What is FAI? Learn the truth about femoroacetabular impingement.

Рет қаралды 298,738

10 жыл бұрын

Been told you have femoroacetabular impingement? Been told surgery is the only way to deal with FAI? Learn the truth about femoroacetabular impingement.
Detailed hip impingement training program: bit.ly/thefaifix
Labral tears: uprighthealth.com/blog/hip-la...
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ABOUT THIS VIDEO
Matt introduces alternative ideas about hip pain and the relatively new medical diagnosis of femoroacetabular impingement (sometimes called femoral acetabular impingement or just FAI).
He discusses some ideas for exercises for femoroacetabular impingement as well as alternatives to surgery for FAI.
This is the first video in a long line of videos on femoroacetabular impingement. For more updated information, please see the helpful links for research on FAI below.
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NOTE TO COMMENTERS
Please, before engaging in angry verbal attacks, read the articles below and watch the rest of the FAI playlist for detailed research on femoral acetabular impingement. Recent research has very clearly called the conventional understanding of femoroal acetabular impingement into question.
While doctors currently believe that bones are the cause of the hip movement problems, there is no strong evidence this is true.
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HELPFUL LINKS
FAI: what you need to know and what your doctor won't tell you: uprighthealth.com/blog/femoro...
Playlist of videos on FAI, including practical exercises to improve hip mobility and reduce discomfort: • All things FAI
Research refuting basic ideas on femoroal acetabular impingement
1) FAI bone shapes are common as anatomic variants and are not indicative of a disease.
•Femoroacetabular Impingement: Prevalent and Often Asymptomatic in Older Men: The Osteoporotic Fractures in Men Study. Link: goo.gl/achTPA
•The prevalence of cam-type deformity of the hip joint: a survey of 4151 subjects of the Copenhagen Osteoarthritis study. Link: goo.gl/AA1EZX
•Radiological Assessment of Femoroacetabular Impingement Morphology Using Computed Tomography in an Asymptomatic Young Population: goo.gl/JHg9Be
2) Cam and pincer impingement do not lead to arthritis.
•Predictors of progression of osteoarthritis in femoroacetabular impingement: a radiological study with a minimum of ten years follow-up. Link: goo.gl/nc3pBV
•Pincer deformity does not lead to osteoarthritis of the hip whereas acetabular dysplasia does: acetabular coverage and development of osteoarthritis in a nationwide prospective cohort study. Link: www.ncbi.nlm.nih.gov/pubmed/23...
3) Labral tears and other joint pathologies exist in high numbers in individuals without any pain or hip symptoms.
•Identification of acetabularlabral pathological changes in asymptomatic volunteers using optimized, noncontrast 1.5-T magnetic resonance imaging. Link: www.ncbi.nlm.nih.gov/pubmed/22...
•The prevalence of acetabularlabral tears and associated pathology in a young asymptomatic population. Link: www.bjj.boneandjoint.org.uk/co...
4) Surgery for FAI often fails to meet patient expectations.
Fulfilment of patient-rated expectations predicts the outcome of surgery for femoroacetabular impingement. Link: www.oarsijournal.com/article/S...
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MORE RELEVANT FAI RESEARCH
Problems with FAI hip impingement - www.uprighthealth.com/blog/fe...
Special test for femoral acetabular impingement - www.uprighthealth.com/blog/FA...
5) Prevalence of FAI in CT scans of young asymptomatic population: www.ajronline.org/doi/full/10....
6) Is a Positive Femoroacetabular Impingement Test a Common Finding in Healthy Young Adults?: www.ncbi.nlm.nih.gov/pmc/artic...
7) Does FAI cause arthritis? This 2010 study gives a resounding NO: www.bjj.boneandjoint.org.uk/co...
8) Does pincer impingement lead to arthritis? This study also says NO: www.ncbi.nlm.nih.gov/pubmed/23...
*This content is not a substitute for individual medical or health advice. It is intended to educate and inform.
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Facebook: / uprighthealth
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Пікірлер: 540

@Uprighthealth 6 жыл бұрын

If your major gripe with the perspective in this video is that it's not being put forth by a doctor, you may find these physicians' written opinions helpful. Sports Surgery Clinic - Dublin, Ireland - www.sportssurgeryclinic.com/growth-hip-surgery-ireland/ Michael Reiman, Physiotherapist - Femoroacetabular impingement surgery is on the rise - what is the next step? www.researchgate.net/publication/303739484_Femoroacetabular_Impingement_Surgery_Is_on_the_Rise-But_What_Is_the_Next_Step PDF: www.muscleuppt.com/FAI%20on%20rise%20%5B1%5D.pdf David Rubin, Radiologist - Femoroacetabular impingement: fact, fiction, or fantasy? www.ajronline.org/doi/full/10.2214/AJR.13.10913

@TheDJMGL 3 жыл бұрын

thank you for this. the things you said on this just blow me Away I have the same symptoms . I wanted to know if can i get in touch with you? i was resigned and just go into sergury but I saw this and maybe there is hope. please reply thank you,🙏🏽

@gambinored81 2 жыл бұрын

Diagnosed with FAI. Was told Femoral head was misshapen with osteoarthritis. Limited range of motion. Dont wanna do a hip replacement. Cant sit butterfly/indian/lotus style. Would love too. What can I do to get back to being able to sit like this.

@manganlive 2 жыл бұрын

@@gambinored81 OA may slightly charge this. OA and FAI are linked but nothing the same thing....

@Flippidyflops 5 жыл бұрын

Everyone considering surgery something to think about: I had FAI surgery on my left hip when I was 17. (Also had FAI and torn labrum on right hip) My bone was shaved down and my labrum was repaired. (Surgeon said it was the most bone he’s ever removed from FAI surgery) Yes, it relieved some pain, I could finally sleep on my side again without the uncomfortable pinching. Was very diligent with my rehab and returned to football about 4 months later. It felt better but never great. Eventually the same pain creeped back, there was still popping after surgery and all of that. I ended up playing D1 football at Virginia tech but was forced to leave due to my hips. I had MRI’s done on both hips and my left hip labrum was torn again and my right was torn as well. And I was diagnosed with FAI again and recommended to have corrective surgery for both hips again. FAI just doesn’t make sense to me. How could I re-tear my labrum if the “structural abnormalities” were fixed. Why could I still not move how I wanted to? My mobility is awful and FAI just seems like an excuse. My “FAI” pain was never fixed because surgery wasn’t the answer. I never fixed my muscle imbalances and I can keep getting the surgery over and over but if I don’t fix the muscle imbalances nothing will ever change. For everyone saying you can’t stretch bone, yeah I get where ur coming from and that used to be my excuse but there are some very interesting links that are provided at upright health’s website that make FAI not make sense at all. There are so many people with “FAI” that have zero pain, zero symptoms and perfectly fine ROM. How is that possible if they have these structural issues and you can’t “stretch bone”. Yet, they’re perfectly fine and have normal hip mobility. Sounds to me the source of the problem is the muscles surrounding the hips and not the hips themselves. I don’t have the answer but FAI is a newly research “condition” that doesn’t add up. If the bone shape is really what is causing all this pain and problems then how did Matt get better without surgery? How do people with said FAI have great mobility and no pain? Something to think about if you are considering surgery. It’s at least worth a try to avoid surgery and fix ur muscle imbalances first. I’m 21 now and I’ll be honest, I want to fix my hips because living with this pain is not living at all. But I’m not trying to fix the problems, im not working on my muscle imbalances everyday like I should. I keep putting it off because it’s hard and one of the hardest parts is figuring out what excel uses actually work for you, because each person is different. But before I can honestly say I really tried these exercises and trialed and errored myself then I don’t think surgery should be considered again until I make an honest attempt. I’m not recommending to or not to get surgery but I think you should definitely try to avoid it. Lastly, I don’t think a lot of PT’s understand FAI so the stretches and exercises they recommend may not work at all. Because I’ve been there, I go to PT and it’s: some simple stretches, glute bridges and that’s about it. That’s not going to cut it. Matt has some really sound logic and what I’m saying is, you should at least try and put in an honest effort before going the surgery route because I was back to where I was before surgery within a year.

@kingzriot976 Жыл бұрын

Hey man how are you now?

@HYCbruno Жыл бұрын

Thats the conclusion of Dr Sarno, pain its actually TMS pain, and not due to structural abnormality

@thepurespartanify 8 жыл бұрын

I just had surgery for this. My X rays showed very clear dents from my pelvis hitting my femur and the size difference between the problem side and ok side was very clear as well along with a torn labrum from the wear in that area. Being a rower and runner, it was very important for me and now I have very good and even flexibility on both sides whereas before, my leg could not go above 90°. The surgery helped me. Everyone's body is different so not every body will get problems from it and some will get worse problems.

@8180634 2 жыл бұрын

How are you doing 5 years later, and how did it start for you? I'm fighting this now, it started after an injury to my hip (my leg got yanked back) and now I get pain at night and my range of motion is very limited. The Dr. diagnosed it as FAI. I've not had surgery yet and curious to know if you got your range of motion back and are you back to normal?

@thepurespartanify 2 жыл бұрын

@@8180634 My range of motion is the better, especially because I stretch as much as I can everyday because of martial arts as exercise for me. My orthopedic surgeon at the time examined that the way my joint was was that it essentially grew incorrectly. I did rowing and due to the motion of rowing with your legs, it caused my femur and pelvis to grind and impact each other. The surgery was to reshape my joint. The only signs I have of ever having surgery are 3 dime sized scars on my hip and sometimes it will feel tighter than the other hip but all I need to do is stretch it for a moment and I feel and move fine

@8180634 2 жыл бұрын

@@thepurespartanify great thanks for the info! Where I'm at now is I have much reduced range of motion and it will painful at night after say a good mountain bike ride or if I run intervals, or motocross kills it. Can't sleep without Advil. Watching the surgery and seeing them grind away what looked like smooth parts of the joint made me scared it might lead to arthritis down the road, but it's good to hear it was a improvement for you still years later.

@jackaro0343 Жыл бұрын

if you have impingement you need the surgery if its damaging the labrum, this guy is not a medical doctor nor a expert. you made the correct decision

@jackaro0343 Жыл бұрын

@@8180634 is your labrum torn? or bruised? it wont get better unless all you wanna do is walk aroudn for the rest of your life. get it done sir

@brianfoster9699 6 жыл бұрын

After dealing with FAI and deciding not to get surgery, I decided to really strengthen all the muscles surrounding my hips. I had overly tight hip flexors, especially on the impinged side. The leg with the un-impinged hip felt "shorter" than the other leg. I was also told by a chiropractor that I had APT. I came across a few articles detailing glute amnesia, and once I really started strengthening my glutes, especially on my un-impinged side, my symptoms became better immediately on the contralateral side. Most people think they have strong glutes (I thought I did, I hike all the time) but it was really a glute strength imbalance that seemed to be causing my problems. This is completely anecdotal, but if you have FAI symptoms and hip flexor strain, do some serious glute work and see if there are imbalances there.

@keithstahley266 Жыл бұрын

Hey thx for story. How is your hip doing now, in 2022?

@sheldor73 Жыл бұрын

Very true!

@dongodlyduffy776 10 ай бұрын

Which exercises?

@dpbg 8 ай бұрын

How is it going in 2023?

@user-ci3il4cv2d Ай бұрын

Brilliant. Ty for sharing.

@Joshbotti 8 жыл бұрын

I have been dealing with internal snapping hip since I had a minor fracture in my L-4 three years ago. I have been to many PT's and Chiros, stretching and strengthening my hip flexors with no help. Can FAI be the reason/fix for this? Thank you.

@ashlynstaker4890 5 жыл бұрын

I am a ballet dancer and I dealt with/tried to improve my excruciating hip pain for four years before I finally sought out medical help. I had fai and a torn labrum. I went trough months of physical therapy (which is typically required before hip arthroscopic surgeries so people are exposed to/try non-surgical techniques) and had steroid injections into my hip. Even after my physical therapist told me that I had loosed up, I was strong, and my range of motion had improved, none of my symptoms/pain had been alleviated. I had an arthroscopic hip surgery to repair my labrum, correct my impingement, and I had a capsular repair to improve joint stability. The surgery is minimally invasive, they do not “cut you open” and you would no that if you knew how arthroscopic hip surgeries work. I’m sorry but most people, especially young athletes, don’t have three years to dedicate to trying to improve their hip function themselves, and according to my physical therapist my joint function was actually good, despite the fact that the pain was terrible. My orthopedic surgeon made it very clear to me that for SOME people surgery was not necessarily the solution and we exhausted all the non-surgical methods, but ultimately surgery was the answer for me, and I’m very greatful that I had the surgery. In my case, the impingement was also linked to osteoarthritis, so do not tell me that they two are not linked because I am living proof that they are. I do not think that you are in any position to be telling people what they should do in circumstances like this because medical advice should be given by DOCTORS. Also, if people are in a great amount of discomfort they SHOULD seek professional help and they should not have to feel bad or guilty about it because some guy on KZfaq said that it was unnecessary because for some people it is very necessary. May I also point out that you said you might have fai, you weren’t even formally diagnosed and fai does require a diagnosis by a doctor. So you are literally trying to give medical advice on something you weren’t even diagnosed with and you did not go to medical school for. While I don’t believe surgery is the answer for everyone, I do think that surgery is A solution to this problem, as I have experienced it firsthand, I don’t think you should be making blanket statements about fai, because it is very personal and different for everyone and they need to work it out on a personal/individual level with their doctors and therapist.

@brinho109 4 жыл бұрын

The link between supposed FAI bone shapes and osteoarthritis is very weak. Additionally, this appeal to the authority of doctors is problematic. It doesn't take a medical degree to see that the theory of FAI leading ostoearthritis is not well founded. Overall I think it's good Matt is bring attention to this issue supported by studies with large numbers of participants with FAI bone shapes who aren't symptomatic and not only personal anecdotes.

@NozPortfolio 3 жыл бұрын

The guy who posted this video is an idiot. He is not qualified to be giving any medical advice and it is irresponsible of him to be giving this type of advice on KZfaq. I and many of the comments below seem to be calling him out. DELETE THIS VIDEO!

@jamesmedina2062 2 жыл бұрын

@@NozPortfolio You're a fool. This guy is not a doctor. Hopefully you can understand that he is giving advice on an alternative to surgery. In addition, no surgery is approved before PT and other modals have been tried.

@jamesmedina2062 2 жыл бұрын

Any statement about FAI is just that. It is fact-based statement about the hip joint. When someone has trained and learned about the hips and he is giving his advice, he is providing a wonderful resource to all of the people out there with hips, which is most of us. Please stop being a Karen trying to shut people up with INVALUABLE information!

@NozPortfolio 2 жыл бұрын

@@jamesmedina2062 clearly. He is not a doctor. Just a guy with a KZfaq dispensing advice on a subject he knows nothing about. The sad thing about the misinformation in his video is that it may lead to further joint deterioration in people who may need to actually speak with a medical professional.

@crashii 9 жыл бұрын

I love how you explained the economics involved in decision making process. Why worry about surgery if you have not tried simpler treatments? Treat the simple conditions before the complex.

@markgarry5768 9 жыл бұрын

I can relate to this video 100% and have started doing some of the stuff you've talked about here. I found the video hugely beneficial. Thank you.

@rcfrenzy 8 жыл бұрын

I get sharp pain when doing hip stretches, should I push through the pain? I fear I am causing physical damage. Even after massage and foam rolling I get pinching with stretches.

@Uprighthealth 8 жыл бұрын

No, you should NOT push through pain - especially pinching pain - in stretches! Stretches should be felt in muscle bellies as a stretch. It's rarely ever a good idea to push through sharp pains like pinching.

@jonthebeing 3 жыл бұрын

Did it ever get better dude I have pinching in my hips do when I do lunges or knees to chest it sucks

@doransshield9176 3 жыл бұрын

@@jonthebeing knees to chest gives me pain at the front of the hips too, not on lunges though

@cassiusgaio9524 3 жыл бұрын

Hello, I have a question about my hip pain. Here is my situation: I am a very flexible person and I have a good squat form as well as strenght ( I can perform 100 bodyweight deep squats in a row, with good form ). However, about a month ago, I was casually squatting and, accidentally I did a “bounce” rep and I hurted my hip. Now, the front of my hip feels very uncomfortable ( I did a test and I feel pain when I do external rotation and when I perform deep squats ). It is not a horrible pain because I still do parallel squats and lunges without pain. What exercises should I do in order to get back to the ass to grass squats pain free? Note that I only have the floor as my equipment, so no resistance bands, foam rollers, tennis balls or any other recovery tool. So I only have my bodyweight to help me.

@styleyK 5 жыл бұрын

Sounds like you have been through a journey of investigation, experimentation and discovery, exactly what I am in the middle of right now with my left hip and back. Every now and then I get a lightbulb moment and my progress takes a step forward, usually after reintroducing a forgotten exercise, stretch or release, creating a new one, or after watching a video from a like minded person such as yourself. Thanks for the knowledge 👍🏿🇬🇧

@salemfredericks435 8 жыл бұрын

Really enjoyed the video. It was funny and informative. Thanks for including all the links also

@CindyLocherTheRelaxationWorks 8 ай бұрын

I'm so glad I found your channel. You do a better job of describing what's going on with me than any of the doctors/chiropractors I've been to.

@muteebsuhail 8 жыл бұрын

hey thanks for the videos. I have tried so much these last 2 years in terms of different exercises, different programs, and yup I am stuck with all the symptoms today that you have described in your video. I would appreciate it so much if you could maybe provide some specific exercises and stretching protocol to try before opting for surgery. Thank you, god bless and all the best.

@Uprighthealth 4 жыл бұрын

Please check out the FAI Playlist: kzfaq.info/sun/PLfKNSz5BBcBH4lL9pn4XUX9ef0OyZPFtj Also check out thefaifix.com

@hayleyr7043 10 жыл бұрын

I'm a figure skater and have had hip pain for about a year. I've been to physio therapy for 6 months, with message therapy and stretching and strengthening all the muscles around that area. No signs of improvement has happen since then, which is kinda frustrating because I did all my stretching and exercises ( including and foam roller and applying heat) every day for that 6 months ( and it took me like an hour everyday). I wake up often at night with shooting pains if I roll over on to my hip. I have had an X-ray but it showed nothing wrong. Does anybody now a solution.

@JV-mr5tu 8 жыл бұрын

Any experience with labral tears? I have a tear and a cam impingement. I am very active and I totally understand waht you mean by retraining your muscles especially strenthening glutes can be beneficial. but will this help with a tear?

@bradrutherford1000 8 жыл бұрын

Great video. I've played hockey for 30 years almost, have been suffering with these pains for over a decade and was just was referred for surgery this morning. I'm glad I found your site and will hopefully find some good exercises on your channel!!

@Uprighthealth 8 жыл бұрын

Be sure to check out the FAI playlist, and happy skating!

@patriciavarga4204 4 жыл бұрын

These options have made a huge difference for me! Ty so much!!

@arnis80 8 жыл бұрын

Very informative! Good stuff!

@kameronoleary9262 5 жыл бұрын

Ok so glute medius and to a lesser extent maximus exercises work very well to relief my pain! But when I do this stretch for my inner hamstrings, I feel a very tight bone-on-bone feeling in my femur- hip socket, like its gonna pop or snap or grind if I go further. Should I just maintain the stretch despite this sharp tension?

@marcusderinger8892 7 жыл бұрын

hey bro you guys still here question when I sit like that my whole inner adductor area is tight and painful

@patriciavarga4204 4 жыл бұрын

This is so true with so many ‘ailments’. I love Matt!❤️😊💪. The fact about the images showing FAI with no pain, images with no FAI and have pain. I’ve heard this many times not just about FAI. If ur on the fence about what they are telling us. What have u got to lose? Get stronger, do ur homework folks. Not easy which is why ppl go for surgery.

@patriciavarga4204 4 жыл бұрын

Tell the muscles to shut the hell up😂

@Keys2AthleticismBullAthletics 8 жыл бұрын

Thanks for this video. I am currently in my senior chiro year and what you are talking about makes sense. Really appreciating the fact that you are posting all the relevant articles to support your findings on this! I have a patient with complaints like these and I will be using your video and all the articles to complete my writeup. Regards, Ziko Bull

@Uprighthealth 8 жыл бұрын

Happy to be of help!

@matthewfisher222 9 жыл бұрын

Hey, just a quick question I hope you can help me with. I have trouble loading my my left glute and when I manage to I can feel it shaking. I have complete loss of power because f this. My right side however is fine. Any ideas what this could be? thanks

@tekadesa 7 жыл бұрын

Hey! My boyfriend has this problem and he really wanted a video showing the correct exercises so he could be just like you haha no pain, no more of this femoral acetabular problem. Thank you!

@dpbg 8 ай бұрын

How is he doing?

@MrsSpcDomo 3 жыл бұрын

Bruh... so practical yet so logical! Love it!

@xonena90 7 жыл бұрын

Great video! thank you for sharing valuable content! are you a physical therapist?

@tomgesner9731 7 жыл бұрын

Was just told I need hip replacement at 45 do you have a gym on the east coast you work out of ?

@TheSHILOWOLF 6 жыл бұрын

You mentioned exercises to rectify the FAI issue. Where do I go to see those specific exercises that you had mentioned?

@VicBxxx 4 жыл бұрын

Brilliant makes sense stuff! Laugh at this .... I was diagnosed to have an fai fix by my lovely consultant- turned out though they’d scanned my left leg and I’d gone Re pain in right leg - so they’d diagnosed the wrong leg ! They backtracked and ended up operating on the right leg - guess what it’s no better in fact worse - so to me everything you say is proven correct by my case x I’m finally following your advice and am already feeling improvement THANKS FOR ALL. YOU DO XXXX

@HairyPixels 9 жыл бұрын

I don't have FAI but just impinged hips and anterior glide of the femur. After much work with PT's I found a person who diagnosed me with a long Psoas Major which is causing the femur to not get pulled anteriorly but the other dominate hip flexors. Have you ever heard of this Matt? Everything else you say is correct about weak glutes (the lower fibers though) and tight hip flexors (Rectus Femoris and TFL) but the Psoas was overlooked and just mixed in with the other hip flexors which I've learned is not correct. What do you think about this?

@kale-bopp 5 жыл бұрын

What would be REALLY great is if you could do a video of people sharing their symptoms, to demonstrate how differently people experience FAI and how it can relate to the soft tissue imbalances that surround this issue. I say that because there seems to be a set of symptoms that are hard-coded to this diagnosis, but a lot of people experience additional symptoms that aren't covered in the literature. It's not necessarily just groin pain and snapping, a lot of people (myself included) feel pain in their lateral hips and glutes, their psoas, etc. I also have learned, by discussing this issue with dozens of men and women, that there seems to be gendered differences in symptoms... which makes sense, because male and female hips are quite structurally different, and medical literature seems to focus more on men. Ultimately, as you stated in your video, there may be cases where surgery is necessary. And it sounds like you're not refuting the diagnosis... you're simply stating that FAI pathology is, in most cases, benign until soft tissue imbalances give the pathology an opportunity to do damage and cause pain. By addressing those imbalances, you may revert the joint back into an articulation where bone spurs aren't grinding and causing pain and damage. It never hurts to try a conservative route first.

@sashamazhbits 5 жыл бұрын

Could you do show some FAI exercises that worked well for you to build up strength? I’ve done a round of PT but am looking for additional ideas for things to do at the gym.

@rehderj4 8 жыл бұрын

Interesting, but missing a lot of the important information. Yes you are correct about hockey players and the higher instances of occurrence. Medical evidence suggests that the human body will distribute calcium to areas of the skeletal body that are under more stress (head of femur, cam impingement and pincer impingement to the outside of the acetabulum). Medical studies have shown that these are a combination of both genetic, and activities (sports) played during developmental years. If you truly suffer from FAI, you will tear your labrum while performing certain types of motion. If your labrum has been torn, the only way to repair it is with surgery, at which time the will repair the impingement(s) as well. If you have a torn labrum the impact on acetabulum while performing physical greatly reduces micro stability in the hip, and increases the wear on the cartilage in the acetabulum. According to the scientific study published by J Biomech in August, 2000 the wear on the joint is increased by at least 92%. Another issue that is then caused by this is Synovial fluid breaking through the acetabulum. Synovial fluid is known to dissolve calcium and create bone cysts, which can greatly weaken the bone structure, even resulting in collapse and fracture. Exercises, stretches, and injections can not correct true FAI, and many people are mis diagnosed. The range of motion you site is a correlation as well, and not an indication of FAI, but a common occurrence of it (in which the range of motion is restricted due to soft tissue issues surrounding or in the joint). I would highly recommend that you attend one of the many orthopedic conferences that feature highly notable lectures on FAI. While I am not a doctor, I have spoken at more than 5 of them in the past 4 years, and I have not seen you at a single one of them. The latest this past August in Your information might be helpful to someone that has a very slight impingement, but not a full impingement (in which motion does tear the labrum). I think that your post on this is potentially dangerous, and will make some think this issue isn't as serious as it could be. If the MRI does not show an elongated or torn Ligamentum Teres, nor a torn Labrum then your advice may help. Surgery is the only solution proven (study presented in Vail, CO by Dr. Marc Philippon August, 2015 at the Vail Scientific Summit) for patients that show either of those conditions along with torn or worn cartilage, or the presence of Synovial Bone Cysts. Two options of surgery are available, arthroscopic which includes the repair of FAI, or Total Hip Replacement. I don't know it all, but I find this discussion video to be potentially very detrimental to some patients lives, and feel that overall it best leaving this up to the true experts to deal with the patients on a one on one level.

@Uprighthealth 8 жыл бұрын

+rehderj4 , you sound like someone I'd love to speak with. Could you get in touch via email? There are a great number of very recent studies that seem to greatly undermine the criteria used for FAI diagnosis and for the underlying theory in general, and I would love to have a more in depth discussion with you about them.

@sheld98 8 жыл бұрын

I agree that this could be misleading to people with true FAI. I have dealt with this since I was 13...The first things they noticed in my MRI/arthrogram and surgeries were bone cysts, torn ligamentum teres (torn on left and right side), severely torn labrum, etc. I've undergone a total of 7 hip surgeries to repair this because I tried alternative things to "repair it myself". I'm 23 years old, I do not have a labrum in my right side, I'm constantly growing bone cysts, my pelvis "drops", causing lumbar pain, moderate OA, and my only option is replacement at this point. I've had reconstruction surgeries to put a hamstring in my hip to act as a labrum...There's a huge difference between someone who thinks they have this, someone who has mild FAI and people like me who experience more than just a "clicking or popping" sensation.

@Daniel-tv9tb 5 жыл бұрын

Very well stated. His non medical advice is simply wrong and could put some individuals down the wrong path. If a patient has FAI and a labral tear that is painful surgery unfortunately is the only solution, no amount of pt or stretching will fix the issue.

@dumbdog2924 4 жыл бұрын

@@Daniel-tv9tb yup, I just finished about six months of physical therapy and it helped a bit, but not as much as I would have liked it to. But for me and the therapists helping me, it was a waste of time on both sides.

@hippieschick6473 3 жыл бұрын

Ok I thought I had this..but I can do all the motions no problem its when moving to external rotation..suggestions?

@Shoto519 7 жыл бұрын

when i strech inner thigh it hurts rectus femoris or its femoral acetabular impingement. What can be the cause? same pain when pulling knee to chest. ps i am also very thight in inner thight but dont like to strech cause it hurts front off hip... Feels very wierd

@francinecourcy 5 жыл бұрын

Keep up with all information. I'm following

@Gamefan4563 9 жыл бұрын

What if you can do all those actions with your leg : lift 90 degrees, all fours 90 etc. but there is pain and a clicking sound/feeling ? :s

@averagewheyenjoyer 5 жыл бұрын

Harlstar hip tendonitis. Sore tendon causing pain and tendon slipping over your hip joint causing the popping sound

@Mereship 4 жыл бұрын

Boris Cakovan what is the solution for this? I get that clicking sound and feeling deep in my right hip. I especially get it when doing Romanian deadlifts even with no weight

@goharfirozgary8638 4 жыл бұрын

What are some of the exercises or stretches that you did ?

@odiexx 9 жыл бұрын

Why do the thighs get so tight (or, hypertonic)? What is the hypotonic synergist?

@RajINDER121 9 жыл бұрын

Upright Health I need your help in guidance to your videos which help with internal rotation. I feel greatly impinged when I internally rotate my femur. Adductors are always tight and especially my Hamstring Semimembranosus. When I even try and hinge of the hip and pull my feet together (i.e. adduction) I feel my hip clicks right at the bottom. Please help thanks Matt you are awesome.

@diannabrown2673 5 жыл бұрын

I appreciate your videos, I was considering surgery but after I watched your videos, I tried stretches instead. They're working, I feel less pain already, and I don't hear the popping sound as much. Thanks!

@quikboarder93 5 жыл бұрын

I got the surgery last Friday on 5/31/19 and am posting updates on my page. My physical therapist moved my leg out to the side like 45ish degrees yesterday and to my surprise, my hip didn’t lock! My leg has only ever been able to go out to the side more than about 35-40 degrees-no matter how much yoga or stretching I did. Even when I was 11-13, my side kicks in karate never got as high as the other kids because my hips would lock. Looking back, it was definitely because of FAI. Overall, this defect destroyed my quality of life to the point where I couldn’t do yoga, skateboard, snowboard, ride a bicycle, or hike without pain. Nothing helped! These past few months, I went from very active to total couch potato and walking with a cane some evenings. I’ve dealt with chronic pain for over 6 years now and I’m pretty much 100% sure it was due to FAI. This year, it became unbearable. After the operation, my surgeon said the labrum was torn pretty much all the way through. My left hip is okay at the moment since skateboarding and snowboarding are the main things that caused problems and they’re asymmetrical sports, but it will probably need the surgery in a few years as well. I believe this surgery will help a lot just based on these first few days post-op. No amount of stretching or soft tissue work would have fixed this issue. FAI is a real condition. If you’ve done everything you can like yoga, physical therapy, and getting exercise in general, but nothing seems to work, then surgery is probably a great option. It’s fucking rough and feeling helpless for a couple weeks really sucks, but it’s better than chronic pain the rest of your life!

@xToymachine1031 2 жыл бұрын

It’s been 2 years how’s it going with your hip ?

@quikboarder93 2 жыл бұрын

@@xToymachine1031 Right hip is still great. Got the left done last year (May 2021) and it went okay. I don't recommend surgery if you have other ailments that could affect that area though. I broke my back (T12 compression fracture) and roughed up my sacrum by landing on my ass snowboarding off a jump in 2020. The combination of the leftover scar tissue and aches from those injuries did not mix well with the second surgery. Overall, still doing better than before. It just took much longer to get back to normal this time around and there were more rough patches. Still not quite 100%, but starting to see the light. Probably back to somewhere between 80-90%. Just now starting to skateboard and do more active things again. Also, the last bit of my friend circle collapsed right after my second surgery, so my mental health was suffering. It wasn't until my mental health got better that my body really started to as well.

@carsdankandchicks Жыл бұрын

@@quikboarder93 Thanks a lot for sharing with a long term update...I have a hip arthroscopy scheduled soon! Definitely scared but like you described prior to your surgery, I can't do much anymore without pain, also tried PT and when it didn't help (got worse actually) they eventually had to give up and send me to a specialist. I have X-Ray confirmed femoral neck cam deformities and MRI confirmed labral tears in both hips. :(

@dpbg 8 ай бұрын

@@carsdankandchicks How is it going on now, 1 year after the surgery?

@luisdeleza2954 2 жыл бұрын

What's up Matt! I have been listening and doing the exercises you have been doing and they have been helping me for sure. I tried ice-pack on the top of left leg muscles for about 20 minutes then switched around to the bottom of my left leg and iced it for 20 minutes and it did help with the pain for a short time but did see some relief. I just want to finally get rid of this pain when I put all my weight on my left leg to throw my 16lb bowling ball down the ally and get strikes like I used to. Anyway I do want to thank you for all your videos because they have helped me with my pain. Keep them coming they sure do help.

@SwedishStarlady 10 жыл бұрын

Oh I so WISH you were right! Unfortunately for me your approach on the matter is exactly the approach I took when I started having trouble. I didn't even think it came from the hip, I believed fully that it was only a "tight inner thigh muscle"-problem and so began a comprehensive stretching program and got sports massages on a regular basis for months and months. Guess what? It only worked very momentarily and over time the problem accelarated instead. So I went to see a physical therapist about my "muscle problem". She did the posterior FAI test and sent me to ortho instead of treating me. I went to have an x-ray truly expecting it to come out blank and fine, but noooo... HUGE pincer and some CAM - this means that no amount of stretching in the whole world could fix my problem. You can't stretch bone away and I had bone catching on bone, unabling me to straddle my horse, run fast, change directions rapidly etc. etc. (i.e. no fun sports available anymore). Had my surgery 10 weeks ago and guess what? I can now do lots of the movements I simply couldn't do before. So for me when you say "I don't buy FAI" is like saying "I don't believe in x-rays" and "bone spurs can be stretched away".

@SwedishStarlady 10 жыл бұрын

Sorry for the late reply but better late than never, right? Because FAI is added bone growing in your hip you need a scope surgery or the problem will remain and can cause damage to your cartilage that is permanent. For more information check out fb FAI awareness groups and you will find many others in the same situation. Be careful not to work out in ways that trigger the problem. Make sure you don't get too sedentary at the same time. Even though stretching won't fix the problem, it is still good to keep your mobility and core strength up until you can have your scope done. Best of luck!

@Uprighthealth 10 жыл бұрын

***** Read the latest article now linked in the video description. Your locking and popping in the hips is a real phenomenon, but the FAI explanation is based on very shaky assumptions. Standard physical therapy protocols for helping generally focus on the wrong muscles. In addition, you need to learn to activate the posterior and lateral hip muscles on a regular basis to minimize locking and popping in the groin.

@Uprighthealth 10 жыл бұрын

Frk, while the surgery and the recovery time may have seemed to help you, that does not validate the diagnostic criteria. The second link in the video description covers a study done in 2011 that very strongly calls into question whether the diagnostic criteria and the supposed disease process make any sense. The data is pretty shocking. Altering the bones may make a difference to how your joint feels, but many FAI surgery survivors can tell you that the bone cutting approach makes no difference for them. If the theory behind FAI were right, success rates would be much higher, and you would not see the unfortunate cases of patients needing to go back to "revise." Glad your hip feels better, though. Count yourself lucky!

@SwedishStarlady 10 жыл бұрын

Upright, I would love to agree with you, but how can you say that the outcome rate is bad when all the latest figures show at least an 80% success rate for FAI scopes? And also you are avoiding the question of how stretching and exercise could in any way, shape or form have helped ME as my pincer growth on the acetabulum hit and locked with my CAM bone growth, destroying my labrum bit by bit? I am sure there are cases where maybe the x-rays do not clearly indicate FAI or where the bone growth is not so severe where the problem could be eased by what you're suggesting. I might even go so far as to saying that IF you catch it in time it COULD help prevent the bone growth even if I'm not sure how much I actually believe that... But I still think it's downright irresponsible of you to give people in the same situation as me the advice that you do here. Had I seem your video before seeing a doctor I would gladly have given it a try (who wouldn't rather work out and stretch than go into surgery??) and all that would have accomplished would have been to give my pincer more time to grow... In my opinion YOU are the lucky one to have caught your problem in what might have been just in time. I only hope your hips will continue to be fine in the future too. 😊

@Uprighthealth 10 жыл бұрын

Frk Långsam Show me a study with an 80% success rate, and I will show you heavily massaged statistics and a "success" metric that is faulty. Re: your pincer growth, I direct you again to the studies re: the radiological evidence of FAI and whether or not it is indicative as a cause of groin pain. Both links in the description directly address this. Studies show that radiological evidence of cam and pincer impingement has no correlation to symptoms of groin and hip pain. People can have "FAI" in an x-ray and have exactly NO problems. That's an established fact. Right now x-ray is used to diagnose FAI, but all signs indicate that "FAI" on an x-ray is a coincidental finding and does correlate (let alone even *cause*) FAI. So blaming the bony misgrowths makes no sense. This is the same pattern of cut-first-THEN- study is exactly what happened with back surgeries in the last 20-30 years (e.g. unnecessary and costly spinal fusions with grossly overestimated success rates for back pain ultimately turning out to be based on x-ray evidence that turned out to be of no predictive quality). We are both lucky! My hips continue to get better, stronger, and more mobile even as I age. One of these days I plan to get x-rays and MRIs done on my hips to see how terrible they look in radiological reports...because between hockey, snowboarding, and martial arts, I know I've "wrecked" my hips for x-rays. :-) Edit: just want to add that sports massage generally won't do the trick and all P.T. protocols I've seen so far make no sense for helping with the problem. Massage will not have a lasting effect when you're as far gone as you were (sounds like where I was), and typical P.T. stuff for it aggravates the problem. That's for another day. Enjoy your sports and all your fun activities!

@healthandhappiness9550 5 жыл бұрын

This show is very informative, still, I have no cartilage in both hips. I am so tight in both my hips. I plan on having hip replacement. I don't think it's FAI?

@megandamico5784 4 жыл бұрын

What if the diagnosis is possible labral tear and not FAI? Is your advice still the same?

@BDoggUSMC 4 жыл бұрын

Help! I'm a disabled vet (below the knee amputee), and I've been getting my health back. I was on a great routine of walking during the day, fasting, eating healthy and was down about 30 lbs in July 2019. I had a prosthesis that was slightly taller than my other leg and I have really jacked up my hip. I mean bad. I keep trying to let it heal, but I can't walk without pain. Where do I start with this? I do not want surgery.

@clarence-theregularcat7708 8 жыл бұрын

I have a had a slight hip-impingement all my life and only regognized it when I started doing much more sport (bouldering 3 times a week). X-ray and mrt have proven this. Even though I am quite strong I can't stretch well. But I still don't understand how stretching can avoid the damage being done by the joints not fitting perfectly.

@Uprighthealth 8 жыл бұрын

The point is that the damage is not being done by the joints not fitting correctly. Please see the video description for relevant research links. All recent research points to the fact that the bone theory of hip impingement is highly, highly questionable.

@derekingui8408 9 жыл бұрын

Wish I saw this three years ago, although I am stubborn and may not have listened. Had FAI surgery a couple years ago and now my hip feels worse. Would give anything to go back and redo it. Not only do I have impingement but a burning/aching sensation. One thing to note, I feel like many people watch a video like this and don't take the advice as "legit" simple because it's not an orthopedic surgeon or physical therapist speaking. While I don't wish to get in any internet debates, and while there are many great surgeons and physical therapist, just because someone has an MD or PT attached to their name doesn't mean their word is the law and no one else knows what they're talking about. One thing I wish I knew back then was that injured tissue does not always equal pain and pain does not always equal injured tissue. And even if there is "injured/damaged" tissue, that, in and of itself, is not a bad thing. In particular for "chronic" conditions. Yes, if you get your ACL torn by a 300 lb lineman, surgery is probably the answer. Another thing, loved the "I am not a doctor, but this still doesn't make sense" thing. It really, truly, doesn't. Many of the top neurologist/pain researches give numerous examples of many people that have FAI, bulging discs, torn rotator cuffs and yet have zero pain or malfunction. They offer the likely explanation that these are "normal" adaptive changes create over years of moving (playing golf, hockey, baseball, lifting weights, simply being alive), and that these changes are so slow and small that the brain doesn't process these minor tissue damages (that we all have) as a threat, thus no pain is created. Pain is a very complex issue and the human body is a very complex system that's always adapting. I don't have all the answers and I don't believe anyone has all the answers. Just keep in mind that surgeons get paid to operate and are taught that when they see something "wrong" or "abnormal" their first instinct is to go in and "fix" it. For anyone interested in learning more I'd recommend Explain Pain by Lorimer Moseley and David Butler. I certainly learned a lot. Todd Hargrove also just put a book out about Movement and Pain that I thought was really good. I'd recommend trying to learn as much as possible, because at the end of the day, it's your body and no one will ever has as much invested in it as you.

@Uprighthealth 9 жыл бұрын

Derek Ingui Thanks for sharing your view on all this. Those books listed are wonderful educational resources. As you noted, observable "tissue damage" does not equal pain. That's an acknowledged, well established fact that has only slightly begun to penetrate the world of orthopedic medicine and has only barely begun making it out into public knowledge. A more detailed summary of the research that demonstrates much of what Derek has referenced can be found for free at thefaifix.com It's your body! Invest wisely.

@deerinheadlights9784 4 жыл бұрын

Can someone help me? I don’t understand why something like yoga is not good and these stretches help? It makes sense what you’re saying and my hip pt said my butt muscles aren’t firing and I’m over using my hamstrings and maybe other muscles.

@ray79683816 4 жыл бұрын

Hi, I watched your 2014 video yesterday and I have the problem you described in the video. I have been diagnosed with FAI by my doctor with X Ray and I do not want to do surgery. It will consume too much of my life and I have to take care of my little kids at home. Could you please recommend some exercise I can do to work on my gluteus maximus and gluteus medius? It is ok if it needs some gym equipments, I can buy them online. Thank you very much for your help. Have a good day.

@marcusmiles4234 6 жыл бұрын

Man thank you so much for this video. You inspired some next aspects of my mobilization routine I’ve been missing out on. Can’t wait to do some more stretching haha

@NettaB.400 6 жыл бұрын

I have FAI and it's painful mine is so severe I had three didn't doctors opinions and they all said I need a full hip replacement!! I've dont PT 4 times for 6 weeks each time over the years I also get the IR guided injections for pain I'm only allowed three per year I got one in January and I was pain free until may got another injection Aug 2 nd and this time it didn't work I'm still in pain daily... I also have osteoarthritis along with FAI I don't know what else to try besides the surgery!!! Any suggestions??

@sagency 7 жыл бұрын

I get great relief by hanging upside down on an inversion table. I believe my problem originates in my sciatic, and the gentle realignment works wonders!

@RemainForeverHealthy 5 жыл бұрын

My right hip makes snapping or cracking type sound when I stand on that leg and take my other leg and lift it to the side. I dont have pain and i can move my hip and legs fine. But it makes a sound when I stand on that one leg and lift the other open to the side. Maybe this a muscle moving or the joint acetabular moving or it weakness so maybe thats why it makes the sound.

@TheSupaTeaPodcastShow 6 жыл бұрын

You are such an inspiration...I am now able to do that pose now that both puns from both my hips have successfully been removed......i have a whole new happier athletic flexible life

@alyssakeezer8681 10 ай бұрын

I just wanted to say how glad I came across Matt and his videos. I’ve had excruciating pain in my hips. I saw an orthopedic dr and he said I had a underdeveloped acetabulum, so it doesn’t cover the ball all the way but I don’t know how that can be a big problem when my cartilage is good. I also had a small bulge in lower lumbar region. When I looked up my condition I stumbled on all kinds of therapists and w Matt, his philosophies made sense. I was ready to go at it as a plan of attack w an open mind and dedication. I accepted the work and have followed several of his strengthening videos and I have come out w about 80% fix to the pain I was feeling. I’ve also started yoga as a gentle strengthening balance and yoga is so good for all of us. Do not say yoga is too hard or following Matt might take too long. You have to start somewhere and I was willing and determined to fight this pain properly w no surgery. I give him much credit. Thank you Matt! I’ll continue to learn and stretch and think MUSCLES!! ❤

@KennyCrosby 7 жыл бұрын

Hey Matt, I've been doing the FAI Fix for about a month or so now and I'm starting to feel better, one thing that is persisting is knee pain when cycling and sometimes hiking more than 10 miles or so. I think probably doing a tissue work and stretching routine before and after might help and I'll try that next time but do you have any advice for this? The knee pain is on my right side which is the side that I have the hip impingement. Been there for awhile and flares up during activity.

@deepanshusoni9109 2 жыл бұрын

Ditto on the left side.

@DorienHerremans Жыл бұрын

Yes. I've had this for over 10 years. Reason I stopped running. The most frustrating pain ever. Like something is pulling the side of the knee. Only recently discovered a hip tear.

@chaichao9381 2 жыл бұрын

Doctor shaped my bone 10 years ago and no relieve. What can I do? It’s hard for me to get just get by.

@peterirving9458 6 жыл бұрын

Hey man, do you have a video on how to perform your own research? You are very thorough and I feel like this is a skill you could teach in and of itself.

@rickywhittaker4978 9 ай бұрын

You make such a difference in my life doc. I’m a martial artist have done most my life, had a couple years off from 18-20 and when I went back to training I was so tight and I had so much hip pain. I thought something had to be wrong with me because I tried everything so went got a mri i have hip inpingment or femeral head deformity. Actually messed with my metal health as I’m a person who lives and breathes fitness and pushing my body and if I can’t even pistol squat am I even a athlete? Like it was embarrassing I was this fitness guy but was so unbelievably tight and inflexible. Ever since I found you I feel like your talking to me. Everything you talk about in these series of videos on fai is amazing. There’s no info about it you my friend are a legend and impacted my life so much

@MrsSpcDomo 3 жыл бұрын

Dude! Your video just blew my mind! I appreciate you!

@cheytan85 6 жыл бұрын

You are very informative sir with good sense of humour as well.

@cferguson76 7 жыл бұрын

What if it feels like the restriction is the outside of the hip?

@beansandwiched 8 жыл бұрын

would working trigger points on the help? It was mentioned that its a good idea to massage, foam roll or use a ball on the trigger points to loosen the muscle fibers before stretching because if the muscles are really hard its like trying to stretch beef jerky versus a fresh piece of meat if that makes sense.

@Uprighthealth 8 жыл бұрын

It can be a HUGE help and is a big part of recovery!

@akariSara. 6 жыл бұрын

I was unable to walk for two years. On crutches after for another two years and constant chronic pain. I was diagnosed today after many tests. I want to rock climb and kick box again. I am a person that has to keep active to keep the weight off (another health problem). I have gained a lot of weight since this started. I am desperate to be thin and active again.

@KrishanSingh 10 жыл бұрын

you have a really really good channel i am suprised you havent had more followers , great videos absolutely amazing and very educational.

@carmendelacruz4184 9 жыл бұрын

Where can I buy a cpm leg machine

@lukejohnson9985 7 жыл бұрын

Question. You speak about loosening your adductors in order to fix hip issues. For fai, do you focus on one leg or do you focus on loosening the adductors on both legs? Thanks

@Uprighthealth 7 жыл бұрын

If both are tight, you do both. This can vary wildly from person to person.

@mrdangerdanger2189 3 жыл бұрын

Hello can hyaluronic acid injection help with FAI ?

@lingwistawawpl 5 жыл бұрын

Hi there. Thanks for sharing your experience. I'm a 33yo motorcyclist who is experiencing first inner thigh then C-shape pain around the hip joints. The pain becomes excruciating after half hour riding on track (a lot of hips openings required). I've had initial FAI diagnosis (no radiology done yet). However, I feel strongly that the condition can be dealt with by other means and would probably not decide to have an op even if recommended. The condition is only evident on track and no other parts of life.

@colinhenry2487 2 жыл бұрын

Hello: You sound as though you have a particular interest in Hip Issues. Well I have Arthritis in both my Hip Joints affecting the Femoral Head seating in the Acetabulum. Symptoms are chronic stiffness in the hips which is uncomfortable when doing my daily walk. Hope you have some proven suggestions with thanks.

@tenjho101 6 жыл бұрын

my impingement pain comes when i extend my hip to the side in the dog/cat position. I tried 5-6 different physios/osteo and currently seeing 3 diffferent people for it and still not cured :( I know its a tighness/imbalance but i dont know which muscle to stretch and work on. any help will be appreciated.

@tenjho101 6 жыл бұрын

also i wanna add that 10 years ago i was a kickboxer and had no issues openning up my hips and kicking heads much much taller than my self. i stiffened up alot along the years working 12 -13 hour days of standing. its not like i was born with this issue

@davidd9325 6 жыл бұрын

tenjho101 how u feeling now a days

@DorienHerremans Жыл бұрын

Interesting. Which exercises should we be doing exactly? Is there a video for those?

@nznige 5 жыл бұрын

This is 100% me thank you so much for giving me something to look at it, I have an ankle issue while walking which I am sure is from this (it has baffled a tonne of foot/ankle specialists)

@AdityaVaid 9 жыл бұрын

this is great info, im facing this due to kick start of motorcycle, i have spent alot of money and time and i didnt give in to surgery, i just concentrated on stretching. Im just ok

@Digbaddy888 8 жыл бұрын

does fai also include not being able to abduct the hips? i feel pain when trying to abduct both hips, and also have snapping hip syndrome

@Digbaddy888 8 жыл бұрын

+martin pham nevermind u answered it later in the vid thanks

@zamuelito8266 5 жыл бұрын

I have subscribed just for this video. Love and respect my friend

@chrisbrown2211 5 жыл бұрын

I have a diagnosis of acetabular dysplasia, is that the same or similar?

@dumbdog2924 4 жыл бұрын

I believe that's a different beast. Definitely follow what your doc says, dysplasia is a terrible diagnosis for animals, so it's probably not very good for people either.

@RyanZakMusic 8 жыл бұрын

great video. thanks for the clear presentation

@Uprighthealth 7 жыл бұрын

you're welcome!

@williampalmer6253 5 жыл бұрын

is this treatment good for arthritis?

@christinereich6050 6 ай бұрын

love it. I needed to hear this.

@lyneham 10 жыл бұрын

In relation to the disparity between pain and MRI evidence of FAI, I attended a talk presented by Orthopods discussing how there is even poor correlation between pain and evidence of Osteoarthritis on X-Ray. That is, a hip that exhibits evidence of osteoarthritis on an X-Ray may not be painful to the patient, and conversely a painful hip may not exhibit OA on an X-Ray.

@eddiegonzalez3325 7 жыл бұрын

Being a patient of of two hip arthroscopic surgeries due to FAI at age 15 and 16 I can assure everyone that this is a very real diagnosis and can be treated properly with surgery. ( I am a former soccer player currently in my senior year of high school). In my injected MRI (dye was injected into my hip joint to create a clearer picture) I had a clear indication of impingement and was treated accordingly. I tried stretching, extensive physical therapy, icing, resting, "taking it easy" and nothing relieved the pain. So I got the surgeries a year and a half apart, recover in about 5-6 months first time as in playing soccer again. And I was playing again on my second surgery after 4 months. Although my hips are still not 100% they are significantly better than what they used to be. This is because my right hip had certain complications to it that made it improper to shave the ideal amount of bone off, an open surgery would've fixed that but with open surgeries comes much more risk and recovery time. I have always considered myself reasonably flexibly being 6ft. Everyone's diagnosis is different what is apparent to me is that his was just not a severe case. I had similar symptoms as him like the locking and popping of the joint when driving(mainly the same motions as driving that he described). But in addition I experienced pain( yes pain like it hurt) when just walking after waking up in the morning. I was not physically capable of walking after I hyperextended my leg during a game (worst pain I have ever felt in my life even pain during first few days after recovery of he surgery wasn't as bad). I tried stretching and physical therapy but the thing is I went almost 2 years by knowing what was wrong which did include other treatments such as stretching and pt 1-2 times a week. Making a claim as large as he did just isn't something that should be said.

@eddiegonzalez3325 7 жыл бұрын

Would like to add my labrum was damaged in the on both sides seen from both the MRI and the surgery itself

@Uprighthealth 7 жыл бұрын

Hi Eddie, glad to hear your surgery went well. One major point of this video and that is clear from your story is that that the surgery is most definitely not a guarantee of successful outcomes. Recent studies on patient satisfaction do not show fantastic results. More than half of patients not having their expectations met for return to sport or improvement in daily life. Only 64% in a recent study were satisfied with the surgery after 2 years. Both studies are discussed here: www.thefaifix.com/surgery-guarantee-improvement/ This video is an interview with a guy who had bilateral hip impingement surgery and ended up with the exact same pains. Even though he had tried physical therapy before, he started doing things the way we propose in the FAI Fix. He found the way he was doing things before surgery wasn't frequent enough or targeted enough. As he's learned the anatomy and worked with his muscles, he's been getting motion he never thought he'd get back AND he's gotten rid of the pain: kzfaq.info/get/bejne/ft1jnJx5m7DWeWg.html Bonnie, a client of ours, is a medical professional whose story is particularly inspiring in that she was able to completely avoid surgery for FAI and get back to playing hockey: kzfaq.info/get/bejne/mJp7obRotKmpf4U.html There is a lot of variation in what people experience. We are in a unique position to hear lots of people's stories about FAI, and it's clear that the diagnosis is being placed on a huge range of hip issues. While it may be possible there are situations that absolutely require surgery, there does not seem to be a strong case that the surgery is addressing what actually needs to be addressed for all the people that are getting surgery. A really great article to check out from a medical professional with some very similar concerns as brought up in this video is here: www.muscleuppt.com/FAI%20on%20rise%20%5B1%5D.pdf

@lukeanonimous4860 9 жыл бұрын

I am a professional soccer player (goalkeeper). Iv had pain for 2 months in my hip joint. Iv rested for 1 week, the pain subsided during less activity but then flared up again returning back into the squad training. After 2 mri's and an X-ray and consulting with an experienced hip surgeon, iv been diagnosed with FAI, he has put the question to me whether i want surgery or not. What is your opinion?

@katietuminelly8495 9 жыл бұрын

Luke anonimous Clearly this guy is anti-surgery. Only you and your surgeon know what is best for you.

@sonicboom3097 Жыл бұрын

I have discomfort raising my right hip. But no tightness with stretching to the side. Is that common?

@miguelaguilar5197 3 ай бұрын

I’m 21 I’ve been in pain for 1 1/2 year I had to quit my job due to not being able to work I’m scared of surgery I’m thankful for this explanation and I will stretch everyday I hope things go well for me and again thanks for the explanation!!

@Yogamama100 8 жыл бұрын

I have FAI but when my legs are straight my adductors are quite flexible. I only feel it in my adductors when both hips are flexed in a seated yoga twist.

@nyanachase7741 8 ай бұрын

Hi Matt! Thank you thank you for sharing the truth about this! Ive had this off and on for a few years now. Xray showed no calcium build up. Then it went away and I forgot about it. But lately its been very problematic. Always dull pain and stabbing when I move just right. Not able to bend over without displacing my hip to accommodate. The inner thigh and glute stretches are working and fast. You were right pt is what would be prescribed for starters anyway. Im so grateful to you! Moving without pain has been such a relief! ❤️👏👏👏

@sarahcoulson1 10 жыл бұрын

Nice work man. Simple and to the point :o)

@duecebiggalowe 2 жыл бұрын

Thank you!! I had a hip infection which left me with FAI and dealing with the pain sux!!

@intensivemanagement Жыл бұрын

Is this similar to hip arthritis in the joint ?

@BassetHoundBoys 9 жыл бұрын

@karan kapila Have you considered Anlylosing spondyitis

@casanow5833 4 жыл бұрын

Mat the Cat. I feel your observations are Correct. I am at the bottom of the hill, moving up. I am motivated because after reviewing the x rays, doctor says i need a hip replacement. Yin and restorative yoga and some of your content has helped. Ht. ave gone from Stump leg to walking w a normal gait. Tho' i cannot take on weight. Your logic and deduction: Stabiilzing the femur thru the whole range of motion is the RIGHT WAY. ( i hope) Keep up the good work!

@christiandinero8083 3 жыл бұрын

I really hope it doesnt take 3 years to get my rom back. Its only pinching in one hip and its only at the bottom of a barbell squat

@brielga180 Жыл бұрын

Only question I have... after doing all these stretching exercises, do you still feel that hidious pain in the background.. or is it completely gone?.. maintaining a good flexibility...?

@captainunload 10 жыл бұрын

I really hope you answer questions on here regularly. My left hip has been uncooperative for years now. It started shortly after squatting. I've been told I have a functional leg length discrepancy and misaligned pelvis. The hip flexor on that side feels resistant to stretching, and the IT band might be tight. The left leg also wants to veer outward too.

@Mereship 4 жыл бұрын

captainunload did you fix this?

@thalinakonadu7965 Ай бұрын

I have a diagnosis and I am in and out of pain, sometimes no pain for weeks then it strikes .. normally a flexible person but it gets harder and harder, I am 33years of age but your video is very good and helpful! Thank you!

@leenel5661 4 жыл бұрын

I thought I had FAI, I had pain in my left leg when I did stretches, turned out my left leg muscles got weak over the years standing with the weight on the right leg, muscles got weak went into a spasm & it got extremely tight, especially the glutes and it affected the quads & adductors. I thought I was the most inflexible person on earth, so I stared strengthening, massaging, stretching,muscle rehab, pelvic rotation with resistant band etc. Massive improvement on the glutes , pain is gone, adductors next stop. In some cases PERSISTANCE cancels out RESISTANCE & MOTION IS LOTION : )