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viagra for recreational purposes Active lifestyle physiotherapy physiotherapy epping norwest fairfield mobile rozelle instructional exercise resources massage therapy psychology podiatry dietetics/nutrition search home new patients education promotions about us contact us money back guarantee appointment request products our team locations epping     9869-1970 norwest   9659-6848 fairfield   9724-0038 rozelle   9810-2839 hip impingement hip impingement what is it? Hip impingement, also known as femoroacetabular impingment (fai) is too much friction in the hip joint caused by abnormal rubbing of the femoral head and neck against the acetabular rim. There are two true forms of fai known as cam and pincer; however it is more common for these forms to occur together and this is known as mixed fai. Due to the nature of fai, it is commonly found that a labral tear will also be present and on top of this, it has been concluded that fai is a precursor to early osteoarthritis of the hip. It is therefore crucial that the underlying causes of fai are treated correctly and that appropriate rehabilitation is undertaken. Who is at risk? Cam impingement is more common in young active males whereas pincer impingement is more common in middle-aged active females. The exact etiology is not well known however it is proposed that some of the causes include: -â â â â â â â â â  developmentalâ  e. G. The shape of the femoral head or acetabular rim -â â â â â â â â â  traumatic e. G. Malunited femoral neck fracture -â â â â â â â â â  childhood disease e. G. Perthes’ disease; and -â â â â â â â â â  iatrogenic causes common associated sports athletic activities that demand deep hip flexion, prolonged sitting, sprinting, kicking and ascending/descending hills are common aggravating factors for hip impingement. Therefore some of the closely linked sports include: -â â â â â â â â â  soccer -â â â â â â â â â  afl -â â â â â â â â â  rowing -â â â â â â â â â  cycling -â â â â â â â â â  dance rehabilitation there is operative and non-operative treatment for hip impingement. Non-operative or conservative treatment is always trialled first. Rehabilitation for hip impingement must be structured and requires a multiphase approach consisting of: avoidance of excessive physical activity and controlling any inflammation stretching to improve hip movements strengthening of core muscles modification of activities within a pain free range to avoid friction at the hip joint restoring muscle imbalances during an acute phase of hip impingement excessive physical activity should be avoided so as to not aggravate the condition and allow pain to settle before commencing any exercises. viagra online buy generic viagra cheap viagra without prescription usa buy cheap viagra cheap viagra viagra for sale viagra online cheap viagra cheap viagra online viagra without a doctor prescription During this initial stage it is important to regain normal range of movement for the hip joint; however this should be done within a pain free range. Strengthening exercises for the core muscles may begin in the early.