Do FAI bone shapes cause the pain of hip impingement and arthritis?

FAI research: do the shapes of bones actually cause hip pain associated with hip impingement? If it's not the bones, what else could it be?

----

ABOUT THIS VIDEO

This video reviews 5 FAI studies that show that the shape of bones are not at all related to the pain or movement problems associated with the "FAI" theory.

For more relevant hip impingement articles:

Movement Improvement Consulting, Orthopedic Massage and Posture, Alignment, and Coordination Training in Redwood City (San Francisco Bay Area)

----

[TheMoofy]

you are telling me just what I need to hear right now! thank you!

[nunitoism]

I think one of the points you are missing, or at least not addressing, OP, is that very little people who DON'T have FAI report pain or relief.

It is logical to say that not ALL people who have FAI report pain, because as many pointed out, lots of people don't strain their joints as much as active sportsmen.

But, without having looked at the studies closely, it seems to me that most people who DO report pain, HAVE FAI. Which means, that FAI can be a factor in leading to pain.

I believe this point needs to be clearly stated for all to understand.

[jeffpaull]

It seems there is pretty clear evidence that a FAI alone does not cause joint pain, But I think what is missing here is that FAI can still be the cause of joint pain in tandem with another cause. This is called an interaction. FAI may work alongside another environmental variable to cause pain. For example. Someone who has FAI and is sedentary may be asymptomatic. However someone who is active with FAI may experience pain. So what is causing pain, not the FAI alone, not the activity alone, but the interaction of the two.

The implication i am trying to get at is, it could still mean that correcting FAI surgically may be the only option for some depending on the interacting variables.

I am still trying to get answers to this question, but it seems to me the key is knowing what the environmental factor is. If you have pain, and FAI, and you are sedentary or an occasional athlete, maybe you have just tightened up into one big frayed knot and need to rehab.

However, If you have pain, and FAI, and you are active, maybe you smashed that femur head into the labrum one too many times or experienced trauma and now have a tear. I'm not sure how I could imagine how addressing mobility alone will solve this issue. I could see how it could improve mobilty, and prevent worsening, but I don't see how it can completely remove the pain.

Addressing mobility at the outset would have helped to prevent a tear maybe, but now you might be screwed cause you have a tear.

I will keep an open mind. I would love to hear feedback on this comment. I am trying to avoid surgery as best I can.

Good luck to everyone!

[basselkharsa]

Hey man, I have injured an area in my inner left thigh squatting wide like 2 years ago. The body is truly smart and therefore, it shut down the muscles that externally rotate the femur. I can manipulate it sometimes, get it to click, and BAM everything feels smooth. This doesn't happen often though and I seem to be always stuck in this painful position. What do you think I should do?

[jgarb]

My Femoral head on my left side has no Growth or "Cam" and I have never had pain. My Femoral Head on my right side has a bone spur and I have pain. For me it seems related. I have been "dealing" with the pain for about 6-years. I am now looking to surgery to shave the Spur and fix any Labral tear. But you say I just need more PT on hip. Which I have done for many years now without any success.

[AndrewKerr]

Well it's obvious you won't necessarily have pain if you have impingement.. if you are training everyday in a sport which takes mobility to extremes then you are way more likely to experience pain than someone who is not as active and doesn't perform movements which require high mobility