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:

Thursday, 29 October 2009

hip arthroscopy recovery 15 wks 5 days.

Well astrologically speaking the outlook for my hip is rather good. Saturn apparently leaves virgo (thats me), ..supposedly, about 2 yrs ago he arrived for a long stay bringing, stress, worse hips, increased pain and rubbish doctors into my life and he leaves my sign tomorrow WUHOO! I almost want to stay up tonight and watch him leave!!!

And Jupiter, the planet of bountiful good hips, femurs, labrums, pain relief and brilliant doctors, is popping into my sign, thats virgo in case you missed it the first time, for a brief period.
So don't say I don't look on the bright side, or find ways of staying positive..

Yours,
Mrs Clutching at straws!!

Sunday, 25 October 2009

hip arthroscopy recovery 15wks, 2 days.. More answers, so more questions!!

My hip arthroscopy certainly has its ups and downs, but in general I am not where I hoped I would be.
However this week some pennies have dropped and I am starting to see my problem more clearly.

I notice when in the pool, when I raise my right, operated leg to the rear, to do glute exercises, this makes my left (pre op) hip, click. Because of the nature of the pelvis been as one unit. I believe this tilts my pelvis backwards with the leg, into extreme lordosis, causing my acetabulum to hit my femur on my left, static hip. Though a different action, it recreates the contact made if I simply flex up that static leg to 90 degrees in front of me. The same bone collision is happening.

Also I have made an effort to sit properly, to avoid knackering my hamstrings at my sit bone junction. In doing so, I cause pelvis to tilt forward (increasing lordosis to normal extent), which again causes my acetabulum to crash into my femur on my left pre op side - OUCH. If I sit incorrectly, by flattening my back, it stops the bones crashing but then it really hurts my hammys and sit bones. I think, no I'm almost sure, avoiding correct posture sitting, to avoid the bone collision, has caused the damage to my hamstrings. I have unwittingly been doing it for years!

However as an experiment I have been sitting correctly for a week, which increased my sitting tolerance and reduced sit bone pain considerably, but as my theory expected now I have severe pain in my pre op hip from the bones colliding and probably catching and inflamming the labrum!!

My concern is the constant grumbling of my right hip, my post op hip and I wonder if there is enough clearance betweeen the bones now after my hip scope?
Which brought me back around to retroverted acetabulum, which causes pincer FAI. I know I have retroverted acetabulum, it was kind of loosely mentioned at a stage when I hadn't a clue what was what. I confirmed I had it on my AP X-ray and it showed inside the pelvis walls the 2 tale tale signs of the jutting in triangle protrusions into the should be empty space and the figure 8 sign over hip.
It all leaves me with a couple of questions which I need to ask my surgeon, but would also welcome any anecdotal experience..
Can a retroverted acetabulum be corrected by hip arthroscopy only? Can all cases be fixed that way? When is an open procedure necessary? How do I know if I need open surgery?

Its reassuring because it all makes sense and I can even create and remove pain by altering my posture temporarily. But I'm foxed by my rubbish recovery on my right hip and thats what is making me question retrovesion of hips causing FAI as i believe it is traditionally treated by repositioning the acetabulam through open surgery as opposed to rim trimming acetabulum through hip scope. So I question if enough has been done?

For anyone suffering persistant bum pain sitting, try sitting with your back more arched, which has your sit less on your tail bone and more on the flats of you femur, does that takeway bum pain and create groin pain? then switch back does that ease off the groin pain and bring on the bum pain? Experiment...its quite interesting!

Wednesday, 21 October 2009

hip arthroscopy recovery - wuhoo I can RUN!

Today I discovered I can run! I know I can run in water, but it turns out I can run for real, on land! I ran because I was in a toy shop passing the day when I asked the time and then realized I had 10 minutes to collect my son, from school which was 20 minutes from the shop!!
I wouldn't have been quite so panicked, but he only started school last month and yesterday I locked myself in the house/lost door & car keys so at the last minute I had to desperately ring round and find someone to collect my poor son! I figured on 2 consecutive days, been quite that crap would be unimpressive and given I locked myself in again about two weeks ago and they had to hold him until I could escape and drive to school, I wasn't taking any chances and ran, YES RAN (with 4 shopping bags, light ones!) for a few minutes to my car and then did the obvious and rang the school on my mobile and told them I'd been in a car crash, like you do! Didn't realize how bad that sounded until I heard the head mistress gasp and I added a small crash? ..and that I'd be late. Actually recounting that is making me laugh, but at the time I was hysterical and genuinely concerned they'd report me to social services for neglect or something!

Anyhow so add running to the list of new abilities and even in the teary sprint I was present enough to notice I thought my stride was rather even!!! Doing 1 hr, 5 days a week in the pool walking/running and doing specific exercises. It never brings on the pain, mostly feels good after and I am feeling muscles grow, specifically my atrophied bum/glutes! So I'm aiming now for a hot Beyonce big ass!

Sunday, 18 October 2009

hip arthroscopy recovery 14 wks 2 days

Top tips post hip arthroscopy - its unwise the try race your 4 year old on a scooter! Top tip 2, don't try catch falling autumn leaves, you won't be as good as you were and it really can jar your hips darting sideways and back and forth..still, I caught 4 leaves and each one is good luck! I caught one and quickly made a really trivial wish, then thought how silly, when I 'should've' given it to my son.. so had to catch a second for Oscar, THEN I remembered something really important I wanted to wish for and had to catch a 3rd for a serious wish for myself, then thought God that's really selfish, so had to catch a forth to make a wish for my children!!!! ...by which time I was half crippled and my four year old boy, 20 minutes after the initial excitement of catching leaves was pleading 'Please Mummy can we go in now, I'm BOOORRRED!'

Anyway won't stay, else I'll moan and doubt everything, but its been a dodgy few days and when I tried to come off pain killers, for my stomach, I realized I was in pain and also still had groin pain, it had just been masked by anti inflammatories, so I was REALLY disappointed!

Tuesday, 13 October 2009

hip arthroscopy recovery 13 wks 4 days

So on the 5th day I have pain, BUT I just had 4 consecutive pain free-ish days! Even though v active. Yesterday went a bit mad, cleaning for house viewing, shopping, laundry, swim stuff and then a big dash to find Oscar a halloween outfit for his first primary school pumpkin party CCCUUUTEE!! 4 shops and a sore bum (mine!) later we found the much desired skeleton suit! So today I felt tender and last night I couldn't sleep on my back without really bad bum pain...LUCKY I CAN NOW SLEEP ON MY FRONT THEN, TA DARR!
Had a day of forgetting meds and yesterday I decided the smartest solution might be to halve them to just 7.5mg meloxicam per day.

Its going to be a more intense ten days from tomorrow as my hubby goes to Hong Kong and China on business leaving me running after the kids with my mum, so like I said 'I'll' be running after the kids! Expect stressed, painful posts!
Good hip playing up a bit and sitting pain all around. But with hope I'm chipper again, least the pain is lightening, would LOVE to hear from other post hippy's to hear your experiences so far?

Saturday, 10 October 2009

Hip Arthroscopy recovery 13wks, 1 day pain relief

Wuhoo 2 days no significant pain, could this be a turn around, touch wood salute at magpies and all manner of superstitious reassurance behaviour!!!
Been working like a demon at the pool, an hour a day of walking in chest deep water, ham, glute, adductor, quad and hip flexor exercises and a bit of breast stroke and flutter kick leg swimming... it is working wonders.. or the steroid is.. wish I knew which it is, but oh the joy of not living with mind distracting dull ache day and night!
Maybe this hip arthroscopic malarky, maybe it can work???
Must not get too excited as I KNOW the pain will keep revisiting, but right now I'll be grateful for one day pain, two days no pain and so on and hopefully ever improving!

Thursday, 8 October 2009

hip arthroscopy recovery swim swim swim

I am still in pain post hip arthroscopy. The hip arthroscopy to repair a detached labrum and FAI pincer was 13 wks ago tomorrow.
I no longer limp or think too much about walking. BUT I am still in pain, feels like the same pain. I have lost the groin pinching part mostly. I still have pain in my buttocks that aches and will not allow me to sit and participate in life. I have been attributing that pain soley to hamstring tendonitis/bursitis at the joint of the sit bone, not sure which it is supposed to be?! BUT yesterday tieing my shoe laces on my good leg/hip I virtually bent double and boy did I feel a pinch in my groin, that pain built all day and wrapped around into my buttock area and where hamstrings meet sit bones, totally mimicking the pain on my bad side, so I'm really not sure now what I think. I'm pretty sure I either pinched the labrum or bone hit bone, I'm not sure but it made me yelp.
But then IF my pain therefore is capsular, that means either the hip arthroscopy performed by Proff Schilders failed or the arthritis is worse than assessed at grade 2, or when I jarred my leg at week 2 I did more damage than estimated... ???

One thing is the pain I caused yesterday has eased off and it also made me realize the steroid in that hip, prior to my hols has worked, so much I have all but forgotten that good hip causes pain!

Anyhow I'm still waiting for Hammy steroids to take effect, I estimate one to 2 more weeks.
I am going water walking 4 days a week now for almost an hour at a time. I walk in all directions, jogg (wuhoo the freedom, I love it!) do glute, quad, adductor, hammy and glute exercises and then swim a mix of breaststroke and flutter kick. I love it because I switch off and think of it as me time at get on with it and before I know it its jacuzzi time! To relax off the muscles of course!
My pain is significant and not controlled by my anti inflammatories, better controlled by a heat patch applied to just above my hip and wrapping around onto glute muscle. No idea why and why should I when the experts don't know either! The pain is every alternate day and I have no idea of a pattern...but for this its VERY VERY similar to pre - op, now how is that?

Sunday, 4 October 2009

hip arthroscopy recovery ha ha! 12 wks 2 days miserable blog!

I can walk better and further without pain or limp and I can sleep on my stomach. I've been unable to walk far without pain or limping for just over a yr of the 6 yrs pain. I've been unable to sleep on my front for 6 years. The groin pain has pretty much gone..think I had that part of the pain for at least 3+ yrs, probably longer, but that was the first time I can be sure, as I wrote that pain down in some consultant question notes in 2006.

I get night pain if I do too much of 'anything'! AND worst of all I can not shake of the sitting pain that has dogged me for 6 years. It is I'm sure from where my hammys meet my sit bone, I've gone on about that for years and the pain so pronounced I can pin point it quite literally.
Trouble is its been 6 yrs and THAT is bad news! I'm still awaiting the steroid effect but its only a week and a half since the injections. My physio has started ultrasound therapy and trigger point massage also. I stretch daily, the 2 stretches I do feel good.
I picked up my daughter again today and wacked myself out. I'm so upset because my Mother is the one helping with childcare and she is getting increasingly impatient with this stupid,slow recovery and my consequential need for childcare...
Even worse I am gutted I can't look after Isabella and also very sad I will not be able to have a third child, as twice over when my babies hit over 20+lbs (about 1 year) I lose the ability to pick them up!
Other than aqua exercises and hammy stretches I have all bit given up with the exercises as they're MAKING NO DIFFERENCE! I should know I've done them religiously for 10 of 12 weeks!

I don't exactly know how I hurt my hamstrings, but I'm advised most likely to do with bad hip mobility, though I think I got the hammy pain before, during and after my hip pain arriving.

I LONG to pick up my daughter and go out and have fun with her and I know with anything short of a miracle, it really isn't going to happen! It just isn't, I know this because time is ticking and the same happened with my little boy!
I long to socialize again, meals, cinema, pub ...life??? Work? This is just shit as whilst I THINK I know the hammys cause the sitting pain, theres little I can do, its so chronic!

Thursday, 1 October 2009

Advise please??? Canada FAI experts?

Someone has approached me for advice. They NEED a top FAI specialist, has anyone got a name for FAI/Labral tear hip specialist in Calgary or close, Canada. I'm pretty sure have heard of one there in the past but can't remember?

PS Been suffering all night with MUCH discomfort, I'm almost sure from my hamstring though and it feels swollen. Good to ID the pain though!

Be very grateful for any Canada recommendations or Canada people connections.