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Is Arthoscopic Hip Surgery for FAI better than physical therapy?

New Study Compares Arthroscopic Surgery for FAI to Conservative Treatment

In a recent study, researchers compared the effectiveness of arthroscopic surgery for FAI versus conservative treatment (non-surgical methods and physical therapy).[1]  The researchers concluded that surgery for FAI was more effective than non-surgical treatment.

Other studies have shown that physical therapy and surgery for FAI are equally disappointing. So like any study, sometimes you have to lift the hood and...

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Hip injection for FAI and labral tears: is it worth it? Is it accurate?


Are you considering a hip injection to test for femoroacetabular impingement (FAI)? Has a hip surgeon told you he can use a hip injection to diagnose FAI or a labral tear with certainty? In this article, you'll discover the truth about hip injections for FAI (and related hip joint pathology like labral tears).

 

 

Why get a hip injection for FAI?

The current medical approach to the diagnosis of FAI relies on several tests. One test is anesthetic injection into your hip joint.

Hip...

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Why am I in chronic pain? The perspective that helped me heal

When you’re suffering with chronic pain, you may search for the meaning behind your suffering. Why am I in chronic pain? Why do I keep hurting every day? What's wrong with me?

However, the meanings we ascribe to our chronic pain do not always helps us get out of pain. Oftentimes, the theories we attach to chronic pain can actually make our pain worse. 

In this article, we’re going to look at how your understanding of your pain influences your ability to move and live your...

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The FADIR test – the insane truth about this hip pain test

We work with a lot of clients who have been told they have hip impingement, otherwise known as femoroacetabular impingement (FAI). We’ve seen people with this diagnosis improve their hip function without surgery, and this has made us look deeper into the diagnosis.

In this article, we’re going to look at the FADIR test. The FADIR test is one of several tests doctors use to arrive at the hip impingement diagnosis. But how useful is it really? 

 

FADIR - the big hip...

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Diagnostic injections and femoroacetabular impingement

If you suspect you have hip pain from femoroacetabular impingement, you may be considering a hip injection. 

I've been doing a lot of research on FAI as part of my duties as one of the co-creators of the FAI Fix. In a recent YouTube comment, an orthopedic physician angrily pointed out that hip joint injections supposedly identify whether hip pain is caused by problems IN the hip joint, like FAI. 

I found his comment interesting, so I did more research on hip...

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Can miserable malalignment be fixed quickly?

If you've never heard of the medical diagnosis "miserable malalignment" it's because it hasn't been discussed much until recently. The first time I heard about it was from a client. She was a physical therapist who had been diagnosed with the condition.

femoral internal rotationThe right leg (left in the picture) has relatively internally rotated femur and externally rotated tibia.

Why is it en vogue now? Because a growing number of surgeons are starting to talk about the surgery as a surefire cure for knee,...

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How do you fix a leg length discrepancy?

In this article we're going to talk about what to do in case you have a leg length discrepancy. You may have been told by a chiropractor or a massage therapist that one of your legs is longer than the other. Maybe you've noticed one leg seems to reach out further than the other when you walk and so you suspect a difference.

What should you do about it? How do you think about a leg length discrepancy in a way that will help you make as much progress with your body on your own?  

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Are hip injections 90% reliable for finding the cause of hip pain?

Why am I talking about hip injections?

In a previous post, I shared an orthopedic physician's objections to what we've been talking about with FAI, and in a follow up I talked about hip injections and their reliability and usefulness (spoiler: they don't seem reliable or particularly useful). In case you missed the original YouTube comment from the orthopedic physician, here's a relevant snippet:

 

Since your [sic] so knowledgeable of the hip joint anatomy I hope you...
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Hip labral tears: what you need to know and what your doctor won’t tell you

Why are hip labral tears important to talk about?

Hip pain is becoming an extremely common complaint in this age of desk work and constant sitting. It’s also becoming very common for people to get the diagnosis of a hip labral tear. So, what does it mean to tell people they have hip labral tears? In this article, we’re going to look very deeply at the research around hip pain, labral tears, and surgery for labral tears.

client stretching his hips and shoulders

 

Hip labral tears in a training context

We work...

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What do you need to do to fix anterior tilt?

As personal trainers, we see anterior pelvic tilt a lot. As a result of our YouTube videos on different approaches and techniques relevant to training, we get a lot of questions about what’s really necessary to get stronger, fitter, and more mobile when you have anterior pelvic tilt. 

One of the big questions we get is about squatting and deadlifting and how they relate to anterior tilt. Specifically, people want to know whether squatting and deadlifting are actually...

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