Hip Arthritis


A smooth, slippery, fibrous connective tissue called articular cartilage acts as a protective cushion between bones inside the joint. Arthritis develops as the cartilage begins to deteriorate or is lost because of wear and tear as part of aging or because of disease like Rheumatoid arthritis. As the articular cartilage is lost, joint space between the bones become narrow. This is an early sign of arthritis and is easily seen on X-Rays. Slowly over time bone ends rub against each other and wear away. This results in progressive pain and shortening. Normal activity becomes painful and difficult. Pain can even interfere with simple daily activities.
Common arthritis symptoms include pain, stiffness, some loss of joint motion, deformity, limp and shortening of limb


Who develops arthritis?

  • Primary  osteoarthritis typically affects patients over 50 years of age, but is uncommon in India
  • It is more common in persons who are overweight, or suffering from Rheumatoid arthritis or Ankylosing spondylitis. In some patients arthritis tends to run in families.
  • Other factors that can contribute to developing hip arthritis include injury to the hip (Acetabulum fracture or after fracture neck of femur), developmental abnormalities like dysplastic hip and Perthe’s disease

What is the treatment of Hip arthritis?

  • Conservative treatment does not have a significant role in management, once hip arthritis has set in.
  • Initial treatment includes medications for pain relief, weight control and physical therapy.
  • If all these fail to produce satisfactory response, one should consider hip replacement as the last resort treatment.