Early/mild arthritis

Hip osteoarthritis symptoms can usually be effectively managed, although the underlying process cannot be reversed. Staying active and maintaining a healthy weight may slow progression of the disease and help improve pain and joint function.

Medications may be recommended for the treatment of hip joint pain. These typically include over-the-counter pain relievers such as anti-inflammatories or acetaminophen. Physical therapy is often recommended as well, including stretching and strengthening exercises. A cane may be helpful for some patients.

When conservative treatments are inadequate, a hip joint injection with corticosteroid may be recommended. There are many alternative injections that may help with hip osteoarthritis pain, including hyaluronate (lubricant), platelet-rich plasma (PRP), or bone marrow aspirate concentrate (BMAC). However, these injections are still considered experimental by the FDA and are usually not covered by medical insurance.

When nonoperative management options have been exhausted, surgery may be considered. In cases of mild osteoarthritis that is associated with ball and socket abnormalities and/or labral tears, arthroscopic hip surgery may be an option. With more advanced osteoarthritis, a total hip replacement (arthroplasty) may be the best option.

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