
Femoroacetabular Impingement (FAI) is a condition where there is friction within the hip joint that results in pain, stiffness, and other discomforts. It is diagnosed when there is abnormal contact between the ball (femoral head) and the socket (acetabulum) of the hip joint, causing tissue damage and inflammation. While FAI may affect anyone, it is prevalent in athletes, especially those who engage in activities like running, gymnastics, soccer, and basketball. Are you suffering from hip pain or discomfort? Are you suspecting that you may have FAI? In this article, we have consulted with physiotherapists and chiropractors, who are experienced in treating this condition, to provide you with insights on when FAI is a serious condition.
Severity of Symptoms
The severity of FAI symptoms is a crucial factor in determining whether it is serious. If the pain or discomfort is mild, occurs infrequently or does not interfere with your daily activities, then it may not require immediate medical attention. However, if the symptoms are severe, persistent, and progressively worsening, it could indicate a more severe condition. At this juncture, it is advisable to consult with a hip specialist or therapist to receive a proper diagnosis and treatment.
Type of FAI
FAI comes in two types- Cam and Pincer. Cam occurs when the femoral head develops an abnormal shape leading to friction in the hip joint. Pincer, on the other hand, occurs when there is an excess bony growth around the socket. There is also a mixed type, which occurs when a person has both Cam and Pincer FAI. While all types exhibit similar symptoms, they differ in their level of severity. Cam impingement is more common and less severe compared to Pincer impingement.
Age of the Patient
Age is also a critical factor when determining FAI’s severity. Older patients with FAI may exhibit more severe symptoms as the condition is aggravated by age-related joint degeneration. At this point, doctors may recommend surgery as the preferred treatment option. However, age is not an exclusive determinant of FAI severity, as the condition may affect individuals of any age.
Impact on Daily Activities
FAI symptoms that impact your daily activities may also indicate the condition’s severity. If the pain or discomfort limits your range of motion, affects your sleep, or interferes with your ability to work or perform sports, it may indicate a more severe condition. In such cases, a specialist’s diagnosis and treatment are advisable.
Duration of Symptoms
Finally, the duration of FAI symptoms plays a critical role in determining the condition’s severity. If the symptoms persist for more than six months, it is considered chronic FAI, which requires immediate medical attention. This period is ample time for the symptoms to worsen and create more damage to the hip joint. Delayed diagnosis can lead to severe complications, including hip arthritis and labral tears.
Femoroacetabular Impingement can range in severity, from mild to severe, depending on various factors such as symptom severity, type of FAI, age, duration of symptoms, and impact on your daily activities. While some forms of FAI can be managed without surgery, others may require more advanced interventions. It is essential to seek medical attention as soon as you suspect FAI to avoid complications. A physiotherapist or chiropractor can develop a personalized treatment plan for you, including exercises, lifestyle modifications, medication, and surgical interventions. Remember, early detection and timely interventions are key to faster and complete recovery.
If you have any questions or would like to explore further, please book a free, no-charge online appointment with either myself, Dr. Tyler Baron, BASc, DC or another Kitchener chiropractor at CARESPACE. We are happy to listen and are here to help!