Hip impingement otherwise known as femoroacetabular impingement, is abnormal wear and tear at the hip joint. With movement this abnormal contact between the femoral head and the acetabulum, causes friction, which may damage the joint and cause pain in the front of the hip.

There are three types of hip impingement causing hip pain:

  • Cam- This form of hip impingement is most commonly seen in young athletic men. This is where the bump on the femoral head jams, and grinds the acetabulum.
  • Pincer- This is an increase in coverage by the acetabulum over the anterior femoral head. Less common, middle age women. 
  • Mixed- combination of cam and pincer

Cause of hip pain and impingement:

Many individuals have a deeper socket or bump coming off the femoral head that predisposes them to developing hip impingement. These deformities increase the friction at the femoracetabular joint causing hip pain and a decreased range of hip movement. To actually bring about the impingement, the hip joint must be aggravated to cause damage and hip inflammation. Therefor active and sporting individuals are more susceptible to developing hip impingement. 

Symptoms of hip impingement:

  • Hip/ groin pain, decrease hip mobility.
  • Pain is felt deep, at the front of the hip.
  • Acute following injury or appears after prolonged activity.
  • Decrease flexion and internal rotation of the hip.
  • Aggravated: prolonged sitting, walking, crossing legs, during and after exercise.

Diagnosis of hip impingement:

Orthopaedic tests include: FAIR (flexion, adduction, internal rotation of the hip), FABER (flexion, abduction, external rotation).
XRAY imaging: AP pelvis, lateral hips.

Treatment of hip impingement:

Conservative care is the first line of approach with the majority of patients. This includes mobilisation to the hip joint, restoring soft tissue extensibility and length, strengthen the surrounding musculature. If the patient does not respond to conservative care, then surgery may be the next option.

Here at Lakeside Chiropractic we provides a multimodal approach, this includes- Soft tissue therapy, joint mobilisation, cold laser therapy, electrotherapy, dry needling, rehabilitative exercises and stretches. Activity and training advice will be given by our competent chiropractors to aid in recovery, education on technique and postural correction as a preventative measure, anti-inflammatory advice can be given if necessary.

Lakeside Chiropractic is central to the northern suburbs of Perth located in Joondalup. We have patients visit us from the surrounding suburbs such as Iluka, Kinross, Connolly, Kinross, Hillarys, Whitfords, Karrinyup, and Scarborough. The friendly, professional chiropractors at Lakeside Chiropractors can discuss the benefits of chiropractic care for your hip pain, feel free to contact us on 9300 0095 or visit our website www.lakesidechiro.com.au .

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