Hello All,
I am a new member here, but I have been reading parts of the forum as well as Harold's blog for some years now. I am 27 and have just been diagnosed with a small pincer type FIA in my right hip. The impingement limits my range in internal femur rotation and hip flexion. My physio has given me a plan for conservative management that centres around hip stabilisation, but I am worried that the kind of internal femur rotations required for skiing is likely to damaging the cartilage. I will be skiing 100+ days this year and hope to continue to do that in the future. For now I am going to work very hard at hip stabilisation and keeping the muscles in that area strong and flexible. It seems there is a real lack of good quality evidence regarding the effectiveness of the surgical options vs physiotherapy, furthermore my government (Australia) has just stopped funding the surgical procedure for that reason.
So I would be very curious to hear about peoples experiences, particularly with conservative management. I am also wondering how much internal rotation is really required to maintain a good countered position, I have been doing a lot of carpet testing and feeling what aggravates the joint, but its hard to say how much of my range I actually use in practice. Hopefully I can get on snow soon and see how it feels.