Osteoarthritis of the Hip

One of the most common causes of chronic hip discomfort is hip osteoarthritis, a degenerative joint disease that affects millions of Americans, especially as they age. In this article, we’ll explain what hip osteoarthritis is, its symptoms, how it’s diagnosed, and both non-surgical and surgical treatment options.

If you’re experiencing persistent hip pain or have been diagnosed with hip arthritis, our board-certified providers at Orthopedic Specialists & Sports Medicine, with locations in Granville and Coshocton, Ohio, are here to help you regain your confidence and return to moving with ease. Schedule an appointment today!

About Hip Osteoarthritis

Osteoarthritis (OA) is the most common form of arthritis and occurs when the protective cartilage that cushions the ends of bones wears down over time. In the hip joint, this means the cartilage covering the ball and socket joint—where the femoral head (top of the thigh bone) fits into the hip socket—gradually deteriorates. As this cushioning disappears, bone rubbing on bone causes inflammation, joint stiffness, and pain.

Unlike rheumatoid arthritis, which is autoimmune in nature, hip osteoarthritis is a degenerative condition that typically results from age-related wear and tear, although certain factors can speed up the process. Over time, bone spurs may form, joint space narrows, and daily movements become increasingly limited.

An older woman in pain caused by osteoarthritis in her hip in Ohio.

Hip Arthritis Symptoms

The early signs of hip osteoarthritis can be subtle. However, symptoms often worsen over time and may include:

  • Persistent hip pain, especially during or after movement
  • Pain in the groin, outer thigh, or buttocks
  • Stiffness after periods of rest or inactivity
  • Limited range of motion in the hip joint
  • A grinding sensation during hip movement (from bone rubbing on bone)
  • Pain that worsens with weight-bearing activities like walking or climbing stairs
 

Many people find that their symptoms fluctuate, with good days and bad days. Left untreated, hip arthritis can greatly affect mobility and quality of life.

Causes of Hip Osteoarthritis

Several risk factors contribute to the development of hip osteoarthritis:

  • Age – Most common in adults over 50
  • Genetics – A family history of OA increases risk
  • Hip dysplasia – A congenital condition where the hip socket is abnormally shallow
  • Previous injury – Fractures or dislocations can damage the joint
  • Overuse or repetitive stress – Especially in athletes or laborers
  • Obesity – Excess weight puts additional stress on the hip joint
  • Inflammatory diseases – Including rheumatoid arthritis

 

If you have any of these risk factors, you may be more likely to develop osteoarthritis in the hip.

Diagnosis and Exams

To determine if you have hip osteoarthritis, your orthopedic provider will start with a thorough medical history and physical examination. They’ll evaluate your pain level, joint stiffness, and range of motion.

Diagnostic tools may include:

  • X-rays – To evaluate joint space, bone damage, and bone spurs
  • Magnetic resonance imaging (MRI) – To view soft tissue, cartilage, and early joint changes
  • Blood tests may be used to rule out rheumatoid arthritis or other inflammatory conditions


A combination of your symptoms, exam findings, and imaging results will help your doctor determine if you’ve had hip arthritis diagnosed and what the best course of treatment may be.

Treatment of Osteoarthritis

Treatment for hip osteoarthritis aims to relieve pain, improve joint function, and preserve mobility.

Non-Surgical Options

In many cases, non-surgical treatments can help manage symptoms effectively:

  • Physical therapy – To strengthen supporting muscles and increase flexibility
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) – For pain and inflammation control
  • Lifestyle modifications – Including weight loss, activity changes, and assistive devices like canes
  • Injections – Corticosteroid or hyaluronic acid injections may provide temporary relief

Surgical Treatments

When conservative treatments no longer provide relief, surgical options may be recommended:

  • Hip resurfacing – Involves capping the femoral head with a metal prosthesis while preserving more bone
  • Total hip replacement – Involves replacing both the femoral head and hip socket with artificial components
  • In some cases, if hip arthritis is linked to another condition like hip dysplasia, the approach may be tailored to address underlying issues


Surgery is usually considered when pain significantly limits daily activities or when there is extensive damaged bone and joint space loss.

Living with Arthritis in the Hip

While there is no cure for hip osteoarthritis, many people live active lives by making adjustments that protect their joints and reduce symptoms. Strategies include:

  • Staying active with low-impact activities like swimming, cycling, or walking
  • Using supportive footwear and avoiding high-impact sports
  • Adapting your home or workplace to reduce strain on your hips
  • Attending regular follow-ups with your orthopedic specialist

 

It’s important to listen to your body and avoid activities that trigger flare-ups.

Exercises to Manage Arthritis

Targeted exercises can improve pain, build strength, and maintain mobility in the hip joint. Recommended exercises include:

  • Hip bridges – Strengthens the glutes and core
  • Leg raises – Helps stabilize the joint
  • Gentle stretches – Improves flexibility in the hips and lower back
  • Water aerobics – Reduces joint stress while building endurance

 

Before starting any new exercise routine, consult with your provider or a physical therapy expert to ensure exercises are safe and effective for your condition.

Take the First Step Toward Hip Pain Relief

Hip osteoarthritis can make everyday tasks feel like a challenge, but you don’t have to live in pain. Whether you’re exploring non-surgical therapies, considering hip replacement, or seeking ways to protect your joints, our specialists at Orthopedic Specialists & Sports Medicine are here to help.

With convenient locations in Granville and Coshocton, OH, our experienced team offers personalized care, from diagnosis through recovery. Schedule an appointment today and take the first step toward reclaiming your mobility and improving your quality of life.

Medically reviewed by Eric Erb, MD