Hip Osteoarthritis

Hip osteoarthritis (OA) is a chronic degenerative disease affecting the hip joint, characterised by the breakdown of articular cartilage, changes in the underlying bone, and the formation of bone spurs (osteophytes).

Hip pain can be caused by a variety of conditions and factors, ranging from temporary, minor issues to chronic, severe disorders. Here’s an overview of common causes:

  1. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the hip joint.
  2. Tendinitis: Inflammation or irritation of the tendons around the hip.
  3. Fractures: A break in the hip bone, often due to trauma or osteoporosis.
  4. Muscle Strains: Overstretching or tearing of the muscles around the hip.
  5. Sciatica: Pressure or irritation of the sciatic nerve can cause pain radiating from the lower back to the hip.
  6. Hip Labral Tear: A tear in the ring of cartilage surrounding the hip socket.
  7. 7 Hip Dysplasia: A congenital condition where the hip socket doesn’t fully cover the ball of the upper thigh bone.
  8. Infections: In the bone, joint, or surrounding soft tissues.
  9. Avascular Necrosis: Death of bone tissue due to lack of blood supply.
  10. Rheumatoid Arthritis: An autoimmune condition that can affect the hip joint.
  11. Ligament Sprains: Damage to the ligaments in the hip joint.
  12. Cancers: Such as bone cancer or when cancer metastasizes to the hip.
  13. Referred Pain: Pain originating from other parts of the body, such as the lower back, may be felt in the hip.
  14. Pinched Nerves: Compression of nerves in the back can cause pain that radiates to the hip.
  15. Inflammatory Diseases: Like ankylosing spondylitis.
  16. Hernia: Such as inguinal or femoral hernias.

The specific cause of hip pain can often be identified through a combination of physical examination, patient history, and diagnostic tests such as X-rays, MRI, or ultrasound. Treatment varies depending on the underlying cause and may include rest, physiotherapy, medications, injections, or surgery. 

Hip osteoarthritis (OA) symptoms include pain, stiffness, limited range of motion, swelling, and a grating or creaking sensation in the hip joint, often worsening with activity and improving with rest.

Hip pain can be caused by a variety of conditions and factors, ranging from temporary, minor issues to chronic, severe disorders. Here’s an overview of common causes:

  1. Osteoarthritis: Degeneration of the joint cartilage leading to pain, stiffness, and inflammation.
  2. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the hip joint.
  3. Tendinitis: Inflammation or irritation of the tendons around the hip.
  4. Fractures: A break in the hip bone, often due to trauma or osteoporosis.
  5. Muscle Strains: Overstretching or tearing of the muscles around the hip.
  6. Sciatica: Pressure or irritation of the sciatic nerve can cause pain radiating from the lower back to the hip.
  7. Hip Labral Tear: A tear in the ring of cartilage surrounding the hip socket.
  8. Hip Dysplasia: A congenital condition where the hip socket doesn’t fully cover the ball of the upper thigh bone.
  9. Infections: In the bone, joint, or surrounding soft tissues.
  10. Avascular Necrosis: Death of bone tissue due to lack of blood supply.
  11. Rheumatoid Arthritis: An autoimmune condition that can affect the hip joint.
  12. Ligament Sprains: Damage to the ligaments in the hip joint.
  13. Cancers: Such as bone cancer or when cancer metastasizes to the hip.
  14. Referred Pain: Pain originating from other parts of the body, such as the lower back, may be felt in the hip.

The specific cause of hip pain can often be identified through a combination of physical examination, patient history, and diagnostic tests such as X-rays, MRI, or ultrasound. Treatment varies depending on the underlying cause and may include rest, physiotherapy, medications, injections, or surgery. 

Treatment varies depending on the underlying cause and may include relative rest, physiotherapy, medications, injections, or surgery

For hip osteoarthritis (OA), you should see a physiotherapist who can help to formulate and initial diagnosis and management plan. You may need referring to specialists such as an orthopaedic surgeon, rheumatologist, or others depending on the severity and specific needs of your condition.

Yes, exercise is generally considered beneficial for hip osteoarthritis (OA). Engaging in regular, appropriate exercises can help improve joint flexibility, strengthen the muscles around the hip, reduce pain, enhance mobility, and support overall joint health. Specific exercises tailored to your condition, guided by a physiotherapist, are recommended to ensure safety and effectiveness.

Surgery for hip osteoarthritis (OA) is not always necessary and is generally considered a last resort when other conservative treatments have failed to relieve symptoms. Non-surgical treatments, such as physiotherapy, weight management, medication, and lifestyle modifications, are often effective in managing the symptoms of hip OA. However, if the pain and disability become severe, impairing daily activities and quality of life, surgery such as a hip replacement might be recommended. The decision for surgery should be made in collaboration with an orthopaedic surgeon, considering the individual’s specific condition, needs, and preferences.

Chews Health top tip for hip OA

A top tip for managing hip osteoarthritis (OA) is to engage in a well-balanced routine of appropriate exercise under the guidance of physiotherapy. This helps in maintaining joint flexibility, strengthening the muscles around the hip, and managing weight, all of which are key factors in relieving pain and slowing the progression of OA. Regularly consulting with your healthcare provider to monitor and adjust treatment as needed is also vital for optimal management of the condition.

Our Specialists

Melanie Clarke
Melanie Clarke
2023-02-22
We’ll be forever grateful to Chews, the guys are the absolute BEST IN CLASS when it comes to a fully tailored recovery plan. Our son is a young elite competitive acrobatic gymnast who sadly had a high impact fall at gymnastics dislocating and fracturing his elbow and needed surgery, for a gymnast that trains many hours over 4 days week it was devastating blow, especially with GB competitions coming up. Once out of cast (wk 4 post opp) we started 2 x weekly physio sessions with Richard Saxton (who specialises in child’s physio), he was thorough, diligent and his amazing assessments fully supported the coaches at our sons gym to help build a safe recovery plan. The sessions with Richard and Sanford were fun, engaging and they took great care to help improve full mobility and strength. At week 7 post op our son was doing skills we thought would have taken 4mths to achieve, by week 10 he was back to full impact training, even our hospital follow up with the senior elbow consultant was blown away by the physio support we’d had and the rapid recovery. If it wasn’t for Chews we 100% would not be back training this quickly and not have had the reassurances it was safe to do so…..we’ve definitely found a physio for life. Thank you from the bottom of our hearts Team Chews. From Mel & JJ x x
Ruth Shearn
Ruth Shearn
2023-02-21
Have waited a few months post-treatment to write a review - just to be certain! Quite simply, I can't recommend these guys highly enough. I went to them with two badly damaged knees (miniscus tears). Having had three arthroscopes over the years, I was completely resigned to needing surgical intervention again. The Chews team had different ideas. After showing me the latest research findings, they assured me my knees could be rehabilitated without a scalpel. I had just a handful of sessions with them and am delighted to report that, six months on, my knees are great! I'm running 5k twice a week (don't laugh, I loathe running and am no spring chicken) without any pain and have taken up tennis. Everyone at Chews is passionate about their subject, knowledgeable, reassuring and friendly. I wouldn't go anywhere else.
Dave Stuart
Dave Stuart
2023-02-06
I have had a chronic back condition to varying degrees for many years which more recently has forced me to have weeks off work at a time. I was recommended Chews Health by a colleague having tried other physios in the past. However, I always felt that something was missing from the plan. My back muscles would on occasion go into spasm, or my disk to impinge on my nerve, affecting my mobility and effectively setting me back to square one. I came to Chews health a bit wary and was considering surgery due to how much my back was affecting my quality of life and mental health. It has not been a straight forward recovery, but i have made significant progress through having a thorough history taken, my ongoing concerns listened to, and being provided with a clear explanation of not only the exercise plan but additionally explaining why my body was responding in varying ways. This has educated about my condition and provided me with the tools to self manage my condition more effectively should it deteriorate again.. It has not been plain sailing, but I have absolute faith in Jack and his team.
lobo
lobo
2023-01-09
I had to attend Chews Health for help with pain in my elbow and they have been a fantastic help. I am now back to 100%.
The S
The S
2023-01-05
I can thoroughly recommend Chews Health physio. Sessions from diagnosis to rehabilitation are stimulating as well as therapeutic. Jack’s holistic, insightful approach goes beyond fixing the initial problem - he builds the confidence and self-knowledge to help maintain fitness and avoid strains and niggling injuries in the future. His message that the body needs exposure to regular challenges has inspired my journey towards optimum health.
Sam Butler
Sam Butler
2022-12-21
Excellent physiotherapy. After ACL and meniscus surgery I contacted Chews Health to find out about how they could help me feel more confident about returning to more intense sport after my injury. I felt listened to and we worked on a series of different of exercises that tested my knee. Very helpful and I now feel much more confident in my abilities.
feralie Bennett
feralie Bennett
2022-11-23
I saw Richard Saxton for a chronic pain in my achillies. 2 visits, with massage and exercises: clear concise instruction, both written and verbal to do at home were realistic & adapted for my ability - I now no longer require pain relief & can walk the dogs pain free & even manage a few hills. A follow up call to review my progress was also appreciated. The clinic was clean & well equipped. Would highly recommend.
Philip Conroy
Philip Conroy
2022-11-16
When I had severe back pain I was seen within 24 hours. The problem was resolved after 3 weeks of physiotherapy and exercises. I subsequently took up the annual gym membership package which includes regular reviews by the Physiotherapists. I feel this has benefitted me greatly as I had no previous experience of gyms and ensured I was using the equipment in the correct manner. At all times the staff have been very friendly and professional.
Maureen Morris
Maureen Morris
2022-11-10
Helped me tremendously. Lovely people - everyone very very supportive.
Cecilia Wright
Cecilia Wright
2022-10-31
I had been suffering from plantar fasciitis for some months and went Chews Health in the summer for shockwave treatment, after my podiatrist said she had heard good reports about it. Until then I had been resting, exercising it, icing it, using insoles etc., none of which had made much difference. I booked six treatments at the start (recommended) and by the time of the last treatment It was hardly noticeable, so much better! I’ve had two further treatments over the last month, just to be on the safe side, and I’m doing some exercises now to build up the strength in my calf and foot. Chews Health comes with heartfelt recommendations from me, they are friendly, very knowledgeable and best of all - they have fixed my sore foot!