23 with bilateral femoral acetabular impingement! what are the recommended options for someone my age?

Rest. PT: Basically your hip does not fit together exactly right. There are a variety of causes for this. If there is some particular motion that causes pain, avoid it. Use Non-steroidal anti-inflammatories. Talk to a physical therapist about improving your gait, and loosening your posterior hip capsule. Consultation with an orthopedic surgeon is warranted if conservative treatment doesn't work.

Manage Nonsurgical: There are several nonsurgical options for bilateral femoral acetabular impingement (FAI). 1. Avoid deep hip flexion (deep squats) 2. Limit athletic activities for up to 6 weeks that produce hip pain 3. Physical therapy for core strengthening 4. Steroid injections in the hip 5. MRI of the hip 6. Give it time If nonsurgical management fails to give relief, arthroscopic hip surgery is an option.