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....or to paraphrase Huey Lewis,,, "My hip it is square" So the diagnosis for my hip pain appears to be femoroacetabular impingement of the "pincer" version. No running for me in the near future. Ideally I'd like to get to a point where walking doesnt hurt and I'm able to comfortably put my shoe and sock on my left foot. From wiki: Femoroacetabular Impingement (FAI), or hip impingement syndrome, may affect the hip joint in young and middle-aged adults and occurs when the ball shaped femoral head rubs abnormally or does not permit a normal range of motion in the acetabularsocket. Damage can occur to the articular cartilage, or labral cartilage (soft tissue bumper of the socket), or both. Treatment options range from conservative to arthroscopic to open surgery. Cause The three recognized types of femoroacetabular impingement. FAI has been speculated as a cause of premature hip osteoarthritis and is characterized by abnormal contact between the proximal femur and rim of the acetabulum (hip socket). In most cases, patients present with a deformity in the femoral head, or acetabulum, a poorly positioned femoral-acetabular junction, or any or all of the foregoing. A combination of certain factors may predispose to some form of FAI, predominantly, a marginal developmental hip abnormality together with environmental factors such as activities involving recurrent motion of the legs within a supraphysiologic range. Three types of FAI are recognized. The first involves an excess of bone along the upper surface of the femoral head, known as a Cam deformity (abbreviation for camshaft which the shape of the femoral head and neck resembles). The second is due to an excess of growth of the upper lip of the acetabular cup and is known as a 'Pincer' deformity. Colloquially, these are referred to as 'Cam' and 'Pincer'. The third is a combination of the two, generally referred to as 'Mixed'. Studies have suggested that 'Cam' deformities are more common in the male, while 'Pincer' deformities are more common in females. However, the most common situation, approximately 70%, is a combination of both. A complicating issue is that some of the radiographic findings of FAI have also been described in asymptomatic subjects. Consequently, the true frequency of femoroacetabular impingement is currently under debate, but the ultimate result is increased friction between the acetabular cup and femoral head which may result in pain and loss or reduction of hip function.
Physio today gave me an exercise to do. I've got tightness in lower back\hip areawhich she has diagnosed as causing nerve irritation. She gave me an exercise to do called a nerve glide. Basic theory lie on my side with dud leg on top. Good leg bent at 90 deg. Pull bad leg ankle up - like a quad stretch, while tilting head backwards. Let bad leg go back down while tilting head forward. Repeat x 5 a few times a day. I'm a bit skeptical that the head moving is actually doing anything? Thoughts, experience?