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, 19 January 2011

FAI hip arthroscopy on the horizon, no.2

With another hip arthroscopy on the horizon, I will be having a double MRI hip scan on the hip's soft tissue, a CT of the pelvis, a series of x-rays to view hip angles; and seeing a brand new hip consultant (OS) on Thursday. My new consultant will remain nameless in my blog and will be known only as my consultant.

Thank you for the many emails asking why I have not updated this blog in a long time, I have simply had little new to say.
I have ongoing bilateral hip issues, FAI impingement caused by pincer. My right hip, operated on over 18 months ago, has had some improvement to pre-op. However as I suspected from day 7 post op, surgery did not fully work... I have ongoing sitting pain, walking pain and over-doing it pain and can't swim as many as 20 lengths without pain and I still have night pain. All the same symptoms, just to a lesser degree... I can do everything for a bit longer, but ultimately the pain returns and I still have issues with muscle spasms.
As some of you know, I did follow all protocol with exercises and physio and then some, for over a year, to little avail.
My old consultant appeared to lose interest and I gave up asking him questions, as I felt it served only to irritate him, rather than engage his urge to consider what went wrong.

My left hip has deteriorated and I have almost identical symptoms on my left hip now, pain on flexing hip, sitting, walking and the resulting muscle spasms in the surrounding hip flexors, glutes and anterior thigh too. Wuhoo lucky me!

I am very much looking forward to seeing this new consultant and hoping this is a new dawn on my hip story. The journey has not been one I forecast. I genuinely thought I'd have both hips done and dusted by Christmas 2009, but hey-ho life doesn't always follow your ideals! Onwards and upwards. I will let you know the outcome from this Friday's consultation.


  1. Hello
    I can soo sympathize with your 'ongoing bilateral hip issues'. I had both hip arthroscopys last fall, righty is doing ok, lefty is not. Still not sure why. Steriod shot didnt help. May have to do another MRA. Sitting, walking, stairs, etc all a problem. Still in PT and havent returned to any sort of exercise however small in 6 months!
    Hang in there and healing vibes for you!
    Hipper Snapper

  2. Good luck Lou - hope all goes well and you get a way forward. sorry to hear the left is playing up. Dee x

  3. Hope everything goes well. I'm no expert, but I had similar symptoms to you + partial tear to the adductor and conjoint tendon which were treated with autologous blood injections and cortisone to the pubic symphesus and hip.
    Finally, once everything else had settled, a very successful hip scope.
    Maybe your pathology is very complex and goes much deeper than pure bio-mechanics. In two years I've seen 3 doctors, 2 orthopedic surgeons, 3 physics, and a sports med radiologist, they've all contributed except one of the ortho's.

  4. Yes that sounds familiar! Thanks Luke and always good to hear others success stories.