Self Help

Hip Impingement

Hip Impingement

Hip Pain
Self Help Guides | Hip Conditions | Hip Impingement

Pathophysiology

Femoroacetabular Impingement Syndrome (FAI) is caused by abnormalities of the femur (ball) or acetabulum (socket). There are two types depending on which area is affected: Cam (Femoral head is not round) and Pincer (socket has increased coverage of the ball) or both may be present which is then termed a mixed deformity. More common in sports where the hip is flexed and internally rotated e.g. hockey, tennis, football and horse riding.

Symptoms

  • Gradual onset of a deep aching in the groin
  • Pain gradually worsens after activity
  • Pain with end of range movements into flexion and internal rotation

Management

  • Activity modification
  • Ice or heat
  • Pain relief
  • Physiotherapy including a graded strengthening programme

Investigations

  • X-ray should show any bony deformity of the Femur or Acetabulum
  • MRI can be useful if symptoms are not improving with conservative measures beyond 3-6 months

Exercises to try

Hip Impingement

Hip Pain
Allied Health Professionals Physiotherapist working with a patient

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