Hip Pain & Diagnosis
Groin, outer-hip and buttock pain may have different sources. X-rays are commonly useful first; MRI is selected when it answers an important question such as early avascular necrosis, occult injury or tendon disease.
Hip Arthritis
Hip arthritis can affect walking, sleep and everyday tasks. Symptoms and function matter as much as imaging when considering nonsurgical care or surgery.
Hip Replacement
Replacement may be an option for selected people with substantial symptoms and joint damage despite appropriate nonsurgical care. It is not determined by age or imaging alone.
Direct Anterior Hip Replacement
The direct anterior approach is one surgical approach, not a guarantee of a particular recovery. Suitability depends on anatomy, diagnosis, complexity and planning.
Avascular Necrosis
Avascular necrosis affects the blood supply to the femoral head. Stage, size, symptoms and structural collapse guide whether monitoring, preservation options or replacement may be discussed.
Revision Hip Replacement
A painful or failing hip replacement needs a careful cause-led review before revision is proposed.
Can hip pain come from the spine?
Yes. Hip and lumbar conditions can overlap, so assessment may include both areas.
Does an abnormal X-ray mean I need a replacement?
No. The decision depends on symptoms, function, examination, imaging and individual health factors.
When do hip symptoms need urgent assessment?
Seek urgent assessment after trauma if you cannot bear weight, and for major deformity, a hot painful hip with fever, or major new weakness, numbness, or bowel or bladder symptoms.
Written and medically reviewed by: Dr. Yousef Abuodeh Consultant Orthopedic Surgeon