Complete Resolution of Femoroacetabular Impingement Symptoms Following Combined Double-Coil and Handheld rPMS: A Case Report
Vincenzo Di Modica* and Giuseppe J. Sciarrone
ABSTRACT
Background: Femoroacetabular impingement syndrome (FAI) is characterized by structural abnormalities of the hip joint that may lead to significant functional limitation. In cases of persistent symptoms despite at least six months of conservative treatment, surgical intervention is often considered.
Case Description: A 39-year-old female patient with a two-year history of progressive left hip pain and significant functional limitation, unresponsive to physiotherapy and pharmacological treatment, was evaluated. Clinical examination revealed positive hip provocation tests and a C-sign, suggesting anterior FAI with intra-articular involvement. Sensory changes over the lateral thigh were consistent with meralgia paresthetica. Radiographic findings supported FAI without evidence of degenerative changes. The patient underwent a one-month course of combined repetitive peripheral magnetic stimulation (rPMS), consisting of static double-coil and dynamic handheld application, administered three times per week. Following treatment, complete resolution of symptoms and full functional recovery were observed, with sustained improvement throughout a 9-month follow-up period.
Conclusions: Although these findings must be interpreted with caution given the nature of a single case report, they provide preliminary support for the use of combined rPMS as a non-invasive therapeutic option in selected patients. Further research is required to confirm its clinical effectiveness and to better understand the underlying mechanisms of action.
