02/09/2025
• Hip impingement syndrome also known as Femoroacetabular impingement (FAI), results from a pinching of the head or neck of the femur (thigh bone) on the acetabulum (socket) of the hip.
• There are 3 types of FAI.
- Cam lesion, where there is an extra bony growth on the neck of the femur which meets the hip socket when the hip is flexed, resulting in pain.
- Pincer lesion, where there is an extra bony growth on the lip of the hip socket, which meets the head or neck of the femur when the hip is flexed, again leading to pain.
- Combination of a Cam and Pincer lesion deformities. The cause of the condition developing is still poorly understood.
• Diagnosis of the injury is generally obtained through subjective and objective testing of the hip. However, imaging such as an MRI or X-ray can confirm the diagnosis and extent of the deformity of the hip.
• Symptoms include reduced hip range, pain in the groin and sometimes the upper part of the thigh with deep squat and activities with large hip movements and sudden change of direction.
• Conservative management of FAI involves activity modification to avoid aggravating activates combined with the use of anti-inflammatory medication.
• While structural change to the hip is part of the condition, tightness and poor hip mechanics will compound the issues. Manual therapy and corrective exercises to address this are an important component of management.
• With marked bony change or when physio has failed, surgery to remove excessive bone may be considered. This will typically be followed by a period of rehab to build up strength and control around the joint.
• If you have been struggling with hip pain and reduced function, book an appointment today get a plan to get you back In Balance!
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