FAI Hip Impingement (Femoro-acetabular Impingement)

FAI Hip Impingement Awareness facts - It is estimated that approximately 15% of the young, adult population have hip impingement, so who do you know that might have it?
Hip impingement causes painful labral tears within the hip socket.
Hip FAI symptoms are misleading to the average medical professional, as FAI hip impingement pain frequently presents as low back pain and interesting only 10% of back pain is ever clinically diagnosed and cured... Which begs the question what percentage is actually caused by hip FAI or hip impingement, as its otherwise known.
The more active you are, the more likely you are to trigger hip impingement symptoms, so busy mums and gym bunnies beware... but at least you're in good company as many premiere league football players have also suffered FAI hip pain.
Hip impingement is diagnosed through x-ray and labral tears are diagnosed through MRI arthograms - but both need to be read by hip consultants specifically trained in FAI hip impingement.
There are 60,000 hip replacements every year in the UK and it now appears that FAI hip impingement, over the years, could be the leading cause of hip osteoarthritis. A silent epidemic.
Hip arthroscopy can reduce the hip impingement and reattach the torn labrum to the hip socket. This surgery can eliminate the pain and disability caused by FAI hip impingement and divert the need for hip replacement in later life.

Also please feel welcome to join in our help and advice forum for support. We have 3 advising FAI expert hip surgeons, 3 PT/physios and a sports medicine doctor as well as the largest international FAI hip impingement forum on the net:

Wednesday, 15 July 2009

Hip arthroscopy rehab - day 5

Well the hip pain is very manageable, in fact my good hip seems to be giving me more grief. My operative hip is hurting really only when I lay down flat and a bit on sitting. Otherwise it just feels different. I'm not on many meds at all now, today just had 2 paracetamol and 2 brufen, I save the big guns now for the night time. I'm sleeping for 10 - 12 hours at night, haven't slept like this since my teens, its fantastic!

Thought I'd add pics of me on crutches at hosp on day 2, still looks weird when I catch sight of myself on crutches! I have blinged them up (boredom!) No wonder sick people are depressed everything's grey or black! Here is my wound today, day 5. Two more days and stitches are out - scaredy cat again!

Right gotta go hit the exercise bike - dullsville!


  1. Louisa,
    Sues story is still ongoing. I think she is waiting for an injection.Post a thread on there with your story, the support is amazing especially the UK girls.There are a few who had FAI, some open surgery, others keyhole.Think you would get a lot out of it.
    Re the physio, can't help really I was referred to my local hospital who gave me hydrotherapy after the Arthro (helped enormously, but the referral needs to come from the consultant).
    Good luck with the stitches out,
    sorry you have had more pain, try icing, anti inflams and rest if it doesn't improve contact Schilders, but the pain levels do vary especially if you have done a bit too much.
    Kate xx

  2. Louisa,
    Its the same Sue.
    I think every situation is different. I wouldn't get too caught up in how many fail if I were you-mine failed , for example,because the underlying dysplasia wasn't corrected, and I knew that risk before I had the scope.It still needed to be done pre PAO because the cartilage needs to be tidied and the amount of arthritis assessed.In your case he has corrected the impingement, which is the cause of the tears, so success is mouch more likely. Also you must remember that hip Arthroscopy is still a new procedure, which is still being evaluated by NICE, so long term results aren't known yet, so its a bit of a gamble-personally one I would always be prepared to take before comitting to a PAO or hip replacement.
    Be positive,
    Hope this helps
    Kate x

  3. Thanks Kate,
    Thsi unexpected pain has sent me into a spin!
    Thanks for you rational!

  4. If you read mine (I did after you visited) I also hit that deep pain at day 5. I was shocked to see you only had 2 incisions though ! Due to the extent of both the front and back repairs I have 5 sites that are sore with the bruising you are seeing. I honestly felt better the more I used it and got in the water. Once you get your stitches out head for the water and see how you feel.
    Keep your head up, it does get better ! Being positive and willing your body to heal itself never hurts either, a natural kind of medicine if you will.