Hip osteoarthritis

We’ll help you get moving again as quickly as possible

We use our hips a lot when we’re young. Dancing, football, jogging are no problem at all. In old age, it’s often a different picture. When your hips hurt suddenly with every step, this may be a sign of wear and tear in the hip joint. Your hip joints are the second-largest joints in your body. They connect your thighs to your pelvis. Over time, the cartilage tissue between the top of the thigh and the hip socket can become worn, resulting in painful rubbing against the groin area. This is called hip osteoarthritis, and can actually be treated effectively.

When treating hip osteoarthritis, our experienced specialists at Schoen Clinic combine personalised physiotherapy with painkilling medication. In addition, we carry out protective, minimally invasive measures to delay the need for an artificial hip joint replacement. If a replacement should still be necessary, we ensure that this is carried out with as little pain as possible so you become mobile again quickly.

Causes & symptoms

The hip joint – why does it exist?

The thigh and hip socket are linked together in the hip joint. Between these is a protective layer of cartilage tissue which acts as a buffer. This can be worn down over the years. Specialists then refer to this as hip osteoarthritis or coxarthrosis.

Causes: how hip osteoarthritis occurs

Excessive strain damages the cartilage tissue. More and more tissue is torn off inside your hip joint, and hip osteoarthritis develops. Because of existing unevenness or misalignment in the hip, the affected bones move slightly. They then increase the irritation inside your joint, despite having moved. Every step hurts. Your joint capsule and membrane become affected as well. The layer of cartilage is eventually completely destroyed, and both of the bones of your joint start to rub against each other without protection.

Hip osteoarthritis: symptoms you should be aware of

Pain in the hips and reduced mobility are clear signs of hip osteoarthritis. At the beginning, these symptoms will only occur under heavy or longer periods of stress. Your hip joint will hurt on long walks, when climbing stairs or when walking across uneven surfaces. Eventually, the pain will set in at rest and in the mornings while getting up. After a relaxing evening of watching TV on the sofa, for example, you won’t be able to get up straight away. You’ll first need to “warm up” again. According to the level of wear, grinding noises may be heard while walking. In the later stages of hip osteoarthritis, some movements will no longer be possible at all.

Adjacent joints, particularly the sacroiliac joint and knee joint, will often be affected as well due to posture. This misalignment can also cause back pain.

Diagnostics

Coxarthrosis: these procedures help clarify

At Schoen Clinic, if we suspect hip osteoarthritis, we first assess the mobility of your hip. In a physical examination, our specialists will probe the capsule swelling and misalignment in your joint. We also look for the exact cause behind any pain during movement.

X-ray imaging – a crucial indicator

X-ray examination is one of our standard imaging procedures. On these X-ray images, our osteoarthritis experts can see if the bone of the joint has changed in shape or the joint space has narrowed. The more cartilage that’s missing in the hip joint, the narrower the joint space.

Additional examinations may be required for a more accurate diagnosis. If we suspect inflammatory joint disease, we also carry out blood tests or take a fluids sample from the hip joint.