Hip Arthritis

Hip arthritis is the progressive loss of the smooth cartilage that lines the hip joint, most often from osteoarthritis. It typically develops slowly with age, though prior injury, hip shape differences, and genetics can bring it on earlier. Groin pain and stiffness that build over months to years are the classic pattern.

What are the symptoms of Hip Arthritis?

  • Pain in the groin, outer hip, or buttock, sometimes radiating to the thigh or knee
  • Stiffness, especially after sitting or in the morning
  • Difficulty putting on shoes and socks
  • A limp or reduced walking distance
  • Pain that increasingly interferes with sleep

What causes Hip Arthritis?

The hip most often wears out through osteoarthritis, in which the cartilage lining the ball-and-socket joint thins until movement becomes stiff and painful. Growing older is the main factor, but hip shapes that do not fit together perfectly (from childhood conditions or impingement) concentrate stress and wear the joint faster. Previous fractures or dislocations, heavy physical work, extra body weight, and family history all contribute. Rheumatoid arthritis, gout, and loss of blood supply to the hip (avascular necrosis) are less common causes.

When should you see a specialist for Hip Arthritis?

Non-surgical care, activity modification, physical therapy, weight management, and medication, is the usual starting point, and many people do well with it for a long time. Consider a surgical consultation when hip pain routinely limits walking, sleep, or daily activities despite those measures. X-rays and an exam will show how advanced the arthritis is and which options fit.

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Common questions

Does hip arthritis always require a hip replacement?

No. Many people manage symptoms non-surgically for years. Replacement is typically considered when pain and stiffness significantly limit daily life despite conservative care.

How fast does hip arthritis progress?

It varies widely, some hips worsen over a few years, others stay stable for a decade or more. Symptom severity, not just X-ray appearance, guides treatment decisions.

What are the surgical options?

Total hip replacement is the standard operation, performed through several approaches including the anterior approach. Hip resurfacing is an alternative for select younger, active patients with strong bone.

This page provides general information only and is not medical advice. Consult a qualified physician about your specific situation. Listings are not endorsements.