Physical Therapy Nest

A provider can diagnose hip arthritis with:

• Medical history review (progression of symptoms, family history, prior injuries).

• Physical exam to check for stiffness, tenderness, and range of motion.

• Imaging:

  • X-rays to reveal cartilage loss, bone spurs, or joint space narrowing.

  • MRI may be used to assess soft tissue and early cartilage changes.

• Lab tests may be ordered if autoimmune arthritis (such as rheumatoid arthritis) is suspected.

While hip arthritis cannot be reversed, physical therapy helps manage symptoms and maintain function. A therapy plan may include:

• Manual therapy to improve joint mobility and reduce stiffness

• Strengthening exercises for the hip, glutes, and core muscles

• Stretching routines to maintain flexibility and reduce stiffness

• Low-impact aerobic exercise such as swimming, cycling, or walking

• Pain management techniques like heat, ice, or ultrasound therapy

• Education on joint protection and activity modification
  In severe cases, injections or surgical options — including hip replacement — may be recommended. Physical therapy is essential before and after surgery to maximize recovery.

Hip arthritis symptoms often worsen gradually and may include:

• Aching or burning pain in the hip, groin, or thigh

• Stiffness, especially in the morning or after sitting

• Grinding, clicking, or popping sensations

• Swelling or tenderness around the hip joint

• Decreased range of motion and difficulty walking or bending

• Pain that worsens with weight-bearing activity and improves with rest

To slow progression and reduce flare-ups of hip arthritis:

• Stay active with low-impact, joint-friendly exercise

• Strengthen muscles around the hip and core for better support

• Maintain a healthy weight to reduce stress on the joint

• Stretch daily to improve flexibility

• Use proper posture and body mechanics when lifting or bending

• Address hip pain early to prevent worsening disability