Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2025; 13(26): 108327
Published online Sep 16, 2025. doi: 10.12998/wjcc.v13.i26.108327
Conservative management of ischiofemoral impingement: Strengths and opportunities for future research
Rui-Jia Ma, Ding-Wen Xu, Qin-Mei Zhu
Rui-Jia Ma, Ding-Wen Xu, Qin-Mei Zhu, Department of Clinic, Yangzhou Polytechnic College, Yangzhou 225100, Jiangsu Province, China
Author contributions: Ma RJ and Zhu QM performed the research; Xu DW designed the research study; all authors have read and approved the final manuscript.
Conflict-of-interest statement: The authors declare no conflicts of interest.
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: Ding-Wen Xu, MD, Lecturer, Department of Clinic, Yangzhou Polytechnic College, No. 458 West Wenchang Road, Yangzhou 225100, Jiangsu Province, China. dingwenxu@bjmu.edu.cn
Received: April 13, 2025
Revised: May 17, 2025
Accepted: June 3, 2025
Published online: September 16, 2025
Processing time: 103 Days and 6.4 Hours
Abstract

This commentary evaluates the case report by Mohammed et al on conservative management of ischiofemoral impingement through a multimodal physical therapy program integrating in-person sessions, telerehabilitation, dry needling, and kinesiology taping. The study demonstrated significant pain reduction and functional improvement, highlighting the feasibility of hybrid care models. However, limitations include short-term follow-up, lack of post-treatment imaging, and single-case design restricting generalizability. Future research should prioritize longitudinal studies, anatomical correlation via imaging, and randomized trials to validate efficacy across diverse populations. While the framework offers promising clinical utility, further investigation is critical to optimize protocols and elucidate biomechanical mechanisms underlying symptom resolution.

Keywords: Ischiofemoral impingement; Conservative management; Telerehabilitation; Multimodal therapy; Case report

Core Tip: This letter highlights the clinical significance of a structured, multimodal physical therapy program for ischiofemoral impingement syndrome as reported by Mohammed et al. The case study shows positive outcomes, but further research is needed to validate long-term efficacy, optimize telerehabilitation protocols, and explore the biomechanical mechanisms underlying symptom resolution.