Hip pain can interfere with everyday activities like walking, bending, or sitting comfortably. Many people describe discomfort that starts in the front of the hip and radiates to the back or glute area, making it difficult to pinpoint the exact cause of the pain.

In the past, this type of hip pain was often misdiagnosed as a groin or adductor strain, leading to treatments that didn’t always address the problem. Thankfully, advancements in research and a better understanding of hip mechanics now allow for more accurate diagnoses and effective treatment options.

What Is Femoroacetabular Impingement (FAI)?

Femoroacetabular Impingement (FAI) is a condition where hip pain is triggered by specific movements or positions. The pain is typically felt at the front of the hip but may also spread to the back, glute area, or thigh. FAI is sometimes mistaken for lower back or sacroiliac joint pain.

Other symptoms of FAI may include:

• Clicking or catching sensations in the hip
• Stiffness or limited range of motion
• Difficulty with activities like bending, twisting, or squatting

Diagnosing FAI

To diagnose FAI, healthcare professionals often use a specific test called the FADIR test (Flexion, Adduction, and Internal Rotation). This test helps reproduce symptoms and confirm the diagnosis. People with FAI frequently experience limitations in hip flexion (bringing the knee toward the chest) or internal rotation.

Imaging tests, such as X-rays or arthrograms (MRIs with contrast dye), may also be recommended to detect additional issues, like labral tears in the hip cartilage.

Treatment Options for FAI

There are three main approaches to treating FAI:

1. Lifestyle Modifications:
   Avoiding activities that worsen pain, such as squatting, running, or jumping, can provide temporary relief. However, avoiding movement for too long can lead to additional problems, so this is rarely a long-term solution.
2. Conservative Treatment:
   Non-surgical treatments aim to improve hip mobility, stability, and overall movement through:
   • Joint mobilizations
   • Strength and stability exercises
   • Neuromuscular training
   • Correcting improper movement patterns

   This approach is less invasive and can be highly effective as a first step.

3. Surgical Intervention:
   If conservative treatments aren’t effective, surgery may be necessary. FAI surgery is typically done arthroscopically to remove the bone causing the impingement. In some cases, labral repair is also performed to stabilize the joint. After surgery, a structured 12-week physical therapy program helps restore mobility, reduce stiffness, and rebuild strength.

Take the Next Step

If you’re experiencing hip pain that affects your daily life, seeking early treatment is essential. A healthcare professional can assess your condition, identify the cause of your pain, and recommend the most effective treatment options. Schedule a consultation with one of our physical therapists by calling 865-392-1033 or clicking here.