How does arthroscopic hip surgery compare to nonsurgical treatment of hip impingement? What explains the results? The results of studies on hip surgery vs. conservative treatment are often misleading. Let’s look at how the data is getting twisted. Article: Arthroscopic hip surgery vs. physical therapy for FAI DIY program: The FAI Fix —- MUSIC David […]
Continue readingIntroduction to Personalized Hip Therapy and Conservative Treatment for FAI Femoracetabular Impingement (“FAI”) is a near and dear topic for us at Upright Health. We have had countless clients at Upright Health who wanted conservative treatment for FAI (meaning NO surgery). Unfortunately, many people diagnosed with FAI get pushed toward unnecessary hip surgery every day. There is […]
Continue readingNew Study Compares Arthroscopic Surgery for FAI to Conservative TreatmentIn 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 […]
Continue readingDo you feel an achy, dull, annoying pain in the side of your hip that’s been there for months or even years? Does it seem to get worse after any type of dynamic physical activity or any prolonged period of sitting? It’s possible that this discomfort is due to a shortened and dysfunctional tensor fascia latae […]
Continue readingIf you’ve been told you have femoroacetabular impingement (FAI, femoral acetabular impingement, or hip impingement), you have probably heard that arthroscopic hip surgery is the only answer. The conventional medical approach to hip pain associated with femoroacetabular impingement bone shapes is surgery, after all.We’ve successfully helped countless people beat their hip pain without surgery – […]
Continue readingA 2018 study in the American Journal of Sports Medicine claims that surgery for hip impingement is VERY successful. It says that arthroscopic hip surgery for femoroacetabular impingement reliably produces excellent results for patients. They claim it helps the overwhelming majority of hip pain patients return to sports quickly. Other studies about FAI surgery don’t show […]
Continue readingHip impingement surgery is still the go-to medical treatment for hip pain associated with FAI even though there’s lack of evidence to support its results. This is a topic we’ve talked about before (like here, here, and in this video).The rates of hip surgery are rising. But is surgery as helpful as studies claim? Does […]
Continue readingWe 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 […]
Continue readingWe’ve talked about hip impingement, the success rates for FAI surgery, and even if surgery is worth it. But what if we compare the results of treating hip impingement with surgery versus physical therapy?A study published in the American Journal of Sports Medicine in 2018 compared the outcomes of patients with a femoroacetabular impingement (FAI) […]
Continue readingThinking about surgery for hip impingement? Years ago, I met online with a young attorney named Maks in New York City who was afraid he needed to get hip surgery. He had lost the ability to play basketball. His doctors were sure he needed surgery to fix his hips. He was told he had femoroacetabular […]
Continue readingAre 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 […]
Continue readingIf you have hip pain, and you’ve been told you have femoroacetabular impingement (FAI), you may have had a series of movement tests (called “special tests” in medical jargon) done to confirm your diagnosis. If you have hip pain and are wondering if you there are good tests for femoroacetabular impingement that will tell you if […]
Continue readingIf you’ve been diagnosed with femoroacetabular impingement (FAI), or hip impingement, you may have been told that surgery is the only way to relieve your hip pain. Your doctors may sound confident that surgery will solve your problems, but this article will explain what your doctor may not know and why you may want to be […]
Continue readingWhy 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. But what does it mean to tell people they have hip labral tears? What do doctors […]
Continue readingWhen people are considering surgery for femoroacetabular impingement, they often hear some extraordinarily positive predictions of success. I had one client say his surgeon said it was 99% certain that the surgery would solve his hip problems. I’ve had people email me from around the world say their surgeons are 90% certain that the surgery […]
Continue readingMaybe you’ve been told you have femoroacetabular impingement. Maybe you suspect it’s what’s causing your hip pain. Let’s take a look an honest look at the theory behind femoroacetabular impingement and the science behind it. You’ll soon discover that femoroacetabular impingement (FAI) isn’t all that it’s cracked up to be.An overview of femoroacetabular impingementwhy people develop […]
Continue readingFemoracetabular impingement – also known as hip impingement – has become the go-to diagnosis for anyone who has hip pain and range of motion restriction. It is a diagnosis that was not even around until 2003 (when a group of surgeons proposed it as an explanation for pain, range of motion problems, and even arthritis), but its prevalence has exploded […]
Continue readingWhy 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, […]
Continue readingIf you suspect you have hip pain from feomoroacetabular impingement, you may be considering a hip injection. Should you get a hip injection for FAI? 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 […]
Continue readingA while back, I made this video to provide a preliminary outline of my ideas about hip pain and the recently created diagnosis of femoroacetabular impingement and the increasingly common surgical treatment. I received a comment on that video from someone purporting to be a physician practicing in orthopedics that I thought would be very important to […]
Continue readingA while back, I started looking into femoroacetabular impingement because I started reading about it and hearing about in hockey circles. When I started hearing what the symptoms were, I realized, “HEY! I had those problems! But I’ve managed to get out of those problems with proper stretching and very careful strength training… I wrote […]
Continue readingDo you ever feel a pinch in your hip when you sit down for an extended period of time? Is it difficult for you to lift your knee towards your chest past 90 degrees? Do you ever feel clicking in your hip when you bend down for a squat? If any of these painful feelings […]
Continue readingAs I continue to go through a long list of research studies on femoral acetabular impingement (FAI), I keep coming across studies that come to conclusions that are rather shaky. Take this study from the September 2008 Journal of Arthritis and Rheumatology (Nonspherical femoral head shape (pistol grip deformity), neck shaft angle, and risk of […]
Continue readingYou’ve been told you’ve got hip impingement. You don’t want surgery. You’ve started learning how to exercise your hips and to do massage work on yourself. Now you’ve discovered TRIGGER POINTS! Someone posed this question on a Facebook support group for people who are suffering with femoroacetabular impingement (FAI). I do have a question about […]
Continue readingA while back, I wrote a long post about femoral acetabular impingement (FAI) and how I think the diagnosis sounds shaky beyond belief. I presented you with some research evidence that showed just how ridiculous it is to base a diagnosis off radiological findings. I also made a video that talked about FAI and how, […]
Continue readingI recently watched Coach Kevin Neeld’s DVD set on mobility. He’s an intelligent coach and trainer with education in a great variety of perspectives who focuses on training hockey players. The DVD set covers mobility screens that he and his staff use to train a large population of pro and semi-pro ice hockey players who […]
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