What Is Hip Osteoarthritis? A Guide to Understanding and Managing This Common Condition
If you've been experiencing stiffness, pain, or limited movement in your hip, you may be dealing with hip osteoarthritis—a common joint condition that affects millions of people, especially as they age. But what exactly is hip osteoarthritis, and how can physical therapy help manage it?
We’ll break down the causes, symptoms, and treatment options for hip OA—and explain how physical therapy can help you stay active and independent.
What Is Hip Osteoarthritis?
Osteoarthritis (OA) is a degenerative joint disease that occurs when the protective cartilage that cushions the ends of your bones gradually wears down over time. In the hip joint, this can lead to:
-
Pain
-
Stiffness
-
Swelling
-
Reduced range of motion
As the cartilage deteriorates, bones may rub against each other, causing inflammation, joint damage, and discomfort during movement.
Causes and Risk Factors
Hip OA usually develops gradually and is more common in people over the age of 50, but younger adults can also develop it, especially after an injury or due to structural abnormalities.
Common causes and risk factors include:
-
Aging and natural wear and tear
-
Previous hip injuries
-
Genetics or family history of OA
-
Obesity (extra weight puts more stress on joints)
-
Repetitive movements or physical labor
-
Poor hip alignment or hip dysplasia
Common Symptoms of Hip Osteoarthritis
-
Aching or sharp pain in the hip, groin, thigh, or buttock
-
Stiffness, especially after sitting or sleeping
-
Difficulty walking, standing, or climbing stairs
-
Clicking, popping, or grinding in the joint
-
Limited range of motion
-
Pain that worsens with activity and improves with rest
Symptoms may start mild and progress over time. Many people find they begin adjusting their lifestyle without realizing how much mobility they’ve lost.
How Is Hip Osteoarthritis Diagnosed?
A healthcare provider will review your symptoms and perform a physical exam, checking your range of motion, gait, and joint tenderness. Imaging tests like X-rays may be used to confirm cartilage loss or changes in the joint space.
How Physical Therapy Helps Hip OA
There’s no cure for osteoarthritis, but physical therapy is one of the most effective, non-surgical ways to manage symptoms and slow progression. A physical therapist can help you:
Reduce Pain
Hands-on techniques and gentle exercises help relieve joint stress and calm inflammation.
Improve Range of Motion
Targeted stretches and mobilizations restore movement to the hip, making daily tasks easier.
Strengthen Supporting Muscles
Stronger muscles—especially around the hips, glutes, and core—can take pressure off the joint and improve stability.
Improve Balance and Gait
PT can correct movement patterns and reduce limping or imbalance, making walking more efficient and less painful.
Delay or Prevent Surgery
Consistent physical therapy can preserve joint function and help many people avoid or delay the need for a hip replacement.
What to Expect in a PT Program for Hip OA
Your physical therapy plan will be tailored to your needs and may include:
-
Range-of-motion exercises
-
Strength training (bodyweight, resistance bands)
-
Postural training
-
Manual therapy
-
Low-impact aerobic exercise (walking, cycling, aquatic therapy)
-
Education on joint protection and home modifications
Final Thoughts
Hip osteoarthritis can be a frustrating and limiting condition—but it doesn’t have to define your life. With the right guidance and a consistent approach, physical therapy can help you manage pain, improve mobility, and stay active for years to come.
If you or someone you love is dealing with hip pain or stiffness, contact our office at 480-272-7140. Early intervention makes all the difference.
Let’s keep you moving—stronger, longer, and pain-free.
