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, 11 July 2010

Hippy 1st anniversary! .. hmmmmm

Well provided I take it pretty easy, I am a little improved... But today I went crazy, yes totally mad and did far too much, went bungee jumping, canoeing, then horse riding and... no, wait, sorry what I mean is I pushed the boat out, one year exactly post op, by doing 2 hours weeding! Which meant by lunch time standing, walking and sitting all really ached badly, muscles totally spasming and by the evening I had to lay down! Yes I know, super sociable for a Saturday evening with guests!

Its fair to say I am disappointed with this recovery.. I have been from the very early stages when I feared it hadn't worked.. I have regained some walking and standing stamina, though I am nowhere near as ok as pre-problem! But sitting is still impossible, I can just about drive from a to b and on a good day have a quick lunch with friends, but sit for hours, not a chance, no way!

I have no idea why my recovery had been so crap, I have rehabbed like a demon and educated myself ferociously, but all to no/little avail!

Now my left hip is going down too, regularly, in fact daily; and now I haven't a leg to stand on!! However Schilders will not operate on the left until the right is more stable or remedied.

I have another MRA due in 2 days to hopefully give insight into the problem holding my right hip back from full recovery.

Will it show another labral tear? Inflammation? Scar Tissue? ..a laughing gremlin? Not a bloody clue!

I also need a CT scan as there is still a question over whether the acetabular retroversion is a pain causing factor in itself.. ie over coverage on the front is one part of the problem and apparently been treated, the other possible part of the problem is consequential under coverage at the back, dysplasia causing hip instability, and so pain.

Schilders so far has refused this aspect of investigation, his reasons for this decision evade me.. But this absolutely must be addressed and clarified.

I have decided that if Schilders will not do the bone scan, that bar Villars every other specialist I've read about does, then I will be forced to seek a second opinion.

Anyway.. Monday should throw a few more answers my way, so fingers crossed I should get the results I need to see, whatever they are!