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Hip impingement or femoroacetabular impingement (FAI) occurs when there is abnormal contact between the femur and the pelvis during movement in the hip joint. This can cause excruciating pain and limited range of motion and is not only seen in athletes but also in people of all age groups.
In an interview with HT Lifestyle, Dr Ashish Arbat, orthopaedic and joint replacement surgeon at Jehangir Multispeciality Hospitals, Pune, explained, “This condition develops gradually and can become severe as time goes by. This condition will affect the quality of life of the individual and hamper his/her ability to carry out daily activities with ease. It can cause a lot of distress to the individual suffering from this condition.”
He elaborates, “Several lifestyle factors also contribute to the condition. For example, repetitive movements common in sports such as football can increase wear on the joint cartilage, while sedentary habits can weaken the supporting muscles around the hip, increasing vulnerability. This condition is also believed to be one of the causes of early osteoarthritis of the hip, especially in people under the age of 45.”
Reason for:
Hip impingement can make a person uncomfortable by affecting mobility. Dr. Ashish Arbat explained, “This condition is seen due to anatomical variations that include irregular shape of the femoral head or acetabulum, which leads to abnormal contact between the hip joint surfaces during movement. Genetics, high-impact sports that cause repeated hip flexion and rotation lead to this condition. In addition, biomechanical imbalances in muscle strength and flexibility can put excessive stress on the hip joint leading to structural problems and causing this condition.”
symptoms:
Dr. Ashish Arbat said, “Its symptoms are a clicking or popping sensation during movement, especially when performing activities like sitting or sitting cross-legged, discomfort while performing any movement, hip pain while walking, stiffness in the hip and groin, lower back pain and inability to flex the hip. A doctor should be consulted if these symptoms are experienced.”
Diagnosis:
According to Dr. Ashish Arbat, the surgeon will take your medical history and perform a physical examination. You will be asked to undergo an X-ray, MRI or CT scan to check the detailed structure of the hip joint. Treatment will be simulated once the diagnosis is confirmed.
treatment:
The management of this condition is done by adopting a multidisciplinary approach to address both the symptoms and the underlying biomechanical issues that cause discomfort to the patient. Dr. Ashish Arbat explained, “The patient is prescribed medication and rest. Physical therapy is important and customized for the patient to improve flexibility, strength and range of motion in the hip joint. Severe cases may require arthroscopy which relieves pain and enhances mobility and overall quality of life. During this surgery, the surgeon manages structural issues, such as bone spurs or labral tears, with remarkable precision. This minimally invasive surgery leads to less postoperative discomfort and faster recovery time compared to traditional open surgery, making it an attractive option for those who want to return to their daily routine without any further discomfort.”
He concluded, “By identifying and correcting deformities before they cause severe arthritis or long-term damage, surgeons can preserve the patient’s joint function. This surgery is safe and involves minimal blood loss, low risk of complications, no trauma to the joint, and is performed on an out-patient basis. This surgery can help delay or avoid hip replacement and the person will be able to improve their quality of life.”
Disclaimer: This article is for informational purposes only and is not a substitute for professional medical advice. Always seek the advice of your doctor for any questions about any medical condition.
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