Hip Impingement? Causes, Treatment, & Test for Femoral Acetabular Syndrome
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- Опубликовано: 26 мар 2017
- Do you really have hip impingement (femoral acetabular syndrome) or is it hip flexor tendonitis (rectus femoris tendonitis)? We talk about the causes and treatment of hip impingement- as well as hip flexor tendonitis. We also show you a test for both.
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Real life Burt n Ernie. Love these two
lol fr
Omg they so are 🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣
Looool
Hahahaha yes!!! They are great
These cats have been a huge help in figuring out hip and shoulder problems doctors were ignoring.
yeeeaahhh man these cats are jive. they feel the sweet groove baby yeah
@@jaffleyfifteen5912 They are cool for cats 🐱🐱😸😻😻
I always learn something new with these two men. I really trust and appreciate their work. I deal with chronic pain and their videos give me hope.
Love your anatomical explanations. Don't know my diagnosis--this is the most frustrating part of my pain. Thanks for shedding light on the possible causes!!!
Came for the video, stayed for the song at the beginning on repeat.
I'd like to take a moment to thank Napoleon Bone-apart for always helping you guys out with demonstrations.
This video helped me diagnose my rectus femoris problem instead of chasing hip impingement. Thank you!
This is an amazingly informative video!
thanks for your helpful tips and practices to help us live better.
I was diagnosed, after x ray, with hip impingement. My right hip actually locked in place and I couldn't even lift my leg for over a month. I played goalie in ice hockey for many years and at 51 it has caught up with me.
Me too 😩
Thank you!!! Was concerned I might have a hip impingement but thankfully(!!!) sounds more like it may be the hip flexor tendinitis you discussed (the flexor feels tense in hip area like in a guarding response...pain came out of nowhere as stood up after longtime sitting so would make sense)...what a relief!! Long time subscriber...you guys are terrific...thank you!
great Stuff here , very comprehensive and seems so sincere , thank you Subbed !
Thanks guys ...great info and well explained
Good video. Thank you. In this video you mentioned another video you did and you said you would link it below but it is not linked. I would like to watch that video!
Hello guys. Thanks for your great teaching you guys are awesome. I have Pain in the hip area that runs down the front of my leg to knee and then below to the ankle. I can not cross my right leg to a 90° angle only to a 45° because of tight muscles and a lot of pain. MRI and XRay are all good. The left side is good, cross my leg to a 90° with no pain. A note : im not a runner. 69 years young male. Thank you both again. God's Blessing you.
William L.
Thank you for these videos. I get sharp pain in my hip getting out of small cars and thought I needed a hip replacement.
You guys absolutely rock!!
youtube should have a send money button for the videos . this would cost me 2,000 with treatments and visits
What about clicking and pain and catching on external rotation/abduction
Very awesome information I'm feeling better already
Love these guys!
This video is incredibly helpful. I have Ehlers Danlos syndrome and Marfans (my parents have each but my twin came out with neither lol) and at 13 I was run over by a reckless driver going on the pavement and dislocated the hip after that I was diagnosed with EDS and told my hips were fine and shouldn’t hurt and now 13 years later it took for me taking up a medical sciences degree and radiology degree for me to look at my own images and self diagnose then bring it to them and now Wednesday I see the surgeon. I’m taking codeine, oxycodone and the lowest dose fentanyl patches for my joint pains but the drs somehow thought my hips wouldn’t help even though I blew life savings on physios, osteopaths, private care (we have free care in my country) but the private drs said I was lying and too young for my symptoms. I even saw Nick Cullen from the Stanmore foot and ankle surgeons page and he said my hips were causing my feet problems and so did 12 other doctors but my GP ignoring my concerns refused to do images they needed to treat me further and they’ve refused since 2016 despite more than 30 medical letters asking to 🙃
Thanks Brad!
Great video thanks!
Thank youuuuuu!!
I had mistaken my pain with hip impingement and I was very anxious.
Informative 👏
awesome video, i need one on physical therapy treatment for hip trochanteric bursitis urgengly , Regards
Thanks so much this help
This is the best explanation of FAI I’ve come across. I have been in pain that has progressively gotten worse for about six years now. I was finally diagnosed with FAI and labrum tears in both hips. This problem obviously can’t be stretched or exercised away, but prior to my current diagnosis physical therapy did provide some relief, especially since I started getting aches and pains in other places the longer the issue persisted.
Hopefully once I see the orthopedic surgeon I can have the issue corrected and physical therapy will have a more effective, lasting impact afterwards.
Did you go through the surgery. How are you feeling now?
What would you suggest to alleviate the pain if I have it on both sides of my hip and I don't like taking pills or painkillers? Already been diagnosed with FAI, just looking for ways to take care of it while I wait for my surgery
❤️ big words!!!
Brilliantly genius
Thanks!
Thank you for your support. Stay well!
Ty
For someone who has cam type FAI, what helps relieve the pain when it flares up? Have tried: ice, heat, and anti-inflammatory medication, which have not helped at all. Thanks!
Great video guys. Once again, timely. I just watched 4 videos including using that band to work out those injuries. Then I immediately came across your video 'Hip Impingement Causes Treatment and Test for FAS' (& this one) advising that you cannot fix bone growth, if the issue has advanced to this stage, but rather calm the area down and/or alleviate the associated tissue inflammation/injury. There is hope here for me yet, as I see your stretching techniques. Just one question: So far, no one has articulated the problem I have and that is that the leg feels really heavy and sore around the rectus femoris and through to the inner thigh (adductor). This results is pain to walk for several minutes, then it settles until I feel no pain and all. It comes and goes, switches on or off and lasts anything from one minute to half hour, sometimes preceded by a pain through the ITB area. What is going on here? I recommenced sprint training two months ago and on two occasions, thought I better not train, however, after training, the (left) leg felt amazing the next day, but relapses days later switching this pain on and off. I have started the friction massage and interestingly (intuitively actually) I was massaging this spot a couple of weeks ago, noting than it brings relief. I am taking celebrex (anti inflammatory) now for 11 days and doctor says keep going with that for a few more weeks. Any advice please ... Do I keep going, not train sprinting (except for rowing machine - cardio) and wait for a few more weeks, or just get an MRI? I am approaching mid fifties and when sprint training for 1500m (90% max), up to 400-800m timed runs, there is no better fulfillment as the freedom is great. I note also the pain is brought on by long periods of sitting down and/or long periods of standing up - never while warmed up and training. Sorry for the long post.
i was diagnosed with an impingement, but there’s not a lot of pain, just really irritated and uncomfortable clicking every time i take a step. i really hope i won’t need surgery
I hurt myself while squatting (I made the mistake of readjusting my hip while squatting) and I felt my thigh move/slide forward which caused hip pain and a pinch. I haven’t been able to get rid of the pain when squatting meaning I have to be careful not to slide forward with my hips (just gotta stay straight and go down, and that works without pain). I haven’t been able to find a cure, 10 years later I’m just learning what it could possibly be! The PT did say my hip is slanted slightly forward when laying down. And when I bend my (R) thigh I can feel the pinch. I will try strengthening my hips thank you for the exercises!
Hi... I showed this area (2=1/2") below my left hip bone and my tendon that lifts my leg is also painful. You will never guess what my doctor said to me. ???
It is probably scar tissue from the removal of my ovaries! Now I know how to approach and treat the area. I bought a Purewave and have used it for 3 nights and the improvement has been great. Thank you to the moon and back
Everytime I try to do a flutter/scissor kick abs work out I feel pain around my hip. It feels like two bones rubbing against each other. because of that I have to do it slow. Can you tell me what the problem is?
Pain is excruciating for me. I can't take Nsaids. Guess I live with it.
fantastic
Wow.. This is the best explanation I've seen. My legs look like they're aligned exactly like that skeleton in the beginning, where my knee kind of caves in. I've always walked like a duck lol. Got into powerlifting where I was squatting way below 90 degrees and my hips are now wrecked. I am only 25 :(. Constant stabbing, aching burning pain deep inside my hips and they sound like meat grinders when I move my legs. Great explanation though. Hope I can avoid surgery and walk without pain
Fitness sh1tness #guerillazenfitness has videos to correct that picture as well as hip stretching/ strengthening exercises.
Sir You are god to me
I was told about ten years ago I have hip impingement. Recently out of the blue, I began having upper thigh and groin pain. I couldn't even put pressure on one of my legs. Can that be a hip flexor problem too? Went to the chiropractor and it felt great after the adjustment, but the groin pain is slightly back again. Not sure if this is from the impingement or something else.
Play a drinking game.... Take a shot everytime Brad says the word "sure" hahahahaha you will be as legless as Nepolean the Skelton by then end.
"Napoleon Bone-a-part"
😂😂😂
That got me, too 🤣 #dadjokes
That's almost as bad as hip hip hooray!
I love you guys so much! I have a request. Can you talk about hip dysplasia. Most info are for dogs lol. I found out b4 I was 30. Im 33 now and don't want to wait until I'm "old" enough to have surgery. I also have bursitis. Physical therapy hurts it. I'm curious to see what stretches and tip you might offer
Hello guys. Love the videos. Any advice on what to do if you get the pain in your stomach when you pull the right knee in towards you?
You mentioned rectus femoris being involved...
Sounds to me like you have a problem with you psoas muscle.
These docs are amazing. Really love the explanations and how everything is placed in a life scene.
Now I do have a question my hip problem is more of ergonomics... I think.
Improper work desk ergonomics. Do you have a video on that. There are many out there but your field of study and the letters after your name beats what others say. Please advice.
ANSWER: Hip impingement can happen for a number of reasons. If left untreated, the pain and other symptoms it causes may get worseas damage to the hip joint increases. ... Generally though, treatment options range from managing symptoms with medication and physical therapy in milder cases to surgery in more severe cases.
What do you guys recommend for skateboarders? I'm 30yrs old and Ive always had a jamming/misaligned feeling in my left leg, sometimes I can get my hip to pop (sometimes series of pops) and feels better but lately feels jammed more and experiencing knee and heel pain. Also lower back hurts sometimes as well. What could I do to stay conditioned for skateboarding? Thanks for your help in advanced.
Would a "Thumper" (percussive) massager be more effective than your fingers for breaking down the scar tissue? It seems pretty aggressive and it's a lot easier on the fingers, so you can spend more time on the massaging.
Seriously though, what exercises can you do to reduce the chances of developing the hip flexor tendonitis? Mine comes up every now and then. Is it glute exercises?
What would you suggest for
Protrusão acetabular
Nice
I feel it inside the hip
Dr. Bob and Brad, is hip replacement surgery the answer to FAI after a couple years if cortisone shots and anti-inflammatories?
Just had an MRI show this plus labram and muscle small tear. I cannot lay my left leg completely down in bed or on the therapy table. It hurts when lifting my leg in and out of my suv. Also when I swing my left leg outward. Been going on for 3 months and on into the 4th.
Omg my right hip in all of those areas you mentioned! What should i do?
What do you do when the impingement pain is really bad and is all bone in both hips? How does a cane work for that issue?
Always shut off "auto focus", especially when shooting closeups. Notice that the backwall is in focus, while the skeleton is not in focus, and then the other way, back and forth. That's autofocus not working well. Use manual focus to keep focus on the actual subject you are shooting, either photographing and/or videography.
wow Thank you both so much. you have helped alot. See thts why i dont understand. why surgeon said hardly nothing. we gotta keep our bodies going. cause at times my other hip bothering me so been exercising it, but also i was using the wrong hand for my cane, ill try that tomorrow, i do rub right thru there. lol. you guys cant fix my broken heart? Thank you n God bless u both
lol every time i'm in pain i always end up hearing their jingle.
i get pain if i bend my hip over 80° flexion... what could be the reason for this and what exercises would you recommend?
my x ray says I have acetabular sclerosis, is that bad? Could it be injury related to exercise/bad posture? I had never had problems in my hip/leg I'm 35.
Why didn't you perform selective tissue tension test with the hip in extension placing the strain on the flexors in the lengthened position?
Can you have both?
Hi Guys. Does bad posture have a part to play in hip flexor tendonitis? Also, how long does it take to develop both of them & is it wear and tear or genetic?
When bringing the knee to the chest, and the knee is at one about 90 degrees is when the pinching sensation happens on the outside of the hip. That’s tendinitis? I’ve been struggling with hip pain for 10 months.
I had an MRI done on my left hip and it came back saying a small amount of joint fluid in the femoral acetabular joints bilaterally, can you please explain what this means?
did you find out what that meant
Hello Bob & Brad can you please help me ? Is there any ischiofemoral impingement exercises ?? please help me
I have impingement after a trip and fall, acetabulum post column fracture that wasn’t discovered till after it “healed” and I failed the return to work program. Now they’re calling it a acetabular post column deformity. There is limited range of motion, pain, pinching, balance is bad on that leg, etc. I’m 38, concerned and little confused. 🙁
i actually have all of them. Illiopsoas/hip flexors got fixed through a year of hard work on it, but my bone spurs will never go away and now my groin hurts everyday since 3 years. Most pain usually when i sit still/dont move, stand up, after bicycling (not during, surprisingly). Basically in pain all the time. Imagine getting stabbed in the groin all the time with blunt needles
@Cheryl Lucke Yea exactly! i dont really have the unlocking hip problem (although it does snap when i do large rotary movement). Looks like its gonna be surgery for labrum damage OR cutting away the impingement bone.. (followed by oven more therapy probably)
Thank you for sharing. You just described what I feel every single day for 2 years now. I hope you are doing well.
What if you feel the pinch for both tests (the bringing the leg straight to the chest and the bringing the leg, flexing and rotating)? Would it be rectus femoris or true impingement?
At the end when you guys were doing the exercises when you laid on your back and put your knee to your chest and then put your legs straight out in front of you while laying down if mine pops on my right side each time very loud where my hip is at what does that could be an indication of
What about IFI... the surgical ramifications are serious, compromising the psoas, but not taking action to correct the impingement destroys the muscle that is impinged upon. Help!
Is it common sign of hip impingment : Inhibited Gluteus max. and medius ?
After 12 years having done a total hip replacement , Iam having pains from the back down the hip up to the knee , please assist
I'm a 31 year old fit ex collegiate athlete. I'm not walking around with a fucking cane. You have anymore brilliant ideas Bob and Brad?
So I can use a cane if my hip is messed up after a X-ray. What do i do if both hips are messed up
What if you can't lift your leg up... I have to assist lifting my leg with my arms. Injured it last night.
Can training in a weights vest contribute to a hip inpingement?
Hey guys really enjoy your videos. I have a problem with hip pain, the pain is in the groin when walking, no pain while sitting, when I have to lift my leg from a sitting position like when getting into a car I have to lift my leg with my hands and put it in the car because it is really painful to lift. I also have lower back pain which my doctor says is lower lumbar arthritis. 76 year old male, other wise good health. help, help ,help.
Thank you guys, this video was very helpful. I am 24 from the UK. I started having pain in my hips a long time ago, went to the GP and he referred me to a physio. Unfortunately since health in the UK is free, I would have had to wait 6 months just to see a physio, let alone be diagnosed and have surgery. I've been living in China for 2 years now, went to the hospital a year ago, was diagnosed with hip impingement on both sides. Had surgery on one side, since you can't have it on both at the same time. The pain went away on that side, but I still can;t do extreme motions with it or do sports that I want to do safely. So I wasn't motivated to do surgery on the second hip till now, plus it's horrible having surgery, I hate hospitals and needles. Recently though the hip that wasn't operated on is giving me lots of pain. Would you suggest to operate on that one too or just do hip strengthening exercises and avoid sport?
wow very similar story here. i am 24, uk, left hip sports injury impingement. due for surgery in 6 months, are you now sorted in the hip you had the op on?
Pregnant, and went last pregnancy, went to PT for hip pain, and joint looseness. My hip keeps going out of joint. Recommendations?
This looks like it was filmed in 1996.
If you have been diagnosed with Hip Impingement does that still rule it out?
What do you mean when you say that pulling the knee to the chest "pinches"? I get a distinct feeling of stiffness/resistance like a jarring sensation that I don't feel in the other hip at all.
What if my hip constantly feels the need to pop and hurts
Great vid guys. I agree with what you said about a lot of people misdiagnosing this. To add to what you said I always figured if the psoas tendon/bursa gets swollen, inflammed or irritated it would be responsible for a large amount of these "femoroacetabular impingement" diagnoses. Maybe its just a psoas impingement in many cases
I've had popping and clicking in my hip evrrytime I move my leg, since I was a young teen. Now, in my late 30s, I have horrible hip pain. Will be talking to my physiotherapist about this. Seems I always have damage to only the right side.
Did you get a diagnosis or treatment for this yet?
I think I have this and has what has lead me to knee problems lately I noticed when I squatted my hips were pinched and felt really restricted as if they couldn’t go any further as much as I tried and ut forced my knees to come in more than I wanted leaving to a lot of force on my knees
Any chance ya'll could incorporate a Morton's toe, hip impingement, hallux limitus, weak ankle, flat foot, pulling sensation in knee, (all on the right side), with more advanced arthritis, (but not as much pain as other side),nmorton's toe, pain spreading to multiple finger knuckles and surrounding areas, numbing and sharp pains in both wrists/hands, (wearing guards for CTS at night and during work PRN), along with 4 bulging discs between L-1 and L-5? into one episode? Supposedly none of these issues (the discs and hips via MRI) are "significant". Perhaps, individually, none are. But having to live with all together and being forced to continue the physical labor day after day (after day after day.....), I can assure you, NOTHING is "insignificant" about the pain felt...from arising until unconsciousness. What does one tackle first? Will pilates (as recommended by a "top sports ortho surgeon"), help to cure most of these ailments? How can strengthening/increased mobility prevent the impingement from further tearing the labrum? For a background as reference; early 40's, female, city letter carrier (13+ years), 6 months of every year trudging through snow/over icy terrain, hills/snow plow piles, hundreds of stairs and 5+(+) miles 5 days per week, and carrying a satchel with an average of 5-20lbs. resting on left neck/shoulder, (but draped across upper body so opening is accessible on the right). Had chilectomy for Hallux limitus 15 months ago and arthroplasty on Hammertoe (on the little toe) on the same foot at that time. With pain failing to subside, had new xray done in Dec (13 months after surgery) and learned that cartiledge on 1/2 of joint is gone (now bone on bone...the greatest weight bearing part). The cartiledge was still there (as evidenced via xrays) at time of surgery. Now in custom orthotics, awaiting carbon plate insert (Next Monday). Will be having surgery to replace cartiledge in said toe if carbon plate doen't greatly improve pain in that area. Where did this all start? The Morton's toe? Am I just "lazy" or out of shape? I've been doing this job for 13+ years. Began experiencing intermitent pain in big toe 2 years into job. Hip began (painlessly) clicking around same time, pain beginning (again intermittently) approx. 2 years after clicking began. I am not "thin", but neither am I "obese". Please deomonstrate how it could all be related to one another and whether or not the sufferer is legitimate when describing the pain factors with each/all as they accumulate.
What about fixing the actual FAI though?
Very good information.
I have been having issues with my hip area specifically inside (adductors?). I seem to be able to externally rotate my legs, but the internal rotation is difficult and quite uncomfortable. One thing that really bothers me is that I have great difficulty moving my legs across the mid-point line of my body. Seems like something is "pinching" way high up in my groin area. Same thing for "figure 4" when I place my right ankle across my left thigh; same "pinching" sensation. Up until 2-1/2 years ago I could sit cross-legged all the time w/o difficulty/discomfort; now not so. Is this "pinching" indicating hip impingement?
Any videos that might address this would be greatly appreciated.
Watch hip impingement videos from Squat University on RUclips
can the head of the hip bone, run into that hip flexor tendon? Thats ussually where i am sore, I get a popping noise during internalrotation in my hip. feels like bone rubbing on tendon then poppp ot releases. If i stretch pop sound is less intense. Thanks love your vids
Hey guys, after years of hip pain I got diagnosed with this in both hips, but it's worse on my left side. I'm seeing someone to discuss surgery soon as I'm in alot of pain and lost mobility.. Would you recommend using two crutches to help me untill then?
What if I’m having pain?
Is there any chance the hip impingement problem could be because of the psoas?