Hip Impingement in Miami, FL

The Advanced Neuro and Spine Institute specializes in the diagnosis, treatment, and management of orthopedic conditions and diseases such as hip impingement. Our team of experts delivers the latest advances in personalized, comprehensive care to patients in our conveniently located clinics in Aventura, Kendall, Hialeah, and Fort Lauderdale.

What is a Hip Impingement?

Hip impingement, or femoroacetabular impingement (FAI), is the result of hip bones that are abnormally shaped and thus do not fit perfectly together, causing the hip bones to rub against one another, resulting in damage to the joint.

The hip is a ball-and-socket joint, with the ball being the head of the femur, or thighbone, and the socket is formed by the acetabulum, a part of the pelvis bone. A slippery, gel-like tissue called articular cartilage covers and cushions the surface of the ball and socket, facilitating movement in the joint. The acetabulum is surrounded by strong fibrous cartilage tissue called the labrum, which forms a protective gasket around the socket, creating a tight seal and providing stability to the joint.

In cases of hip impingement, bone spurs typically develop around the head of the femur, or along the acetabulum. Over time, this calcified bone growth causes friction between the hip bones, rather than allowing them to move smoothly, resulting in the tearing of the labrum, and breakdown of articular cartilage, or osteoarthritis.

What are the Causes and Symptoms of Hip Impingement?

The most common cause of hip impingement is the abnormally shaped hip bones or hip bones that did not normally develop during childhood. Many people may not be aware that they have hip impingement because this condition produces no symptoms. In fact, some people live long, active lives with a hip impingement, never knowing they have a problem. However, when symptoms do develop, it usually is a sign that damage has occurred to the cartilage or labrum, clearly indicating that the disease is progressing.

Symptoms of hip impingement may include pain, stiffness, and difficulty walking. Because athletes and young, active people may put more stress on the hip joint, they may actually experience painful symptoms earlier and more frequently than older adults, who are more sedentary. Interestingly, exercise itself does not cause or contribute to hip impingement.

The most common symptom of hip impingement is pain in the groin area, which may gravitate towards the outside of the hip. A sharp, stabbing pain may accompany activities such as turning, twisting, and squatting; however, in other instances, the pain may present itself as just a dull ache.

How is a Hip Impingement Treated?

The first course of action to reduce pain and inflammation, in addition to medications, may be the avoidance of those activities that intensify the symptoms. Physical therapy, focusing on exercises that improve the range of motion in the hip and pelvis, and strengthen the muscles that support the hip joint, often relieves stress on the injured labrum or cartilage. If tests reveal joint damage caused by hip impingement, and the pain is not alleviated by non-surgical treatment, surgery may be a viable option.

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If you would like more information on treatment for a hip impingement, please contact one of our conveniently located clinics in Aventura, Kendall, Hialeah, and Fort Lauderdale.

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