Don’t get stuck on Hip Impingement!
What is hip impingement exactly? Hip impingement, also known as femoracetabular impingement (FAI) is a common hip condition that can cause discomfort and limited mobility. This condition occurs when there is abnormal contact between the ball of the femur and the hip socket, leading to friction and potential damage to the joint. True bony impingement is caused by an abnormal shape of the femoral head (ball) or the acetabulum (socket) of the hip joint. Altered shape of either of these structures (or even both) can cause them to rub against each other during motions like squatting, prolonged sitting, or during sports related tasks. Overtime, this abnormal rubbing of the hip joint can cause damage to the joint and therefore pain.
Person sitting with hand on hip.
Impingement of the hip could be caused by many factors including your genetics or your given anatomy, repetitive movements (think soccer or volleyball), or even overuse. Symptoms usually include hip or groin pain, reduced range of motion, or pain after physical activity. There is an increasing amount of information available about hip impingement and labral tears, but keep in mind that not all labral tears are symptomatic! Up to 70% of the population may have an underlying labral tear that isn’t causing them pain, and doesn’t require advanced intervention.
If you are someone who does experience hip pain from hip impingement, the first line of treatment is physical therapy. Treatment for this condition is NOT a one size fits all situation! Not every exercise or stretch that you find online is actually helpful for patients with true bony impingement, and many could actually make those symptoms worse. To ensure safe exercise and activity, we recommend an evaluation with a skilled rehab provider to identify your deficits including joint motion, joint mobility, and regional weakness. Our goal is to help you move without pain, and our bias is to help you avoid other interventions or injuries down the line!
Drawing of the pelvis.
If physical therapy does not work for you, additional interventions could include corticosteroid injections for temporary relief of pain or inflammation. In more severe cases of symptomatic hip impingement, surgery could be recommended to reshape the affected hip structures and alleviate symptoms.
Early diagnosis and individualized management of impingement can decrease symptoms and prevent future joint damage. If you experience hip pain or limited mobility, give Summus Rehabilitation a call to schedule a thorough evaluation and personalized treatment plan! By addressing hip impingement proactively, we can prevent damage to the hip and keep it from worsening. Our ultimate goal is to improve your quality of life and help you continue to engage in the activities you love!
Written by Lara Baum PT, DPT and Board Certified Orthopedic Clinical Specialist