Topic

Physical Therapy for Potential Hip Femoro-acetabular Impingement (FAI)

Viewing 5 posts - 1 through 5 (of 5 total)
Eric Osburn BPL Member
PostedJan 10, 2016 at 12:26 am

This might not be the best place to seek advice but I know there are many on this forum that have extensive experience and knowledge and since the activities I love the most in life are hiking and backpacking hopefully I’m able to find answers from others who enjoy the same activities.

In July I took my 2 1/2 year old son (34lbs) and 18 month daughter (26lbs) hiking. My daughter rode in our kid carrier filled with food, water, clothes, diapers, wipes, etc (another ~ 15lbs). We hiked a few miles up the trail which had about a 1000ft per mile incline. I determined it was time to head back and my son decided he wasn’t going to walk and that I had to carry him. After doing my best to encourage him to walk down the trail and failing miserably I decided to just carry him.

In hindsight (I’m 35 but with outdoors activities have the mind of a 16 year old)  this was a terrible idea since I’m only 5’4″ and ~ 160lbs and haven’t been super active since we’ve had 3 kids in under 3 years. The hike down was exhausting but I felt no pain and we returned home with another great hike under our belts.

The next morning and almost every day since I’ve had quite a bit of stiffness in my hips, hamstrings, and Quads, specifically on the outside of my legs. I also am experiencing dull consistent pain on the front of my groin/joint and every once in awhile a stronger, shooting pain when my legs are up and I turn (like when sitting and then turning my upper body, or when running up a flight of stairs and making the turn to the next flight. Since birth I’ve always had very stiff hips and legs and am one of the least flexible people I know, which has probably contributed to some of the issues I’m experiencing.

The pain and stiffness (more severe in my right side than my left but present in both) aren’t extreme enough to keep me from doing normal daily activities but they have been enough to effect my level of fitness since I’m just not exercising as much as I would normally, and it’s kept me from backpacking and hiking more than very short, easy trips.

I finally broke down and saw a doctor (the past six months have been very busy and I hate seeing doctors and spending money I don’t have) and he took x-rays and said it looks like I most likely have a pincer impingement and that I’m a candidate for FAI but that from what he can tell it’s not an extremely serious case at the moment. He wanted to do an MRI and another test to diagnose my condition further but we simply cannot afford that at the moment, let alone surgery (which regardless of the money I want to avoid at all costs).

As I’ve googled it looks like many people believe that FAI can be successfully treated without surgery so I’d like to put together a routine of exercises and stretches that I can do to hopefully overcome the pain and stiffness I’m currently dealing with so I can get back to taking my wife and children outdoors and so that we can enjoy the backcountry together without feeling like I’m an 80 year old man.

Any advice is greatly appreciated.

 

Stefan Hoffman BPL Member
PostedJan 10, 2016 at 2:43 am

Wow this sounds familiar. I won’t write you a book about it but i’m dealing with something similarly immobilizing, but with my knees. I am 29 and being stubborn, only recently really accepting that i need to be proactive about it. I started with supplements, rest and google-prescribed PT, that was better than nothing but not enough.
The real breakthrough came when somebody related to my story and recommended a massage therapist. It always seems like a silly thing to spend money on but twice in the past a massage therapist has done some miraculous things for me. This time and both times before, i ended up kicking myself for not trying it sooner. I am far from being an expert in these matters, but from my experience its worth a shot. The hard part is finding a good massage therapist. A real person’s recommendation is always a good place to start. Or just talk to practicing therapists and mention your specific issues and your diagnosis. It’s pretty easy to sort the legitimate ones from the ones who just wanted to work on a cruise ship.
Again, i am only speaking from my experience in destroying my body and putting it back together. This might be terrible advice. Anyways, thats my two cents.
Take care of yourself, surely something will work for you.

PostedJan 10, 2016 at 6:50 am

Get thee to a good PT.  Both of you.

And yes, it matters – unfortunately there is a CRAP-TON of really bad PT out there – you’ll know it if you only see the PT for 5 minutes, and some little high school kid puts you on a bike and leaves you alone.  You both need actual hands-on PT – good manual PT – to help with pain control, relearning how to use appropriate muscles, etc etc.

Check out aaompt.org to see if you can find a Fellow in your area to treat you, or at least a member (this is a very good professional organization that specializes in hands-on PT).

Feel free to email me if you have specific questions – yes, I’m an ortho PT.   jenmitol AT gmail DOT com.

 

PostedJan 10, 2016 at 5:36 pm

Listen to Jen — I’m an LMT, used to work with a DO & PT; am also an RN. I’ve never heard anyone say “Gee, I’m glad I waited x months/years to start PT” — it’s always been “Why didn’t I start earlier?”. (And yes, I’m not perfect either & am guilty of the same thing…yeah, some things get better on their own but at some point that’s just magical thinking). The earlier PT is started the better — PT will likely be shorter duration and you will learn a lot in the process (including during the initial PT assessment). Good luck!!

Bruce Tolley BPL Member
PostedJan 12, 2016 at 11:03 am

I have never understood why MRIs are so expensive. I know one imaging place a couple of miles from where I live where all the techs drive BMWs.  If you explain you are paying out of pocket, you might be able to negotiate a lower rate from an imaging vendor your doctor works with.  Discount as in 75% off.

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