Training for
events like the Barber Beast can expose problems in the hip earlier than they
would appear in someone who is less active. Hip pain in the athletically active
person can indicate several different conditions, however one such condition
known as Femoroacetabular Impingement (FAI), has received significant attention
in recent times. It is characterized by abnormal contact between the top of the
femur and the acetabulum (hip socket). A combination of certain factors may
predispose some people to FAI, predominantly, a developmental hip abnormality
together with environmental factors such as activities involving recurrent
motion of the legs. It is regarded as a cause of premature hip osteoarthritis
in young and middle aged adults, and is usually associated with a tear in the
labrum (cartilage lining the socket).
Symptoms of
FAI are usually felt in the groin, but can also present as back pain or buttock
pain. Typically, limited range of motion during a physical examination will
lead to further testing including x-rays, MRI, or CT scan.
Three types
of FAI are recognized. They are: cam deformity, pincer deformity and a
combination of both.
Cam Deformity: an excess of bone along the upper
surface of the femoral head.
<---- normal hip
<----- cam deformity with excess bone
Pincer Deformity: an excess of growth of the upper lip
of the acetabular cup (hip socket)
Combination: an excess of bone growth at the head
of the femur and around the acetabulum.
Conservative
treatment of FAI includes: reducing levels of physical activity,
anti-inflammatory medication and physical therapy. Physical therapy is used to improve the
movement of the joint to reduce the abnormal stresses created by the impingement. Joint mobilization can be used to improve the
elasticity of the capsule, thus, improving the mechanics of the ball and socket
joint and reducing stress caused by impingement.
<----- example of a joint mobilization technique
- Jason Dudzic, PT, MSPT, OCS, Cert. MDT
Board Certified Orthopaedic Physical Therapist
Saint Vincent Rehab Solutions
814.452.5231
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