Managing Hip Impingement with Chiropractic

What you need to know

FAQ about Hip impingement

Common Questions and Answers with Hip Impingement

01

How do you diagnose Hip Impingement

Performing hip flexion, adduction, and internal rotation (FADIR) in the supine patient is another common clinical procedure used to diagnose FAIS

Loss of internal rotation ROM unilaterally suggests FAIS.

03

What are the signs of Hip Impingement

Patients with FAI routinely demonstrate decreased ROM in flexion, abduction, and internal rotation. Interestingly, when the hip is flexed to 90°, the loss of internal rotation becomes profound

02

What are the two types of Hip Impingement

Cam lesions are the result of the non-spherical shape of the femoral head, often referred to as a “pistol-grip” deformity, which causes abrasions to the acetabular cartilage and subsequent avulsion from the labrum and subchondral bone

Pincer lesions, on the other hand, are the result of excessive coverage of the femoral head-neck junction by the acetabular rim and can lead to labral tearing

04

What are the Treatments of Hip Impingement

Chiropractic Therapy

Massage Therapy

Rest

Ice

Activity Modifications

FAQ about Hip impingement

Common Questions and Answers with Hip Impingement

5

Associated Conditions

Athletic Pubalgia- Groin Pain (pain in your adductors potentially from the rectus abdominis muscle or internal oblique muscle

Iliopsoas Impingement

Internal snapping hip syndrome, this leading to a decrease in range of motion in external rotation and abduction.

7

Will I need surgery for hip impingement

Hip arthroscopy appears to be an efficacious treatment for hip and/or groin pain, caused by pathologies such as FAI or labral tears, in elite athletes in the shorter term

6

How Common is Hip Inpingement

In athletes with hip pain, nearly 90% had radiographic signs of hip impingement

04

What are some tests the Chiropractor will do to diagnose hip impingement

1.Flexion, adduction, internal- rotation test

2.Supine log-roll test

3.Drehmann sign

4.C-palpation sign

5.Dynamic internal-rotatory impingement test

6. Hip Scouring

What is Hip Impingement

Femoral Acetabular Impingement

Known as Femoroacetabular impingement , it is a gradual onset problem withouth a specific injury. It is more common in those who require to do hyperflexion and a wide range of motion at the hip joint . Common Symptoms are clicking, catching, locking, restricting and stiffening of the hip with movement

Who Gets Hip Impingement ?

Lets discuss

Femoroacetabular impingement (FAI) is the most common cause of hip pain in both professional and recre- ational athletes Athletes typically become symp- tomatic after reaching skeletal maturity and common- ly describe deep groin pain that worsens with activities such as squatting, cutting, or pivoting motions For this reason, sports such as hockey, football, and soccer can be particularly irritating to an athlete with FAI. The development of symptoms in FAI results from abnormal contact between the proximal femur (head, neck and head-neck junction) and the acetabular rim, which causes labrum and cartilage tears. It is classified as either the cam or pincer type on the basis of the underlying anatomic deformity. Patients complain of groin pain that occurs during athletic activities or prolonged sitting. Episodes of locking may occur, mainly related to unstable labral tears.

How to Prevent Hip Impingment

Things to Avoid

Activities such as deep flexion, positions that provoke symptoms, squats and heavyweight strength training should be avoided.

Return To Play Advice with hip Impingement

When will you play sport again ?

9/10 Players return to sport

8/10 Players will be able to play at full capacity

The time from diagnosis to return to sports ranges from 3 to 6 months depending on Surgery VS non-surgery.