Cam Hip Impingement - What You Need to Know about FAI
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- Äas pĆidĂĄn 24. 07. 2024
- Have cam impingement? Scared that femoral acetabular impingement will lead to arthritis and that you'll need hip replacement? Will surgery for FAI fix your hip pain? See what the research actually says about hip pain, femoroacetabular impingement, and arthritis.
đ Get Healthy Hips even with Hip Impingement! uprighthealth.com/fai
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Senior age athletes with FAI: www.ncbi.nlm.nih.gov/pmc/arti...
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ABOUT THIS VIDEO
When you've been told you have femoroacetabular impingement, it's easy to get scared. Doctors will tell you that FAI will lead to osteoarthritis of the hips. In this video, Matt looks at the research around these ideas. You'll see the truth about hip arthritis and how FAI relates (or doesn't relate) to the development of hip pain and hip arthritis as you age.
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MORE HELPFUL LINKS
FAI research videos: âą Do FAI bone shapes cau...
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MUSIC
David Cutter Music - www.davidcuttermusic.com
Told you have FAI? To free yourself from hip pain, check out the FAI Fix at www.thefaifix.com
⥠No FAI but still want to make your hips pain-free, strong, and mobile? đ Check out Healthy Hips! www.uprighthealth.com/healthy-hips
I played organized sports all throughout my childhood but it wasn't until I was 25 I started feeling "catching" in my right hip but wasn't having any other pain other than those brief moments. But it had eventually become frequent enough for me to get it checked out and an MRI later revealed that a cam impingement had done a good amount of damage to my labrum and that surgery would be required to fix it. Had the bone shaved and my labrum repaired and the loose floating bits of labrum removed and have been pain free ever since.
Same with me I am scheduled to have my surgery, was nervous glad you had a great outcome, I hope to have the same
I can't wait for my surgery, I have the same problem. Also i believe this guy is doing so much harm by proposing these ridiculous notions. So many people were helped with these surgeries.
This sounds exactly like my left hip. Mri on Monday! Iâm so happy to hear you had a good outcome!
@@karyse100 howâd it go
Hey there, how long did it take from the day you got surgery to the day you were back competing comfortably at organised sport?
I have a hip problem and sometimes a back problem.
If I were to purchase your course do it yourself course which should I start with?
My hip problem seems to bother me more.
If i have hip pinching when i walk should i limit walking untill symptoms go down? This hip pain started when i do hipflexor stretches wrong (i think that i stretched frontal part of hip capsule most) and now that extension is that what cause most pain..
I already have ossification of the labrum on both sides. Does this warrant surgery?
I have one surgeon recommending a surgical hip dislocation with labroplasty and another recommending arthroscopic labrum stichting and rim/femur trimming.
Good information! Thank You.
Hello! Thank you very much Matt for this video. Would you mind sharing the references to the studies you mentioned? Thanks so much! Love the great energy you impart in your videos!
I still yet to get a clear diagnosis to my hip pain but i have a strong feeling that it can be hip impingement for now i want to know what should i avoid to make it worse
what about if you have a cam and a pincer.. is that really bad??? kind of in the same place, outer edge of acetabulum
Is it possible for Osgood-schlatters disease to have caused LLD then over years causing severe FAI, cam impingement, narrowing of hips...
Iâve been dealing with slight right hip pain for a while now and about 4 months ago I strained my hamstring and today I am still dealing with that strain. I went to an orthopedist a week ago and was told I have this impingement. Iâm wondering if this hip problems could be why itâs taking me so long to heal from a hamstring strain? (No cardio in last 2 months)
I pulled hamstrings easily as a kid, and had trouble with my groin for a bit as a young adult. A good massage helps the muscles repair properly although wonât sort the hips out. I also have cam impingement
I have a cam impingement with generalized osteoarthritis in my right hip! Was diagnosed by MRI SIJ scan. I'm 34, used to be active. walking to the shop has me in agony as I cannot walk far either because the inflammation of the tissues in that area get to inflamed causing hardly any motion in the hip and pain all in my lower back, radiates down my leg making it feel like lead. I also have fybromyalgia on top of this so life is hard most days... My alternative is to have the extra bone growth filed down. I gotta get rid of these crutches...
Check out dr. Bergman chiropractor video
Your pain sounds exactly like mine Bro. I walk 50m and everything seizes up and is painful
what if I have Cam impingement and arthritis, can your program help me?
I was full time taekwon-do Professional exrtreem flexibel ,splits over 180 degree, at 38 age i was diagnosed with CAM impingement and at 41 hip-artrose, now...maximum space between my legs 70 degree hips are blockt..i don't wanne talk and tjink about the pain, the mental pain is the worse...
hi , im 38 but was diagnosed with cam . i always thought it was my lower back causing this pain. but the pain is slightly above my left buttock . so i thought working out would help strengthen my back. after doing a 30 mile bike ride the day after skiing because i was sore. when i was done i could hardly walk. but after resting it and taking motrin i couldnt even move my leg or rotate my hips. the pain was so bad it hurt more than breaking my ankle. i couldnt even stand on it without breaking into a full body sweat. also the shin muscle stopped working and i could even raise my toes off the ground (dorsi flex). i couldnt sit or use toilet. i could only lay flat on my stomach but the pain changed my life. it took me weeks just to stand up. i was in too much pain to go to the er. i was a very active person and rode atleast 100 miles a week and hiked and also ski every season but everything came to a hault. motrin stopped working after a few hours but it barely touched the pain. mentally it put me into a depression . all i thought about was how life would never be the same. i was also into crossfit. how did you cope with your problem? to this day which is two years later i still can barely lift my toes off ground and my left leg is much smaller and weaker and cramps instantly with any weights also the ortho surgeon never helped me and to find out he was frauding the insurance which left me with no prognosis makes me not trust doctors . i just want to be active and happy again thats why im trying to reach out.
calibomber209 I pray it gets better for you. I was diagnosed with the cam type of fai. Donât know whether to do the surgery or not. It must feel really horrible doing no sports but donât give up
I'm a martial artist as well and just got diagnosed a couple days ago. I'm pretty bummed because my mobility has been my biggest weakness and there isn't much for me to do other than surgery to improve my craft. Probably getting surgery in a few months.
I have groin, leg, and hip pain right after my hysterectomy. My pain management doctor said it's from a cam deformity of the femoral head and neck junction. Nothing has helped. I've tried gabapentin, cymbalta, tylenol, ibuprofen, amitriptyline, a nerve block injection, steroid injection, and physical therapy.
When your saying "CAM bone-shapes" , are you referring to formation of osteophytes?
So what is the cause of hip pain? My orthopedic surgeon said the problem is reduced cartilage in the femur head. And that can't be fixed except by stem cells. Glucosamine and Chondroitin don't work.
Hello I would love to know what happened? What did you choose? Did you accept donor stem cells or auto stem cells?
I am 28 and have just been diagnosed with cam impingement on both hips and early signs of osteoarthritisâŠ. Doctor said my options are pyhsio or speak with hip surgeon but also said hip surgery might not even work ⊠any ideas on exercises I should and shouldnât do ?
Do it best decision I had fai with cam pincer I got surgery it lasted me 11 years pain free competitive basketball player get back to a normal life unfortunately I might need another surgery on the same hip I think The cam impingement has come back I slipped and pulled my hip while playing basketball
Takes about 1 year to notice improvements
My friend also got a double hip surgery he is fine too professional fighter
What if you have hip pain, a physiotherapist suspects you have FAI, you then have a scan and find you have mild CAM FAI! I guess what Iâm saying is what if the prior of FAI is high and then you see it on a scan. Many thanks.
I hurt my hip a year and a half ago at work; an MRI shows a torn labrum but also mentioned "Cam-type femoral head morphology, as can be seen with femoracetabular impingement."
My doctor, like you, isn't confident about surgery option. It hasn't gotten better and although I've adapted with lots of mobility work, I believe it's gotten worse; I was running an average of 30 + miles a week for decades. Now I can't even run to the bus stop.
Is surgery sometimes warranted? At 52 yrs. old I've never had hip issues; now I experience sharp pain with classic torn labrum symptoms. I'm concerned even my mobility work is making it worse as there's really no avoiding the sharp pains that accompany internal rotation of my left hip.
I believe an arthroscopy to repair a torn labrum might be a good solution for you, but you need to consult with more than one specialist.
You may want to check out the following links: uprighthealth.com/hip-labral-tears/
A history of FAI: uprighthealth.com/femoroacetabular-impingement-history/
In short, it's literally impossible to attribute any symptoms to labral tears or FAI. No studies have ever demonstrated any kind of relationship between specific types of pain and either "pathology." The pathologies themselves are extremely prevalent in asymptomatic people.
*any kind of causal relationship
Now I'm thoroughly confused; actually I've regained hope after watching the Upright Health tutorial demonstrating that pnf technique while pulling the knee to the chest; I've made some progress. Yet, still my biggest fear is that the hip is getting worse ;on a good day, I used to be able to run a short distance (20-30 seconds) w/out pain but not anymore.
I was told I have CAM impingement and hip dysplasia and that I will need a periacetabular osteonomy to correct the dysplasia and shaving of the bone for the impingement in order to avoid a total hip replacement down the road. If neither of these things causes arthritis, what would you say does? Or what else would you say is actually be causing my hip pain?
I have the same problem cam impingement I started physiotherapy specially I am runner and I have stopped running for a while now
Short answer: Muscles. Jacqueline is a pretty good example: czcams.com/video/rerNuD_dOPI/video.html
You should also note that arthritis in x-rays is itself not linked to pain. czcams.com/video/L0CA5YxF8Cc/video.html
There are a lot of interesting medical myths that sound good but don't hold up to scrutiny.
have you ever broke a leg? i did and it grew back by becoming longer than the other making my hips uneven. incorrect alignment and premature wear and tear that caused moderate arthritis .
@@calibomber209 dude u right ! I just had this sorted and made huge difference ! Spot on
@@Uprighthealth strength only helps for so long. Im at a point i cant even get the glute to stay strong. And my QL is helping way too much and aggravated. I can feel a total difference in glute strength from my left to right. I basically only do clam shells now. And ive read clam shells are not as effective
The only reason these people were pain free is because they never did activities which required a large range of motion. I have cam impingement in both hips. After every kickboxing session I was left in pain. The pain was bad that I could barely part my legs after. The pain was not really felt during kickboxing, but when my muscles cooled down the pain would set in. The pain and restricted range of motion because of inflammation would last nearly 4 days before I was pain free again and regained my flexibility. Until my next kickboxing session then Iâm back to square one again. All the external and internal rotation of the femur during kicks where the cam impingement was constantly jamming against the hip socket is what was causing my pain. So I challenge these people who have no hip pain to do an activity like kickboxing or Taekwondo where hip rotation is important and see if these people with cam impingement are in pain. I had surgery twice on right hip to repair torn labrum and to have the cam impingement filed away. Iâm still in pain.
Hey itâs exactly how you describe it. Iâm an amateur kickboxer myself. Iâm diagnosed with cam fai and a suegery was recommenced. Donât know whether to do it or not. I just canât stop with the sport itâs my life right now...
Nabil sorry to hear that. Itâs a horrible condition. Unfortunately I stopped doing the sport I love because of the constant pain. I love high kicks, to go from doing that for years to having to just stop is depressing. I do believe the people who are pain free is because they donât take there hips through wide range of motion. The surgery never worked for me, I was also told by the doctor that the bump of bone could grow back. I still stretch all the time, as soon as I spread my legs out too wide I feel pinching. If I stay in that position too long, my hips will hurt for a couple of days before pain goes. So I try to be sensible when Iâm stretching and not over do it. The thing with this condition is your not always in pain doing the activity but when you cool down the pain sets in. I could return to kickboxing if I stick to front kicks and back kicks. Side kicks, round house and hook kicks are out because they cause the pain. Unless you throw them kicks at hip height because I wasnât in pain kicking low. Iâve not returned to kickboxing because I love high fancy kicks, I know low kicks can be effective but why should I have to kick low because of some stupid shaped hips. People say, take up boxing. Iâm not interested in just punching. I look at it like this. If I canât kick high then Iâm not interested in doing the sport. In terms of advice, I donât really know what to say. Iâm still in pain today, only when I push myself too far during exercise. I would say check out gotrom channel on CZcams. That guy has cam impingement and is very flexible. Best of luck đ
SuperRuss26 thank you very much for your answerđ May sound very naive but giving up the sport is not an option for me even when my hip gives up. Maybe itâs because Iâm just 21 years old maybe not. The pain is exactly the same for me. Front kicks no problem roundhouse kicks problem. But I somewhat managed to go through the pain and after a while in training I donât feel it. Then after training the pain comes back but even worse. I learned to slightly change my kicking form to lower the pain. Iâm also a fan of fancy high kicks but whatever if your anatomy doesnât allow you to do certain things you have to work around it. Look at mike tyson he was too short for a heavyweight. But he found a way around it and established his peak a boo style. Iâm not sure about surgery. Still thinking about it. Money is not the question but rather will I return to my past self without surgery complications. I know the consequences of continuing the sport but Iâm willing to take them. I pray that it doesnât happen but if it does it does. Again thank you for answering. Praying that we both will get healedđȘ
Nabil 21 is young so I can understand where you are coming from. I do also agree what you say about anatomy. I guess their are ways around everything. Where we differ is that you have this in one hip Iâm guessing? You could work out when you experience the pain. What I mean is test yourself kicking with the bad leg using your good leg as the supporting leg. See if your pain comes from when you do kicks off that leg. For me, the problem occurred during external rotation of the supporting leg. Every time I would throw high sideline kicks the cam impingement would pinch against the tissues in the joint. If I only had this in the one hip Iâd probably use the bad leg for kicking and the good leg for supporting. But of course you are different and may experience the pain in kicking leg not supporting leg. Also with me I was obsessed with trying to get my splits and that never helped me because after a stretching session my hips would feel like Iâd done a kicking session, the pain was horrible. I wish you all the best, surgery is not always the answer. Tissue work can help, for instance you may have tight glutes or adductors that are pulling the femur out of joint alignment. If you free up some of those muscles it may do you the world of good. All the best đ
SuperRuss26 no I have it equally in both legs. Splits are definitely also horrible for me, the pain is even greater than in kicks. I will continue doing kickboxing. If I fuck myself up at least I can say it happened while I did what I loved. All the best to you aswell
Could you please share the link to the study that you talk about in the video? Thanks!
Sorry about that missing! www.ncbi.nlm.nih.gov/pmc/articles/PMC4709310/
So whatâs causing this pain Iâm always having if itâs not fai ?
Always Think Muscles: www.uprighthealth.com/blog/chronic-joint-pain-atm-theory
An Overview of Hip Impingement: www.uprighthealth.com/blog/femoroacetabular-impingement-overview
If the bone isnât causing the pain what is it? Iâm 17 years old and have to have fai surgery, my hips make me feel like Iâm an old man
Brooooo I just have the same problem and I'm 17 too. Did you cure yourself?
@@chevywoods1154 yes! I had 2 hip arthroscopies. First in may 2020, second in June 2020. I understand your pain bro. It sucks. My hips feel great now, but i am still dealing with back pain.
@@japaneseteddy8 would u say you have significantly better hip mobility
@@CombinationV1 100% yes no question. Believe it or not my first hip surgery was 1 year ago today! I am now able to squat and basically touch my heels to my butt.
@@japaneseteddy8 thatâs cool, Iâm happy for you man. I have been dealing with fai since I was 13, Iâm 19 now and talking to my doctors about the possibility of surgery.
I got cam type impingement and also diagnosed with early OA
I dont have hip pain but i have cam impingement. The only problem that i have is that the hip rotation is limited.
Just donât try and over stretch, like kickboxing or anything like that, especially if your feeling pain the next day. Iâm sure yours will be fine.
This video has a poor correlation to Cams and hip pain because it is assumed the pain is coming from osteoarthritis.
The larger subjects to talk about are:
1. Approximation of tissues ( the tissues compressed/ squished together during hip flexion and hip abduction due to the presents of a cam or pincher). Tissue approximation in most cases can not be changed unless atrophy to muscle tissue occurs. The best example is a bodybuilder who has increased their Biceps Brachii size. They have issues touching their own shoulder on the same side due to "approximation of tissues."
2. Tendinopathy ( thickening of the tendons associated to the muscles attaching to the greater trochanter of the femur). Tendinopathy treatment involves deloading issues, decreasing the hypertonicity, increasing the suppleness of the tendon and finally strength training the muscles of the hip accept the loads and parameters of exercise and sport.
I just turned 43 years old and was just diagnosed with Cam Lesion FAI, I'm still trying to get a solid definition of this and seeing what my options are.
8 months later, how are you doing?
@Backhand Slice Guy , scheduled for an right hip Arthoscopy and right hip labrum tear repair on February 14th.
@@tracysakalis8810 did you try the FAI FIX method?
@@tracysakalis8810 How did it go? How long was recovery? Are you pain free now?
@The Certified PA , unfortunately the surgery was canceled and currently pending a reschedule date!
But what does cause pain then?
I'm 15 and have a Cam impingement that causes me hip pain.
Donât stretch if it hurts :)
but then what is the solution?
Association vs causation
Can this cause knee pain too?
I believe so. I have had knee pain in my right knee for the last four years. I grew up playing sports, football (soccer) and then rugby in later years. I've also always enjoyed running. At the age 23 I started having massive knee pain in my right knee, mostly caused by running in my case. Over the next few years most activities, including hiking, jogging, driving and even sitting at length would cause this pain. The last four years have been very up and down in terms of exercise and I've tried various things like physical therapy and sports chiropractic to resolve the issue. I've just recently learned that I have a Cam impingement in both hips (although I've never experienced pain in my left knee). Doc recommends that I no longer run, and workaround my knee pain to avoid progression of the Cam impingement. Last year I got into cycling. Unfortunately this still causes terrible pain in my right knee. Doc recommends I get a professional bike fit, which should take this cam impingement into consideration and set me up to cycle in a way that doesn't hurt the hips, knees, etc (possibly by setting up my clip in pedal such that my right foot can evert outward as it wants to do in my case, instead of pointing straight forward as is 'normal' - we'll see!). I'm really hoping that I can at least cycle to get my exercise fix! I'll also try out swimming.
@@klausZdog hey there , Iâm suffering from the same issue , Iâm obsessed with rock climbing and running now I canât do anything since I have cam impingement, did they recommend you to do the surgery?
I have all that. I have 4 back hernias, then hip and knee problem
Both my hips have cam impingement, but only the left one gives me trouble as I used to do Muay Thai kickboxing and was always kicking mostly with the right leg and rotating on the leg hip, made it painful and my flexibility is even worse now. Had a steroid injection 2 + years ago but havenât had surgery. Just starting to feel the pain again
Iâm also a kickboxer with cam fai. Do you have some advice for me?
Nabil donât try and stretch, stick to low kicks and knees. Donât kick more than twice a week. Tbh itâs a battle you wonât really win unfortunately if your trying to kick about the waist, but thatâs my advice if your going to continue. I could push kick/teep/crane kick ok. Stick to what you can do and donât try and force it!
pete long thank you for the adviceđ Yes front kicks are no problem for me aswell. Iâm seriously thinking about surgery but still not sure. Yes I will stick mostly with what I have but I gotta throw some mid and high kicks ones in a while for being versatile. Stopping this sport is not an option for me even when my hips will fail. Again thanks for aswering
Nabil I still havenât had surgery and my hips are feeling pretty good at the moment, good diet and lots of exercise but no sideways stretching. I could never kick properly above the mid section. The right mindset, nutrition and minimal alcohol is key đ Good luck and take care of your body đđ»
pete long yes I agree especially with the mindset. You know how much we need that as muay thai fighters. I will fight through the pain. Letâs see how my future will be. Good luck to you aswell
Hope I can add a little to this conversation! From what I've come to understand clinically, hip impingement relates heavily with hip capsule stiffness - something I think is missed a lot. There's a really potent hip capsule stretch you can try and it's also great for anyone just looking to open up those hips and move better athletically. Here's a basic video to help explore first hand how involved a stiff capsule might be in your symptoms. Hope it's helpful! czcams.com/video/0bSWWSPqHJE/video.html
My orthopedist says my cam impingement caused my osteoarthritis
Mate youâre a legend.
Please stop misinforming people, it has to do with the range of motion of the athletic activity. FAI does lead to arthritis. And the sooner you have the surgery, the better for you in the long run
Having studied biochemistry, human physiology and immunology I definitely understand how and why FAI would lead to localized arthritis. It is due to the inflammatory cascade. The suggestion someone made to inject stem cells or growth factors into the area would only make this situation much worse!
My doctor wouldn't give me surgery because I had arthritis already and he said surgery would make it worse. He said just don't tear my labrum. UPDATE...
my new surgeon told me I did have a torn labrum when he looked at that MRI and he will be giving me my first surgery may 26th 2023. I have it in my right hip now as well.
@@aprilhassell1747 Yeah in some cases it's not necessary, it depends on the extent of the damage and the nature of activities you want to pursue. Like I have bilateral FAI, Bbut only got surgery on the one hip coz all the structures were damaged. If you want to run marathons or play sports like tennis or basketball etc, then you probably best getting the surgery... Its a case by case basis, but this video suggests a "one size fits all" scenario...
@@tobokanisebele8919 I feel pain now 5vyears later in right hip. Specially groin. The butterfly strength is painful but I do it a lot. My left hip is now having a hard time getting strong. I think having a baby 2 years ago hasn't helped my hips. But I do love tennis and pickleball. Will see a doctor on the 12th for a referral. I do glute bridges to keep my muscles some what strong.
@@tobokanisebele8919 the mri showed a flat area in left hip. But not the right so idk why I'm getting it in the right. I think I'm just so tight and not flexible and that's why, over time it developed.