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Understanding Hip Osteoarthritis
Hip osteoarthritis is a degenerative condition that occurs when the smooth cartilage covering the ball-and-socket joint of the hip wears down over time. This cartilage normally allows the hip to move easily and without friction. As it thins, the bones begin to rub against one another—causing pain, stiffness, and inflammation. The condition tends to progress gradually, making everyday movements such as walking, standing, or getting in and out of a car increasingly difficult.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Common Causes and Risk Factors
A number of factors can lead to or accelerate hip osteoarthritis:

• Age: Most common in adults over 50.

• Previous hip injury: Fractures, labral tears, or childhood hip disorders can increase risk.

• Repetitive stress: Jobs or activities involving heavy lifting or prolonged standing place added stress on the joint.

• Genetics: Family history can play a role in cartilage health.

• Weight: Excess body weight increases pressure on the hip joint.

• Structural alignment: Conditions such as hip dysplasia or impingement (FAI) can cause abnormal joint wear.

 

Symptoms
Hip osteoarthritis often develops slowly. Common symptoms include:

• Deep aching pain in the groin, outer thigh, or buttock

• Stiffness, especially after rest or first thing in the morning

• Pain that worsens with activity and improves with rest

• Decreased range of motion or difficulty bending at the hip

• Limping or favoring one leg while walking

 

Diagnosis
Dr. Cone begins with a detailed history and physical exam to assess pain location, flexibility, and gait. Imaging studies such as X-rays may reveal joint-space narrowing or bone spurs, while MRI scans can evaluate cartilage thickness and surrounding soft tissues. A thorough evaluation ensures the correct diagnosis and helps guide the most effective treatment plan.

 

 

 

 

 

 

 

 

 

 

 

 

Treatment Options
Although hip osteoarthritis cannot be reversed, there are several highly effective strategies to reduce pain, improve function, and delay progression.
Dr. Cone tailors each treatment plan to your lifestyle and goals:

• Activity modification and exercise: Low-impact activities such as swimming, cycling, and stretching maintain strength and mobility.

• Weight management: Reducing excess weight can lessen stress on the hip.

• Physical therapy: Focused exercises improve stability, range of motion, and muscle support.

• Medications: Anti-inflammatory medications (NSAIDs) and topical agents help relieve pain.

• Injections: Corticosteroid or biologic injections, such as platelet-rich plasma (PRP), may reduce inflammation and promote healing.

• Assistive devices: Canes or walking aids can ease joint strain and improve balance.

• Surgical intervention: When conservative treatments are no longer effective, total hip replacement may be recommended to restore smooth, pain-free movement.

 

Living Well with Hip Osteoarthritis
Most patients can continue leading active, fulfilling lives with the right care and management. Dr. Cone emphasizes patient education, individualized treatment, and advanced surgical techniques to relieve pain, improve mobility, and help you return to the activities you love.