When is FAI surgery needed?

When is surgery needed for hip impingement?

If hip impingement syndrome causes significant pain and symptoms don’t improve with nonsurgical treatment or therapeutic injections, our orthopedic surgeons may recommend surgery. They can reshape the bones in the hip joint, so that the round femoral head can rotate smoothly within the socket-shaped acetabulum.

What happens if you don’t fix a hip impingement?

Osteoarthritis can trigger hip pain, tenderness, stiffness and loss of flexibility. If nothing is done to correct severe hip impingement, these conditions likely will continue to worsen. As they do, hip discomfort, pain and other symptoms increase.

Can FAI be fixed without surgery?

Although studies of conservative treatment clinical outcomes for FAI are scarce, some authors have reported good results. We have observed that some patients with FAI do well without surgical treatment, but the role of surgery in FAI is unclear.

How common is FAI surgery?

FAI is frequently seen in athletes. One recent systematic review of North American patients undergoing surgery for FAI found that the average age at surgery was 28 years and there was a mild female preponderance FAI at 55% of patients (9).

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Does FAI lead to hip replacement?

FAI is considered a possible risk factor for hip-joint arthritis. Having FAI increases the chance that you will ultimately need to have a total hip replacement surgery, particularly if you have a cam lesion—a bone spur on the ball of the ball-and-socket hip joint.

Why does FAI surgery fail?

ADHESIONS. Intra-articular hip adhesions are a significant source of failure and pain following arthroscopic surgery for FAI. Most adhesions occur at the site of neck osteochondroplasty or between site of labral repair and the capsule where there is good vascularity (Fig. 5) [30].

What happens if FAI goes untreated?

If left untreated, FAI can tear the cartilage in the acetabulum (a labral tear).

How bad can hip impingement get?

Over time, hip impingement symptoms can get worse. The labrum or the protective cartilage can incur damage, which can lead to arthritis. For this reason, hip impingement is considered a pre-arthritic condition as it accelerates the breakdown of cartilage, which is a hallmark feature of arthritis.

Can you run with FAI?

Full recovery can take up to one year per hip and the patient may typically return to running 3-4 months after surgery. Dr Bajwa states due to the lack of injuries or strains, some people feel they can train better after surgery. However, significant cartilage damage may delay a return to running.

Can I squat with FAI?

The movements that will aggravate FAI pain are deep hip flexion, adduction (crossing the leg over the midline), and internal rotation. Functionally, this means that you should stay out of deep (end of range) squatting positions. This doesn’t mean that you can’t squat, just stay out of full depth positions.

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Is walking bad for FAI?

Hip Flexor Stretch

Hip impingements often affect the hip flexors, which are the muscles responsible for standing and walking. Any impingement can cause significant tenderness and weakness in these muscles, limiting your ability to walk.