COVID-19 UPDATE: Regenexx is committed to the health and safety of our patients. You may now be seen in clinic or via telemedicine for virtual/online or phone visits.
Our physicians are available via telemedicine to continue to give you the care you need during this difficult time. Learn more.

Hip Impingement Exercises: Can You Fix It with Therapy and Avoid Surgery?

By /

hip impingement exercises

Can hip impingement exercises help avoid surgery? The diagnosis of hip impingement that leads to surgery has been all the rage lately, despite research showing that in some cases, what’s diagnosed as “impingement” may actually be protecting rather than harming the joint. What we don’t know is how simple changes in posture can impact FAI (femoroacetabular impingement). Now a new study sheds some light on the issue.

FAI or hip impingement sounds like what it is-the hip joint gets pinched or impinged by bone. There are two main types-pincer and CAM. This past 5 years, there’s been an explosion in hip surgery for a diagnosis that barely existed 10 years ago. The theory behind the surgery is that in many patients, reshaping the hip joint will end up reducing that impingement and saving the joint from arthritis. There are just a few problems with that concept. The first is that a recent well done study showed that pincer hip impingement wasn’t really impingement at all, but a bone spur that forms to protect the joint. Hence removing this protective bone spur isn’t a great idea. In addition, we don’t have high levels of scientific evidence that hip impingement surgery works. In fact, if it goes the way of meniscus surgery, where better studies show no efficacy, then more research may not show that operating on all of these hips was a good idea.

Could something as simple as posture play a role in hip impingement? After all, the old adage that the knee bone’s connected to the hip bone is often ignored by our modern surgery based orthopedics system. The new research looked at almost 50 young patients who had undergone surgery for FAI with 3D CT scans of their pelvis. The researchers then altered the patient’s posture and then remeasured all of the angles and other measures hip surgeons use to decide who is or is not a candidate for FAI surgery. Tilting the pelvis forward resulted in more hip impingement, while tilting it backwards resulted in less.

The upshot? The fact that you can impact hip impingement by just changing the tilt of your pelvis is concerning. Why are we operating on all of these hips when the actual impingement in some may be as simple as changes in posture with age or various types of low back pain? Are we really solving anything or just putting an invasive band-aid on the real problem? What can you do if you’ve been diagnosed with FAI? Work with an experienced physical therapist or program like Egoscue that can correct the simple bio mechanical problems that could be the true cause of your hip problem!

Get health and wellness information from a trusted source.

By submitting the form, you are agreeing that you read and consent to our Privacy Policy. We may also contact you via email, phone, and other electronic means to communicate information about our products and services. We do not sell, or share your information to third party vendors.

Category: Hip

Is Regenexx Right For You?

Request a free Regenexx Info Packet


Learn about the #1 Stem Cell & Platelet Procedures for treating arthritis, common joint injuries & spine pain.

Join a Webinar


Get fresh updates and insights from Regenexx delivered straight to your inbox.

Subscribe to the Blog


9035 Wadsworth Pkwy #1000
Westminster, CO 80021


Copyright © Regenexx 2020. All rights reserved. | Privacy Policy

*DISCLAIMER: Like all medical procedures, Regenexx® Procedures have a success and failure rate. Patient reviews and testimonials on this site should not be interpreted as a statement on the effectiveness of our treatments for anyone else.

Providers listed on the Regenexx website are for informational purposes only and are not a recommendation from Regenexx for a specific provider or a guarantee of the outcome of any treatment you receive.