Hip condition

Hip arthritis

Hip arthritis (osteoarthritis) is wear of the smooth cartilage that lines the joint. It is one of the most common reasons for hip pain, and there are good treatment options at every stage.
  • Pain and stiffness
  • Usually over 50
  • Diagnosed with an X-ray
Consulting room with a hip X-ray on screen and a model of the hip joint

What is hip arthritis?

The hip is a ball-and-socket joint. In arthritis, the cartilage covering the ball and socket thins and roughens, so the bones no longer glide smoothly. This causes pain, stiffness and, over time, a change in how you walk.

Arthritis often develops gradually. Some people have symptoms for years that come and go; for others, pain builds more quickly. How much it affects daily life varies a great deal, which is why treatment is always tailored to you.

Common symptoms

  • Pain in the groin, buttock or thigh, sometimes felt in the knee
  • Stiffness, especially first thing in the morning
  • Difficulty putting on shoes and socks
  • A limp, or pain that limits how far you can walk
  • Pain at night or when resting
A surgeon explaining a hip model to a patient across a desk

Causes and risk factors

Hip arthritis is more common with age, but it can also follow childhood hip problems, previous injuries or hip impingement. A family history of arthritis and higher body weight can increase the load on the joint.

How it’s diagnosed

01

Consultation

A detailed history of your symptoms and how they affect you.

02

Examination

Assessing movement, strength and how you walk.

03

Imaging

An X-ray, and occasionally an MRI scan, to confirm the diagnosis.

Treatment options

Treatment usually starts with the simplest option that controls your symptoms. Surgery is considered when pain and stiffness are affecting your quality of life despite other measures.

Living with hip arthritis

Staying active, keeping muscles strong and managing your weight can all reduce symptoms. If you do need surgery, being as fit as possible beforehand helps your recovery.

FAQs

Questions about hip arthritis

Can hip arthritis get better on its own?

Cartilage does not regrow, but symptoms often improve with exercise, weight management and pain relief, and many people manage well for years.

When should I consider a hip replacement?

When pain and stiffness affect your sleep, work or daily life, and non-surgical treatment is no longer helping enough. The decision is always yours.

Will a hip replacement stop the pain?

Most people have much less pain after recovering from a hip replacement, but results vary. Mr Hakimi will explain what is realistic for you.

Request an appointment

Talk to Mr Hakimi about your hip

Appointments at the Alexandra, Spire Manchester, Highfield and Oaklands hospitals, or by video. Self-pay and insured patients welcome.

A surgeon explaining a hip model to a patient across a desk