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Hip Osteoarthritis Treatment Options

A comprehensive plan for the management of OA in an individual patient may include educational, behavioral, psychosocial, and physical interventions, as well as topical, oral, and intraarticular medications. As a last resort, hip replacement may be necessary.

Non-surgical conservative management for hip osteoarthritis (OA) involves a range of strategies aimed at alleviating pain, improving hip joint function, and enhancing the overall quality of life for individuals with this condition. Guidelines for managing hip osteoarthritis advise extensive non-surgical treatment prior to surgery. These non-operative approaches are typically considered before surgical interventions and may include:

Encouraging patients to make lifestyle changes can be an important aspect of managing hip OA. This may include weight management to reduce the load on the hip joint, as excess body weight can exacerbate symptoms.

Rehabilitative medicine including physical therapy is a a key component of hip OA management. Therapists develop customized exercise programs to strengthen the muscles around the hip joint, improve joint flexibility, and enhance stability.

Non-prescription pain relievers, such as acetaminophen, or nonsteroidal anti-inflammatory drugs (NSAIDs), can be used to manage pain and reduce inflammation. Prescription medications may be considered for more severe cases.

Creams, gels, or patches containing analgesic agents can provide localized pain relief when applied to the affected hip.

The use of assistive devices like canes or walkers can help reduce stress on the hip joint and improve mobility.

Intra-articular injections of corticosteroids or platelet-rich plasma can provide temporary relief from pain and inflammation.

Activities such as swimming, stationary biking, or water aerobics can be beneficial for maintaining joint function and cardiovascular fitness without aggravating hip OA symptoms.

Some individuals find relief through alternative therapies like acupuncture, chiropractic care, or dietary supplements (e.g., glucosamine and chondroitin).

Injections of hyaluronic acid directly into the hip joint may help lubricate the joint and reduce pain.

Providing patients with information about their condition and teaching techniques for joint protection and activity modification can be valuable.

A balanced diet with anti-inflammatory foods may support overall joint health.

Managing chronic pain can be emotionally challenging, so psychological support and pain coping strategies can be important.

Custom-made shoe inserts or over-the-counter orthotic insoles can help with gait and joint alignment, reducing hip joint strain during walking.

Application of heat or cold packs to the hip area may provide temporary relief from pain and stiffness.

In some cases, an unloader hip hip brace can provide added stability and pain relief.

First line treatment for hip arthritis includes conservative management. A combination of these non-surgical options can help ease pain and disability.

At HyperRegen Sports Medicine the choice of conservative management strategies for hip OA is tailored to the individual’s specific needs and the severity of their condition. The goal is to manage symptoms, improve function, and enhance the patient’s overall quality of life while delaying or avoiding surgical intervention when possible. Contact HyperRegen Sports Medicine in Toronto Canada to schedule a consultation to learn more about treatment options for hip arthritis.

At a Glance

Dr. Jas Chahal

  • Head of Orthopaedic Surgery, Women’s College Hospital
  • Team Physician Toronto FC and University of Toronto Varsity Blues
  • Associate Professor, University of Toronto Orthopaedic Sports Medicine Program
  • Has more than 100 peer-reviewed publications
  • Learn more

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