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, 28 March 2010

hip clicking again uh oh!

I am concerned that since the jolt or shunt type injury in the shop 9 days ago my hip has been far worse. Pain more constant and pain on weight bearing and as of last night it has started clicking again.. If I flex my hip and abduct (away from body) at the same time sometimes it clicks around the groin region (not painful). It did this prior to my hip arhroscopy for FAI and labral detachment, for years and only stopped post surgery. My left side also began clicking with the same action a year ago when the pain on that side kicked in and it also became symptomatic.
I also have a constant dull ache and increased pain on weight bearing and also since my one to one pilates my pain has increased.
All this pain feels frightening familiar!
But it seems or should I say seemed unlikely that I could have done so much damage just from a jolt 8 months post op surely??!

The disappointment and consequential exhaustion continues then!

Wednesday, 24 March 2010

and then I fell! 8 months post op

Well have been doing generally better (not out of the woods better, but reason for hope better,) hence my absence!
However, last Friday I fell/dropped down a stair, least I was in a shop walking and there was a stair dropping down into the changing room that bizarrely wasn't marked and instead it was actually carpeted over. So walking, I just happened to step into it and unexpectedly dropped 3 or 4 inches and ouch! It kinda shunted my hip upwards and immediately hurt the illiac crest area.. since then I have had much more trouble sleeping, feel dull ache in joint when I put weight on it and some spasm around the hip also. Really cross what a stupid thing to happen and I am sooo careful too! However that was 5 days ago and I'm hoping my 8 months post op joint can withstand that jolt and heel in the coming days or week.

On a positive note, as of today, I have started one to one pilates using a trapeze and reformer table to hold the weight of my leg and allow the pilates person to add resistance as I become able, so tailoring to my hippy needs.
Also I have an appointment with my surgeon. He knows I am disappointed with my recovery so far and I am curious what this next appointment will bring.

Happy healing out there!

Sunday, 14 March 2010

Hip CLUNK and the pain is gone?

Well the weirdest thing happened to my right hip last night. As I was standing, I shifted my weight slightly, my right foot slightly back of my left and there was an enormous CLUNK in the back of my right hip, that took my breath away. It was quite painful, but no sooner had the pain registered, than it was gone. Then nothing different until I lay down....
When I lay down the deep pain that is always in my right buttock had disappeared?????????? I was midnight, I was shattered, but lay there, suddenly wide awake and unable to sleep for an hour waiting for the pain to return.
Normally the pain is instant at worst and seconds to a minute away at best. After an hour I got a vague itchy, uncomfortable sensation, so I turned over onto my front, not wishing to push my luck!
I still woke in the morning with some hip pain (either arthritis or muscle fatigue pain is my conclusion with the achy side of night pain) But the urgent gotta tilt away from my right buttock, or change position because of a deep bum pain was gone.... after years, gone??????
This morning, still gone?! I've been laying on the bed, flat on my back/bum watching the clock testing it.. what the hell???????????
Still had some sitting pain at breakfast.. but no laying pain... how, whats happened?? One huge audible CLUNK and something has really shifted somehow.. but how? What? Where? WTF?????

Thursday, 4 March 2010

why the nightpain in the bum? 8 months post op

Does anyone know what causes night pain? I had an easy day yesterday and relatively pain free, but then night pain!? I only get this with the operated side and actually it started 6 yrs ago (pre-op) and was my first symptom that something was wrong. Six years ago I also lost the ability to sleep on my front.. but then unexpectedly post op, as from 7 months ago, I was once again able to sleep on my front and a little on both sides!?
I can't understand why anterior hip impingement would have stopped me sleeping on my front?? Any thoughts?

If I lay on my front now, I can get more hours pain free sleep. But after that my back muscles fatigue.
I struggle more now to lay on my back ironically, it was always also problematic and involved many cushions. Now though, the minute I'm on my back and I lean onto that side, so if I'm either flat or tilt towards that hip I get immediate pain in my bottom and it seems to also travel down my leg into my calf? If I tilt to other way using cushions, this is less painfuland how I had to sleep for 6+ years, but still painful.

I think it is the same pain that I get sitting also. So if I lay flat on my back or sit I get a radiating pain in my bottom and if I do it for any period it seems to antagonize the whole hip and flare up the pain.. My lefty side, the one that needs operating on, currently only gets irritated in the same way if I sit, which started last year, but not yet if I lay..
I thought I'd ask if anyone had any thoughts re this, as asking health professionals has them just shrug!?? Any opinions really appreciated :)

Monday, 1 March 2010

7 and a half months post a FAI op - anyones guess!

much to same, good and bad days.. but more bad days since last week when I woke with my leg/hip internally rotated and turn it into external rotation, as I did this I heard a VERY loud grinding noise... Also its still very stiff, wonder sometimes if I should lay off the exercises and see what happens. Still not convinced I am properly better..I wonder if:

1) Its possible my left hip that still needs an op can be affecting my right post op hip detrimentally?? Is that possible?

2) Hoping my fab physio is right and that actually its ongoing inflammation caused by the relentless stairs in this 3 story house, that I am due to move out of in the coming months.

3) The remaining pain is muscular, but then why does it have the power to wake me up every night? ..And I exercise my glutes all the time and in a targeted way too. My right glute though is still flatter, no mater what I do!?

4) Fearing that my surgeon is wrong and that my acetabular retrovertion is in fact the main pain causing factor that needs addressing. Without CT, I'm unsure how he can have such confidence it isn't. Especially given the poor view of the posterior of the acetabulum, via front portal arthroscopy when doing FAI surgery.
Also it concerns me that he insisted no-one suffers posterior impingement, when there is a clear body of evidence suggesting otherwise.

I wish I could be sure of my right's recovery, as my left is screaming out for the op. The problem is, until the right one is fixed, I don't have the confidence to address the left one, for fear it is the wrong op! I know its my hip causing pain, but which is the correct hip surgery, depends on the accuracy of diagnosis and due to ongoing pain, I have lost some confidence in that!

I'm banking on it settling after the move, though think that IS optimism. Still, until then, my head is planted firmly in the sand, unless pain dictates otherwise.

PS set up a 'How to move, improve and extend without going mad' blog, hence the alteration of 'about me'!