As you may know, I just had a right hip labral repair and femoral head osteoplasty last Wednesday, February 15th. I had this surgery because I have been having increasing R hip pain for a few years that was becoming constant to the point where I could not sit or drive without pain. As a PT, I had a pretty good idea that I had Femoro Acetabular Impingement and probably a labral tear, so I decided to get it checked out.
I have a feeling that working on deep squats (actually just full range of motion) and deadlifts in the past few years have not helped things, but I have a guess that it is probably related to my days playing soccer where I would feel soreness along my inguinal area the following day. It turns out that it might be somewhat congenital as my sister has a similar problem in one of her hips and I have the CAM impingement on my left side as well. But as research clearly indicates, the origin of CAM or Pincer Impingement as part of FAI is still unknown.
In researching FAI, I found a couple of good websites:
The take home message from these was that I needed to find an orthopedic surgeon who is a hip preservation specialist and has had experience with treating FAI. To find someone in Chicago, I looked at the premier orthopedic surgeon group (formerly Northwestern Orthopedic Institute, now NorthShore Orthopedic Institute) and found my surgeon, Dr. Mark Dolan. He has the right medical training, and everything he said made sense to me, so I proceeded with the surgery. One of the things he said is that there is a theory that this surgery may delay the need for a hip replacement in the future and I am all for that.
I’m feeling pretty well today with almost no pain, just limited by my weightbearing precautions (50lbs on RLE – on crutches full time) and ROM precautions (90 flex, 0 IR, 30 ER).
Today, I found an article on training for individuals with FAI, which all makes sense to me. I will definitely be incorporating some of this in my future training and exercise to limit damage in my L hip and protect my R surgical hip.