Femoroacetabular Impingement Syndrome FAI hip impingement treatment for pain relief

Femoroacetabular Impingement Syndrome FAI hip impingement treatment for pain relief

In this video I'm going to share with you the hip impengment, Femoroacetabular Impingement Syndrome cause, sign and symptoms, examination and diagnosis and also management of this condition.

In addition, I'm going to share with you a rehab exercise routine for pain relief and strengthening your hip and improving the neuromuscular function of the deep hip muscle such as adductors, glutes and hip flexor in different plane of movement.

What is FAI hip impingement
FAI or Femoroacetabular Impingement Syndrome is a condition in which the hip joint has been altered, either genetically, or more commonly through physical stresses like sports activities. 

What is FAI sign and symptoms
When someone is diagnosed with FAI, they will present with a CAM Impingement (thickening on the femoral neck), a PINCER impingement (deepening of the hip socket), or a combination of both CAM and PINCER IN CONJUNCTION with pain, swelling and restricted range of movement in the hip joint.

The primary symptoms reported with this condition are:

Moderate to marked hip or groin pain related to certain movements or positions
Pain reported in the thigh, back or buttock
Stiffness and Restricted hip range of motion
Clicking and/or catching
Locking or giving way
Decreased ability to perform activities of daily living and sports.

Diagnosis of FAI with Xray or MRI
AP x-rays of the pelvis and lateral x-rays of the femoral neck are recommended initially for suspected FAI syndrome. These views can provide general information relating to the hips, as well as specific information related to cam or pincer morphologies or other potential sources of the patient's pain.

If further assessment is required (e.g. for better appreciation of 3D morphology of the hip or for associated cartilage and labral lesions), cross-sectional imaging (CT or MR arthrogram) is recommended.

Diagnosis test FADIR Test
Various pain-provocation hip impingement tests are used clinically. The most commonly used test is flexion adduction internal rotation (FADIR), but it is not specific.

Conservative Management

Casartelli et al suggest that improving the neuromuscular function of the hip should be a goal of conservative protocols for FAI syndrome due to weakness of deep hip musculature and an expected subsequent reduction in dynamic stability of the hip joint.

Hip-specific and functional lower limb strengthening: deep hip external rotators, abductors and flexors in the transverse, frontal and sagittal planes for improvement of dynamic stability and Core stability.

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Tags:

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