/hnaf069.061. PMCID: PMC12720566.

– (01:22) Drs. Ashley Disantis and Dr. Keelan Enseki Bios

– (04:19) Early Post-Op Phase

  • ROM Progression
    • Prevalence of stiffness
    • Flexion and sitting precautions
    • External Rotation (ER)
    • Prevalence of anterior hip microinstability

– (15:35) Anatomical considerations with imaging, intra-operative findings, etc. and influence on rehab

– (17:26)  Hip circumduction

– (21:00)  Restoring lumbopelvic control

  • Historical context
  • Assessment buckets- static posture, dynamic, load-bearing/functional

Khuu A, Foch E, Lewis CL. NOT ALL SINGLE LEG SQUATS ARE EQUAL: A BIOMECHANICAL COMPARISON OF THREE VARIATIONS. Int J Sports Phys Ther. 2016 Apr;11(2):201-11. PMID: 27104053; PMCID: PMC4827363.

Khuu A, Loverro KL, Lewis CL. Muscle Activation During Single-Legged Squat Is Affected by Position of the Nonstance Limb. J Athl Train. 2022 Feb 1;57(2):170-176. doi: 10.4085/1062-6050-0019.21. PMID: 33887761; PMCID: PMC8876880.

Khuu A, Lewis CL. Position of the non-stance leg during the single leg squat affects females and males differently. Hum Mov Sci. 2019 Oct;67:102506. doi: 10.1016/j.humov.2019.102506. Epub 2019 Aug 21. PMID: 31445486; PMCID: PMC6903410.

  • Training positional progression
  • Debate with whether to correct and how much to correct

– (29:07) Blood Flow Restriction use post-operatively

– (33:50) Hip flexor training progressions

– (38:50) Lag in hip strength restoration- causes/contributors

– (43:06) Muscle group involvement

– (44:05) Functional movement plane involvement

– (47:00) Benchmarks/ criteria and staged progression

– (50:20) Preferred outcome score

– (52:41) Return to Sports testing

– (58:00) Force plate testing

– Taberner M, Allen T, O’keefe J, Chaput M, Grooms D, Cohen DD. Evolving the Control-Chaos Continuum: Part 1 – Translating Knowledge to Enhance On-Pitch Rehabilitation. J Orthop Sports Phys Ther. 2025 Feb;55(2):78-88. doi: 10.2519/jospt.2025.13158. PMID: 39868937.

– Taberner M, Allen T, O’keefe J, Chaput M, Grooms D, Cohen DD. Evolving the Control-Chaos Continuum: Part 2-Shifting “Attention” to Progress On-Pitch Rehabilitation. J Orthop Sports Phys Ther. 2025 Mar;55(3):162-172. doi: 10.2519/jospt.2025.13159. PMID: 39992183.

– (60:50) Evidence gaps for hip arthroscopy rehab

– (63:51) Future projects

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