Hip Impingement

Hip impingement, also known as Femoroacetabular Impingement (FAI), is a condition where there is an abnormal contact between the ball (femoral head) and the socket (acetabulum) of the hip joint. This abnormal contact or “impingement” can occur during certain movements or positions of the hip.

There are generally two types of FAI:

  1. Cam Impingement: This occurs when the femoral head is not perfectly round, causing it to jam in the socket during certain movements.
  2. Pincer Impingement: This is when there is extra bone on the socket side, leading to the socket pinching the femoral head during certain movements.

FAI can cause restricted hip movement and pain, and over time, it may lead to damage to the cartilage inside the hip joint, possibly contributing to early arthritis.

Hip impingement, or Femoroacetabular Impingement (FAI), can be associated with several conditions and factors, including:

  1. Labral Tears: The labrum is a ring of cartilage around the hip socket. The abnormal contact in FAI can cause tears in this cartilage.
  2. Osteoarthritis: Chronic FAI may lead to the breakdown of joint cartilage, contributing to early osteoarthritis in the hip.
  3. Hip Dysplasia: Although it’s a different condition, hip dysplasia may coexist with or be confused with FAI. Dysplasia involves a shallow hip socket.
  4. Sports and Activities: Certain sports and activities that require repetitive hip flexion and rotation can predispose individuals to FAI.
  5. Inflammatory Arthritis: Conditions like rheumatoid arthritis can be associated with FAI due to changes in joint structures.
  6. Previous Hip Injuries or Surgeries: Past trauma or surgical interventions on the hip can alter the joint’s anatomy, leading to impingement.
  7. Bone Spurs: Overgrowth of bone in the hip joint can contribute to impingement.

Symptoms of hip impingement, or Femoroacetabular Impingement (FAI), include groin pain that may radiate to the hip or buttocks, stiffness with limited range of motion, a clicking or catching sensation in the hip, pain during or after specific activities involving hip flexion, and limping in more severe cases.

Hip impingement, or femoroacetabular impingement (FAI), is caused by abnormal contact between the ball and socket of the hip joint. Factors contributing to FAI include:

  1. Bone abnormalities: 
  • Cam impingement: A misshapen femoral head.
  • Pincer impingement: Over-coverage of the socket.
  1. Developmental condition: Like hip dysplasia.
  2. Trauma or injury: Prior injuries or surgeries affecting hip mechanics.
  3. Repetitive movements: Such as deep hip flexion in certain sports.
  4. Age: Natural wear over time.
  5. Genetic predisposition.

Treatment often begins with conservative measures like physical therapy and pain management and may include surgery if these measures are unsuccessful. The surgical approach would aim to correct the abnormal bone shapes that are causing the impingement.

To address hip impingement, you should initially consult a physiotherapist who can perform an initial assessment. This will then result in the creation of a treatment plan, providing exercises and therapy to improve mobility and alleviate symptoms. If needed, they may refer you to an orthopaedic specialist, specifically one with expertise in hip disorders. 

Exercise can be beneficial for hip impingement when tailored to the individual’s needs and guided by a physiotherapist, focusing on flexibility and strength without exacerbating the condition.

Surgery for hip impingement, or Femoroacetabular Impingement (FAI), is not always necessary and is typically considered when conservative treatments like physiotherapy, lifestyle modifications, and medications have not provided sufficient relief. 

The goal of surgery would be to correct the anatomical abnormalities causing the impingement, such as shaving down a bone overgrowth. An orthopaedic specialist would evaluate the specific situation, consider the severity of symptoms, the impact on daily life, and the underlying cause to determine whether surgery is the most appropriate treatment option. 

Chews Health top tip for hip impingement

For hip impingement, seek a physiotherapist to create tailored treatment plan, often involving targeted exercises and lifestyle changes, to improve joint mobility and prevent further issues.

Our Specialists

Melanie Clarke
Melanie Clarke
2023-02-22
We’ll be forever grateful to Chews, the guys are the absolute BEST IN CLASS when it comes to a fully tailored recovery plan. Our son is a young elite competitive acrobatic gymnast who sadly had a high impact fall at gymnastics dislocating and fracturing his elbow and needed surgery, for a gymnast that trains many hours over 4 days week it was devastating blow, especially with GB competitions coming up. Once out of cast (wk 4 post opp) we started 2 x weekly physio sessions with Richard Saxton (who specialises in child’s physio), he was thorough, diligent and his amazing assessments fully supported the coaches at our sons gym to help build a safe recovery plan. The sessions with Richard and Sanford were fun, engaging and they took great care to help improve full mobility and strength. At week 7 post op our son was doing skills we thought would have taken 4mths to achieve, by week 10 he was back to full impact training, even our hospital follow up with the senior elbow consultant was blown away by the physio support we’d had and the rapid recovery. If it wasn’t for Chews we 100% would not be back training this quickly and not have had the reassurances it was safe to do so…..we’ve definitely found a physio for life. Thank you from the bottom of our hearts Team Chews. From Mel & JJ x x
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Ruth Shearn
2023-02-21
Have waited a few months post-treatment to write a review - just to be certain! Quite simply, I can't recommend these guys highly enough. I went to them with two badly damaged knees (miniscus tears). Having had three arthroscopes over the years, I was completely resigned to needing surgical intervention again. The Chews team had different ideas. After showing me the latest research findings, they assured me my knees could be rehabilitated without a scalpel. I had just a handful of sessions with them and am delighted to report that, six months on, my knees are great! I'm running 5k twice a week (don't laugh, I loathe running and am no spring chicken) without any pain and have taken up tennis. Everyone at Chews is passionate about their subject, knowledgeable, reassuring and friendly. I wouldn't go anywhere else.
Dave Stuart
Dave Stuart
2023-02-06
I have had a chronic back condition to varying degrees for many years which more recently has forced me to have weeks off work at a time. I was recommended Chews Health by a colleague having tried other physios in the past. However, I always felt that something was missing from the plan. My back muscles would on occasion go into spasm, or my disk to impinge on my nerve, affecting my mobility and effectively setting me back to square one. I came to Chews health a bit wary and was considering surgery due to how much my back was affecting my quality of life and mental health. It has not been a straight forward recovery, but i have made significant progress through having a thorough history taken, my ongoing concerns listened to, and being provided with a clear explanation of not only the exercise plan but additionally explaining why my body was responding in varying ways. This has educated about my condition and provided me with the tools to self manage my condition more effectively should it deteriorate again.. It has not been plain sailing, but I have absolute faith in Jack and his team.
lobo
lobo
2023-01-09
I had to attend Chews Health for help with pain in my elbow and they have been a fantastic help. I am now back to 100%.
The S
The S
2023-01-05
I can thoroughly recommend Chews Health physio. Sessions from diagnosis to rehabilitation are stimulating as well as therapeutic. Jack’s holistic, insightful approach goes beyond fixing the initial problem - he builds the confidence and self-knowledge to help maintain fitness and avoid strains and niggling injuries in the future. His message that the body needs exposure to regular challenges has inspired my journey towards optimum health.
Sam Butler
Sam Butler
2022-12-21
Excellent physiotherapy. After ACL and meniscus surgery I contacted Chews Health to find out about how they could help me feel more confident about returning to more intense sport after my injury. I felt listened to and we worked on a series of different of exercises that tested my knee. Very helpful and I now feel much more confident in my abilities.
feralie Bennett
feralie Bennett
2022-11-23
I saw Richard Saxton for a chronic pain in my achillies. 2 visits, with massage and exercises: clear concise instruction, both written and verbal to do at home were realistic & adapted for my ability - I now no longer require pain relief & can walk the dogs pain free & even manage a few hills. A follow up call to review my progress was also appreciated. The clinic was clean & well equipped. Would highly recommend.
Philip Conroy
Philip Conroy
2022-11-16
When I had severe back pain I was seen within 24 hours. The problem was resolved after 3 weeks of physiotherapy and exercises. I subsequently took up the annual gym membership package which includes regular reviews by the Physiotherapists. I feel this has benefitted me greatly as I had no previous experience of gyms and ensured I was using the equipment in the correct manner. At all times the staff have been very friendly and professional.
Maureen Morris
Maureen Morris
2022-11-10
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Cecilia Wright
Cecilia Wright
2022-10-31
I had been suffering from plantar fasciitis for some months and went Chews Health in the summer for shockwave treatment, after my podiatrist said she had heard good reports about it. Until then I had been resting, exercising it, icing it, using insoles etc., none of which had made much difference. I booked six treatments at the start (recommended) and by the time of the last treatment It was hardly noticeable, so much better! I’ve had two further treatments over the last month, just to be on the safe side, and I’m doing some exercises now to build up the strength in my calf and foot. Chews Health comes with heartfelt recommendations from me, they are friendly, very knowledgeable and best of all - they have fixed my sore foot!