Hip impingement, or femoracetabular impingement (FAI), is a condition where the bones of the hip joint rub against each other rather than moving smoothly. In a healthy hip, the rounded top of the thigh bone, known as the femoral head, fits into the hip socket so that it can move fluidly within the socket. When either part of the joint’s shape is abnormal, this smooth movement is disrupted. Repetitive trauma at the site of impingement can damage the femoral head, the socket, or the cartilage between them, leading to painful symptoms. FAI is a common cause of hip and groin pain, especially among people between the ages of 15 and 50. At OrthoGeorgia, our total joint specialists have extensive experience diagnosing and treating hip impingement, helping patients throughout Central GA get back to doing what they love.
What are the Symptoms of Hip Impingement?
Hip impingement can look different depending on the person and their activity level. Symptoms may develop gradually over time. If left untreated, hip impingement can have serious, long-term consequences, which include osteoarthritis (a common type of arthritis that can affect any joint in the body). Seeking prompt orthopedic care is the best way to prevent further joint damage. Some common hip impingement symptoms to look out for include:
Pain in the groin or hip, particularly after sitting for long periods
A clicking, popping, or catching sensation in the hip
Stiffness or reduced range of motion in the hip joint
Pain that worsens with physical activity or participation in sports
The hip giving way or feeling unstable
How is Hip Impingement Diagnosed?
To diagnose FAI, your doctor will review your medical history, conduct a physical exam, and order diagnostic imaging tests. During the physical exam, your provider will assess your hip’s range of motion and look for signs of impingement by bending, rotating, and flexing the joint to test for discomfort.Diagnostic imaging is typically needed to confirm the diagnosis. Tests may include X-rays that produce two-dimensional images of the joint; magnetic resonance imaging (MRI) that produces three-dimensional images of the joint, soft tissue, and cartilage; and CT scans, which take multiple images of the hip joint from different angles. In some cases, an injection into the hip joint may also be used to provide pain relief and confirm that the hip is the source of the symptoms.
X-ray scans are available at all OrthoGeorgia clinic locations. Our Macon and Warner Robins offices are equipped with spacious, comfortable MRI scanners, while CT scans are available at our Macon Spine and Orthopaedic Center. This easy access to imaging streamlines your care journey, so you never have to go far to get the care you deserve.
Treatment for Hip Impingement at OrthoGeorgia
Treatment for hip impingement depends on the severity of your symptoms and the extent of joint damage. At OrthoGeorgia, our specialists take a personalized approach to hip and total joint care, starting with conservative options and moving towards surgical care when necessary. No matter what your treatment plan entails, the members of your care team will be available to answer any questions you have.
Nonsurgical Treatment Options for Hip Impingement
Treatment of hip impingement typically begins with conservative, nonsurgical methods. Rest, activity modifications, careful use of anti-inflammatory medications, and a course of physical therapy are often effective in alleviating symptoms. Your OrthoGeorgia provider may also recommend corticosteroid injections into the hip joint to reduce inflammation and relieve pain. Many patients experience significant improvement with these conservative approaches alone and do not end up needing surgery. We proudly offer personalized physical therapy care in Macon, Warner Robins, and Kathleen, provided by physical therapists and PT assistants dedicated to the unique needs of each patient. The members of our team are trained in specialized treatments and use state-of-the-art equipment to provide individualized therapy plans.
Hip Impingement Surgery in Central GA
Hip surgery may be recommended if you have severe impingement symptoms that affect your quality of life, if other treatments haven’t provided adequate relief, or if you have an associated hip labral tear. Hip arthroscopy is the most common surgery to repair hip impingement. During hip arthroscopy, an orthopedic surgeon makes small incisions and uses specialized instruments to repair hip damage. This can include removing bone spurs, addressing the abnormal bone shapes causing impingement, and repairing any associated damage. OrthoGeorgia’s surgical centers throughout Central GA are equipped to provide this advanced, minimally invasive surgical technique.Â
Other Hip Conditions We Treat at OrthoGeorgia
At OrthoGeorgia, our hip and total joint care team is dedicated to helping patients across Central Georgia overcome a wide range of orthopedic issues. Whether you are dealing with a chronic condition or an acute injury, our specialists have the expertise to guide you from diagnosis through recovery. In addition to hip impingement, we treat:Â
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