Hip Impingement

May 16, 2019

Have you ever felt a sharp, “pinching” type pain in front of your hip when sitting for a long period of time or while stretching your glutes (figure 1)? Or even the odd click or catch while walking or running? If so, you may have femoral acetabular impingement syndrome or FAIS. Femoral acetabular impingement is defined as “is a motion-related clinical disorder of the hip involving premature contact between the acetabulum and the proximal femur”1 (figure 2). It is most commonly diagnosed in active young male athletes who participate in high-impact sports like basketball, hockey and soccer2.

hip_blog.png

 

 

 

 

 

 

 

This condition requires 3 characteristics to be clinically diagnosed1:

1)     Symptoms of hip pain (Figure 3), clicking, catching, stiffness or giving way.

2)     Clinical signs consistent with FAIS (e.g. restricted range of motion, or positive impingement test)

3)     Diagnostic imaging (e.g. X-ray) consistent with FAIS

hip_blog3.png

This condition is most commonly managed with physiotherapy or surgery. Surgery can be affective but carries a higher risk for post-operative complications3, has a much greater wait time, and is significantly more costly on the healthcare system. Comparatively, physiotherapy can be just as effective, and has the potential to be more effective than surgery4 for treating FAIS.

Physiotherapy can use a variety of treatments to manage FAIS including, but not limited to manual therapy, motor control, strength, and mobility exercises, dry needling, and therapeutic modalities. Visit your nearest Active Physio Works location for an assessment and treatment from a qualified Physical Therapist with locations in Edmonton, St. Albert and Fort Saskatchewan or call at 780-458-8505 today!

References

1)     Griffin DR, Dickenson EJ, O'Donnell J, Agricola R, Awan T, Beck M et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med. 2016; 50(19):1169-76

2)     Kuhns, B. D., Weber, A. E., Levy, D. M., & Wuerz, T. H. (2015). The natural history of femoroacetabular impingement. Frontiers in surgery2, 58.

3)     Nakano N, Lisenda L, Jones T, Loveday D, Khanduja V. Complications following arthroscopic surgery of the hip: a systematic review of 36761 cases. Bone Joint J 2017; 99: 1577–83.28 Walters SJ, dos Anjos Henriques-Cadby IB, Bortolami

4)     Griffin, D. R., Dickenson, E. J., Wall, P. D., Achana, F., Donovan, J. L., Griffin, J., ... & Petrou, S. (2018). Hip arthroscopy versus best conservative care for the treatment of femoroacetabular impingement syndrome (UK FASHIoN): a multicentre randomised controlled trial. The Lancet391(10136), 2225-2235.

 

 

 

 

 



Please add your bio info through your member profile page, or through your dashboard.


Posted By


Tag Cloud

10milerlifestyle expomechanical stressconcussion testinghip painHealth Information Actreturn to sportDiastasis Recticlinic closureGLA:D™ back programRacepine to palmkids fun runarthritiscupping therapyGLA:D™ knee programiceskatingelbow painshoulder imagingcross training#activephysioworksst albert triathlonshockwavebowen techniquesecondary submittingBFR trainingcarpal tunnelWinter Injury Preventiontreatment for headachesseptember 30lumbar spine imagingSCAT 3dizzinessbellerose bike-a-thoncore strengtheningair relaxhikingvertigoworkout planmagrathtrail runrental car motor vehicle accidentITU World Grand Final Triathlon Edmontonfundraisingx-raybowen therapyrestconcussionmarathontext neckironman canadaexercise programpelvic girdle painACLtraining plancharityolympian distance challengeadventure racingcommunity eventmyofascial cupping therapyctv edmontonvictoria daywhy active physio workshigh intensity interval trainingWPTDsafe exercises during pregnancydry needlingnational championshipsmodified return to activitytriathlonwarm heartturkey on the trailsfirst trigait analysisvestibular rehabilitationpelvic floorst albert 10 milerinjection therapyms bike tour 2019remembrance dayultrarunningpreventing sports injuriesworld championshipsathlete injuryknee painstrengtheningpre-natal fitnesseastertrapezius strengtheningyegphysiohip impingmentfrozen shouldercanada day paradewrist painpole walking100 mileholiday hourstrail runningrunners kneeclavicle fracturefort saskatchewanthoracic spinecommunityms bike tourpriceknee injuryHawrelak ParkDRAstrength trainingfort saskatchewan trade showplantar fasciitisfirst appointmentRunWestern Statescanadian trailsgreat white north triathlonrunninggolfroad rage hockey tournamentpiraformispainglute strength10 milervolleyballdown and dirty obstacle courseMS Bike Leduc to Camrosevelocity stage racecat-scanSt. Albert Triathlontechniqueworld physical therapy day#teamrehabSt. Albertfort saskatchewan chamber of commerce5kyegfitnessultrasoundsports injuryacupuncturePRPitucanada dayp90xyogatreating sports injuriesdr chan#eddiedontbendMS Bike Tour 2020needlingConnor McDavidgolf injuriesdraw prizesprehab before rehabcornultramarathonkidsfootballUrinary Incontinencehockeythoracic spine mobilitywhatever it takesshockwave therapyfun in the fortrunning injurieseaster mondayconcussion managementcity chase national championshipyou can ride 2headachescupping therapy in st albertfasciatrainingparadepelvic healthctv morning liveMRI10 miler training planknee replacementdraw prizeP-90Xdeath raceout run rarecouch to 5kservus placeIMSdiagnostic imagingst albert road racecyclingback paintour de palm springsDiastasis Rectus Abdominis (DRA)pelvic health physiotherapyfundraisernutritionfitnesstraining on vacationtrade showbarefoot runningdeath race training planswimmerobstacle courseactive physio works 5km10 milecity chasebackpack safetycuppingstem cellankle sprains in athleteswarm handsprotecttaperingIntramuscular Stimulation10kmTMJtournamentmud rungolfer's elbow5km obstacle courseyou can ride twoiron legsactive physio worksGLA:D®pelvic health physiotherapistshin splintsbanff triathlontennis elbowexerciseoperation esperanzaGLA:D® St. Albertcupping in st albertfast trax ultraroad raceroast5kmavoiding injuryspin classPFPSms bike tour leduc to camrosestaying fit while pregnanttrapsfitness journeyslip and fallsnational triathlon championshipsjaw painshoulder painconcussions in sportdr shepshalf marathonbest of T8Nrunning shoesSwimcommunity involvementrecoveryregistered massage therapyhalf ironmanrunning formworld grand final edmontonregistered massage therapistsleepcompressionextended health careconcussion in sportgrand openingmotor vehicle accidentfitness programcancer carestretchingSAPECinjuryrotator cuffGLA:D® Edmontonphysical therapysoccer injuriespush up programheel painplantar faciitispregnancy back painexplore albertavolunteerracingcervogenic headachesyardworkswimmingcomplete concussion management inc.ultra runningglobal edmontonsouth edmontonyegbikemedical mission to Ecuadormarathon trainingBikeedmontonhockey injurylost souls ultraschoolcity chase national championshipslegacy park family festivalfoam rollerlow back painniagara fallsMS BikeCBC interviewbasketball injuriescustom fit orthoticsarthritis of the spineadaptive cyclingst. albert chamber of commerceHIITyegfitfree fort bbqtaperorthoticsGLA:D™piraformis syndromeedmonton oilerslateral epicondylitisultrarunnershouldersports concussion1km kids fun runITU World Triathlon Grand Final Edmontonankle sprainimPACT testingsinister 7familyphysiotherapyOsteoarthritisjames deansmall business nomineepatellar tendonitisinjury preventionbaseline testingrehabilitationblood flow restriction trainingcold weather runningkids of steel triathloncity chase world championshipfestivalworld triathlon championshipskeep fit, have funACL injuriesaquathonorthopedic surgeonscortisonewinter runninggood fridayankle injuriescommunity runironmanWTS Edmontonbellerose bike a thoncycling raceBest PhysiotherapistscapulaBPPVphysio for golfwhat to expectmarathon runningheadachemassage therapyPosturenew york marathonGunn theory of IMSultrabikes on broadwayglute strengtheningrunning footwearsynchronized skatingexercise challengedirect billingfernie ultrawounded warriorsst. albert road racehiking in the mountainsTeam RehabITU World Triathlon Grand Final Cozumelrotator cuff tearexercise planIT band syndromerunning techniquemuscle tightnesscustom fit compression stockingsfoot paintreatment plancity chase canadahip replacementneck painstrengthflexibilitydave proctorphysiotherapy for cancer patients


Archive

What to Expect

We understand that you may have a few questions before visiting our clinics for your initial appointment.

Book an Appointment

Book in for an appointment with one of our qualified Active Physio Works Physiotherapists &
Registered Massage Therapists.

Treatments

We understand each person is different so we offer a variety of techniques that are best suited to your individual needs.