Femoroacetabular Impingement – Treatment With Action Sports Clinic

Action Sports Clinic – Femoroacetabular Impingement (FAI)

What is Femoroacetabular Impingement?

When the two surfaces of the hip joint move over each other, they usually move freely without any friction. If there is an alteration to either the socket part of the joint (the acetabulum) or the ball (the head of the femur), irritation may occur as the two surfaces move over each other. This is known as Femoroacetabular Impingement, a common disorder of the hip, characterized by pain and stiffness.

Femoroacetabular Impingement can be classified as cam, pincer or mixed. A cam FAI occurs when the femoral head junction is flattened or a small bump is present. Pincer type of impingement occurs when the acetabular rim extends slightly, causing the femur to be impacted. Cam impingement is more common in men while pincer impingement is more common in women. However, most cases of FAI (about 85%) are mixed, meaning they both have cam and pincer types of impingement.

What are the symptoms of Femoroacetabular Impingement?

Femoroacetabular Impingement - patient

The most common symptom of FAI is pain located in the hip or groin when resting in certain positions of with specific movements. Some patients also report pain in the back, buttock or thigh. Other symptoms include stiffness, loss of movement range (particularly of the hip), locking, clicking or a feeling that the hip is about to give way.

Activities that cause the incongruous surfaces to move over each other repeatedly are naturally the main culprits for causing symptoms. These can include prolonged sitting, twisting, sitting with crossed legs, squatting and climbing stairs can all aggravate the pain caused by femoroacetabular impingement.

What are the causes of Femoroacetabular Impingement?

There are many factors that may cause an individual to develop Femoroacetabular Impingement including;

 Hip dysplasia or malformation during infancy/childhood
 Repetitive stress on the hip
 A femoral neck fracture that did not heal properly (malunion)
 Small bony growths around the joint called osteophytes.
 Normal anatomical variation

How can physiotherapy help with Femoroacetabular Impingement?Hip-Flexor-Stretch

Femoroacetabular impingement is a complex condition and researchers are still determining the best possible treatment. It is thought that untreated FAI can lead to osteoarthritis of the hip down the track and there are both surgical and non-surgical options for treatment.

Conservative (non- surgical) management for FAI involves core stability training, strengthening exercises for the lower limb specifically the hip and postural balance exercises. This program aims to improve the hip’s neuromuscular function. A hydrotherapy program can also helpful as it reduces weight through the joint, making movements more comfortable.

Lastly, a home exercise program is made for patients, so they can continue treatment at home. For many people, physiotherapy is enough to resolve their symptoms and prevent future problems, however other may require surgery.

With surgery, hip arthroscopy is the most common procedure for this disorder and is used to change the shape of the joint slightly so that there are no points of irritation with movement. After surgery, patients are usually referred to physiotherapy for rehabilitation.

Disclaimer

None of the information in this article is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury.

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PATIENT FEEDBACK

4.5 ⭐⭐⭐⭐⭐

Based on 36 Reviews

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Billy Wu ⭐⭐⭐⭐⭐

Awesome physiotherapists. Have my long-term health in mind when offering treatment plans. Very patient in explaining my issues. Great support staff, responsive to schedule changes and inquiries.

Jen Scheerschmidt ⭐⭐⭐⭐⭐

Initial Assessment went well. Office was busy but staff were attentive and on the ball. Dr. Rennick was gentle and adjusted my back well. I will be back for another appointment.

Morgan Tarves ⭐⭐⭐⭐⭐

I attend Action Sports Clinic to see my physiotherapist - Darra. Darra is very knowledgeable, attentive, and truly knows his sports medicine. I would highly recommend Darra to anyone who has a sports injury or is in need of physiotherapy. The front desk staff are very friendly and helpful, and are able to answer all of my questions.

David Langille ⭐⭐⭐⭐⭐

I've been seeing Shawn and the Action team since 2012 for my sports therapy needs and I'm better for it! Treatment and pro-tips (including video feedback on movement coaching) from someone who is client focused and active makes all the difference.

Cameron Belisle-O’Donnell ⭐⭐⭐⭐⭐

I've had an excellent experience having some physio work done on my shoulder. Shawn and his team are experts at what they do. They're friendly, punctual, and down to earth. I would highly recommend them!

Ashley Gibbs ⭐⭐⭐⭐⭐
Shawn is the best physio I have ever been to, and I continue to go back to him to get me over my many injuries so that I can get back playing. I like Shawn because he knows I'm not going to stop playing my sports, and he takes a practical approach to getting me back playing as quickly as possible. Shawn has a broad background to bring to the table in terms of treatment options, and his experience at recognizing injuries, human physiology, body mechanics, and the symptoms, treatment, future prevention and rehabilitation is second to none. For me personally, I like that Shawn understands I need an "aggressive" approach to the treatment required to overcome my injuries - this is refreshing because other physios I have attended previously I always felt were treating my injuries and pain threshold with kid gloves which resulted in lengthy absences from playing my sports. I like that Shawn is hyper focused on getting me back playing as soon as possible, and even recognizes I may play when I'm not supposed to. He just rolls with it! Love it.

Frequently Asked Questions

What services do you offer?

We specialize in the practice of Sports Medicine and provide services related to Sports Therapy, Chiropractic Care, Physical Therapy, Massage as well as off the shelf and custom Prosthetics & Orthotics.

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Do I need a referral from my physician?

No, a referral is not required to schedule an appointment.

Do you provide custom brace solutions?

Yes, Dr. Rennick is qualified by the world’s top orthoepedic brands to develop custom bracing solutions for many conditions.

What Brands does Action Sports Clinic Carry?

We carry brands from the worlds top manufacturers including Donjoy, Össur, CTi, Bauerfeind, Thuasne and more.

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639 5 Avenue Southwest Suite 130
Calgary, Alberta T2P 0M9

Action Sports Clinic