Home Services

Migraine Cervicogenic headache Occipital neuralgia Tension-type headache All headaches

Cervical facet pain Cervical herniated disc Cervical stenosis Cervical radiculopathy Whiplash All neck

Thoracic Facet Arthritis Thoracic herniated disc Thoracic radiculopathy Thoracic myofascial pain All mid back

Facet arthritis Sciatica Herniated disc Spinal stenosis SI joint pain All low back

Hip osteoarthritis Hip bursitis Labral / FAI All hip

Knee osteoarthritis Meniscus MCL injury ACL injury Patellofemoral Pes anserine bursitis Baker's cyst Patellar tendinopathy All knee

Rotator cuff Frozen shoulder AC joint Shoulder osteoarthritis All shoulder

Tennis elbow Golfer's elbow Elbow osteoarthritis All elbow

Carpal tunnel De Quervain Wrist OA / TFCC All wrist / hand

Ankle sprain Achilles tendinopathy Plantar fasciitis All ankle / foot

All conditions

Physical therapy Membership About Book a consult

WESTPORTLONGEVITY, PAIN & PERFORMANCE

Site navigation fallback. If the OptimizeMD global header is attached above, you can hide this block.

Home / Conditions / Hip / Hip osteoarthritis

Hip

Hip osteoarthritis

Hip osteoarthritis is wear of the cartilage in the ball-and-socket joint. It often shows up as groin pain with walking, stiffness, and gradual loss of comfortable range.

What it feels like

Groin ache is classic, though pain can also sit in the buttock or refer toward the knee.

People notice stiffness after sitting, difficulty with socks and shoes, and pain that builds with longer walks.

Night discomfort and a limp can appear as the joint space narrows and inflammation flares.

What is going on

Cartilage thins, bone remodels, and the joint capsule can become irritable. Mechanical load plus inflammation drives symptoms.

X-rays usually tell the structural story. MRI is reserved for unclear cases or alternative diagnoses.

Spine and SI problems can mimic hip OA, so we examine both regions when the pattern is mixed.

How we evaluate

History of groin-predominant pain, limited internal rotation, and plain radiographs are the usual core.

We assess gait, strength, and lumbar contribution before recommending procedures.

Injection response can sometimes help confirm the joint as the pain source when the picture is uncertain.

What we may offer

Load management, strength work around the hip girdle, and activity redesign come first for many people.

Image-guided corticosteroid injections may help selected inflammatory flares. PRP injections can be discussed for appropriate joint cases as part of regenerative care.

When structure and symptoms are advanced, we coordinate timing conversations around arthroplasty with surgical colleagues.

Is groin pain always the hip joint?

It is a strong clue, but the lumbar spine and SI joint can refer nearby. Exam and imaging help separate them.

Will an injection regrow cartilage?

Corticosteroid injections do not regrow cartilage. PRP is discussed for selected cases with evidence and expectations in view, not as a guarantee.

Can I keep walking with hip OA?

Usually yes, with pacing and surface choices that keep you moving without constant flares.

When is hip replacement discussed?

When pain and function remain limited despite a solid nonoperative plan and radiographs support advanced disease.