Hip arthritis

Hip Arthritis Treatment Options.

Hip arthritis is common and usually treatable. The right answer for you depends on how it is affecting your life, what imaging shows, and what you have already tried. A private consultation with the team led by Professor Paul Lee gives you a clear plan, surgical or otherwise.

Anatomical pelvis model showing a total hip replacement.

Symptoms of hip arthritis

What hip arthritis often feels like.

Hip arthritis tends to come on gradually. People rarely arrive at a consultation with a single dramatic episode but a list of small things that have crept up over months or years.

  • Groin or hip pain

    Persistent pain in the groin, side of the hip or front of the thigh that does not settle with rest.

  • Night pain

    Hip pain that wakes you at night or makes it hard to lie comfortably on the affected side.

  • Stairs and chairs

    Difficulty climbing stairs, rising from a low chair or getting out of a car.

  • Reduced walking distance

    A shrinking comfortable walking distance or a noticeable limp on longer walks.

  • Stiffness in the morning

    Early-morning hip stiffness, or stiffness after sitting that takes time to ease off.

  • Quality of life affected

    Sleep, mood, work or activities you enjoy are being limited by your hip.

Symptoms alone do not confirm hip arthritis. Other conditions, including groin or back issues, can mimic it. Examination and imaging are how the diagnosis is confirmed.

When to seek specialist assessment

Most people wait too long.

Pain has a way of becoming the new normal. By the time some patients reach a consultation they have been gradually doing less for a long time without noticing. There is no medal for putting up with it.

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  • Hip pain that is affecting sleep or work
  • A noticeable drop in your comfortable walking distance
  • Pain that has not settled with simple measures over weeks
  • Stiffness that limits dressing, putting on shoes or getting in and out of a car
  • Pain that is gradually getting worse over months
  • Previous imaging suggesting arthritic change

Non-surgical options

Surgery is rarely the first conversation we have.

Activity & load

Pacing, simple gait changes and choosing the right exercise can take pressure off the joint.

Targeted physiotherapy

A structured plan strengthens the muscles around the hip and improves how it moves.

Weight management

Even modest reductions in load travel through the hip thousands of times a day. It adds up.

Selected injections

Image-guided injections can give time-limited relief and help confirm the joint as the pain source.

Non-surgical measures are not curative for advanced arthritis. They can buy useful time, confirm the diagnosis and improve quality of life.

When hip replacement may be considered

When the joint, your imaging and your life all point the same way.

Hip replacement is typically considered when arthritis is structurally confirmed on imaging, when symptoms have stopped responding to non-surgical care, and when your life is being limited in ways that matter to you. The decision is yours; our job is to give you the clearest possible picture so you can make it.

FAQs

Frequently asked questions

What are the symptoms of hip arthritis?
Pain in the groin, side of the hip or front of the thigh, stiffness in the morning or after sitting, reduced range of motion, a limp, and pain at night are common features.
Can hip arthritis be treated without surgery?
Often, yes, at least in earlier stages. Weight management, targeted physiotherapy, simple pain relief and in selected cases image-guided injections can help. These are not curative but can buy useful time and quality of life.
When is hip replacement considered?
When pain and loss of function are persistently affecting your daily life despite reasonable non-surgical measures, and imaging confirms structural arthritis.
Can hip arthritis cause groin or thigh pain?
Yes. Hip arthritis often presents as groin or front-of-thigh pain. Pain only at the side of the hip may also have other causes which Professor Lee can assess.
What should I bring to my consultation?
Bring any imaging you already have (X-rays or MRI), a brief summary of treatments you have tried, current medications and any specific questions you want answered.

Get a clear plan

Book a consultation.

A focused appointment with Professor Paul Lee to confirm the diagnosis, talk through your options and decide together what is sensible next.

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Clinical lead: Professor Paul Lee, Consultant Orthopaedic Surgeon. Suitability is assessed during consultation; all surgery carries risks.

Clinically led by Professor Paul Lee
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