Hip Arthritis Pain: Causes, Relief Options, and When to Seek Care

September 4, 2026
OrthoNJ

How to Relieve Hip Pain From Arthritis

Hip arthritis can make walking, exercise, and even getting out of a chair more difficult. Common treatments can help ease pain, improve function, and support day-to-day activity. If hip pain is affecting your routine, it may be time to talk with a doctor at OrthoNJ.

The hip is a ball-and-socket joint that helps support your body weight and allows smooth movement. When arthritis affects this joint, the cartilage that cushions the bones wears down over time, which can lead to pain, stiffness, and loss of motion.

Hip arthritis often develops gradually. Many people first notice aching in the groin, outer hip, buttock, or upper thigh. Symptoms may be mild at first, then slowly interfere more with daily life. The severity of arthritis seen on imaging does not always match the amount of pain a person feels.


What hip arthritis is

Arthritis is a broad term for joint inflammation and damage. In the hip, the most common type is osteoarthritis, which happens when the protective cartilage in the joint breaks down.

Without enough healthy cartilage, the bones in the joint don’t glide as smoothly. That can cause pain, swelling, stiffness, and a grinding feeling with movement.

TermWhat it means
CartilageSmooth tissue that covers the ends of bones and helps joints move easily
OsteoarthritisWear-and-tear arthritis that develops as cartilage breaks down
InflammationThe body’s response to irritation or injury, which can cause pain and swelling

Common symptoms of hip arthritis

Hip arthritis can feel different from person to person, but certain symptoms are common. Pain may come and go at first, then become more frequent as the joint changes progress.

  • Pain in the groin, buttock, outer hip, or upper thigh
  • Stiffness, especially after sitting or first getting up in the morning
  • Pain that gets worse with walking, standing, or activity
  • Reduced range of motion
  • Limping
  • Difficulty putting on shoes and socks or getting in and out of a car
  • A catching, grinding, or clicking sensation in the joint

Some people also notice that the pain travels down the thigh toward the knee. Because hip pain can be felt in nearby areas, it is not always obvious at first that the hip joint is the source.

negative x ray of junction of tibia and pelvis
negative x-ray of junction of tibia and pelvis after healed of fracture of acetabular cavity

Hip arthritis symptoms often build slowly over time. You may have good days and bad days, but if pain starts limiting sleep, walking, exercise, or routine activities, it is worth getting the joint evaluated.

At OrthoNJ, we look at your symptoms, your physical exam, and imaging findings together. That helps us understand how much the joint is contributing to your pain and what treatment options make sense for you.

What can lead to hip arthritis

Osteoarthritis is the most common reason for arthritis in the hip, but it is not the only one. Other conditions can also damage the joint and lead to pain and stiffness.

  • Osteoarthritis: Age-related wear of the joint cartilage
  • Rheumatoid arthritis: An autoimmune condition that causes joint inflammation
  • Post-traumatic arthritis: Arthritis that develops after an injury such as a fracture or dislocation
  • Avascular necrosis: Loss of blood supply to part of the hip joint, which can damage bone
  • Hip dysplasia or other structural issues: Conditions that affect how the joint fits together and may increase wear over time

Risk factors can include age, prior injury, excess body weight, family history, and certain medical conditions. Still, people without obvious risk factors can develop hip arthritis too.

How hip arthritis is diagnosed

Diagnosis usually starts with a conversation about your symptoms and a physical exam. Your doctor may ask where the pain is located, when it started, what makes it worse, and how it affects your day-to-day function.

X-rays are commonly used to look for joint space narrowing, bone spurs, and other signs of arthritis. In some cases, additional imaging or other tests may be considered if the diagnosis is unclear or another problem is suspected.

Part of the evaluationWhy it matters
Medical historyHelps identify symptom pattern, activity limits, and possible causes
Physical examChecks motion, strength, limp, and whether the hip is the likely pain source
X-raysShows common structural changes linked to arthritis
Additional testing if neededMay help if symptoms do not clearly match the initial findings

Ways to relieve hip arthritis pain without surgery

Many people start with nonsurgical care. The right plan depends on your symptoms, your activity level, your general health, and how much arthritis is present in the joint.

  • Activity modification: Reducing activities that trigger pain can calm down symptoms. This does not mean you need to stop moving entirely.
  • Low-impact exercise: Walking, cycling, swimming, or guided strengthening can help keep the joint moving and support surrounding muscles.
  • Physical therapy: A therapy program may improve hip strength, flexibility, balance, and movement patterns.
  • Weight management: For some people, reducing extra body weight may decrease stress on the hip joint.
  • Heat or ice: Heat may help stiffness, while ice may help after activity or when the joint feels sore.
  • Medications: Over-the-counter pain relievers or anti-inflammatory medicines may help if they are safe for you to use. Medication choices, especially anti-inflammatory drugs, should be discussed with a healthcare professional, particularly if you have kidney disease, heart disease, stomach ulcers, take blood thinners, or have other chronic conditions.
  • Assistive devices: A cane or walker may reduce pressure on the hip and improve stability in some cases.
  • Injections: Some patients may benefit from image-guided injections, depending on the cause of pain and the treatment plan. These should be planned and performed by qualified clinicians as part of an overall management strategy.

These treatments may not reverse arthritis, but they can improve comfort and function. Many patients use a combination of approaches rather than relying on just one.

Helpful movement habits for everyday life

Simple daily changes can make a difference when your hip is stiff or painful. The goal is to stay active without pushing through severe pain.

  • Warm up before exercise or longer walks
  • Take breaks during prolonged standing or walking
  • Use supportive shoes
  • Avoid sudden increases in activity
  • Choose lower-impact workouts when symptoms flare
  • Keep up with home exercises recommended by your care team

When surgery may be considered

If hip arthritis pain remains severe despite appropriate nonsurgical treatment, surgery may become an option. This is often considered when pain affects sleep, walking, work, or routine daily tasks.

For advanced arthritis, hip replacement is one of the most common surgical treatments. Your surgeon will review whether that is appropriate for you, along with expected benefits, possible risks, and recovery considerations.

At OrthoNJ, we want you to understand both conservative care and surgical options so you can make an informed decision. Not everyone with hip arthritis needs surgery, and timing is individualized.

When to call a doctor

It is a good idea to call a doctor if hip pain is becoming more frequent or is affecting your quality of life.

  • Pain is limiting walking, exercise, work, or sleep
  • Stiffness is making daily tasks harder
  • You are limping or losing hip motion
  • Over-the-counter treatments are no longer helping enough
  • Pain is getting worse instead of better
  • You are unsure whether the pain is coming from your hip, back, or another source

If pain is persistent or your mobility is changing, an evaluation at OrthoNJ can help clarify what is causing your symptoms and what next steps may help.

What to expect at your visit

During a hip evaluation, we typically review your symptoms, examine how the joint moves, and discuss how pain is affecting your routine. X-rays may be recommended to look for signs of arthritis and help guide treatment decisions.

Our goal is to help you move more comfortably and understand your options clearly. Treatment may include home strategies, physical therapy, medications, injections, further testing, or a discussion about surgery when appropriate.

Common questions about hip arthritis

Can hip arthritis pain come and go?

Yes. Many people notice symptoms that flare with activity and improve with rest, especially early on. Over time, symptoms may become more frequent.

Where is hip arthritis pain usually felt?

Pain is often felt in the groin, but it can also be felt in the outer hip, buttock, thigh, or even near the knee.

Does exercise make hip arthritis worse?

Not necessarily. The right kind of low-impact exercise can help maintain motion and strength. The key is to choose activities that do not sharply worsen your symptoms.

Will everyone with hip arthritis need a hip replacement?

No. Many people manage symptoms with nonsurgical treatment. Surgery is usually considered when pain and function have not improved enough with other care.

This treatment info is for informational purposes only. Treatment and recovery vary person to person, and you should consult with your treating physician and team for details on your treatment and recovery process.

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