188. The Hip Expert's Blueprint: FAI, Load Management, Strength & Hormones | Alison Grimaldi, PhD
NOV 24, 2025-1 MIN
188. The Hip Expert's Blueprint: FAI, Load Management, Strength & Hormones | Alison Grimaldi, PhD
NOV 24, 2025-1 MIN
Description
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 Update00:40 Recap of Part One and Introduction to FAI01:04 Understanding Femoral Acetabular Impingement (FAI)03:49 Imaging and Diagnosis of FAI07:53 Development and Risk Factors of FAI12:05 Weightlifting and FAI in Adolescents16:07 Surgical Interventions and Outcomes24:53 Non-Surgical Management and Rehabilitation29:48 Post-Surgery Expectations and Long-Term Management41:15 Micro Instability and Dysplasia45:02 Understanding Hip Dysplasia and Instability46:44 Clinical Tests and Imaging for Hip Dysplasia49:29 Rehabilitation Approaches for Hip Instability53:47 Exercises for Deep Muscle Recruitment01:02:23 Metabolic Health and Tendon Pathology01:09:41 Considerations for Aging Athletes01:14:18 Future of Hip and Pelvic Pain Care01:19:51 Shifts in Understanding Hip Impingement01:22:28 Final Thoughts and Advice for PractitionersResources & citations2016 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. - PubMedConnect with Dr. GrimaldiWebsite: dralisongrimaldi.com. Hip Academy: Program & membership. Instagram: @dralisongrimaldi. X (Twitter): @alisongrimaldi.