188. The Hip Expert's Blueprint: FAI, Load Management, Strength & Hormones | Alison Grimaldi, PhD

Join Dr. Altamash Raja and Dr. Darsh Shah in a comprehensive discussion with Dr. Allison Grimaldi on femoral acetabular impingement (FAI) and hip health. This episode of Medicine Redefined dives into part two of the hip-focused conversation. Dr. Grimaldi provides a deep dive into FAI, discussing types of impingement, symptoms, and the importance of accurate diagnosis and individualized treatment. The conversation also touches on advances in hip arthroscopy, metabolic health, and the role of systemic inflammation in joint conditions. Tune in for valuable insights into hip pathology, patient care, and the future of hip health. 00:00 Introduction and Exciting Update 00:40 Recap of Part One and Introduction to FAI 01:04 Understanding Femoral Acetabular Impingement (FAI) 03:49 Imaging and Diagnosis of FAI 07:53 Development and Risk Factors of FAI 12:05 Weightlifting and FAI in Adolescents 16:07 Surgical Interventions and Outcomes 24:53 Non-Surgical Management and Rehabilitation 29:48 Post-Surgery Expectations and Long-Term Management 41:15 Micro Instability and Dysplasia 45:02 Understanding Hip Dysplasia and Instability 46:44 Clinical Tests and Imaging for Hip Dysplasia 49:29 Rehabilitation Approaches for Hip Instability 53:47 Exercises for Deep Muscle Recruitment 01:02:23 Metabolic Health and Tendon Pathology 01:09:41 Considerations for Aging Athletes 01:14:18 Future of Hip and Pelvic Pain Care 01:19:51 Shifts in Understanding Hip Impingement 01:22:28 Final Thoughts and Advice for Practitioners Resources & citations 2016 Warwick Agreement on FAIS (consensus statement).  UK FASHIoN RCT: arthroscopy vs physio for FAIS (BMJ 2019).  Australian FASHIoN trial: cartilage imaging & outcomes (BMC 2021).  Hip microinstability: international consensus diagnostic criteria.  Post-arthroscopy effusion/synovitis and outcomes: overview blog + PubMed.  Modern Hip Arthroscopy for FAIS May Delay the Natural History of Osteoarthritis in 25% of Patients: A 12-Year Follow-up Analysis. - PubMed Connect with Dr. Grimaldi Website: dralisongrimaldi.com.  Hip Academy: Program & membership.  Instagram: @dralisongrimaldi.  X (Twitter): @alisongrimaldi.