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:

Monday, 13 July 2009

Hip arthroscopy rehab - day 3

Little pain, last night aside when I slipped behind with medicines and was avoiding the diclofenac. At 2am took codine and diclofenac as in deep bone pain kinda pain. Somehow I thought I was quite tough after years of pain and probably didn't need the meds and their side effects! WRONG! Too soon to drop meds. That aside, still no real pain.

Lounging in bed a lot, mainly due to the intense nausea and slight dizziness that has me lose confidence been on crutches.

Getting some nice bruises, but think all the icing is really reduced swelling, as thigh seems to be not as huge as day one!
Doing the exercises, they seem quite token at the moment.. but the one exercise I'm keen to do is the stationary cycling and that is hard to do, not on the hips as I'd expected, but sitting on the saddle!! I think my bum maybe sore from traction, I don't feel it until I sit on the bike, then I really feel it!
Anyway day by day...blah blah and again my main problem seems to be recovering from the stress of the ordeal, plus the anesthetic and meds.


  1. Hi,

    Bet you're glad its over!

    Well done, you sound as if you are doing really well.

    Are you sure its not the diclo thats making you dizzy and sick?

    When do you have your first post-op check up?

    Kids are gorgeous by the way!Hope your little boy is looking after you,lol.

    Take care
    Kate x

  2. Thanks Kate...v v glad its over..just wish I could shake off the dizziness! Have gone off diclo today, in case is cause, though think might be reaction to anesthetic - yuk, been the worst bit!
    Couldn't tell you how well am doing, but I am functioning! You must be a saint, I'm already going nuts with crutches etc!
    Thanks re kids, Oscar's been fab trying to look after me. Little sweetie and Izzy oblivious.

  3. Hi Louisa, thanks for following my blog :) I have previously had keyhole in Dec 07 and open dislocation in June 08 to treat FAI/Labral Tears & Bursitis. I am still having problems and no where near back at work so they are going in to remove the screws from the open surgery and also inject a steroid injection into my other side as it is now degrading quite badly!! If you get a chance look back through my blog to the post from last year and you will see the full story! Good luck with your recovery, I have added your blog and will keep up with how your doing :) Any questions please ask away!

  4. I'm not sure where is the best to reply so I will post here and we can email if you want more info :) Luckily I do not have dysplasia though I do have a retroverted acetab. My case is a little different in that I fell on my hip and things happened from that. Over here I was lucky to get one of the best hip specialists in NZ as there are only a few here who are able to diagnose/treat FAI etc. Unfortunately back in 07 when I had keyhole they were not far enough advanced to do any bone shaving, could not get a good look at my bursa and also could only debride one tear. So when I had the big surgery last year they were able to clearly see the hip and shaved bone off the head of the femur, removed the bad bursa and anchored another tear and tightened the hip capsule. Lots of people I have come across on the net have recovered very well and in good time from keyhole and now have no further problems - everyone heals differently and it also depends on other factors on how they came to have the problem too. So please don't be put off by my story - I am only one and my case has never been straight forward from the beginning!!
    You do have some impressive bruising coming out - I hope your pain is manageable, my body can't take a lot of meds and I can't take NSAID either so that has not helped me. I also hear you with the 'trying to sit on a bike seat' I didn't realise the full extent of keyhole surgery and just how brutal it is on your body till afterwards lol

  5. Thanks Nicola,
    So sorry to hear about your situation.I can't decide if we are lucky or unlucky with our surgeries been in their infancy and us been a bit gunnipig? like..
    I'm hoping my problem is no more than FAI without the added complications I've read about, inc yours.
    At this rate we'll be a young generation looking forward to the relief of hip replacements!!
    I've tried to drop the codine and nsaid's as don't agree with me either and irritate my stomach etc, but I am icing a lot.
    I'm not mega sporty, but am mega active and I just want to get back to two things the ability to do the day to day stuff and to sit.... please lord let me sit!!!!!
    Happy to hear you've heard from other with good stories. I hope mine will be good and I will keep it running because the positive stories aren't around on the net, just the bad stuff by nature of how forums work etc.

    ..and by the way is it REALLY COOL living in NZ?? Looks beautiful, amazing, though aren't all those Hobbits annoying?!!