Dr. Struan Coleman offers expert treatments for Femoral Acetabular Impingement (FAI) from his New York City-based practice. Patients travel from throughout the city and the United States for Dr. Coleman’s services. His prestigious education and extensive experience have earned him a reputation as a gifted orthopedic surgeon serving athletes and non-athletes alike.
FAI (Femoral Acetabular Impingement) is a condition that is caused by excessive friction in the hip joint. The hip is a ball and socket joint, and when the ball at the end of the femur and the socket in the hip rub abnormally during movement, it causes damage to the either the articular cartilage or the labral cartilage. This means that either the cushioning of the head of the femur or inside the socket part of the joint is worn away or otherwise damaged. FAI develops either a Cam or Pincer form, determined by the abnormality. Cam is associated with the head of the femur being misshapen, while Pincer describes FAI due to the socket portion of the joint covering too much of the top of the femur. FAI occurs more often in high-level athletes, although any active individual may develop the condition.
Patients with FAI typically experience pain in the groin and hips. The condition typically develops over time so patients experience increased pain severity. Also, pain is typically experienced during movement, although as the condition develops, the pain may become constant. Patients may also notice a clicking or catching sensation in the hip. It is also common for stiffness to lead to a limp, difficulty navigating stairs, and pain when transitioning from sitting to a standing position. Patients may also experience pain and discomfort when they have to sit for long periods of time, for example, during a flight.
Dr. Coleman typically takes a conservative approach to treating FAI and suggests rest and a reduction in physical activities that may aggravate the condition. In many cases, physical therapy helps address FAI. It can improve the patient’s range of motion and strengthen the core and gluteal muscles. Some patients may also benefit from a corticosteroid injection. In cases where these conservative treatments are not effective, Dr. Coleman may suggest a minimally invasive hip arthroscopy procedure to reshape the Cam and/or Pincer portions of the hip joint. During this procedure, Dr. Coleman can also repair labral tears to restore normal function.
We accept Blue Cross Blue Shield PPO and EPO plans. In the event that you do not have insurance or we do not take your current insurance, we will be happy to work with you. Our office can also assist with out of network claims. Please contact our office if you do not see yours listed or have any other questions.
"I have had a lot of problems with my shoulders & Dr. Coleman has taken care of me for the last 2 surgeries. When I run into a problem I can always count on him."
"Dr. Coleman repaired my son's fractured cartilege hip and torn labrum in 2012. My son was back to playing Division 1 soccer in 8 months and has been going strong ever."
"I LOVE coming to this office. Dr. Coleman is super-smart & the office staff is attentive & friendly. It's always a pleasure to come here."
"Dr. Coleman is one of the best doctors I have ever been to. I went to him for my right hip, and he diagnosed me with FAI almost immediately."
"I'm very happy my friend recommended Dr Coleman to me. He was very thorough and explained everything in terms I could understand and his bedside manner was amazing."
"Dr. Coleman has a great manner and made me feel very comfortable and confident in his care. His office staff was also quite helpful, caring, and polite."