Have Hip Pain?

Did you know that there are many options for managing and reducing your pain?

Before you put up with discomfort and limited mobility any longer, take a moment to learn the facts about hip pain, and what you can do about it.

What causes osteoartritis?

One of the most common causes of chronic hip pain is arthritis, particularly osteoarthritis (OA). OA occurs when there is a breakdown in the cushioning cartilage between joints. When this cartilage wears down, bones begin to rub against each other, causing pain, swelling, stiffness and damage to other parts of the hip.

While the exact cause is unknown, there are several factors that may increase risk of developing OA:

Age: The strongest risk factor for OA is age5. Although typically seen in patients over 45, it may also start in young adulthood often due to injury.3

Gender: Women are not only more likely to have OA than men, they may also have more severe OA.6

Joint Injury: Traumatic injury to a joint may increase the risk of developing OA.7

Obesity: There is consistent evidence that obesity increases the risk of symptomatic hip OA.8

Joint Alignment: People with joints that are not aligned correctly, like bowlegs or dislocated hips, are more likely to develop OA in those joints.9

Prevalence: Around 19.6% of adults have a lifetime risk developing symptomatic hip OA4.

Diagnosis: OA generally presents itself with pain that has developed gradually, with stiffness or swelling of the joint – mostly associated with activity. A doctor performs a physical examination that focuses on the patient’s walk, range of motion in the joint and swelling or tenderness. Cartilage loss can be generally confirmed with x-rays that show a loss of cartilage in the affected hip.

Nonsurgical treatment options

Nonsurgical options generally begin with lifestyle modification – losing weight, switching from running to lower-impact exercises and minimizing activities that may aggravate the patient’s condition. Certain drugs are available for the treatment of OA, such as anti-inflammatory and pain management medications. Physical therapy can also help increase the range of motion and flexibility in affected joints, and supportive devices like braces, canes and specialized shoes can assist with pain and weight-bearing issues.10

Surgical treatment options

Total hip replacement with HipAlign

Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, synthetic parts. Patients usually spend one to four days in the hospital after hip replacement surgery, with recovery time ranging from about three to six months. An exercise program can reduce joint pain and stiffness.12

Benefits of Hip Replacement surgery using HipAlign:

  • Reduced exposure to radiation during the procedure (for Direct-Anterior Approach hip replacements)
  • Validated accurate leg-length reconstruction
  • Greater accuracy in implant placement
    – Data demonstrates that 95% of hip cup-placements are within the “target zone” compared with 70% of conventionally implanted hips.
  • Patient-specific surgery based on your anatomic data
How HipAlign works

HipAlign is a medical device allowing surgeons to focus on the patient and tailor each procedure to your unique anatomy and kinematics (motion). HipAlign uses the same kind of sensor technology that keeps satellites in orbit and planes in the air. Think of it as “GPS for surgery” that allows surgeons to make real-time decisions based on data that will make your surgery more successful.

Disclaimer: Carefully consider the risks and benefits of any surgical procedure. Certain patients should avoid a KneeAlign/HipAlign procedure, including children, pregnant women, patients who have mental or neuromuscular disorders that do not allow control of the knee joint, and morbidly obese patients. Consult with your physician for more information and to determine if KneeAlign/HipAlign surgery is right for you. Be sure to ask any questions that you have and that all of your questions are answered. No surgery results can ever be guaranteed, so it is important that you understand the risks as well as the benefits of any procedure.

OrthAlign is not a health care provider and is not licensed and/or qualified to independently evaluate individual cases or the clinical decisions of a treating physician. This information is intended to relay in good faith the experience and impressions of a treating physician, with the understanding that each case is unique and no medical or surgical outcome can ever be guaranteed.


1 Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II.

Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F, National Arthritis Data Workgroup. Arthritis Rheum. 2008 Jan; 58(1):26-35.

2 Lifetime risk of symptomatic knee osteoarthritis.

Murphy L, Schwartz TA, Helmick CG, Renner JB, Tudor G, Koch G, Dragomir A, Kalsbeek WD, Luta G, Jordan JM Arthritis Rheum. 2008 Sep 15; 59(9):1207-13.

3 Nicholson S. et al. Reducing Premature Osteoarthritis in the Adolescent Through Appropriate Screening. (2009) Journal of Pediatric Nursing, 24, 69-74 (B)

4Prevalence of radiographic and symptomatic hip osteoarthritis in an urban United States community: the Framingham osteoarthritis study.

Kim C, Linsenmeyer KD, Vlad SC, Guermazi A, Clancy MM, Niu J, Felson DT

Arthritis Rheumatol. 2014 Nov; 66(11):3013-7.

5Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II.

Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, Gabriel S, Hirsch R, Hochberg MC, Hunder GG, Jordan JM, Katz JN, Kremers HM, Wolfe F, National Arthritis Data Workgroup.

Arthritis Rheum. 2008 Jan; 58(1):26-35.

6A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis.

Srikanth VK, Fryer JL, Zhai G, Winzenberg TM, Hosmer D, Jones G

Osteoarthritis Cartilage. 2005 Sep; 13(9):769-81.

7High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury.

Lohmander LS, Ostenberg A, Englund M, Roos H

Arthritis Rheum. 2004 Oct; 50(10):3145-52.

8Association of overweight, trauma and workload with coxarthrosis. A health survey of 7,217 persons.

Heliövaara M, Mäkelä M, Impivaara O, Knekt P, Aromaa A, Sievers K

Acta Orthop Scand. 1993 Oct; 64(5):513-8.

9The role of knee alignment in disease progression and functional decline in knee osteoarthritis.

Sharma L, Song J, Felson DT, Cahue S, Shamiyeh E, Dunlop DD

JAMA. 2001 Jul 11; 286(2):188-95.

10Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guidelines.

Arthritis Rheum. 2000 Sep; 43(9):1905-15.

11American Association of Hip and Knee Surgeons http://hipknee.aahks.net/surgical-options-for-knee-arthritis/

12 National Institute of Arthritis and Musculoskeletal and Skin Diseases https://www.niams.nih.gov/health-topics/hip-replacement-surgery

13 Hall et al., “Unicompartmental Knee Arthroplasty (Alias Uni-Knee): An Overview With Nursing Implications,” Orthopaedic Nursing, 2004; 23(3): 163-171.

14 Repicci, JA, et al., “Minimally invasive surgical technique for unicondylar knee arthroplasty,” J South Orthopedic Association, 1999 Spring; 8(1): 20-7.

15 Nam, et al, “Extramedullary Guides versus Portable, Accelerometer-Based Navigation for Tibial Alignment in Total Knee Arthroplasty: A Randomized Controlled Study”, The Journal of Arthroplasty, June 2013.

16 Nam, et al, “Accelerometer-Based, Portable Navigation vs Imageless, Large-Console Computer-Assisted Navigation in Total Knee Arthroplasty” The Journal of Arthroplasty, June 2012.

17 Ikawa, et al, “Usefulness of an accelerometer-based portable navigation system in total knee arthroplasty.” The Bone and Joint Journal, August 2017.

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