Your hips are the biggest of all the joints in your body. For this reason, they have a wide range of functions that allow us to move. When a condition or injury damages the joint, movement becomes more difficult. Extra bone growth can cause femoroacetabular impingement. In these cases, the joint no longer fits together properly. As a result, bones start rubbing against each other or pinch other tissue in the joint.
There are conservative and surgical treatments for femoroacetabular impingement. Depending on the severity of your case, Dr. Vigdorchik will recommend a course of treatment. Your treatment may include physical therapy or a surgical procedure like hip arthroscopy.
Understanding Femoroacetabular Impingement
Your hip joint is made of two bones: the pelvis and femur, which is your thigh bone. This is a ball-and-socket joint, so it depends on smooth movement to function properly.
Femoroacetabular impingement occurs when the bone is no longer smooth. This prevents natural movement. Instead, affected joints will pinch tissue or develop direct contact between bones. This is why this condition is also associated with damage to the cartilage and arthritis.
Your hip offers six major movements, all of which can be affected by this condition:
- medial rotation
- lateral rotation
Patients with femoroacetabular impingements may start to notice discomfort. With this condition, patients may notice a pinching, locking, clicking, or aching sensation.
Types of Femoroacetabular Impingement
There are three main types of femoroacetabular impingement. Symptoms for each variety of this condition can present differently. That is why patients must schedule a consultation with a specialized hip surgeon.
The three types of femoroacetabular impingement are:
- Pincher: when the bone growth stems from the acetabulum, or the socket of the hip joint. This type of impingement tends to damage the labrum.
- Cam: when abnormal bone growth develops on the femoral head. This type of impingement tends to wear away at the cartilage inside of the joint.
- Combined: when there is abnormal bone growth on the acetabulum and femoral head.
Common Symptoms of Femoroacetabular Impingement
In some cases of femoroacetabular impingement, patients may not notice any symptoms. This is why some patients have an impingement for years before they seek treatment. Many patients commonly report the following symptoms:
- Pain after prolonged sitting or walking
- Locking or clicking
- Lower back pain
- Pain at the sacroiliac joint
Make sure that you’re listening to your body. If you are noticing new discomfort, schedule a consultation to check on the health of your hip joint.
Diagnosing Femoroacetabular Impingement
To diagnose a femoroacetabular impingement, Dr. Vigdorchik will examine your joint. He will also review and discuss your history.
Femoroacetabular impingement often comes with pain and a reduced range of motions. It may present the same as other conditions, though. There are several tests that can confirm your diagnosis.
An impingement test involves Dr. Vigdorchik testing the range of motion of the joint. He will rotate your leg to manipulate the hip joint. You may also need imaging testing to determine the type of your impingement.
Femoroacetabular Impingement Treatment Options
Having femoroacetabular impingement doesn’t mean that you will need surgery. It’s important to seek a professional diagnosis to get the right treatment as soon as possible.
After diagnosing your impingement, Dr. Vigdorchik will recommend a course of treatment. Your individual treatment plan may include conservative or surgical options.
Femoroacetabular impingement may react well to conservative treatments. Rest and avoiding certain activities could help reduce the discomfort from an impingement. Some patients may also take anti-inflammatory medications. In some cases, Dr. Vigdorchik may even recommend physical therapy. Rehabilitation can help you regain or maintain your strength and range of motion.
If conservative treatments have not helped, Dr. Vigdorchik may recommend hip arthroscopy. During this advanced procedure, Dr. Vigdorchik will get a clear view of the joint. He can then trim and smooth the affected areas to improve the motion of the joint. This minimally-invasive approach will reshape the bony surface and address the impingement.
Are you experiencing pain and discomfort from a previous hip injury?
NYC Hip surgeon Dr. Vigdorchik is here to help you with your hip pain. Dr. Vigdorchik is deeply involved in surgeon education. He frequently hosts visiting surgeons from around the world to learn his techniques and is a part of the teaching faculty of Weill Cornell Medical School. He is invited to give lectures and Grand Rounds at prestigious institutions around the world as well as national and international conferences. With a non-operative priority, state-of-the-art surgical techniques and a track record of positive outcomes, you can trust Dr. Jonathan Vigdorchik to provide you with an accurate diagnosis and positive outcome for you.
Schedule an appointment – (646) 350-4499
If your Femoroacetabular Impingement is accompanied by any of the symptoms below, please call New York City’s innovative hip surgeon Dr. Vigdorchik immediately and have someone drive you to our office.
- Chronic pain or swelling in and around the hip joint, groin, and buttocks
- Clicks or pops when moving the hip joint
- Grating sensations accompanying joint movements
- Difficulty walking, stiffness in the hip or limited range of motion
- Feeling unsteady on your feet