Do you have hip pain while sitting for short or long periods of time? Matt shows a simple set of isometric exercises that you can use to put some more blood into your hip muscles and to retrain your muscles to keep your hips feeling a little more comfortable. This is one exercise in the FAI Fix.

In general, starting off with 2-3 sets of 5-10 should be fine, but as with any exercise, your mileage may vary!

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For the comprehensive self-help program targeting FAI-like hip issues, check out http://uprighthealth.com/the-fai-fix
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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

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More FAI videos: https://www.youtube.com/playlist?list=PLfKNSz5BBcBH4lL9pn4XUX9ef0OyZPFtj

For more relevant material:
1) diagnostic criteria for FAI make 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

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Movement Improvement Consulting, Orthopedic Massage and Posture, Alignment, and Coordination Training in Redwood City (San Francisco Bay Area)
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Sacroiliac joint exercises with Physical Therapist Michelle Kenway from https://www.pelvicexercises.com.au to strengthen your buttocks, stabilize your pelvis & protect your pelvic floor.

These 4 sacroiliac joint exercises are general buttock strengthening exercises directed towards conditioning the muscles surrounding the sacroiliac joints. These exercises are not a substitute for medical treatment from your health practitioner. These SIJ exercises are the type of exercises commonly prescribed for SI joint instability.

Sacroiliac joint exercises demonstrated in this video:

1. Floor bridge

Starting position:

Lying supine on a firm surface, knees bent and feet flat

Action

– Push down through your heels and raise your buttocks off the mat
– Breathe out as you raise your body
– Lower your body back to starting position

Bridge Exercise Progression

Place a dumbbell weight on your pelvis

2. Clam

Starting position

Commence lying on a firm surface on your side, knees bent, head and neck supported

Action

– Raise the top leg just above the lower leg keeping your feet in contact
– Lower the lifting leg back to starting position
– Repeat lying on both sides

Clam Progression

Position a weight on the upper outer thigh close to the knee or use an exercise band around the thighs

3. Alternate arm and leg raise

Starting Position

– Lying prone with/without a cushion supporting the hips and pelvis
– Keep the forehead resting down on the back of the hands

Action

– Gently contract your deep abdominal muscles
– Raise one straight leg off the mat
– Lower the leg back to the mat
– Repeat on both sides

Alternate arm and leg raise progression

Lift and lower alternate arm and legs simultaneously

4. Heel prop

Starting position

– Lying prone with/without a pillow supporting the hips and pelvis
– Keep forehead down supported on the back of the hands

Action

– Bend one leg at the knee to approximately 90 degrees (right angle)
– Lift the bent leg pushing the flexed foot towards the ceiling
– Lower the bent leg back to starting position
– Repeat with the other leg

Physical Therapy Tips for Safe Sacroiliac Joint Exercises

– Cease any exercise that causes physical discomfort
– Support the hips and pelvis with a cushion when lying prone
– Progress gradually
– Avoid tensing the pelvic floor pelvic floor muscles during these exercises.

How Many Sacroiliac Joint Exercises?

Commence with whatever feels comfortable for your body, even 1-2 repetitions at a time
Generally aim for 10-12 repetitions of each exercise at a time (1 set)
Repeat up to 3 sets of exercises/day
SIJ strengthening exercises can be performed 3-5 times per week

Research has shown that SIJ exercises for stabilization were effective in postpartum women for pain and disability (1) however some research has failed show that stabilization exercise is any more effective than other treatment regimes (2).

References:
(1) Stuge B, Laerum E, Kirkesola G, Vollestad N. (2004) The efficacy of a treatment program focusing on specifi c stabilizing exercises for pelvic girdle pain aft er pregnancy: A randomized controlled trial. Spine 29:351–359.

(2) Nilsson-Wikmar L, Holm K, Oijerstedt R, Harms-Ringdahl K. (2005) Effect of three different
physical therapy treatments on pain and activity in pregnant women with pelvic girdle
pain: A randomized clinical trial with 3, 6, and 12 months follow-up postpartum. Spine ;30:850–856.

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UC San Diego Health’s Dr. Douglas Chang shows us seven simple exercises that can help prevent lower back pain.

Learn more about Sports Medicine at UC San Diego Health: http://health.ucsd.edu/sportsmed
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