osteoarthritis of the hip

Osteoarthritis of the Hofta (Hip Osteoarthritis) | Cause, symptoms, prevention and treatment

Osteoarthritis of the hip is also known as coxarthrosis. Osteoarthritis of the hip (joint wear) can cause both joint pain, reduced mobility and pain when walking.  As the joint wear gets worse and reaches later stages of hip osteoarthritis, you may also expect a worsening of the symptoms and pain you experience. Therefore, it is important to actively work with prevention to ensure that you have good functionality in the joints and muscles.


Osteoarthritis can affect all joints in the body - but particularly affects weight-bearing joints, including the hips, knees and feet. As our joints become worn over the years, the cartilage inside the joints can gradually decompose and in the most severe cases, it can also cause bone to rub in the affected joints. You can read more about the different stages of osteoarthritis here (in Danish).


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In the article, we will review:

  • Symptoms of osteoarthritis of the hip
  • The cause of osteoarthritis of the hip
  • Self-measures against hip osteoarthritis
  • Prevention of coxarthrosis
  • Treatment of hip osteoarthritis
  • Diagnosis of osteoarthritis


In this article you will learn more about hip osteoarthritis and the causes, symptoms, prevention, self-measures and treatment of this clinical condition. Physical treatment of muscles and joints, as well as training of stability muscles are among the keys to prevent hip osteoarthritis and hip pain.


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Symptoms of Osteoarthritis in the Hofta

Discussion with health professionals

Symptoms of hip osteoarthritis may vary according to the stage of joint wear. But even in early stages, hip osteoarthritis can cause local tenderness, pain and joint pain.


  • Local pressure on the outside or front of the hip joint
  • Slight swelling of the joint
  • Redness of the joint
  • Wearing more severely can cause weight loss to the hip
  • Increase in the incidence of back and pelvic pain


In addition to these symptoms and clinical signs, reduced hip function may also result in what we call biomechanical compensation disorders. This means that hip pain can provide a basis for moving differently or moving less in everyday life  - this in turn could result in other anatomical structures becoming overloaded and painful. The back and pelvis in particular are particularly vulnerable if you do not have good hip function - not to forget your knees, which have a direct functional connection with the hip.


Why Do I Hurt in the Hofta in the Morning or After Sitting Quiet?

Characteristically, it is also true that hip osteoarthritis is worse in the morning and after sitting still for a long time. This is partly due to the fact that, like the muscles after exercise, the body will every night try to repair cartilage and perform maintenance in the joints. The muscles will also have less blood circulation and the joints less synovial fluid - so therefore it often takes some time to get started in the morning. It is relatively common among people, but may indicate that you have certain muscle and joint problems that should be treated.


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Hip pain and hip pain

Osteoarthritis can lead to calcifications in the hip joint

Osteoarthritis is also known as osteoarthritis and with joint wear will also cause physical changes in the hip joint. Joint wear provides a basis for inflammation of the joint capsule that can cause local swelling and redness of the joint. But as mentioned, it is also the case that when the cartilage in the joints breaks down and bones almost rub against bones, the body will respond by trying a wholehearted attempt to repair itself. This can result in extra bones being laid down - ie calcification and bone spurs.


In the hip, it is not the case that these calcifications will be visible or that you will notice them with the naked eye - in contrast to osteoarthritis of the big toe, where you can see a large bone ball in the base of the big toe. The more calcifications - the more reduced and reduced your functionality will be.


Shorter Step Length and Stance

The hip is essential for normal walking - it acts as a shock absorber and as a weight transmitter when you put your legs on the ground. But if the cartilage in the hip joint is worn, this can cause problems.


This is because it can lead to you having less range of motion in the hip - and thus it can lead to you taking shorter steps when you walk, which in turn helps to prevent increased mobility. After all, normal movement is self-sustaining, as it provides blood circulation and joint fluid into the hip, but by short gait and limp, this natural mobilization of joints and muscles is lost.


As the condition tightens, it can also cause you to start limping on the leg where the hip arthrosis is significant. This is bad news, as it will cause further compensatory pain in nearby muscles, nerves and joints.


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Cause: Why do you get osteoarthritis in the hip?

Normal wear and tear in the joints and osteoarthritis increase as we get older - due to natural wear and tear in everyday life. Unfortunately, the body's own repair ability deteriorates over the years and it does not work as quickly to repair cartilage as before. As the osteoarthritis becomes more extensive and more cartilage is worn down, the job of repairing it will also become larger and more difficult - due to the fact that there is less cartilage that keeps the joint 'open'.


Some of the most common risk factors for developing osteoarthritis of the hip include obesity, misalignments in the back (for example, scoliosis - due to the fact that this often leads to more strain on one hip versus the other), and family history of joint problems. It has also been documented that fractures and injuries to the hip lead to previous osteoarthritis.


Self-measures and Prevention of Osteoarthritis in the Hip

There are several steps and preventative steps that can be taken to reduce the chance of hip osteoarthritis. Healthy weight, regular exercise and good mobility are among the most important factors in reducing the development of hip osteoarthritis.


By training both strength in nearby muscles, as well as regularly performing movement exercises - such as those shown below - you can maintain good blood circulation and muscular elasticity in the hip. We recommend that you try to do these, or similar, exercises daily.


VIDEO: 7 Exercises against Osteoarthritis / Wear in the Hip

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Treatment of Osteoarthritis of the Hip


There are several treatments that can provide you with relief and functional improvement. Something you should start with today is daily strength and stretching exercises to maintain functionality, strengthen the hip, and strengthen blood circulation.


Physical Treatment

Manual treatment, including joint mobilization and muscular work, has a well-documented effect on osteoarthritis and its symptoms. Physical treatment should be performed by a public health professional. In Norway, this means physiotherapist, modern chiropractor or manual therapist.


Many people are surprised that research shows that such treatment of muscles and joints is actually more effective than exercise (1) when it comes to reducing pain and providing improved hip function. Then think about how effective such treatment in combination with home exercises can be? Modern chiropractors treat both muscles and joints, as well as instructing in home exercises to give you long-lasting recovery.


Recommended Self-Help for Joint Pain

Soft sooth compression gloves - Photo Medipaq

Click on the image to read more about compression gloves.

- Many people use arnica cream for pain due to stiff joints and sore muscles. Click on the image to read more about how arnicakrem can help relieve some of your pain situation.


Surgical operation: Hip prosthesis

When you are in the very last stages of osteoarthritis, things have gone very far. In those stages, it is almost bone to bone inside the hip joint, which in turn can lead to avascular necrosis - that is, bone tissue dies due to lack of blood circulation. When it has gone so far, it is normally the hip prosthesis that is the next step - but this does not mean that you have to stop exercising and move, rather the opposite.


Pre-operative and post-operative training helps to keep the soft tissue and tendons around the prosthesis healthy and fine - so make sure you follow the rehabilitation training you are taught in to the letter.


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Diagnosis of Osteoarthritis of the Hip

Osteoarthritis is often diagnosed through a combination of history-taking, clinical examination and imaging (usually X-ray). To see the extent of joint wear, you must take an X-ray - as this shows bone tissue in the very best way. Such an imaging study will be able to visualize calcifications and cartilage damage.


An example of a hip radiograph can be seen here:

X-ray of the hip - normal versus significant cox arthrosis - Photo Wikimedia

In the picture on the left you can see that there is plenty of space inside the hip joint. In the picture to the right we see significant osteoarthritis and the joint is considerably narrower than it should be.


If you are bothered with symptoms that may be reminiscent of osteoarthritis then we suggest that you bring it up with your GP for a review. Finding out the extent of osteoarthritis itself can also give a clear indication of what you should do about self-measures and prevention, as well as treatment at a publicly licensed clinic.


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Osteoarthritis can be curbed with proper measures and training. We especially recommend that you start with daily strength and clothing exercises to keep your hips healthy and well. Research has also shown that manual therapy with a physical therapist or modern chiropractor has a very good effect on symptoms due to hip osteoarthritis.


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Recommended self help

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Complete Set of Training Ropes in 6 Different Strengths

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Visit if necessary «Your Health Store»To see more good products for self-treatment

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NEXT PAGE: - The 5 Stages of Kneartrose (How Aggravated Osteoarthritis worsens)

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Frequently Asked Questions about Osteoarthritis in Hofta (Hip Osteoarthritis)

Feel free to ask us a question in the comments section below or via our social media.

2 replies
  1. Grete says:

    Hello. I have a new operation on my left hip, March 13th. Came home after 2 days. What is the best training in the first days? Yesterday I walked about 4000 steps, today I have more pain and not reached 2000. Am 50 years old, ok shape in the beginning, but a lot of sitting still the last 6 months due to pain. The pain is on the outside and in the groin. Is impatient and really wants a lot of training. Thanks for reply.


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