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:

Sunday, 29 November 2009

hip arthroscopy recover wk 21 - yes its actually starting to happen, a recovery wuhoo

Yesterday was my first day of pain in a 7 day stretch of no pain, wuhoo, get that!!!!
There is definitely some improvement, dunno how or why, I think water exercises and time!
I absolutely have to recommend a great book I read 2 weeks ago on hip rehab, prehab and prevention called HEAL YOUR HIPS from Amazon by Robert Klapper (hip surgeon Sinai cedars) and Lynda Huey (physio to Paula Abdul, Cybil Shepard, Barbara Streisand and other hip patients, non of whom limp so that's a good sign!!)
It concentrates on water exercise to get your hip right. Bizarrely instinctively I was doing most of the exercises anyway, but for me it was a great book because it told me how to do the exercises properly, for maximum benefit. For anyone getting into the water alone, wanting to see big improvements this book is your best friend... I couldn't wait to read it each night! God, I really have become a hip bore haven't I?!

I have noticed my hip clunks more, like a normal (to me!) joint, I think it is because the inflammation has reduced allowing the joint some movement and basically the pain has, not gone, but significantly decrease, to uncomfortable... yippee, just a shame simultaneously my other hip's grumbling is getting louder!!! I am though still living a partially restricted life, with regards to activity and sitting, though my tolerance IS increasing.


  1. YEAH YOU!!! I ordered the hip book..thanks for the recommendation. To answer your question, my first surgical hip bothered me more by the time I had surgery. However, my left hip is what originally brought me to Philippon. It really wasn't that painful when I went in. Pinched a lot but not what I consider pain, just discomfort. So I was very surprised when I woke up and heard all the details of what was fixed. Glad it's OVER!!!!!!

  2. I'm going to look up at that book! We've always suddenly become hip bore's but in a sense you need to, to encsure the best rehab possible so we don't go through it again. Although saying that most of us have both hips to sort out. I wanna return to heels and shopping the only important things i life, so i need to rehab well. Glad your getting some pain free days and it now feels like a recovery sweetie x0x0x0x

  3. Noell, I bet you're glad its over, I'm so stressed about it that I'm now getting endless migraines to boot! The sickness, the childcare, the frustration, ugh! Oh but to already be in your shoes, yes!

    Debbie yup shopping is great I think we're programmed that way, the gathering part of the hunter gatherer! All I can say is my love of swimming and cycling put me in good stead, optimum fitness, for shopping marathons.. just pity it knackered my hips. You're doing really well by the way!!

  4. Louisa,
    What type of things are you doing in the pool?

  5. walking forwards, backwards and sideways in different strides, does flexors and adductors and abductors. Then front, back (back not to be done fresh out of op) and side leg raises, quads, abductors and hammys/glutes. leg circles infront and below, tick to get round circles ie control ad surprisingly hard at first. Running on the spot leaning forwards. Then lots of err 'freestyle stretches' that feel good. A few lengths of flutter kick, then hit the jacuzzi and point all the jets to massage my incision sites. In a nutshell thats my routine, have limited it to half hr in pool (lots of walking) and 10 mins jacuzzi.

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  7. Hi Louisa, It's a great book isn't it ? I bought it after my arthroscopy and felt a real difference after doing the water exercises. I've just looked it out to see what I can pre-THR to prepare. Good to hear you're seeing the light at the end of the tunnel. I know what you mean about the partial restrictions - I work from home and get lulled into a false sense of what's normal - and so when I try to do something normal like go shopping etc I get a shock when I actually can't walk that far ! Dee x

  8. My walking's improved a lot actually, though hard to know how much crap walking down to baby for me as I used to be able to walk befpre 2nd preg.. but yes the book is gld nothing too clever, its simplicity is its beauty. When's you hip op THR?

  9. When's your THR Dee is it near my hip arthroscopy on 29th Jan?

  10. hi Louisa, yes it's on 27th Jan so hopefully I'll be up and running (er.. maybe not !) by the 29th !!

  11. I really good to know that you are recovering from hip arthroscopy.Best of luck for full recovery and returining to routine.
    Last year my mother went through hip arthroscopy and I contacted Orthopedic specialists in Seatle, Now she has fully recovered. thanks to the orthopedic specialists of Seatle