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:

Wednesday, 27 January 2010

hip arthroscopy non recovery - stairway to hell

Recovery from hip athroscopy for FAI leaves me exhausted like after flu or giving birth or something.. it must be the stress of all this non recovery and having to move out of this 3 story house too, to help my hips.
Well, if I do much then I have pain, if I do nothing, I have discomfort.
Still doing water exercises 3 x a week, plus some land stretches and exercises. Thanks those who have forwarded me some exercises, I am cherry picking those that don't flare up pain.
Right hip side glutes atrophy super quick if don't exercise for a couple of days, like popping a balloon. Obviously that's not normal.. I have an inflating, deflating arse!
Still seeing my PT still weekly. She is quite certain that the amount of stairs in my house are a factor, judging by her other hip patients.
I did a stair count one random day last week. I climbed up and down 442 stairs over the day/eve.. 260 of those were specifically because I live in a townhouse, so I would've climbed only 182 in a normal house. Maybe that really is too much???? Anyone have any thoughts on that one???
My PT thinks I need to start anti- inflams again and speak to Schilders about a steroid shot into my hip, I'm inclined to agree..
I have an MRI neurography to do also, though I feel too exhausted to deal with the travel and stress involved at the mo. Its not like me, but nevertheless its how I feel, utterly drained.
My PT thinks all my muscle spasms and entrapment's are down to inflammation within the hip capsule/joint, which in turn she thinks could well be down to all the stairs in my house.
I suspect she is correct, but feel so tired/bored/exhausted with it all, to think clearly at the moment.
Keep healing hipsters and any thoughts on stairs really appreciated.

Monday, 18 January 2010

6 months post hip arthroscopy she will recover she won't recover she will recover she......

As an experiment I did nothing Frid, Sat and with the exception of sitting for lunch on Sunday, nothing Sunday either... result = feel immeasurably better! ..And that is great, though I'm not sure I want to become one of those enormous people that live literally in the sofa and live on takeout, then eventually have to be removed from their house by the fire brigade, whist a reality TV show film it for one of those sad documentaries! "MAD HIP WOMAN TRAPPED IN HOUSE AFTER GOING CRAZY LAZING AND EATING HERSELF TO DEATH'
Today I had a normal day of activity looking after 1 yr old Izzy, small amount of food shopping and collecting 4 yr old son from school. Still I am careful, as in someone has to come look after Izzy whilst I do the shopping and collect Oscar from school, as I can't be lifting her in and out of cars, prams, etc without consequence that's for sure! I am currently ok. Still did some light stretches of the hip, psoas, pirifomis etc. Keeping thinking take it easy, cos inside I'm like a greyhound at the start gate.
SO we'll see can I do 2 consecutive days looking after the kids???

PS One tip I wanted to share I have discovered in my "hellish stair torturing townhouse that won't sell" that if I climb the stairs on my tip toes (or balls of feet) I can climb more consecutively.. I think it could be because it closes the gap in the hip less, not sure why, just is..but if stairs are a pain, possibly worth a try for you!

Tuesday update.
Pain started at 5am this morning in buttock and has antagonized all day. Currently wearing a heat patch. Wanted to go out with Izzy, didn't. Can't work out if its muscle pain or hip joint, or both.. hopefully neurography test will assist in that department.
I wonder if anyone else has had this at disability level for 6 years pre op? It started Sept 03 keeping me awake at night and by Feb 04 it was impossible to sit to work. Just wonder if anyone ever comes back from that, or is it too late?

Friday, 15 January 2010

hip arthroscopy non recovery 6 months disappointing response

My response to the letter sent in prior blog:

I'm para-phrasing as not sure I should reproduce the info verbatim, but in short (if it could be shorter!)

'Prof Schilders would like the referral address for the MRI neurography scan. Thanks.'

I am underwhelmed to say the least. On calling the secretary and questioning the brevity of his response, she said he would like me to make an appointment with him before or after after the MRI. I expected more from this letter and feel quite disappointed. Perhaps that is for him to physically assess me, but I don't feel heard and I don't see concern... and that concerns me.

Wednesday, 13 January 2010

hip arthroscopy non recovery 6 months - a letter for help

No idea why but am in loads of pain from my waist to knees! Hip hurts and have spasm in QL in back, illiac-psoas, tfl, piriformis, back and front of thigh.

I think FOR SOME REASON?????????? (and that is the question) my hip is irritated (as am I!!!) and that is causing muscle spasm and that in turn is irritating my sciatic nerve. Obviously that is a theory... but what more can I do, I can't 'not' think about it as the pain is screaming at me and also my theory is in the absence of a better diagnosis...

SO I have sourced something called MRI neurography, v new in the UK... it MRI's the nerves especially and can see which nerves are been irritated and why that might help make things clearer. There's a centre in Coventry and 3 in London, so I called them and I just need a specialist referral. It costs £750 plus 125 for dye injection, but apparently Bupa will cover it, I'm astonished and relieved.

Below is a copy of the email I wrote to my consultant Prof Schilders today, it explains where I am at at the moment..

Dear Professor Schilders,

I would like you to refer me for an MRI Neurography. This is a specific test to examine the nerves, under a specialised MRI, affected by muscle spasm etc. I have found 1 of 5 countrywide facilities that do this in London and they will do the MRI Neurography if you request it and to my surprise bupa will also pay for it (I was just going to pay myself).

I would like them to look for any obvious cause of pain and for them to also look in the areas I list which I would greatly like you to request from them.. They are:

1. A generic picture of the pelvis to see if there is anything obvious causing sciatic pain.

2. The piriformis for sciatic irritation, right side (though experience discomfort on both right and left)

3. The ischial/hamstring join for sciatic irritation, right side (though experience discomfort on both sides)

4. The obturator internus for pudential irritation, right side only

5. The psoas for inflammation right side.

Please, please ask for all 5 of these sub areas to be examined as its my one chance on this specialist MRI to get a very close look.

I 'think' that might cover all the bases I am aware of, the sensations of partial numbness, tingling and pain I get both down my legs and on the right side of my genitalia.

I already know the pain is not from discs or facet joints dues to a multitude of tests I have had in the past, but from the internet have learnt that irritations and entrapments can be caused by soft tissue also. I have to find out where this pain comes from.

My hip wasn't doing great though manageable, but in the last 10 days or so it has taken a step back and I am getting all the resulting muscle spasm I used to get pre op.. I now have my front thigh, glutes and half pelvic floor in spasm to name but 3 muscle groups. I am unaware of what I have done to provoke this.

As my left side deteriorates also interestingly it is following the same pain pattern as my right operated side, just to a lesser degree in pain.

My theory, for what its worth, is that I 'think' my hip capsule of hip socket is irritated and causing muscles to spasm and therefore to also irritate nerves.
I also wonder if my psoas is irritating the capsule, or if there is a chance you may have missed a bit of bone, or even if some bone may have grown back? I say this because I can make my hip click/clunk in the groin area. I discovered this by accident.. If I lay down, flex my leg to 90 degrees as if to do a hamstring stretch, then with a theraband adduct my leg inwards toward my other leg, at about the crossover point there is a repeatable cluck, I can't hear it, but can feel it. What do you think this could be?

I have groin pain on walking again, bum pain on sitting and massive spasm pains in the local area... I am almost overwhelmed with this less than successful recovery and at a loss to know what course of action to take next, but the knowledge that I must persist otherwise be crippled slowly.

I still have no chance of holding down a job with this sitting disability and my journalism career is now lost and equally distressing, I find it almost impossible to function as a mother to my 4 and 1 year old due to struggling to lift, bend, twist squat, pivot etc.. Our house is also on the market as we live in a three story house and I can't carry my one year old, 23lbs daughter up the stairs and struggle at times to climb them alone.

Please advise, my pain is in the groin, from the groin, but I can't get rid of it despite following all given procedures. As an expert in this area I'm pinning all my hopes on your ability to, pardon the expression, get to the bottom of this.

Please may I have this referral and please will you help me find the root cause, which I agree is my hip, but do not understand why I have made such a poor recovery.

Friday, 8 January 2010

hip arthroscopy recovery 6 months

This hip arthroscopy recovery is such a disappointment. A bad few days, after a good week!? Not sure what the problem is, I suppose I could be overdoing it! There's a surprise, seen as living like a normal person is considered overdoing it! Excuse my assumptions that LIVING might be ok to do SIX MONTHS post op.
Or it could be going back to the pool and doing the same intensity of exercise despite a 2 week break for a nasty cold? (pysio said I should've taipered down routine after 2 week break.
Or it could be that once again mercury is retrograde in Virgo? I'm now so bored of winging about my hip, I'm finding it quite hard to blog... 'how boring, she's still not recovered!'
I veer from its just I've been overdoing it, to my surgeon must have missed a bit or grade 2 arthritis maybe more of a threat to this recovering than predicted. I'd go on but I'm even boring myself.
I have currently pain in my groin, butt, side of hip and thigh - not sure which is direct socket pain or inflammation and also how much is resulting muscle spasm and or nerve pain.
Yours Annoyed.
ps Have worked out one defo pain trigger, pivoting when clothes shopping, I might as well play netball for the pain it can create.. what a bore!

Monday, 4 January 2010

hip arthroscoblah week blah?

Blah blah, bla bla bla hip pain blah, not bad blah blah... just seeing if anyone notices! Is there a key for giggling to myself?!
PS NO wine has passed my lips!
pps pics of offending GAP clothes.