Femoroacetabular Impingement (FAI) by Peter Roach

by Peter on January 15, 2016

FAIMany of you know by now that I stress the importance of proper pelvis angles before anything else. Lower back and sacroiliac pain can be the result of a tilted pelvis. But did you know that hip pain, deep groin pain can also result from a tilted pelvis. It’s called Femoroacetabular Impingement (FAI).
Your centre of gravity, the balance point of your body, lays at the sacrum level of your spine. If your pelvis is not on plane then it’s really hard to help with anything else going on in your body. Typically I find that most people experiencing lumbar discomfort have a flexed or anterior rotated pelvis, which using NMT techniques can be rectified quite easily. But FAI is becoming more prevalent, and my theory is that with a chronic flexed pelvis and
the wear and tear that comes with getting older the hip joint is breaking down.

A recent study from The American Journal of Sport Medicine concluded that increase in pelvic tilt anteriorly significantly influence the functional orientation of the acetabulum (socket part of the hip joint) and this resulted in earlier occurrence of FAI. A posterior tilt resulted in later occurrences of FAI.

Femoroacetabular Impingement (FAI) is when the ball of the hip is pushed against the socket part and rubs abnormally. This abnormal wear will result in loss of the cartilage that lines the joint, thereby we get a bone and bone sinerio. Typically with an anterior pelvic rotation the patient will experience deep groin pain, sometime at rest, especially at nighttime, or a painful limited range of motion.

With more and more people walking around with an anterior pelvic tilt we will continue to see lumbar pain, SI joint disfunction, and a wear and tear of the hip joint itself, resulting in hip replacement. And I’m sure if your over 40 years of age you know of someone who has undergone hip replacement. Don’t be one of them. Get your posture assessed sooner rather than later.

As always, if you have any questions please do not hesitate to contact me.


In Health,


Peter Roach, RMT, CNMT, Laser Therapist



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