Hip Arthritis

Overview

Hip arthritis, also called osteoarthritis of the hip, occurs when the cartilage in the hip joint breaks down over time. This cartilage normally acts as a cushion, allowing smooth movement of the joint.

As the cartilage wears away, the bones begin to rub against each other. This can lead to pain, stiffness, and reduced mobility. Hip arthritis is more common in adults over age 45.

Urban Spine and Joint

Symptoms

Common symptoms of hip arthritis include:

  1. Pain in the groin or front of the hip
  2. Pain that worsens with standing or walking
  3. Stiffness in the hip joint
  4. Limping due to pain
  5. Difficulty with daily activities such as putting on shoes or crossing legs
  6. Reduced range of motion in the hip

Pain is often felt in the front of the hip rather than the side.

Causes

Hip arthritis is most often caused by wear and tear over time.

Common causes and risk factors include:

  1. Age-related joint degeneration
  2. Previous hip injuries or fractures
  3. Obesity, which increases stress on the joint
  4. Developmental abnormalities of the hip
  5. Family history of arthritis
  6. Female sex

In many cases, no single cause is identified.

Diagnosis

Diagnosis begins with a medical history and physical examination. A doctor will assess hip movement, strength, and walking patterns.

Imaging tests may include:

  1. X-rays to evaluate joint space and cartilage loss
  2. MRI or CT scans if more detailed imaging is needed
  3. Bone scans in select cases

X-rays are the most commonly used test to confirm hip arthritis.

Treatment Options

Most annular tears respond well to conservative care. Treatment may include:

  1. Over-the-counter anti-inflammatory medications
  2. Heat and cold therapy
  3. Muscle relaxants
  4. Physical therapy to improve core stability and spinal mechanics
  5. Massage therapy
  6. TENS (transcutaneous electrical nerve stimulation)
  7. Epidural steroid injections to reduce inflammation

Early treatment focuses on reducing inflammation, relieving nerve irritation, and restoring normal movement patterns.