Hip Arthritis

Hip arthritis is a degenerative condition where the protective cartilage that cushions the hip joint gradually wears away, leading to bone-on-bone contact, inflammation, and progressive joint damage. The most common form is osteoarthritis, which develops from wear and tear over time, though rheumatoid arthritis and other inflammatory types can also affect the hip.

As the cartilage deteriorates, the joint loses its smooth gliding surface, causing pain, stiffness, and reduced range of motion. Over time, the joint may develop bone spurs, further limiting movement and causing additional discomfort. Hip arthritis can significantly impact daily activities like walking, climbing stairs, and even sleeping.

At Mountain Spine & Orthopedics, our hip specialists use advanced imaging including X-rays and MRI to assess the extent of cartilage loss and joint damage, creating personalized treatment plans that range from conservative management to minimally invasive joint replacement when appropriate.

• Deep groin pain that may radiate to the thigh, buttock, or knee
• Stiffness, especially in the morning or after prolonged sitting
• Reduced range of motion and difficulty with activities like putting on shoes or socks
• Pain that worsens with activity and weight-bearing
• A grinding or crunching sensation (crepitus) during movement
• Pain that disrupts sleep, especially when lying on the affected side
• Difficulty walking or a limp due to pain and stiffness

Several factors increase the risk of developing hip arthritis:

• Advancing age, as cartilage naturally wears down over time
• Previous hip injuries, fractures, or trauma
• Structural abnormalities such as hip dysplasia or hip impingement that accelerate wear
• Obesity, which places increased stress on the hip joint
• Family history of arthritis or joint problems
• Repetitive high-impact activities or occupations that stress the hip
• Certain medical conditions like avascular necrosis that damage the joint

Diagnosis begins with a comprehensive physical examination to assess range of motion, identify pain patterns, and evaluate gait. Our specialists look for signs of joint inflammation, muscle weakness, and functional limitations.

X-rays are essential to visualize joint space narrowing, bone spurs, and other structural changes characteristic of arthritis. We offer a complimentary MRI review to assess cartilage integrity, identify early arthritis before it's visible on X-rays, and evaluate surrounding soft tissues. Blood tests may be ordered if inflammatory arthritis is suspected.

Non-Surgical Treatment Options

Initial treatment focuses on conservative measures, including physical therapy referrals to strengthen hip muscles and improve flexibility, activity modification to reduce stress on the joint, and anti-inflammatory medications. Weight management and low-impact exercise can significantly slow progression and reduce symptoms.

Injection or Interventional Care

For patients with persistent pain, corticosteroid injections can provide temporary relief by reducing inflammation. Hyaluronic acid injections (viscosupplementation) may help lubricate the joint and provide longer-lasting relief for some patients. Biologic injections like PRP or stem cell therapy may also be considered to potentially slow disease progression.

Surgical Treatment Options

When conservative measures no longer provide adequate relief and arthritis significantly impacts daily life, surgical options may be considered. Hip resurfacing may be appropriate for younger, active patients, while total hip replacement offers excellent long-term outcomes for advanced arthritis, restoring function and eliminating pain.

Hip arthritis pain typically begins as a dull ache that worsens with activity and improves with rest. As the condition progresses, the pain may become more constant and severe, often described as a deep, grinding sensation in the groin.

The pain frequently disrupts sleep, especially when lying on the affected side, and can make simple activities like getting out of a chair or climbing stairs extremely difficult. Our comprehensive treatment approach addresses both pain management and functional restoration, helping patients return to an active, pain-free lifestyle.

While some risk factors for hip arthritis cannot be changed, several strategies can help slow progression and maintain joint health:

• Maintaining a healthy weight to reduce stress on the hip joint
• Regular low-impact exercise to strengthen hip muscles and maintain joint mobility
• Addressing structural abnormalities like hip impingement early to prevent accelerated wear
• Using proper technique and equipment during physical activities
• Managing underlying conditions that may contribute to arthritis
• Seeking early evaluation and treatment from a hip specialist when symptoms first appear
• Following a structured exercise program designed to protect joint health

If hip arthritis is limiting your activities or causing persistent pain, schedule a consultation with Mountain Spine & Orthopedics today. Benefit from a complimentary MRI review and expert evaluation to explore treatment options tailored to your needs. Same-day and next-day appointments are often available.