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:

Saturday, 26 November 2011

Scar Tissue and Hip Arthroscopy for Hip Impingement.

There seems to be a trend building of scar tissue issues after hip arthroscopy to treat labral tears and hip impingement/FAI.  Because hip arthroscopy surgery is in its early stages its hard to know if high rates of adhesions are down to current surgical techniques, or just that some people are more prone to scar tissue than others. Only time will tell, but there does look to be an increasingly high proportion of hip arthroscopy patients complaining of recurrent issues and having revision hip arthroscopy surgeries to combat scar tissue.

What can you do to help yourself? Well...inflammation that is out of control causes scar tissue to build, so post hip arthroscopy take the anti inflammatories prescribed by your surgeon. Do not push yourself too hard in your day to day activities and rehab in the weeks after your hip arthroscopy surgery, as recurrent micro trauma of the site may encourage scar tissue to build. It is said scar tissue can start building as early as 2 hours post surgery.

You need to insure you keep a good range of motion so that the scar tissue is not allowed to limit this. Do listen to your physio regarding types of stretches and exercises that can can help you with regaining your ROM, as well as your strength.

Icing the site is a cheap and easy option which can be done several times a day. Ice helps combat inflammation and has no systemic downside.

There are also some supplements that can help and can be taken in tablet form, if you feel unable to incorporate them into your diet.. you will find turmeric, omega 3's and bromelain (from pineapple) can help you fight inflammation. Do check first though with your healthcare provider that there are no problems with you taking such supplements.

I am posting a link to a site here which advises on anti inflammatory foods to help relieve the swelling. Never under estimate the power of the fuel we fill our bodies with, it is an unfortunate truth that sugars and alcohol are true irritants and pro inflammatory to our bodies. I'm not so unrealistic as to say you can't have a bit of the bad stuff, just try in rehab to tip your diet more towards the anti inflammatory foods, even if it means subtle changes like switching cola for a pineapple juice and regular potatoes for sweet potatoes. There is more you do to help yourself than you might think.
It also explains the inflammation to scar tissue process.