What is the treatment for ischiofemoral hip impingement?
Because ischiofemoral impingement (IFI) is a newly recognized hip condition, it often is misdiagnosed. Therefore, if ischiofemoral impingement is suspected, a consult with an orthopedic hip specialist that has substantial knowledge of this hip condition is highly recommended.
Patients with confirmed ischiofemoral impingement (IFI) often respond well to non-surgical therapies alone. Activity modification and the addition of orthotic insoles can be helpful in alleviating symptoms. The pain and inflammation associated with IFI can be managed with a combination of rest, non-steroidal anti-inflammatory medications (NSAIDs), and ultrasound-guided injections. Participation in a physical rehabilitation program, when appropriate, is essential for treating this condition.
Some patients, however, may not respond well to non-surgical treatment measures. For these individuals, Dr. Patel will recommend surgical intervention to properly treat ischiofemoral impingement. Any other conditions that can irritate the ischiofemoral space, such as muscle tears, labral tears, or femoroacetabular impingement (FAI), can also be addressed at this time. Dr. Patel may implement one or more of the following surgical techniques:
- Lesser Trochanter Resection: The bony prominence on the inner thigh bone is partially removed in this procedure. The majority of the iliopsoas tendon attachment is preserved while also widening the ischiofemoral space. This procedure can be performed endoscopically or as an open surgery.
- Ischial Tuberosity Decompression: This minimally invasive endoscopic procedure removes any bony irregularities, such as bone spurs, from the ischial tuberosity to increase the amount of space available for muscle and nerve movement.
- Femoral Osteotomy: In this procedure, a section of bone is removed from the proximal femur. The remaining space can be closed with a bone graft or implementing metal plates and screws to rejoin the bone ends.