Understanding Hip Arthritis
What patients commonly notice
Progressive cartilage loss can cause groin pain, stiffness and difficulty walking, bending or putting on shoes. The exact pattern and severity can vary, so a clinical assessment is important before deciding on treatment.
Common symptoms
- Pain in the groin, thigh or buttock
- Stiffness after rest and reduced hip movement
- Difficulty walking, climbing stairs or putting on shoes
Causes and risk factors
There may be more than one contributing factor. Common possibilities include:
- Age-related cartilage wear
- Previous hip injury or childhood hip disorder
- Inflammatory arthritis or an underlying joint abnormality
How is hip arthritis assessed?
Assessment usually combines a history of where and when the pain occurs, examination of gait and hip movement, and appropriate imaging. Symptoms from the lower back or surrounding tendons may also need to be considered.
Treatment options
Treatment is matched to the diagnosis, symptom severity, general health and the activities you need to return to. Options may include:
- Activity modification, exercise and physiotherapy
- Appropriate pain relief and selected injections
- Total hip replacement when advanced symptoms limit quality of life
Surgery is not automatically the first step. When it is considered, the likely benefit, alternatives and recovery requirements should be discussed clearly.
Common questions
Why does hip arthritis often cause pain in the groin or thigh?
The hip joint sits deep in the groin, so pain from the joint is often felt there and may spread into the front of the thigh or towards the knee. Pain only over the outer hip may have a different cause.
Can exercise make hip arthritis worse?
Appropriate low-impact exercise usually helps maintain movement, strength and walking ability. The programme should be adjusted if an activity causes a marked or lasting increase in pain.
How do I know when it is time to consider a hip replacement?
Replacement is usually considered when pain, stiffness and loss of independence remain substantial despite suitable nonsurgical treatment. The decision is based on your symptoms and goals as well as the X-rays.
This page provides general patient information and does not replace a consultation or personalised medical advice.