This post is a bit of a mish mash on arthritis. Lots of new
research has been published on femoroacetabular impingement, FAI, recently.
PubMed is virtually exploding with new entries on hip impingement, FAI. A few worth mentioning (and I might just come
back with a more detailed version) touch upon the topic of why some surgeries
to treat FAI fail. Failure isn’t a word patients like to hear, so here is what
patients need to know.
Hip Impingement News by The Entrepreneurial Patient
Information on femoroacetabular impingement, hip impingement, FAI, labral tears, hip arthroscopy rehabilitation and more. Research news and reflections for hip impingement patients presented by the author of "The Entrepreneurial Patient: A Patient's Guide to Hip Impingement" - the ONLY comprehensive book that combines research, personal experience and physician interview material on hip impingement in a patient-friendly way.
Thursday, September 5, 2013
Thursday, August 8, 2013
Subspine (AIIS) Impingement - A 'New' Form of Impingement Next to the Hip Joint
By now femoroacetabular impingement (FAI), hip impingement,
is well documented in the literature, although far from all orthopedic surgeons
are qualified to diagnose and treat hip impingement. But a ‘new’ form of
impingement, called subspine or AIIS (anterior inferior iliac spine) impingement
is a diagnosis that is increasingly recognized.
Why is this important? Because
in patients who have femoroacetabular impingement (high alpha angle and/or
version), type II and type III shapes of the AIIS are associated with a
decrease in hip flexion and internal rotation.
Tuesday, July 16, 2013
The Relationship between Hip, Sacroiliac and Low Back Pain – Preventing Unnecessary SI Fusions
Hip pain, sacroiliac (SI) joint and low back pain can be intrinsically
related. Previously, I had blogged about
distinguishing hip pain from true sacroiliac pain. In light of an increasing
number of people going under the knife to fuse their SI joints with the sacroiliac
implant iFuse® (an estimated 5,000 people in
the United States in 2013), I want to revisit the topic. I want to try to
answer the question when SI fusions are warranted and what patients should know.
Monday, July 8, 2013
Iliopsoas Impingement as a Unique Cause of Hip Labral Tears
We know that bony lesions of the femoral head-neck junction
(CAM impingement) and of the hip socket (pincer impingement) can cause labral
tears. We also know that impingement of the iliopsoas tendon on the acetabular
labrum is fairly common in patients with hip impingement (femoroacetabular
impingement, FAI). Therefore a partial release, or tenotomy, of the psoas
tendon is often performed during hip arthroscopy. Some physicians now say that,
in some cases, psoas impingement in itself – without bony impingement – may be
the cause of tears of the labrum.
Thursday, June 27, 2013
Outcomes of Surgical Techniques for Hip Impingement, FAI, Surgery
New exciting research is available on surgical outcomes
comparing several techniques. Hip impingement (femoroacetabular impingement,
FAI) is characterized by bony deformities on the femoral head/neck and/or the
acetabulum (hip socket). Some bony lesions may require open hip surgery with dislocation
to address large, global lesions. Many CAM and/or pincer lesions can be addressed arthroscopically. But how much do the outcomes vary depending
on the various techniques used by hip surgeons?
Thursday, June 13, 2013
Physical Therapy / Rehabilitation after Hip Impingement (FAI) Surgery: The Benefit of Neurokinetic Therapy for Muscle Re-Education
A few weeks back, I mentioned I’d be back with a guest
blogger, a physical therapist who uses Neurokinetic Therapy (NKT) in his
practice. Here he is. Meet Kristopher Bosch, PT, DPT, ATC, FAAOMPT!
Most rehabilitation and wellness professionals eventually
end up asking themselves: “Why do patients/clients come in with pain, go
through a treatment session, leave pain-free or with significant improvement
noted, and then return the next week with the same symptoms (often times over
and over again)?”
Friday, May 24, 2013
Why You Need an FAI Surgeon Who’s Specialized in Hip Impingement: All Orthopedic Surgeons Are Not Equal
Recently, I met someone who had seen an orthopedic surgeon who told his patient that the labrum fills no function whatsoever. He would
just cut it out, and the patient was told she would walk out of the operating
room like it is nobody’s business. Doctors like this scare me because they
clearly do not understand femoroacetabular impingement (FAI or hip impingement)
but are happy to slice and dice their patients.
I say it in my book, but it is so important that I want to put it out here on the Internet for the world to read. Just because someone is a board certified orthopedic surgeon does not mean he/she is qualified to perform surgery to remove hip impingement and treat hip labral tears.
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