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3 Signs of Hip Impingement

Hip, Blog, / By Shi Qi Yap

A deep hip pain associated with stiffness is very annoying, deliberating and even affect you daily activities. Hip impingement is a common cause of hip pain, and it can be presented in adolescents, adults, and athletes of all ages.

Early diagnosis allows you to manage with the symptoms in an earlier stage and decrease the rate of developing hip arthritis.

In today’s blog, we are going to discuss about the 3 signs of hip impingement.

What is Hip Impingement?

Hip impingement, also known as Femoroacetabular Impingement (FAI) Syndrome. 2 morphologies of FAI have been described. Cam-type impingement and Pincher-type impingement.

  • Cam-type impingement: Abnormally bony growth at the head of the femur, and cause cartilage damage at anterosuperior acetabular rim.
  • Pincer-type impingement: “Over coverage” of the femoral head by the acetabulum and cause repetitive crushing at the labrum.

However, the two types are commonly

combined. An estimated 85% of patients with FAI have mixed morphology, meaning both cam and pincer morphologies are present.

What are the 3 Signs?

  •  Pain in the hip and/or groin
    The very first sign of FAI is hip pain that can occur at rest and usually worsens during physical activity or prolonged sitting down.
  • Radiating pain reported in the thigh, back or buttock
    The second sign is radiating pain to your thigh, back or buttock, particularly after the hip has been flexed such as after running or jumping.
  • Hip Stiffness
    The inability to flex the hip beyond a right angle, some clicking sound might be associated at the same time.

Management options

  • Drugs
    Corticosteroid injection or nonsteroidal anti-inflammatory (NSAIDs) pills to reduce inflammation, swelling in and around the hip joint.
  • Surgical management
    Arthroscopy is the most common surgical procedure for FAI.In this minimally invasive procedure, a doctor repairs or removes damaged bone or cartilage.
  • Physiotherapy management

Special exercise such as pelvic control, FAI mobility and strength exercise can help to strengthen the joint, therefore improve dynamic stability of the hip.

The choice of treatment depends in part on your condition, amount of arthritis in the joint, your age and activity level, and your preferences. If you would like to book an appointment or have any more questions, feel free to contact us or message us through our Instagram page.

Yap Shi Qi

Rehab Therapist

Sources

  1. Lee, W.-Y., Kang, C., Hwang, D.-S., Jeon, J.-H., & Zheng, L. (2016, March). Descriptive epidemiology of Symptomatic femoroacetabular impingement in young athlete: Single center study. Hip & pelvis. Retrieved November 2, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4972876/.
  2. Washington University Physicians. (n.d.). Hip impingement – causes, types, symptoms, diagnosis, treatment. Washington University Orthopedics. Retrieved November 2, 2021, from https://www.ortho.wustl.edu/content/Patient-Care/3206/Services/Hip-Knee/Adult-Reconstruction-and-Hip-Preservation-Overview/Hip-Impingement.aspx.
  3. Physiopedia. (n.d.). Femoroacetabular impingement. Physiopedia. Retrieved November 2, 2021, from https://www.physio-pedia.com/Femoroacetabular_Impingement.
  4. Cleveland Clinic. (n.d.). Femoroacetabular impingement (FAI): Symptoms, causes, tests and treatment. Retrieved November 2, 2021, from https://my.clevelandclinic.org/health/diseases/21158-femoroacetabular-impingement-fai.
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