Hip Impingement

Hip pain can interfere with daily life, making simple activities like walking, sitting, or exercising uncomfortable. One common cause of hip pain is hip impingement, a condition that affects the way the femoral head fits into the hip socket.

At Orthopedic Specialists & Sports Medicine, we provide expert care for hip problems in Granville and Coshocton, Ohio. Contact us today to schedule a consultation!

What is Hip Impingement?

Hip impingement, also known as femoroacetabular impingement (FAI), occurs when abnormal bone growth in the hip joint leads to friction between the femoral head (the top of the thigh bone) and the hip socket. This friction can cause cartilage damage, leading to pain and reduced range of motion.

There are three main types of femoroacetabular impingement (FAI):

  • Cam impingement – When the femoral head is not round and does not fit smoothly into the hip socket.
  • Pincer impingement – When the hip socket covers too much of the femoral head, causing it to pinch the cartilage.
  • Combined impingement – A combination of both cam impingement and pincer impingement.
Woman suffering from hip impingement is in pain while sitting in Coshocton, Ohio.

Hip Impingement Symptoms

Many people do not notice symptoms of hip impingement in the early stages. However, as the condition worsens, symptoms may include:

  • Hip pain, particularly in the front of the hip, or pain in the groin.
  • Stiffness and reduced range of motion.
  • Discomfort during activities like walking, running, or prolonged sitting.
  • A locking, clicking, or catching sensation in the affected hip.

Hip Impingement Causes

Femoroacetabular impingement is often caused by abnormal growth in the ball and socket joint, leading to an irregular shape of the femoral head or hip socket. The reason for this seems to be genetic.

Exercise and repetitive movement does not cause FAI. However, those who vigorously use their hips often begin to feel pain earlier.

Childhood conditions like Perthes disease or slipped capital femoral epiphysis have also been related to hip impingement syndrome.

Hip Impingement Diagnosis

To get a hip impingement diagnosed, an orthopedic specialist will perform a physical exam and order advanced imaging tests. These tests may include:

  • X-rays – This imaging test will show if there is any excess bone growth or abnormality in the hip joint.
  • Magnetic resonance imaging (MRI scan) – This test assesses cartilage damage and soft tissue injuries.
  • Impingement test – This test will be performed during the physical exam. It is where the doctor moves the hip to reproduce the symptoms of hip impingement.

Hip Impingement Treatments

Treatment for hip impingement syndrome depends on the severity of the condition. You will likely be recommended for non-surgical treatments to begin with. Non-surgical options include:

  • Physical therapy – Strengthening the muscles around the hip to improve smooth motion and reduce pain.
  • Anti-inflammatory medications – To help relieve pain and swelling.
  • Activity modification – Avoiding movements that aggravate the affected hip.
 

If hip impingement symptoms persist, surgical intervention may be necessary. Hip impingement surgery options include hip arthroscopy. This is a minimally invasive procedure using small incisions to reshape the femoral head and remove excess bone. This can sometimes be done as outpatient surgery, with many patients returning home the same day.

In some cases, open surgery may be necessary to access the hip joint.

Recovery from Hip Impingement

Recovery time depends on the treatment chosen. After hip arthroscopy, most patients can resume light activities within a few weeks, with full recovery taking several months. Physical therapy is essential for regaining range of motion and preventing future hip problems.

Get Expert Hip Care in Granville, Newark, and Coshocton

If you’re experiencing hip pain or have been diagnosed with femoroacetabular impingement, the specialists at Orthopedic Specialists & Sports Medicine can help. Our team in Granville and Coshocton, OH, offers expert diagnosis and treatment, including hip impingement surgery and non-surgical care.

Contact us today to schedule an appointment and take the first step toward pain relief and improved mobility!

Medically reviewed by Eric Erb, MD