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
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.
