Impingement occurs when the ball (femoral head) doesn't have full range of motion in the socket (acetabulum). This is caused by too much bone around the femoral head and/or the socket turned backwards (retroversion) and the femur bumps into the rim of the acetabulum and causes pain and possibly damage over time.
Impingement can present at any age between 20-50 years old. Most of the time, people will start to get pain in the front of their hip (groin) after prolonged sitting or walking. Walking uphill can also be difficult. Sometimes they feel a dull ache in the groin, other times catching or popping.
When the extra bone on the femoral head and neck (ball) hits the rim of the acetabulum (socket) the cartilage and labrum can be damaged. These tissues are the cushion between the ball and socket (clear space on x-rays), and when damaged can cause pain and start to degenerate (get small tears and form arthritis). If left untreated, pain and arthritis continues and usually a hip replacement (total hip arthroplasty) is needed at some point
Debridement: You will be walking within a couple days of surgery, on 1-2 crutches for 3 months, and it usually takes 6 months to feel fully recovered.
Periacetabular Osteotomy: You will be walking within a couple days of surgery, on 1-2 crutches for 3 months, and it usually takes 9-12 months to feel fully recovered.
If you have family at home - you will usually need 24 hour help for a week. Or if you don't have adequate help at home, we could consider a Rehabilitation center. The final plans will be made while you are recovering in the hospital.
For the first 6 weeks: finish taking blood thinners (aspirin for 6 weeks); wear T.E.D. hose; walk with crutches (partial weight bearing); keep wound clean. For the next 6 weeks: transition to 1 cane or crutch as instructed by your physician until three months after surgery; may start gentle stretching or strengthening exercises; walk;
After 3 months: return to work part time or full time as tolerated (2-3 months from surgery), continue to walk, and return to gentle exercise.
After 6 months: You may return to full activity (when the bone cuts are completely healed) except for running/jumping activities. The best lifelong activities are walking, swimming, biking to preserve your hip's health.
ActiveForever carries a wide selection of assisstive devices designed to help you with recovery from Femoral Acetabular Impingement. Our Hip Replacement Kit features a variety of useful tools that help you to bathe yourself, dress yourself, and pick up items from the floor. The hip kit is available with either a plastic or metal shoe horn. We also carry a wide variety of high quality Pedal Exercisers, including our new Mini Elliptical Trainer and our Motorized Mini Exercise Bike. Both can be used from a regular chair or wheelchair. They features smooth, quiet operation and fully adjustable settings. Perfect for lower body conditioning, the Mini Elliptical Trainer keeps track of your workout time and distance. The Motorized Mini Exercise Bike is designed for the early stages of recovery and features a quiet motor that drives the pedals for you, increasing circulation to your lower extremeties.
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