A few months ago I went to the doctor, curious as to why my range of motion in my hips seems to be getting smaller and smaller, to the point where its beginning to affect my daily life. I was expecting maybe a bone spur or two, or maybe early signs of arthritis. Perhaps I needed to start taking joint supplements, or do some physical therapy, I never imagined that I needed surgery.
My hip problems actually started in my early teens, I first noticed them when I started taking gymnastics, which was a short lived experiment. I wasn’t able to do a center split, because my hips would “lock” about ½ way down and refuse to go any further. I was very upset about it, I don’t give up on things lightly, and I couldn’t understand why I couldn’t do them. I never imagined at age 14 that anything could be seriously wrong with my hips.
Fast forward 9 years, and I’m having trouble with everyday activities that should not be difficult. For example, pivoting when I turn around, swimming breast stroke (I have the weakest “frog kick” ever), crossing my legs when I sit, doing pilates exercises such as leg circles or leg lifts, about 50% of yoga poses, horseback riding, getting up from sitting or laying position on the floor, not to mention intimate activities (TMI sorry).
I saw two orthopedic surgeons, many x-rays, a contrast ct, and an mri later, they both diagnosed me with FAI and a Labral tear, and recommended surgery on both sides one at a time. I also struggle greatly with my knees and the thought of having surgery on them too is overwhelming.
So what is FAI anyway?
“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.” (https://orthoinfo.aaos.org/en/diseases–conditions/femoroacetabular-impingement/)
Specifically, the head of both my femurs have grown square shaped instead of round, which is why they don’t rotate properly and I have a limited range of motion. The abnormal shape of my bones also caused my cartilage to tear and shred, and the muscles and tendons around my hips have become very weak due to my limited range of motion.
Its no secret that long term equestrians suffer from hip and knee problems. It tends to show the most in riders that ride with short stirrups increasing the load and stress put on the hip and knee joints. Racing and jumping tend to involve the shortest stirrups, while dressage uses the longest stirrups. Naturally I grew up jumping. However, these problems are normally seen in people who ride everyday, at the age of 40-60. I only rode once a week, and starting having issues in my teens!! Both of my doctors suggested that my auto-immune conditions might be responsible, but its really just speculation. I’m worried about problems arising other areas of my body over time too, such as my shoulders (often long term swimmers have shoulder problems), my neck, which I already struggle with. Also both doctors suggested that the bone growth may come back, and I may need multiple surgeries over time. I’m completely stressed out, and don’t know where to go from here.