Hip Arthritis

Hip Arthritis

There are over 100 different form of arthritis; several of these forms of arthritis affect the hip, the most common form being osteoarthritis. Arthritis is a progressive degenerative joint disease that results in inflammation, pain, and decreased range of motion in the affected joint(s). There are several different types of arthritis that cause hip pain. The specific type of arthritis you have may affect your treatment options.

Types of Hip Arthritis

There are five main types of arthritis that affect the hip joint, including:

  • Osteoarthritis, a progressive degenerative joint disease that occurs as a result of loss of cartilage between the head of the femur (thighbone) and the acetabulum (hip socket) . As the cartilage between bone and joint wears away, the joint surface becomes rough, which bearing wears away, the result is a roughed joint surface that causes the pain and stiffness that people associate with osteoarthritis.
  • Rheumatoid arthritis, an autoimmune condition resulting when the synovium releases chemical substances that attack, damage, and eventually destroy the cartilage; often affects both hips at the same time.
  •  Ankylosing spondylitis, a chronic inflammation of the hip that causes pain and stiffness.
  • Systemic lupus erythematosus, inflammation in any part of the body, and most often affects the joints, skin, and nervous system; those with lupus have a higher incidence of osteonecrosis of the hip, which results in bone cells and eventually leads to severe arthritis.
  • Psoriatic arthritis, causes joint pain, swelling, and stiffness and can affect any joint in the body, including the hip.

These forms of arthritis have no known cure, but there are several effective ways to treat the pain, inflammation, and discomfort associated with the condition.

Risk Factors Contributing to Arthritis of the Hip

While the causes of many types of arthritis are unknown, there are several factors, conditions, and lifestyle choices contribute to hip pain, including:

  • Family history;
  • Age;
  • Gender;
  • Previous joint injury;
  • Being overweight.


It is common for arthritis to affect more than one joint in the body; it is also common for a person suffering from hip arthritis to develop the same condition in the knee, shoulder, hand, or other joint.

All types of arthritis will cause the hip to feel painful and stiff; other symptom of hip arthritis include:


A dull, aching pain in the groin, outer thigh, knee, or buttocks,


Pain that is worse in the morning or after sitting or resting for a while, but lessens with activity,


Increased pain and stiffness with vigorous activity,


Pain in the joint severe enough to cause a limp or make walking difficult.


While examining your hip for pain, your doctor will collect a medical history and conduct a physical examination that includes assessing the range of motion in you hips as well as testing for any pain or related discomfort.

In addition, your care provider might also order medical imaging tests to further evaluate the condition of the structures in the neck and shoulder area, these tests might include:

●CT scans

Possible Treatments

Since there is not a cure for hip arthritis, treatment of arthritis in the hips focuses on decreasing inflammation, minimizing pain, and improving function of the hip joint. The specific treatment methods for specific types of arthritis will vary depending on type and severity, and can include :


such as analgesics to relieve pain, NSAIDs to reduce pain and inflammation, corticosteroids to reduce inflammation and suppress immune reaction; and disease-modifying anti-rheumatic drugs (DMARDs), which is used to treat rheumatoid arthritis and prevent the immune system from attacking the joints.

Physical therapy to strengthen muscles around the joint and improve range of motion.
Surgery to repair or replace the damaged joints.
Dr.Raju Mantena
Dr. Raju Mantena is an anesthesiologist and pain specialist based in the Houston area and has over 15 years of medical experience which he relies upon each day to successfully treat his patients’ acute and chronic pain.

At 360 Pain Treatment, our mission is to provide compassionate pain relief, restore prior function and activity levels, and optimize the quality of life for all.


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