What is FAI? Learn the truth about femoral acetabular impingement.

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• published: 16 Feb 2014
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Learn the truth about FAI. Please, before engaging in angry verbal attacks, please read the articles below and watch the rest of the FAI playlist. There are very real research based reasons to question the idea that bones are the cause of the hip movement problems. 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: http://europepmc.org/abstract/MED/25736918 •The prevalence of cam-type deformity of the hip joint: a survey of 4151 subjects of the Copenhagen Osteoarthritis study. Link: www.ncbi.nlm.nih.gov/pubmed/18415788 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: http://www.ncbi.nlm.nih.gov/pubmed/19190047 •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: http://www.ncbi.nlm.nih.gov/pubmed/23850552 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: http://www.ncbi.nlm.nih.gov/pubmed/22422932 •The prevalence of acetabularlabral tears and associated pathology in a young asymptomatic population. Link: http://www.bjj.boneandjoint.org.uk/content/97-B/5/623.long 4) Surgery for FAI often fails to meet patient expectations. Fulfilment of patient-rated expectations predicts the outcome of surgery for femoroacetabular impingement. Link: http://www.oarsijournal.com/article/S1063-4584(12)00988-0/abstract For a summary of relevant research and for a program designed to help you troubleshoot your own hips go to: http://thefaifix.com For more relevant material: 1) diagnostic criteria for FAI makes no sense: http://uprighthealth.com/?p=7558 2) unreliability of x-rays and anterior hip impingement tests: http://uprighthealth.com/?p=7703 3) CAM impingement and supposed causation of arthritis: http://uprighthealth.com/?p=7784 4) What is arthritis really? http://uprighthealth.com/?p=7946 5) Prevalence of FAI in CT scans of young asymptomatic population: http://www.ajronline.org/doi/full/10.2214/AJR.12.8546 6) Is a Positive Femoroacetabular Impingement Test a Common Finding in Healthy Young Adults?: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676610/ 7) Does FAI cause arthritis? This 2010 study gives a resounding NO: http://www.bjj.boneandjoint.org.uk/content/93-B/5/580.short 8) Does pincer impingement lead to arthritis? This study also says NO: http://www.ncbi.nlm.nih.gov/pubmed/23850552 Playlist of videos discussing why FAI doesn't make sense + practical things you can start doing to try to improve hip mobility and reduce discomfort: http://www.youtube.com/playlist?list=PLfKNSz5BBcBH4lL9pn4XUX9ef0OyZPFtj *This content is not a substitute for individual medical or health advice. It is intended to educate and inform. Buy a T-shirt! http://uprighthealth.com/clothing Movement Improvement, Personal Training, Orthopedic Massage in Redwood City: http://uprighthealth.com Facebook: http://facebook.com/uprighthealth Blog: http://uprighthealth.com/blog Twitter: http://twitter.com/uprighthealth