Episode 5 - Why Sex and Morphology Change Everything in FAI Syndrome episode artwork

EPISODE · Mar 22, 2026 · 32 MIN

Episode 5 - Why Sex and Morphology Change Everything in FAI Syndrome

from Straight From the Hip : Honest Conversations on Hip and Groin Pain · host Benoy Mathew

A 22-year-old male footballer with a CAM lesion and a 28-year-old female runner with a pincer pattern — same diagnosis, completely different clinical pictures. So why are so many clinicians still assessing and rehabbing them the same way?In this episode, we unpack how sex and morphology shape everything from presentation to rehab strategy in FAIS. We cover why males typically present with reduced ROM and sharp anterior groin pain, while females often have full — or even excessive — range yet still can't tolerate load at end-range. We explore the key strength and movement strategy differences, why "chasing flexibility" can be a trap in pincer-dominant patients, and how surgical considerations differ between morphology types. If you've ever wondered why some FAIS patients plateau despite doing "all the right things," this episode might change how you approach your next hip assessment. Same diagnosis doesn't mean same patient — treat the person, notthe scan. 

A 22-year-old male footballer with a CAM lesion and a 28-year-old female runner with a pincer pattern — same diagnosis, completely different clinical pictures. So why are so many clinicians still assessing and rehabbing them the same way?In this episode, we unpack how sex and morphology shape everything from presentation to rehab strategy in FAIS. We cover why males typically present with reduced ROM and sharp anterior groin pain, while females often have full — or even excessive — range yet still can't tolerate load at end-range. We explore the key strength and movement strategy differences, why "chasing flexibility" can be a trap in pincer-dominant patients, and how surgical considerations differ between morphology types. If you've ever wondered why some FAIS patients plateau despite doing "all the right things," this episode might change how you approach your next hip assessment. Same diagnosis doesn't mean same patient — treat the person, notthe scan.

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Episode 5 - Why Sex and Morphology Change Everything in FAI Syndrome

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This episode was published on March 22, 2026.

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A 22-year-old male footballer with a CAM lesion and a 28-year-old female runner with a pincer pattern — same diagnosis, completely different clinical pictures. So why are so many clinicians still assessing and rehabbing them the same way?In this...

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