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:

Tuesday, 29 December 2009

hip arthroscopy recovery week 26? Mind the gap

hip arthroscopy pah! Me and my big mouth... massive flare today and I think I know why ..its because of Izzy's Gap fleece all in one and my desire to buy it in the sales, combined with Gap moving childrens' wear onto the 2nd floor, from the basement, where I obviously unwittingly went, if you combine that with my lift phobia (thank god I don't live in New York) you're pretty much in the picture! I walked?? up 3 flights of stairs to get my daughter a much desired fleece snowsuit! Not just normal stairs, this is a big old Georgian building with super high ceilings and endless stairs.

The only red flag, other than struggling for air and swearing under my breath was that once I got there and literally reached out to the snowsuit rail my 'good' leg collapsed and the shop assistant looked horrified. "Cramp?" I yelped before adding "have you got these in size 12 to 18 months??" but retrospectively once up off the floor, I might've pondered my leg collapsing to be a bad sign!!
After that I couldn't bend my leg, my left/good leg without cramp-like pain and weakness so ironically I had to hyperventilate my way down to the ground floor in a lift (elevator US folk)!
Managed to shop fine on one level for a further hour and felt fine last night, good even.

BUT this morning, oh dear, pain in my right hip, quite severe and also I think muscle pain and weakness in my left/good side. I'm hoping my left isn't replicating my right hips ability to give way, as it once did pre op. My right hip just really hurts inthe same pain patterns as pre op.. Bit of a shock almost 6 months out of hip arthroscopy surgery for FAI to be this affected by something I would've done in my sleep, pre hip problems. More acceptable on the side awaiting surgery. But severe pain after 6 months WTF?!

So Now 2 nights before a new decade my hubby has me under 'strict' instructions to DO NOTHING as I now have a miserable cold, some kind of 'hip stress induced anxiety disorder' and 'both' hips in meltdown. I can't sit and I'm crawling up my own stairs. Me and stairs simply do not get on! That's as black and white example as you can get!
I really wanted to ring up Gap today and complain and ask how many stairs there were from basement to second floor, but fear they'll think, no confirm, that I'm nuts if I do so, but let me say there were loads.

Err, its Christmas time I need to say something positive.... hmmm On the upside Izzy looks fab in her pink fleece snowsuit!

Sunday, 27 December 2009

hip arthroscopy rehab week 26? coming to terms

All quite unremarkable so far! Sat though Xmas dinner, granted on a cushion, but was fine and that's unusual, normally I'm itching to stand. Also got to play a board game with my son, I could sit long enough weeeeeee! fantastic!
Not been able to do much simply because I have a cold, virus thing and feel washed out.

I've not been in the pool for OMG '4' whole days, but by way of making up I've been saying lots of hail marys, no, I mean I've been doing exercises, 'land' exercises and stretches. All on piriformis, psoas and hamstrings, If I keep these muscles loose (or at least not as strung up as a violin) seems I don't go too far wrong.
Muscle aches still dog operated side though less and less so and unoperated side flares, but feels manageable.
In fairness the operated side has only been grumbling since March 08 v's the operated sides shouting at me since Sept 03, so hey, I'm hard, I'd be lost without some pain!!
Given my body's decision (catching a cold) to join my mind and self indulge in a bit of self pity for a couple of weeks I think delaying the op probably was a good decision in the long run and I'm really looking forward to quality time with my baby!

ps one tip 'wii boxing' - FANTASTIC - I just kept knocking them out in the first round - amazing stress relief and all I had to do was keep picturing my GP who for 6 years insisted it couldn't be a hip problem causing the pain!

Wednesday, 23 December 2009

Merry Christmas hippys

Have a happy, hippy Christmas and less of the hoppy stuff for the New Year! ..And thanks to anybody bored enough to read the trials and tribulations of this unfortunate road of recovery, if its eased or educated your mind, then job done! Have a good one! PS our tree on the balcony out of Izzy's reach!
Best wishes to you all,
Louisa x

Saturday, 19 December 2009

hip arthroscopy FAI surgery recovery week 24? heels on the road to happiness

Well my outlook has substantially improved in recent days and I am ashamed to admit is is thru something as utterly trivial as been able to wear heels for a couple of hours each day.. so as I now have little social life, due to limiting hips of recent years, my only way of showing off was to take Oscar to school whilst wearing Jeans and heeled boots, hurrah!! Obviously absolutely nobody noticed! I had to literally stop myself from approaching strangers and saying 'Wuhoo get me, don't I look hot!" They're only like 2 inch high wedge heels, not Ditta Vontease killer heels or anything!

Stressed, well yes I still am, its not going to go that fast, but I'm just getting on with it! Its been a hard hip year and there's more surgery ahead, but I've decided if I need a few more months till surgery, then I need a few more months. Its a natural cause /effect reaction so I'm sure it will pass in time.
Hey one upside of all the hip surgery induced stress is that I've lost 4lbs! Wuhoo - wearing heels 'and' getting skinny, does life get much better than this??!!
Well yes I suppose it could.. my Christmas wish for myself and for all of us hip suffering pioneers is less bloody pain and more accurate diagnosing and more successful, faster recoveries!! ..and a bit of peace and goodwill to all mankind for good measure!

Monday, 14 December 2009

hip arthroscopy wk 23 hip surgery causes nervous breakdown

I think I might be ill, mentally, going all fruit loop, or something strange??!
I am suddenly soooo stressed! Its like my body kept hanging on in there thru this hellish year of my one year old baby been diagnosed and subsequently treated for hip dysplasia... followed by my SSSSIIIIXXX year, yes '6' year, crippling back pain turning out to be my hip too. That'll be the hip pain I kept complaining about then, the one ALL the specialists said was referred back pain, on the basis I was too young to have hip pain!! READ UP DOCTORS, READ UP!
Then my surgery, uuggh shudder ..and THEN "THE RECOVERY" and 5 months down the line, I should have a second surgery on my other crappy hip and yet I hesitate with this half cooked hip - not quite the recovery I was hoping for!
Now suddenly I am tearful, exhausted like never before, snappy and with a whole host of neurotic symptoms, breathless, panicky, tachycardia and overwhelmed.. and mainly I just want to sleep.
The only other time I can remember feeling even a little bit this way was like 12 years ago, working as a reporter for BBC Radio, as of all things, their religious correspondent! Trust me I was pants, because I know nothing about religion (I kind of believe in God, but noone goes to church I haven't a clue!) so I was utterly err clueless, but broke so took the work! ..I was also working evenings too as a driver in a Chinese takeaway for a stress head chief, because yes you got it, I was broke!
I lived on coffee and cokeacola. Anyway, I don't know if it was the stress, the coffee or the coke, but I ended up hospitalized with palpitations! Funny thing was I was relieved as it gave me a great excuse to get out of my BBC contract! The thing is this time I feel the same, but can't resign from my hips, so I'm not sure where that leaves me...
So does the stress just dissipate? Or will I go nuts like Micheal Douglas in Falling down and start shooting random people?? What does a nervous breakdown look like? Anyone else gone nuts recovering from hip surgery, or am I the weak link here??!

Sunday, 13 December 2009

hip arthroscopy recovery 23 maintainance exercises

Just adding some exercises for anyone who could do with some pointers for hip arthroscopy maintenance post op. These have just been given to me by a successful hip arthroscopy patient, she was told to keep doing them daily. I'm going to start adding these as from tomorrow as I currently only do water exercises.

"Hip abductions - that is lying on you side doing leg lifts,
Side steps with a somewhat tight band around the ankles, Step downs, that is where you are on the last step and step down with your good side (if you have one :) but don't let your foot touch the floor but let it get really close, repeat - this is a hard one for me. I found an old step ... See More from step aerobics that is a bit shorter and that works better. The band exercise can be done in the water, just rinse with clear water when done and lay out to dry.
All of these exercises should be done on both sides. Oh yes, a few more - Clamshells, laying on your side, knees bent, ankles together, keep ankles together and lift the upper knee -15-30x each. Leg presses - at the gym keep the weight low and do both legs at first then single leg presses, make sure you are not straining too much. Best wishes to you my friend. I better go and do mine now, I have been bad lately, always have an excuse..."

Thank you to the lovely Stephanie for these.

Friday, 11 December 2009

hip arthroscopy recovery wk 23 giving up

Am canceling my hip arthroscopy to treat my second hip with FAI pincer, due Jan 29th... bizarre for me this, but I just can't find the physical and mental energy to go for it.. If I was certain of this recovery I think that would be my impetus, but thus far, recovery on the right hip is somewhat half hearted. I saw Prof Schilders on Wednesday, my "hoop" score had improved to 69 from 49 on the 'how much pain/how crap is your life' score, which is about average improvement. The problem is that I had such a low score to start with, as in 49, where most people start at 69 and go up to 89... so even statistically my hip's crap.
I explained I had somewhat lost my mojo and what was his take on postponing, would it further risk deterioration of the hip that needs the op?
His answer was if you leave it for a few yrs, that would likely be the case, but one year should be OK; and for me to consider that having the op in Jan as arranged, had its own risks, on my previously operated him. The pressure on the already operated hip to protect the newly operated hip could send that 1st recovery backwards, wonder if anyones ever gone into negative point scoring in the hoop score - 29!! Something I was aware of, but trying to ignore, as I wanted it all done and dusted!

I am annoyed with myself for chickening out, but just feel I have no reserves.. this recovery has been and is really disappointingly slow and the idea of 6 weeks no driving, whilst living in the middle of nowhere, isn't appealing, 6 -8 wks crutches and four months of not being able to pick up my one yr old Izzy - I just can't face it all again, not yet and I'm not gonna get Izzy's baby hood back, I feel robbed as it is!

This week by chance I'm getting more pain from the operated side, so I can't even rationalize with myself that I should push ahead, what for??

On the upside he re-measured my ROM with big improvements apparently, though oddly on both hips WTF?? And yay.. I finally got to see some new x-rays and comfortingly saw 'less bone', Wuhoo! ..If only my muscles and tendons, or whatever causes ongoing pain, would catch up! Still lucky me, my hips improved 20 points on the hoop score!

I'm going to shut up for fear of wingeing forever today!

Sunday, 6 December 2009

hip arthroscopy week 22 nervous meltdown

Well, went on a mad christmas lunch that turned into a 10 hr champagne drinking event, that took me to several bars... I genuinely thought I had little chance of making it thru lunch as there were 3 to 4 courses. Only been able to sit thru 2 courses max for yrs. Anyhow, I survived and for much longer (I think down to alcohol) but the craziness lured me in in the absence of hardly any social life in over a yr, due to limitations!
I am suffering now. Operated hip started grumbling and got louder a day later and pre op hip very very tight.
The bad news is literally since booking my last op I've had 3 panic attacks, 11 migraines and 2 days of palpitations - you'd think it'd get easier, it doesn't!