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:

PREGNANCY AND FAI HIP IMPINGEMENT

It is a question I have been asked many times and I know that everyone has different experiences. These were my pregnancy experiences. I had two babies whilst suffering FAI/labral tears and each was entirely different.

With the first pregnancy I'd unknowingly had FAI for almost a year. With my son, this first pregnancy I actually felt better???? I felt better for the whole pregnancy and for 14 months after. I think the relaxin effected my hormones and relaxed my spasming muscles, caused by hip joint inflammation. The influencing factors could be:

1. He was my first child.
2. I only put on 1st and 7lbs (21 lbs)
3. He was premature at 36 wks, so I never carried to full term.
4. I sat on an exercise gym ball daily, rocking and exercising.
5. I was fairly fit.

I had a lousy birth, stirrups, vontouse, episeotomy and 2nd degree tear and 13 hr labour, BUT that did not effect the outcome of a further relatively pain free 14 months post birth! (apparently those lovely pregnancy hormones can float about in your system for a good year after.)

My second pregnancy was three and a half years later, so I was bit older, now five yrs into FAI hip impingement and still unknowingly. Still fairly fit, as prior to pregnancy I was walking for 3 miles every single day.
This pregnancy was a girl and I'll list the differences/possible influencing factors.

1.) I put on 3 stone (42lbs) The only way to ease sickness was to eat.
2.) Stopped daily walks for fear of miscarriage, which I'd recently experienced.
3.) Same applied to exercise so no gym ball either.
4.) She came at 42 wks, 6 wks later than Oscar.

In this pregnancy I lost the ability to walk any distance at about 29 wks pregnant. From that point I found it VERY hard to walk anywhere. I was initially told I had pubic symphasis, but later labral tear and FAI. There is a good chance I did have pubic symphsis also, brought on by lack of hip stability, because of the hip impingement and labral tears.
I had a comparatively normal birth, again about 12 hours. It was more painful earlier on, as she presented back to back for almost all the labour. But straightforward delivery with no intervention and just a one degree tear.

However from around 29 wks I was unable to walk any distance and some months after labour my right leg began to collapse randomly (not at all embarrassing!!) .. And lucky me, my left hip also became symptomatic! I wonder if this time the relaxin hormones may have loosened up stabilizing ligaments, as well as spasmed muscles.

However, by far the hardest thing was looking after the children, whilst suffering FAI hip impingement (a whole other story!) I was just about ok to look after them, until they were around one year old, when babies/toddlers become very heavy (18-24lbs), but also remain very dependent on still been lifted and carried.

Age one to two and a half, is the most challenging time for an FAI Mum. Nursery care was essential throughout, for me to manage. Sometimes the children went part time, sometimes full time, but I was never able to manage for more than two consecutive days, once my children hit one yr old.

Do not underestimate the lifting, twisting and bending you will do as a new Mum feeding, changing nappies, bathing and transporting your baby and that is without all the the paraphernalia of car seats, prams and weighty nappy bags.

The absolute hardest part was feeling inadequate as a Mum. I used to tell myself many Mums had to hand over their babies at 6 months, because they simply have to go back to work... so what was the difference... None to the child, so do keep that in mind. But to me it was torture. I used to be laying down at home missing them. Sometimes I'd go to nursery, just to be with them!! But keep in mind the children suffer much less than we do in these situations!

I can say I have NEVER even once regretted having them and thank god I didn't delay having them, as there wasn't time, already into my 30's. In this instance 'not' knowing what was wrong with me, may have made me foolhardy in bull-dosing ahead with children regardless of pain.

My advice. You can only do your best, so cut yourself a good amount of slack and block out the negative talk in your head.

If you have the time, try get fixed first. If you haven't time... go for it... but line up 'A LOT' of support, because you are certainly going to need it. There were days when I pushed my 18 month olds up the stairs, unable to carry them, and I literally crawled up the stairs behind them. Its no picnic, but aside from the obvious I wouldn't change a thing!

40 comments:

  1. I can't comment on pregnancy with the condition but can comment on pregnancy post surgery!
    I got pregnant 5 months post op (FAI/Labrum debridement scope). While I did struggle a bit with pain from my SI joints (probably normal) I had NO pain from my hip throughout my entire pregnancy which I was so surprised at! It was my first pregnancy and lasted 42 whole weeks. I had a c-section due to unrelated complications so can't comment on birthing/labour. Just wanted to say that it can be done pain-free!

    ReplyDelete
    Replies
    1. I am so glad I found this blog. I am turning 32 in 2 weeks and have a slight labrum tears in both of my hips, right one is worse. Dr. is suggesting a surgery and CAT scans... I was never ready for a child but since after this happened to me I am paranoid that i will be too old to have children after surgeries or what if CT scans are too much radiation and i won't be able to have children?? Would you recommend to have surgeries before having children or the other way around? I can't decide....Thank you

      Delete
    2. I would say a CT scan should not zap your ovaries, though your anxiety is understandable. I would suggest getting the absolute top fai surgeon and if that means travelling so be it, as the right doc can fix both hips inside a year. Where are you based?

      I would guess at 32 you have time for both, however the best way to check you egg reserves is having an amh test, this should indicate whether you can hold off for a time.
      You could go ahead and have an uneventful pregnancy pre surgery, but on the other hand you could end up in a lot of pain during latter months, if you were 35+ i'd be inclined to say get pregnant now, or risk missing your window, despite the pain, but you're not... so much depends on your amh blood test.

      One other factor to suggest stalling babies for a short while is that if you have surgery, crutches for one month and 3 month rehab will be challenging with a baby or toddler, trust me i know.

      Another factor is if you then decide you want me than one child, you maybe delaying fai surgery for some time and consequently running the risk of more cartilage damage and muscle/tendon complications.
      Best of luck to you, keep me posted how you go whatever you decide.

      Delete
  2. 19 years ago I had my third (and final) childbirth experience. All three of my children were born without the use of any pain medication and for the first two I was allowed to labor without much interference. However my third child was a different story. I believe it was from this experience that I did something to injure my hips. At least that is what I have said to a number of doctors over the years, but no one seemed to believe me. I was just given pain medication and muscle relaxants and told to do a few exercises, the end. After my most recent low back muscle spasm episode I came upon some articles about labral hip tears following pregnancy and childbirth. I also found this website which I feel is one of the most informative sites I have found, thank you! With a number of articles in hand I am going to a physical therapy appointment this coming Wednesday March 21st. I seem to have all the signs; severe groin pain/ache, anterior thigh pain, lateral hip pain, pelvic-floor pain, in addition to clicking, catching, and giving way of my hips. Finding this information made me sit down and cry. I have gone through years and years of pain and medication, all the while wondering if I was crazy since they never really found much wrong with my lower back (I never imagined this all started in my hips). I will comment again after my upcoming therapy session and see if they agree with my new found diagnosis. I cannot thank you enough for this well designed and informative website. If I find a labral tear has been the basis for all or most of my pain I will be so relieved. This has been a long road I have struggled down but I think the fog is lifting.
    Mara

    ReplyDelete
    Replies
    1. Hello Mara, it pains me to read how long you have been suffering, but makes me relieved you may have your answer... Don't be too surprised if you get a doubtful reaction to your FAI question and don't let it stop you pursuing it.
      Where are you in the world/country and I'll see if I can find names of who is in the know for you to see. The right expert is everything and yes childbirth puts you in impingement and can contribute and cause tears as can the hormones loosening the ligaments. But you have to also have the pathology for that to happen, whether FAI, or hip dysplasia. How did your meeting go on the 21st? Let me know how you're getting on and where you are if you check back in.

      Delete
  3. Hi,

    My name is Rachael and I am a mother of two. At 38 I was pregnant with baby number one. By about 30 weeks pregnant I could hardly walk. I was told that my pain was 'simply the aches and pains of pregnancy'. I had a horror delivery - induction as baby was two weeks over due and then pain so bad from the induced labour...after 16 hours I had an epidural (and every thing that you should not do when you have FAI and osteoitis pubis). Such was my pain that by the time my son had arrived that I slipped in to postnatal psychosis. Let's just say for the first six months life was fairly grim. However, I managed with the pain and due to 'fate' I went to a women's physiotherapy clinic for some other reason and was diagnosed with 'pelvic instability'. I didn't really pay much attention as I was told that it should improve over time now that I had had the baby. I really didn't have much left in reserve and was just happy to know that what I had had a name. Later that year I was pregnant with baby number two (I was 40 then). Yes, the pain got worse, I could not walk, it was painful to stand, it was painful to sit, I could not sleep because of the pain in my left hip in particular. Finally, my little girl arrived. An easy labour and in two hours baby was there, I got up had a shower and a sandwich and was ready to go home. The pain had halved overnight. Hooray I thought. Recovery was in sight. At least I thought so. This was the beginning of my journey rather than the end. Nine months after my baby girl was born I finally had pelvic X-rays. My pubic symphisis was a mess. Osteoitis pubis was diagnosed and rehabilition began with pilates...not to get in to the detail but I finally realised after 12mths that things weren't improving, and after countless specialist visits I finally arrived at the door step of someone who look at my scan etc and said you have FAI which has caused your OP . It has taken me over four years to get here. I feel like I have competed in an endurance event. I am now waiting on some second opinions to confirm this diagnosis as apparently I have it in both hips. I have my fingers crossed that this is the end of my current journey and the beginning of a pain free new one.

    I have struggled for four years in incredible pain but let me tell you it has been worth every moment of it because my children are everything I had hoped and more.

    ReplyDelete
  4. Rachel I completely agree, totally worth it, I'd have more if I could... you're story is similar to mine... I am learning I may have both too. Having had a second scope with a new consultant I am feeling the benefit, but however 2 things dog me, pubic bone/adductor pain (down the inside of my thighs... It has been recommended that I try a pubic cleft injection to calm down the pubic area which I will do in the next few weeks. I am hoping that will give me the window to strengthen and stabilise this are... I will write a piece after to show how it goes. Good luck to you, hope you find you're resolution, but don't be too surprised if a hip arthroscopy for FAI is the most but not all of the picture as it sounds like one has caused the other and neither are easy conditions to manage or recover from... however you're on the right road and recovery is in sight.

    ReplyDelete
  5. Rachel I completely agree, totally worth it, I'd have more if I could... you're story is similar to mine... I am learning I may have both too. Having had a second scope with a new consultant I am feeling the benefit, but however 2 things dog me, pubic bone/adductor pain (down the inside of my thighs) ...It has been recommended that I try a pubic cleft injection to calm down the pubic area which I will do in the next few weeks. I am hoping that will give me the window to strengthen and stabilise this area... I will write a piece after to show how it goes. Good luck to you, hope you find you're resolution, but don't be too surprised if a hip arthroscopy for FAI is most, but not quite all of the picture as it sounds like one has caused the other and neither are easy conditions to manage or recover from... however you're on the right road and recovery is in sight.

    ReplyDelete
  6. Hi Louisa,

    I have had prolotherapy in pubic bone and there was no real benefit. It hurt, was more painful afterwards and now is worse. One thing that I have had success with is steriods. But since other things seem to afftect the OP it went backwards again. I also have one leg shorter than the other. My theory seems to be that I had some tendency towards this before pregnancy but with all those hormones and conflicting notions on what to do I have just made a mess of my pelvic girdle and all that it needs to do! The good news is that John O'Donnell is just near me. My sports medicine physician sent me to Amir Taker who works closely with John. At least a good surgeon is at hand. I have to laugh though as as a pregnant woman I have been dismissed all along this journey...if I had been an A Grade footballer life my be very different!

    Cheers
    Rachael

    ReplyDelete
  7. Rachael, funny and so true! Well here all the way over in the UK I hear amazing things about John O'Donnell, so you're in good hands now... keep us posted on your progress.

    ReplyDelete
  8. I have an appointment with john o'donnell coming up but in the mean time I have booked myself in to see a massage therapist who specialises in osteitis pubis (op). I am seeing him in two days time. Apparently the work on the adductors etc all of those muscles that are related to OP. Maybe a key to successful surgery is to have the muscles related to all of these areas beginning to relax? Who knows but I believe it is worth a try.

    Under the guidance of my specialist doctor I have also substituted anti-inflamatories for a natural medicine which is has actually been very successful. This has reduced much of the tenderness around the pubic symphisis.

    Cheers
    RAchael

    ReplyDelete
  9. Hi Louisa,

    Just an update as I embark on my FAI investigation. MRIs have been ordered and I should know more once they come in. I have been doing research and reading a book called the 'dynamic body'. All very interesting. Last week I had a very painful massage for my osteitis pubis symptoms which have dogged me for four years. The therapist was extraordinarily knowledgeable about the condition and how it presents differently in pregnancy and post birth as opposed to A grade footballers. I have had an outstanding result especially with regard to my stiffness and general pubic pain levels. The massage was not for the faint hearted but I have come to the conclusion that there is a very real difference between soreness and pain. I was sore but not in pain. Today I had my pyriformas/sciatic nerve and lower back attended to and while not nearly as painful to have done the overwhelming reduction in stiffness is amazing. I still have pain in the hip - but the other muscular issues are certainly being addressed by this fabulous massage therapy group here in Melbourne.

    Cheers
    Rachael

    ReplyDelete
  10. Rachel thats great news, will you let me know the name of these people as others in your area may gain some benefit form there use.
    What have you been given to substitute the anti inflams and is it still working?
    Best wishes Louisa

    ReplyDelete
    Replies
    1. Hi Louisa,

      I have been taking Nalgesic Forte which provides a therapeutic dose of Curcumin (I believe it is found in Tumeric). They have been great (but they are expensive) and in Australia you need to have a doctor authorise the purchase. They are equally as good as any other anti inflam except for the steriods but they had very unpleasant side effects which included weight gain which puts more pressure on the joints so...probably self defeating.

      The massage group I went to see are detailed below. I do know that they have people visit from overseas to get massage. My OP has settled down significantly. The pain has reduced. It was ranging from 7-10 most days and now it is from 0-5. I have now OP pain free days.

      Scans show my pelvis is misaligned by about 2cms - which I think is a leg length issue but my MRIs show that the FAI is not significant enough to risk surgery but there is inflammation around my left glute and associated tendons etc which explains the chronic sciatic pain and piroformas(sp?) pain. I am going for guided injection in the muscle next week to get some relief. Fingers crossed.

      I have been thinking about what my specialist said about the OP taking 5 years to resolve completely and it seems that she may be on the money. So while the excitement of the FAI diagnosis has worn off and the results show that surgery is not necessary it leaves me with the thoughts of 'where to from here'. I have decided to concentrate on the soft-tissue side of things and have been following up on a number of contributors from the Dynamic Body.
      I have been practising Aaron Mattes stretching techniques (and ordered some DVDs and books from him) and have ordered a DVD and book by a woman called Judith Aston (she works with the notion of Asymmetry being normal so I will read and view in relation to my pelvis).

      What I can say is that over the last six months I have made more progress in pain management and mobility since this ordeal began.

      I hope you doing well.

      Regards
      Rachael

      Dr Jane Fitzpatrick is the sports medicine physician that I see and the massage group are:

      ** Osteitis Pubis Centre Australia**

      Treatment and Advice for sporting injury Osteitis Pubis, Groin Pain, Post Natal Osteitis Pubis or other

      http://www.miritismassage.com
      Email: admin@miritismassage.com
      Telephone: +61 3 9807 0650

      Delete
    2. Thank you for all this info Rachel, someone somewhere will be glad of this post. I with you the very best of luck with how you have decided to progress, kind regards Louisa.

      Delete
    3. Hi Louise,

      Just another update - I have had a series of guided cortisone injections in to the tendons attaching the muscle to my left hip- two days in I am happy to report that I can lie on my leftside, my pirofomas(sp?) pain and sciatic pain seem also to have gone. How long this lasts is a guess and I have an appointment again in two weeks with Jane.

      I will keep you posted but I think that like all things - it takes a lot of time and effort and many false paths to find your way through the maze of something that just doesn't fit the norm.

      I hope that you are well and that your treatments are helping you.
      Regards
      Rachael

      Delete
  11. Medical experts say that the prevention of bone problems and joint problems is all about general lifestyle preferences and other more specific treatments. Furthermore, regular and frequent activity of reasonable intensity is recommended and very helpful. The best prevention is a life-long commitment to physical activity, good nutrition, and normal reproductive hormone status. Be careful on the medications you take because these may just worsen your condition like the defective medical products. For instance, the DePuy hip replacement devices that are supposed to alleviate hip pain, but due to defectiveness, they cause patients to suffer more. See this website for more inputs.

    ReplyDelete
    Replies
    1. I am happy for your law company to get justice for the victims of DePuy, I don't even mind your looking for complainants here, however please do your home work first as your comment above is both uninformed and irrelevant and may cause readers unnecessary concern. The operation discussed here is a hip arthroscopy for FAI, not a THR.

      Delete
  12. All, I am 25 years old and undergoing medical separation from the military due to the cam impingement severely limiting my ability to perform physical requirements - ie, it hurts to drive to work, let alone run or carry a 40-lb rucksack on my back. I am unmarried with no children, but that is not to say I want to stay that way. I want to have kids, but I am concerned about the pain and quality of life (or lack thereof) I may endure thereafter. Any recommendations?

    ReplyDelete
  13. Your options are to temporarily manage pain until unbearable, or to grab the bull by the horns and find the BEST FAI surgeon and go for it. It is easier to fix this prior to children. I relate to all you describe and think knowing what I know and how the joint deteriorates as a consequence of FAI I would deal with it now, also at 25 you're more likely to bounce back well. Best of luck to you and make sure your surgeon is an "FAI hip arthroscopy specialist" doing several scopes a week.

    ReplyDelete
  14. Well, unfortunately I had surgery just over 12 months ago and it made it worse. Army doctor, Army results. What can I say. Despite efforts to try to get seen again, it has fallen on deaf ears - my particular surgeon is deployed until January and his temp fill-in is so overbooked - only hip and knee surgeon for 40,000 troops. I am stuck at a point where I don't believe it can get better. Given the decreased quality of lifestyle I have right now even after surgery, I admit - pregnancy scares me for this reason (among others normal to a first-timer ;) ).

    Thank you for hearing me out. I genuinely appreciate it.

    ReplyDelete
  15. I take it you're tied to this health system. Well either wrong diagnosis as in FAI existing but with dysplasia, or hyper mobility or femoral/acetabula version issues or extensive cartilage damage, these all lower your chances of FAI surgery success, or that of you had straight forward FAI, that the full impingement hasn't been removed, or scar tissue may have formed as a result of the surgery technique/lack or anti inflammatories/ or incorrect PT... these are the most common scenarios I am aware of. We are often left to piece these things together ourselves. But what worries me about your case is that you appear to be tied to one surgeon who looking after 40,000 patients. He must have to treat a multitude of conditions and I fear he maybe a "jack of all trades but master of none." ... Successful FAI surgery HEAVILY relies on the surgeons speciality being FAI ARTHROSCOPY. I doubt your surgeon will be this.
    Is there an NHS type of system you could access outside of your insurance? Or could you meanwhile obtain your notes and scans and at least pay for the top FAI consultant in your area to give you a second opinion?
    Come to facebook if you like, find me "Louisa Weeks-Browning and I will happily connect you to all the FAI groups I am part of, there may well be someone in the same position as yourself. There is a wealth of info there and you can canvas other opinions also. See how you feel but you're very welcome.

    ReplyDelete
  16. Hi Louisa

    I have just been diagnosed with FAI after 10 months of pain in my leg! I have no pain issues what-so-ever in my hip and can do most activities with ease. The pain in my leg is chronic at night and so I have to take full on pain medications in order to sleep. I'm guessing the tear came from the horrific birth of my second child. Thankfully I have managed both of my young children - lifting, bathing, carrying on hip etc with little in the way of pain.

    I am seeking advice from you, as I am aware that an operation is in order to resolve the pain in my leg. Should I have an operation before I consider a third child, or should I go for child number three beforehand? I am a 38 year old reasonably fit female and would so love another baby. I am worried if I go for the operation, the pain will increase in my leg and also in my hip and will need therapy for a good year or possibly longer? What would you advise?

    Thanks
    Anna

    ReplyDelete
    Replies
    1. Anna, you must've had FAI pre-existing and most likely it will have been the labour position that tore the labrum and would recommend you avoid those positions this time round.
      Given your age, if we were a friends I would say if you really want a 3rd child then go for it now, because the clock is ticking on your ovaries but not really ticking so loudly on your hips. Putting it this way, I chose surgery aroundabout the same age as you, I picked a bad surgeon and the surgery failed and by the time I recovered (a year) when we tried for our 3rd child it was too late and it will always sadden me to some degree. So my opinion is a personal one but ultimately only a laymen's opinion, but thats what I think....
      I would say you're going to need to line up some amazing childcare for after, when you have a scope and recover!
      Come join the support group I set up on facebook it is totally confidential as its a closed group, so your friends or anyone who isn't in the group can not see your comments. All the best, Louisa. https://www.facebook.com/groups/FAIhip/

      Delete
    2. Hi Louisa

      Thank you so much for your advice - it is hugely appreciated!

      As you can imagine the whole situation can be quite overwhelming as I know there is an element of risk in whatever I choose to do. The surgeon I have is the best in the country for this procedure but that doesn't mean I will recover well in time to conceive and carry a third child. So I take your advice very seriously and will consider this as I am no spring chicken anymore. I am also nervous having an operation such as this with three small children in tow. What a dilema but I totally hear what you say. I will join your forum as I am aware the debate around this procedure.

      My question to you is: how are you now?

      Thank you once again for your advice. I will stay in touch.

      Regards

      Anna

      Delete
    3. Hi Anna, hope all goes well for you I really do... did I suggest the option for the docs to check your ovarian reserves or to do a day 3 fertility test for you forst as that might give you ome idea if you have a year to play with?
      I am finally doing really well at last Thank you. I am one year out from my right hip and 6 months now from left. Right will always be a little temperamental, as I have grade 3 and 4 arthritis now after waiting 9 yrs for surgery and previous failed surgery on right, left hip great as only 3 yrs symptomatic. But recovery will be longer than you think esp as you will have forced activity with young children to look after. Do come join us, the support group gets more active by the day and you will find others there, esp when going through surgery, its nice to compare the "is this normal?" worries. Good luck Anna.

      Delete
  17. Hi Louisa,

    I have beed diagnosed with hip labral tear in my right hip and have had intensive pain during the last 12 months. The pain makes it impossible for me to be active (I used to run and work out regularly before), I find it hard an painful to sit and I can now days only sleep on my back.

    I'm scheduled for a hip arthroscopy in the middle of January 2013 and so far, so good. A couple of days ago I figured out that I'm pregnant (first time), I am 28 years old) and that the surgery cannot be done during pregnancy. I need to make the surgery after delivering the baby and my concern is how the pregnancy will affect my condition and is there a great chance that the condition will get worse. This pregnancy was not at all planned and im far from sure that I'm ready for a baby....

    What do you think, could my pain/ the labral tear get worse? How would you do; End the pregnancy and get the surgery first or go through with the pregnancy and make the surgery after delivering the baby? I'm really grateful for all the tips and comments I can get from you. Maybe you know of any informative websites. Here in Sweden, nobody seems to be familiar with the condition!!!!

    BR, Christina

    ReplyDelete
  18. HI Christina, I can't tell you how your pregnancy will affect you personally because we each have our individual anatomy and symptoms and severity. I would say with my first pregnancy the relaxin from the pregnancy made my symptoms much ,much better to almost non existant. I think due to the relaxin un-tensing all the muscles that tighten to protect the instability. My second preg was harder and I suffered pubic symphasis as a complication brought on by the hip issues, but keep in mind at this stage I'd hard symptomatic FAI for 6 yrs unknowingly by my second preg and all my symptoms were advanced.
    I won't pretend it wasn't hard having surgery when my little girl was 7 months old, however I wouldn't change it for the world.
    No specialist will be able to predict this for you either.
    I would say that I did delay surgery a second time around to try for a third child and my surgeon advised in my case another pregnancy shouldn't make any difference to my condition, or to the outcome to later surgeries and that I would be ok to have a normal birth. However for the labour, I should make the midwives aware of my condition and how it might effect the positions for labour, but that it was nothing that couldn't be worked around. Feel free to come to the support group I have set up on facebook, it is a closed group to so you don't have to worry about other facebook users seeing your comments unless they're actually members of the FAI Awareness group. Come get some support. Very best of luck to you.
    you https://www.facebook.com/groups/FAIhip/

    ReplyDelete
  19. This information you have here is really interesting. Thanks for sharing.

    ReplyDelete
  20. Great job on your blog, I like it a lot. thanks for the information.

    ReplyDelete
  21. I can relate to BR, Christina's post from November 2012. I too, was diagnosed with FAI impingement that caused a labral tear in left hip back in late 2011, did PT for about first half of 2012 and found two great opinions for hip surgery. Was very close in having surgery late spring, but kept up the PT. TO my surprise, I got pregnant in August of 2012. I was very scared and nervous as to how my hip would be. Even more surprising, I had pregnancy complications in first trimester - a subchorionic bleed in uterus which had me on bedrest my entire 1st tri. Back to work in January only to now suffer from symphysis pubis. The pain can be brutal, but I have no choice until I have baby #2. I'm 43 by the way, so I'm a higher risk pregnancy, got so out of shape for this pregnancy due to fact I could not exercise like I used to before FAI problem then to be on bedrest for first 3 mos. I could go on and on... I can honestly say I've been a grump yet trying to stay as pleasant as I can. Due date is early April and it's March 9th. I've got about 4 more weeks to go. I just hope and PRAY for a healthy baby (all looks fantastic in that dept) and that I can physically care for my precious newborn that's about to arrive. I do have a lot of family/support so this is a blessing. I'm glad I found this blog to post my thoughts -- I might go check out the FB linnk too. Once baby arrives, I'll provide a follow-up. THANK YOU LOUISE!! - Julie P.

    ReplyDelete
    Replies
    1. Julie P, You're welcome and also make sure they scan your baby for hip dysplasia. Turned out my daughter had it, this hip stuff is hereditory and FAI and dysplasia are often interlinked. Caught early, first weeks, the cure is super easy. Wishing you the best of luck!!

      Delete
  22. Hi Louisa- Thank you for this Blog! I have been suffering major left hip pain since about 8 weeks after childbirth- once I started running and swimming again. it was my 4th child. I have the Symphasis issues, Groin, Adductor, hip Flexor, Across the top ridge of hip, and down into the left rear hip. I've been getting A>R>T- Active Release Technique about 2x per week since March and it is wonderful at pain management, but the second I try to run again, it all flares back up. I finally got an x ray and went to a new Physical Therapy place where they think I may have the Labrum Tear. I will look into FAI. I'm exhausted from dealing with this and desperately miss my sports and exercise, and spent many nights crying in frustration. Will I ever get back to normal??? PS- I'm in the US- Kelly

    ReplyDelete
    Replies
    1. Kelly come join us here https://www.facebook.com/groups/FAIhip/ - you'll find people like yourself.

      Delete
  23. Hi Louisa,

    by total chance I have come across your blog. very interesting conversation happening here!

    I have been dealing with undiagnosed hip pain (rpetty sure is has been FAI all along!) for over a decade when I think back to when the clicking and aching first started. I have had a physio tell me I may have FAI but my orthopaedic surgeon (i am on track for double hip replacement now due to the osteoarthritis) has not included FAI in his diagnosis.

    I always chalked it up to not stretching enough or not having a 'runner''s" body despite training and running marathons and half marathons.

    When I got pregnant with my son (now 6) I believe I benefitted from the relaxin and had no real pain at all. Post pregnancy I wanted to get back in shape so I did a post-baby bootcamp (imagine your 3month old wee one in a baby carrier and running 135 stairs a few times in your workout). In hindsight, that may have not been the best choice :(.

    I have been delaying getting on the list for the hip replacement surgery ( live in alberta, Canada, covered by our universal healthcare) as we are wanting a second child (undergoing IVF as we speak!). I am curious to see how my body responds should I be blessed with another babe on the way, fingers crossed the relaxin does its magic again.

    I have been pretty tame with pain management, I take 2 tylenol arthritis daily and have been doing cortisone injections every 3-4 months with no side effects to this point.

    I found the comment on hip dysplasis being related to FAI interesting as my younger sister had HD as a newborn and fortunately it was diagnosed early and she is fine now. Do you have any further reading/references on this connection?

    thanks again for putting this info out into the www!
    Amber

    ReplyDelete
  24. Hi Louisa, I don't usually use blogs so apologies if I get the etiquette a bit wrong. I am basically clutching at straws with an ongoing hip problem which really became symptomatic during my first pregnancy and labour nearly 4 years ago. I believe I have had a funny (right hip since I was young too though) I have seen NHS physios, Chiropractors and an Osteopath and like you they have all said slightly different things! I am pregnant again and still with the same problems which seem to match the FAI and labral tear symptoms that you list. My first labour was an absolute nightmare because of acute hip pain and sciatic pain and my daughter just couldn't get into a good position to be born. She went term plus 14 because labour didn't start and I suspect this may have been caused by poor positioning? We had an emergency C-Section in the end. I am pregnant again, still with same symptoms and very little support medically around the hip problem. I was wondering if you had crossed paths with anyone else in my situation or could recommend a course of action? The added factor is that I also seem to birth quite large babies which adds to the issue! Thanks for reading : ) and hope to hear from you soon. (I think I originally pasted this in the wrong place on the blog sorry!)

    ReplyDelete
  25. Hi there - I would love your opinion on timing of surgery. I have two kids already and believe that after my first kid four years ago I got a labral tear. I started to have hip pain which got worse with my second birth. I have been now officially diagnosed with labral tear, fai and some cartilage damage and my doctor recommended surgery. I am also planning to have a third child right now (I am 39). Would you recommend to wait with the surgery after the third baby or do it before. My doctor said, that he sees no issues getting pregnant right after the surgery. Thanks!

    ReplyDelete
  26. Mostly girls are always complaining for no pregnancy for those who cannot conceive can try pregnancy miracle - lisapregnancymiraclereview.com it will help them

    ReplyDelete
  27. Your Hidden Survival Muscle (Pop Quiz)

    BODY:

    There's a muscle in your body that is an indicator
    of the strength and health of your whole body.

    It's been called your body's most powerful hidden
    survival muscle.

    If it's too tight, undertrained or locked up it can
    contribute to issues such as:

    + Nagging Joint Pain
    + Bad Posture
    + Trouble Sleeping
    + Sluggishness
    + High Anxiety
    + Digestive Problems
    + Weakened Immune System
    + Circulatory Issues
    + Loss of Sexual-Performance
    + Lack of Explosiveness in the Gym

    Those are some nasty problems, but when you
    unlock this muscle there are many amazing
    health benefits.

    Here's your quiz. Which muscle do you think
    we're describing in this email?

    1: Gluteus Maximus
    2: Your Heart
    3: The Psoas (Hip Flexors)
    4: The Masseter

    Let me know if you get it right.

    Sign Off

    P.S. The answer can be found on this page.



    .

    ReplyDelete
  28. Wow, reading this and all the comments is making me wonder if this is what I have. My pain started during my first and only pregnancy and was diagnosed as pubic symphsis. Which it probably was because that specific pain resolved after pregnancy. But my daughter is already 6 and a half and the pain in my left hip has just gotten worse throughout the years. I have a constant,deep throbbing pain all the time. I can barely get up and walk long distances now. The Dr's blame everything on fibromyalgia and load me up on painkillers. Even the strongest pain pills aren't touching this pain anymore. Now the pain extends to my bum and it's so tender to the touch. As I type this my left hip is throbbing, throbbing throbbing. I wonder if this is what I have. I can't take much more of this pain! I'll bring this up at my next appointment.

    ReplyDelete