Hip impingement syndrome (femoroacetabular impingement or FAI) is caused by unwanted contact between the outer edge of the ball and socket parts of the hip joint, which results in damage to the joint cartilage and a decreased range of hip movement.
This condition is usually caused by excessive bony growth at the front of the femoral bone (‘bump’) that rubs on the front edge of the socket damaging the labrum and joint cartilage, even during normal range of motion. This is thought to cause premature arthritis in the hip joint.
The patient typically experiences a sharp pain during deep hip flexion/bending and twisting movements.
Treatment for Hip Impingement Syndrome
Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence. Treatment may comprise:
- Joint mobilisation
- Exercise programs to stretch, self treat and improve proprioception, balance and strength
- Joint manipulation
- Spinal and pelvic realignment
- Deep tissue massage/myofascial release
- Dry needling /acupuncture
- Orthotic/insole advice
- Clinical Pilates
- Biomechanical assessment
- Activity modification advice
- Ice or heat treatment
- Surgical advice