EPISODE · Jan 23, 2026 · 31 MIN
Episode 2: Beyond the Impingement Test - What Your Hip Assessment is Missing
from Straight From the Hip : Honest Conversations on Hip and Groin Pain · host Benoy Mathew
You've taken a thorough subjective history and FAIS is sitting high on your differential list—but how do you confirm it objectively? In this episode, we break down the essential clinical examination findings that separate FAI syndrome from other hip pathologies.Discover the five critical objective markers you should be looking for: from restricted hip range of motion to the most sensitive clinical tests. We'll show you what to watch for in functional movement patterns—why your male patients prefer wider squat stances, toe out, and compensate through spinal flexion.But here's where most clinicians get it wrong: That "weakness" you're finding in strength testing? It'slikely pain inhibition, not true structural weakness. FAIS doesn't cause primary muscle weakness, but pain, fear, and central sensitisation absolutely inhibit function.Most importantly, we challenge you to step back. Don't just examine the hip in isolation—assess the entire kinetic chain.As we say: "If you're looking solely at the planet, step back and look at the universe." Because behind every hip impingement is a human being with unique movement patterns, beliefs, and compensatory strategies.Key Topics:· The FADDIR and FABER tests: sensitivity vs specificity· Why prone IR testing gives you more accurate ROM measurements· Functional testing that reveals real-world limitations· Understanding pain inhibition vs true weakness· The whole-system approach to FAIS assessmentWhether you're an experienced MSK clinician or refining your hip assessment skills, this episode gives you the practical clinical framework to confidently evaluate FAIS.For further insights and clinical tips, FollowBenoy Mathew @function2fitnessCallum East @hiprehablab
What this episode covers
You've taken a thorough subjective history and FAIS is sitting high on your differential list—but how do you confirm it objectively? In this episode, we break down the essential clinical examination findings that separate FAI syndrome from other hip pathologies.Discover the five critical objective markers you should be looking for: from restricted hip range of motion to the most sensitive clinical tests. We'll show you what to watch for in functional movement patterns—why your male patients prefer wider squat stances, toe out, and compensate through spinal flexion.But here's where most clinicians get it wrong: That "weakness" you're finding in strength testing? It'slikely pain inhibition, not true structural weakness. FAIS doesn't cause primary muscle weakness, but pain, fear, and central sensitisation absolutely inhibit function.Most importantly, we challenge you to step back. Don't just examine the hip in isolation—assess the entire kinetic chain.As we say: "If you're looking solely at the planet, step back and look at the universe." Because behind every hip impingement is a human being with unique movement patterns, beliefs, and compensatory strategies.Key Topics:· The FADDIR and FABER tests: sensitivity vs specificity· Why prone IR testing gives you more accurate ROM measurements· Functional testing that reveals real-world limitations· Understanding pain inhibition vs true weakness· The whole-system approach to FAIS assessmentWhether you're an experienced MSK clinician or refining your hip assessment skills, this episode gives you the practical clinical framework to confidently evaluate FAIS.For further insights and clinical tips, FollowBenoy Mathew @function2fitnessCallum East @hiprehablab
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Episode 2: Beyond the Impingement Test - What Your Hip Assessment is Missing
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