Femoral acetabular impingement or "hip impingement" is a condition which involves abnormal contact of the hip joint between the ball of the hip and socket of the pelvis. The cause is generally multi-factorial which include childhood hip issues and repetitive strain or hip rotation. Clinical signs and imaging can confirm this diagnosis accurately. Patients often report pain and stiffness in the hip or groin area. Symptoms are often aggravated by squatting, climbing upstairs and prolonged sitting. This condition can respond well to physiotherapy treatment which may include manual treatment, strengthening and neuromuscular exercises. Surgery is often indicated as well as post surgical physiotherapy rehabilitation.