Hip arthritis

Hip arthritis is the gradual wearing away of the smooth cartilage that covers the ball and socket of the hip joint. Osteoarthritis, the most common type, develops over time; inflammatory conditions, earlier injuries, and some differences in hip shape can also lead to arthritis.

• Pain in the groin, outer hip, or buttock, sometimes spreading toward the knee
• Stiffness, especially in the morning or after sitting
• Pain with walking, standing, or getting in and out of a car
• Difficulty putting on shoes and socks
• A limp or a shorter walking distance

Diagnosis is based on symptoms, an examination of hip motion, and X-rays.

Non-operative treatment aims to reduce pain and keep you moving: activity changes, weight management when appropriate, physical therapy and exercise, a cane or other walking aid, pain-relieving medications when appropriate, and in some cases an image-guided injection.

When arthritis pain limits daily life despite these measures, total hip replacement may be recommended. The worn ball and socket are replaced with implants to relieve pain and restore movement. Your surgeon will review the benefits, risks, and recovery, including physical therapy, to help you decide whether and when surgery is right for you.