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, 30 May 2010

All MRI's are not equal, getting the best

In short I'm having a pretty crappy time with regards to hips - both hips are down now! Same symptoms too on both sides, groin pain on walking and some movements, groin and bum pain on sitting, lots of muscle strain feelings in TFL, IT band, ab/adductors, hamstrings, the works with cherrries on top! The tipping point was moving house 2 weeks ago! The irony!!

I am now waiting on an MRI arthogram appointment for my right (post op) hip to see what gives. I will then see what the radiologist and my consultant say. If it is obviously scar tissue, then the course of action is simple, well, simple if I forget the fear of surgery and nightmare of childcare! If its not scar tissue, then.... then I'll cross that bridge when I come to it - huh, get me all Yoda!!

I also want a second opinion, either way, to make absolutely sure retrovertion of the acetabulum is not an issue, as I still obviously have concerns and feel I need that answered clearly, absolutely and NOT finger in the windly!!!

I need some resolution and I need it soon. I have had this diagnosis a year now (though symptoms coming up for almost 7) and I was pretty sure when the diagnosis was handed out to me by that by last Christmas, 09, that it would all be behind me (both hips)... but not one hip is resolved as yet, SUPER disappointing!

So, lets see what this MRI/A brings.

Also a tip, there are different strengths of MRI scanner, they ARE NOT all the same at all. They are measured in tesla strengths and that determines the level of detail which can be seen.

0.3T - might as well take your clothes off and ask them to see through you!

0.5T

1T - average

1.5T

2T

3T - best

I was scheduled a scan with a 1T MRI at the Yorkshire Clinic and have cancelled and phoned around the country and found a 3T MRI scanner. Ironically its not in a private hospital, or far away, but at Chapel Allerton, an NHS hospital in Leeds.
I am doing all I can to get that an appointment here, but its not easy as I am a private patient, but Bupa won't cover this NHS hospital, despite its superior facilities.
I had to explain all this to my GP, who I lost within the first sentence discussing the pros and cons of 1 verses 3 tesla MRI field strengths, God only knows what she writes in my notes nowadays?!

Anyway there's a lot to be said for determination and I figure no more messing about and no ones sticking a needle injections into my hip socket again for anything less than a 3T scanner!

Good luck hippies, the saga DRAAAAGGGS on as so often these hip-mares do!

Sunday, 23 May 2010

FAI hip bloggers please link your story to new facebook site.

Hi All,
Fellow bloggers please would you visit hip blogs (FAI, PAO, THR) on facebook and add your blog.http://www.facebook.com/group.php?gid=119530398085022

I've created a portal to link to hip blogs of all kinds on this page and if you go to: the "wall" where it says what's on you mind? ..and write in this box who you are and a v brief synopsis or you/your blog, then scroll directly below this box where it says attach, click 'link' just below where you are writing and write in your blog full address and click share all you will then have published your site on the facebook hip blogs link site to help others.

Blogs have helped us and I spent hours looking for blogs like yours, if someone can just come to this page and find loads of great hip blogs, it'll be so easy for them.
Thank you, much appreciated Louisa.

Ps this includes PAO and THR as they often overlap.

Thursday, 6 May 2010

fai hip pain

My hip pain has generally been better (could the op for FAI and labral detachment have actually worked??) Jury still out I'm afraid, as sitting for a relatively short period (1hr) flares the pain even now.. just like it did pre op...so I don't know..
I question further impingement, scar tissue and the acetabular retroversion, which I know I have, but the question I have to ask Schilders is:
' How can my retroversion be mild if my pincer is extreme?????' That make no sense to me..

Anyhow that rubbish aside, I am more gutted to discover that my daughter having been given the all clear last yr for hip dysplasia, after months of pavlik harness treatment.. actually still has dysplasia.. mild they're saying but dysplasia is dysplasia and I once remember reading someone's blog who said in her eyes there is no such thing as mild dysplasia, you either have a stable hip or not. WHY did I listen when they said she was ok, in my gut I thought a little longer in the harness and now can't forgive myself that I didn't stand by that!
The idea my gorgeously happy, 18 month girl may have to go thru all this crap is just awful.. I look at her and fear for her but have to paint a big smile on my face for her! SHIT!!