Femoroacetabular impingement (FAI), commonly referred to as “Hip Impingement” occurs when there is increased bony friction in the hip joint due to bony irregularities causing pain and decreased motion. The femoral head and acetabulum rub against each other creating cartilage damage and pain to the hip joint. The damage can occur to the articular cartilage (the smooth white surface of the ball or socket) or the labral tissue (the lining of the edge of the socket) during normal movement of the hip. The labral tissue or articular cartilage can fray or tear after repeated friction. Over time, more cartilage and labrum is lost due to repetitive damage until eventually the femur bone and acetabulum bone impact on one another. Bone on bone friction is commonly referred to as osteoarthritis.
FAI impingement generally occurs as two forms – cam and pincer, or a combination of both:
Most FAI diagnoses are a combination of both CAM and Pincer abnormalities
Symptoms of femoroacetabular impingement can include:
A risk factor is something that is likely to increase a person’s chance of developing a disease or condition. Risk factors for developing femoroacetabular impingement may include the following:
The hip should be evaluated by an Orthopedic hip surgeon for proper diagnosis and treatment. Clinical evaluation should include:
Conservative treatment options refer to non-surgical management to address the problem. Nonsurgical management of FAI will probably not change the underlying abnormal anatomy and biomechanics of the hip, however, it may offer pain relief and improve mobility and activity levels.
Conservative treatment measures include:
Hip arthroscopy to repair/correct femoroacetabular impingement is indicated when conservative measures fail to provide relief to the patient. Hip arthroscopy, also referred to as minimally invasive surgery, is performed through very small incisions to evaluate and treat a variety of hip conditions
Dr. Gupta to give a lecture series at Georgetown yoga "Healthy Movements Workshop" focused specifically on hip, knee, and shoulder injury prevention and those patients with existing injuries in April and May.
Dr. Gupta is now "board certified" in Orthopedic Surgery.
Dr. Gupta to present Orthopedic Lecture Series with Sentara Northern Virginia Medical Center titled "Don't Let Hip Pain Slow You Down: Understanding Your Options", September 7th, 2016 at Hilton Garden Inn Woodbridge at 6pm.
Dr. Gupta to present third part of his lecture series on "Master Mobility" at Spark Yoga. His next lecture with be on "Mastering Mobility Of Your Knees" on September 18th at The Shops at Pershing, 2201 N Pershing Dr, Arlington, VA 22201