Hip pain affects 15% of the population. FAI is pain located at the front of the hip joint. Deep joint pain, which is often described as a ‘C’ sign is experienced (C with the hand on hip). On occasion symptoms may travel to the front or inside thigh and patient may experience a loud pop/click and a sense of catching of the hip. Patients also present with hyper-lordosis on occasions.
Aggravating/provocation positions: end range hip flexion, hip adduction, end range internal rotation of the hip and combined flexion/adduction/internal rotation seen in activities such as;
There are 3 types of FAI; pincer, cam or combination
Cam impingement is most common in young males, commonly athletes.
Pincer impingement is most common in middle age women
Combination is most common in younger males
If you are a side sleeping, sleep with a pillow between your legs.
Improve posture, as it is noted individuals with femoral acetabular impingement has sway back posture or pronounced anterior pelvic tilt.
Strengthening of gluteal muscles; as sway back posture may result in disuse atrophy and weakness of these muscles and patients with FAI may compensate for painful joint therefore strengthen hip abductors and external rotators with help with pain levels/function.
Strengthening of hamstring (hip extensors)
Straight walking/light jogging may be tolerated, but running/running on an incline with be problematic
Glut med/min non weight bearing open chain exercises
Progress to: Glut max/med exercises: front plank with hip extension, side plank with abduction with dominant leg up, and then same with dominant leg down.
Recommendations for exercise if you have a pincer femoral acetabular impingement include squats to 90 degrees, with slight abduction
Untreated Hip FAI can lead to serious pathology and accelerate the progression of hip osteoarthritis.
At Lakeside Chiropractic our trained staff have expertise in managing femoral acetabular impingement (FAI) and are confident we can assist in returning you back to a normal range of motion in the fastest possible time. Lakeside Chiropractic is located on 3/45 Central Walk Joondalup and has visitors from Two Rocks, Leederville, Ocean Keys, Whitfords, Padbury, Sinagra, Dianella, Bayswater and Bassendean. We have HICAPS in our clinic which caters for the majority of health funds including, HBF, NIB, AHM, HIF and are a BUPA and Medibank preferred providers. If you would like to discuss your condition or book in an appointment by talking to our very friendly receptionists, fell free to contact us on 93000095 or visit our website at www.lakesidechiro.com.au and book via our ‘book now’ tab.