Long-Term Effects of Untreated FAI

What are the long-term effects of untreated FAI? Can FAI lead to hip arthritis?

Hip preservation refers to the use of procedures to protect and maintain the labrum (the cartilage that lines the hip bone to deepen the hip socket) to prolong the natural lifespan of the hip, prevent arthritis of the joint, and to avoid or delay hip replacement surgery. FAI predisposes to premature joint degeneration.

Untreated FAI can indeed lead to long-term complications, and one of the potential consequences is the development of hip arthritis. Here are some of the long-term effects of untreated FAI:

Progressive Hip Joint Damage

FAI involves abnormal bone growth in the hip joint, causing friction and hip impingement during movement. Over time, this repetitive mechanical stress can lead to the gradual wear and tear of the hip joint tissues, including the cartilage lining the joint.

Cartilage Damage

As FAI persists, the friction within the hip joint can damage the articular cartilage, which provides a smooth surface for joint movement. This cartilage damage can result in hip pain, joint stiffness, and decreased mobility.

Hip Arthritis

Perhaps one of the most concerning long-term effects of untreated FAI is the development of hip osteoarthritis. The gradual wear and tear on the joint’s cartilage and other structures can eventually lead to arthritis, characterized by pain, inflammation, joint deformity, and reduced mobility.

Labral Degeneration

FAI can cause the labrum, a ring of cartilage that lines the hip socket, to deteriorate over time. A damaged labrum can contribute to hip pain and instability.

Secondary Hip Conditions

Untreated FAI can increase the risk of developing secondary hip conditions, such as tendinitis, hip bursitis, and muscle strains, due to altered hip mechanics and abnormal loading of the joint.

It’s important to note that not everyone with FAI will progress to hip arthritis or develop long-term effects of FAI, and the rate of progression can vary widely among individuals. However, addressing FAI early through conservative treatments or surgical intervention can help reduce the risk of these long-term complications and improve hip joint function and overall quality of life.

If you suspect you have FAI or are experiencing hip pain, contact Dr. Chahla today to schedule a hip evaluation. Dr. Jorge Chahla is a sports medicine orthopedic hip surgeon in Chicago, Illinois who specializes in the treatment of hip injuries. He is internationally recognized for his contributions to the field of sports medicine and is a pioneer in novel therapies, including FAI, hip labral tear, and hip preservation. Dr. Chahla’s focus is on customized and personalized care to meet the needs of each of his patients. He uses minimally invasive arthroscopic procedures to preserve the natural joint and reduce recovery time to accelerate his patients’ return to the activities they love.