Osteoarthritis of the hip

What is osteoarthritis of the hip?

Osteoarthritis (OA) is a common inflammatory condition that affects the joints, which can cause pain, stiffness, and difficulty with everyday tasks.

Your hip, like other joints, constantly undergo a normal balance of remodelling and repair from everyday stresses which usually goes unnoticed. 

Sometimes if we do more than usual, or there is an injury, this balance may be disturbed causing pain, swelling or heat in the joint. This is known as a flare up and may last for up to 24 weeks. 

What are the symptoms?

People may experience a range of different symptoms from mild to severe, such as:

• Pain in the groin, thigh, knee, lower back, or buttock
• Limitation in hip movement (such as struggling to put on socks or crossing your legs)
• Pain that may disturb your sleep
• Stiffness that is worse after periods of rest, or first thing in the morning but eases within 30 minutes
• Sometimes the leg may feel unstable and wants to give way

What are the causes?

The exact cause of osteoarthritis is unclear.  People often think it is only related to age; however, this is not true, there are other factors to consider such as:

• Gender - It is more common in women than men
• Previous history of Gout or Rheumatoid arthritis
• Previous injury to the hip
• Previous surgery to the hip
• Age - over 50
• Obesity
• Diabetes
• Thyroid problems
• Smoking

For further information regarding stopping smoking, exercise, mental health, and weight management, please click here to visit our "Healthy You" page. 

What can I do to help myself?

What else can I do?

Increasing general aerobic exercises such as brisk walking, cycling, or swimming have been shown to help. You can also do regular exercise focusing on movement and strengthening the hip. We have included some exercises below for you to try:

Hip Osteoarthritis exercises - EASY

Hip Osteoarthritis exercises - MODERATE

Hip Osteoarthritis exercises - ADVANCED

Do I need an x-ray or a scan?

In most cases, no. A good history and physical examination of your hip alone provides enough information to diagnose your problem. Scans and x-rays are not always useful for diagnosing hip osteoarthritis. While a scan or x-ray may provide information it rarely alters the treatment plan. 

Imaging findings are very poorly linked with pain and often people with no pain have very similar findings on their scans/x-rays to those that do. X-rays and scans can help for a small number of people in certain situations and will be recommended by a healthcare professional if required.

What about a steroid injection?

A steroid injection may be considered to help control the pain in some circumstances. The risks and benefits would be discussed with your Physiotherapist or GP and is not always an appropriate option for all patients. You may need a referral to another service to deliver this.