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Reproduced from Armstrong AD, Hubbard MC, eds: Essentials of Musculoskeletal Care, ed 5. Rosemont, IL, American Academy of Orthopaedic Surgeons, 2015.

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Many FAI problems can be treated with arthroscopic surgery. Arthroscopic procedures are performed using small incisions and thin instruments. The surgeon uses a small camera, called an arthroscope, to view inside the hip.

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Reproduced from Diaz-Ledezma C, Higuera CA, Parvizi J: Mini-open approach for the treatment of FAI in Sierra RJ, ed: Femoroacetabular Impingement. Rosemont, IL, American Acad of Orthopaedic Surgeons, 2013, pp 81-91.

If your symptoms persist, you will need to see a doctor to determine the exact cause of your pain and provide treatment options. The longer painful symptoms go untreated, the more damage FAI can cause in the hip.

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Nonsteroidal anti-inflammatory drugs (NSAIDs). Medications like ibuprofen can be provided in a prescription-strength form to help reduce pain and inflammation.

When symptoms first occur, it is helpful to try to identify an activity or something you may have done that could have caused the pain. You can modify your activities, let your hip rest, and see if the pain will settle down.

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It is not known how many people have FAI. Some people may live long, active lives with FAI and never have problems. When symptoms develop, however, it usually indicates that there is damage to the cartilage or labrum and the disease is likely to worsen.

As part of the physical examination, your doctor will likely conduct the impingement test. For this test, your doctor will bring your knee up toward your chest and then rotate it inward toward your opposite shoulder. If this re-creates your hip pain, the test result is positive for impingement.

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Femoroacetabular impingement (FAI) is a condition in which extra bone grows along one or both of the bones that form the hip joint — giving the bones an irregular shape. Because they do not fit together perfectly, the bones rub against each other during movement. Over time this friction can damage the joint, causing pain and limiting activity.

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This extra bone causes abnormal contact between the hip bones and prevents them from moving smoothly during activity. Over time, this can result in tears of the labrum and the breakdown of articular cartilage (osteoarthritis)

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Because athletic people may work the hip joint more vigorously, they may begin to experience pain earlier than those who are less active. However, exercise does not cause FAI.

The acetabulum is ringed by strong fibrocartilage called the labrum. The labrum forms a gasket around the socket, creating a tight seal and helping to provide stability to the joint.

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Physical therapy. Specific exercises can improve the range of motion in your hip and strengthen the muscles that support the joint. This can relieve some stress on the injured labrum or cartilage.

AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS Find an Orthopaedist program on this website.

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Activity changes. Your doctor may first recommend simply changing your daily routine and avoiding activities that cause symptoms.

Surgical techniques continue to advance, and some surgeons are using computer-based navigation systems to help plan and guide bone resection (removal) in FAI surgery.

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Surgery can successfully reduce symptoms caused by impingement. Correcting the impingement can prevent future damage to the hip joint. However, not all of the damage can be completely fixed by surgery, especially if treatment has been put off and the damage is severe. It is possible that more problems may develop in the future.

During your first appointment, your doctor will discuss your general health and your hip symptoms. They will also examine your hip.

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Pain often occurs in the groin area, although it may occur toward the outside of the hip. Turning, twisting, and squatting may cause a sharp, stabbing pain. Sometimes, the pain is just a dull ache.

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(Left) During arthroscopy, your surgeon inserts an arthroscope through a small incision about the size of a buttonhole. (Right) Other instruments are inserted through separate incisions to treat the problem.

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FAI occurs because the hip bones do not form normally during the childhood growing years. It is the deformity of a cam bone spur, pincer bone spur, or both, that leads to joint damage and pain. When the hip bones are shaped abnormally, there is little that can be done to prevent FAI.

If tests show joint damage caused by FAI and your pain is not relieved by nonsurgical treatment, your doctor may recommend surgery.

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A slippery tissue called articular cartilage covers the surface of the ball and the socket. It creates a smooth, low friction surface that helps the bones glide easily across each other during movement.