{"id":2445,"date":"2020-04-25T11:52:00","date_gmt":"2020-04-25T10:52:00","guid":{"rendered":"https:\/\/movementandwellbeingclinic.co.uk\/?p=2445"},"modified":"2020-07-13T13:21:42","modified_gmt":"2020-07-13T12:21:42","slug":"femoral-acetabular-impingement","status":"publish","type":"post","link":"https:\/\/movementandwellbeingclinic.co.uk\/femoral-acetabular-impingement\/","title":{"rendered":"FAI – Femoral Acetabular Impingement"},"content":{"rendered":"\n

Engaging in sport is fun, healthy and challenging but it can produce injuries. A lot of recreational sporting injuries don\u2019t require a lot of time out and will heal quickly; Femoral Acetabular Impingement (FAI) syndrome typically isn\u2019t one of them.<\/p>\n\n\n\n

\"FAI<\/figure>\n\n\n\n

FAI, a problem concerning the leg bone (femur) and the acetabulum (the socket in the pelvis) is a commonly under diagnosed hip issue. It should be the first thing on the osteopath\u2019s mind when a sporty young patient comes in cupping the the outside of the hip and possibly groin & thigh areas where the pain is. It is typically gradual, activity related pain. The patient will say that it\u2019s worse for pivot type movements, such as turning and cutting in sport, or getting out of a car. FAI is caused by repeated traumatic hip movements during adolescence, which is why it is usually found in young people that engage in sport.\u00a0<\/p>\n\n\n\n

It is an interesting ailment, because although conservative therapy can\u2019t reduce the bony malformation. It can help to reduce the impact between the femur and acetabulum, therefore osteopathy should always be tried before surgery. <\/p>\n\n\n\n

What is also interesting about FAI is that just because a scan shows it, you may not have it. The pain reproduced during sporting activities will be the same as that experienced at the osteopath\u2019s clinic during examination. <\/p>\n\n\n\n

\"A<\/figure>\n\n\n\n

What are the three types of FAI?<\/h3>\n\n\n\n

CAM type<\/em> \u2013 Highly provoked through sport participation and the most common type of hip impingement. The head of the femur is more inclined to catch the rim of the hip socket. This causes a natural reaction to such a stimulus called ossification (bone growth) <\/p>\n\n\n\n

This is more common in young sporty men and accounts for around 47% of all FAI.<\/p>\n\n\n\n

\"A<\/figure>\n\n\n\n

Pincer type<\/em> \u2013 mainly based on an X-ray. What is looked for is acetabulum (the socket of the hip joint) tearing due to a deep or sloped socket, which predisposes FAI. This is more common in middle aged women.<\/p>\n\n\n\n

Pincer type occurs in about 8% of all FAI. There are actually two types of pincer:<\/strong><\/p>\n\n\n\n