
Hip Cartilage Damage

Hip cartilage damage occurs when the smooth cartilage that lines the hip joint becomes worn down, torn, or injured. This cartilage allows the femoral head (ball) to glide smoothly within the acetabulum (socket). Damage can result from trauma, repetitive stress, labral tears, femoroacetabular impingement (FAI), or degenerative diseases like arthritis. Once damaged, cartilage does not heal easily on its own, which can lead to pain, stiffness, and early joint degeneration if left untreated.
Diagnosis of Hip Cartilage Damage
Cartilage damage in the hip can be challenging to diagnose because symptoms overlap with other conditions. A provider may use:
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Medical history review (injuries, sports activity, or progressive hip pain).
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Physical exam to assess range of motion, stiffness, and painful movements.
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Imaging:
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MRI or MR arthrogram is the best tool to visualize cartilage damage.
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X-rays may reveal bone changes if arthritis is present.
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Diagnostic injections may help confirm whether the pain is coming from the joint.
Treatment for Hip Cartilage Damange
Physical therapy plays a major role in managing cartilage injuries and preserving hip function. Treatment may include:
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Manual therapy to reduce stiffness and improve joint mobility
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Strengthening exercises for hip stabilizers, glutes, and core muscles
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Stretching routines to improve flexibility in surrounding tissues
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Postural and movement retraining to minimize stress on the joint
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Pain management with ice, heat, or ultrasound therapy
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Education on activity modification and joint protection strategies
In more severe cases, injections or surgical options (such as cartilage repair or microfracture procedures) may be considered. Physical therapy remains essential before and after surgery.
Symptoms of Hip Cartilage Damage
Common symptoms of hip cartilage damage include:
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Deep, aching hip or groin pain, especially with movement
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Stiffness and limited range of motion
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Clicking, locking, or catching sensations inside the joint
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Pain that worsens with prolonged sitting, standing, or twisting
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Weakness or instability in the hip
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Gradual worsening of symptoms over time
Prevention of Hip Cartilage Damange
To reduce the risk of hip cartilage damage or slow its progression:
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Strengthen hip and core muscles to stabilize the joint
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Maintain healthy flexibility in the hips and lower body
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Avoid repetitive deep bending or twisting without proper conditioning
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Use proper technique in sports and lifting activities
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Stay active with low-impact exercise like swimming, cycling, or walking
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Address hip pain early to prevent worsening cartilage breakdown
