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Hip arthritis is one of the leading causes of chronic hip pain and reduced mobility in adults. As the protective cartilage inside the hip joint gradually wears away, simple activities such as walking, climbing stairs, getting out of a chair, or putting on shoes can become painful and difficult. For some people, symptoms develop slowly over several years, while others notice a more rapid decline in movement because of inflammatory arthritis, previous injuries, or underlying hip disorders.
Many people dismiss early symptoms as a normal part of ageing and continue living with pain until everyday activities become significantly affected. However, persistent hip pain is not a normal consequence of growing older. Early diagnosis and appropriate treatment can reduce pain, improve mobility, and in many cases delay or even avoid the need for surgery.
At Mangal Anand Hospital Chembur, our orthopaedic specialists evaluate the underlying cause of your symptoms before recommending treatment. Depending on the stage of arthritis and your functional needs, treatment may include physiotherapy, lifestyle modification, medication, image-guided injections, or hip replacement surgery when conservative measures are no longer effective. Our objective is to help you move comfortably, remain independent, and return to the activities that matter most to you.
Knee arthroscopy is recommended when a patient continues to have pain, swelling, or restricted knee movement despite non-surgical treatment. In many cases, imaging tests such as MRI help identify the injury, but arthroscopy allows direct visualisation of the joint and treatment during the same procedure.It is often advised for sports injuries, twisting injuries, cartilage problems, and conditions causing repeated knee locking or instability.
Successful treatment begins with an accurate diagnosis, not an immediate decision about surgery. Hip pain can arise from arthritis, avascular necrosis (AVN), bursitis, tendon disorders, spine problems, or previous injuries. Identifying the exact cause allows treatment to be tailored to the condition rather than simply managing symptoms.
At Mangal Anand Hospital, every patient undergoes a comprehensive orthopaedic assessment that combines clinical examination with appropriate imaging to understand the extent of joint damage and its impact on daily life. Treatment recommendations are individualised, taking into account the severity of arthritis, age, activity level, occupation, overall health, and long-term mobility goals.
Our philosophy is straightforward—preserve the natural hip joint whenever possible and recommend surgery only when non-surgical treatment no longer provides meaningful improvement. This patient-centred approach helps ensure that each individual receives the most appropriate treatment at the right stage of the disease.
Patients choose Mangal Anand Hospital for hip arthritis treatment because of:
Choosing the right orthopaedic specialist is an important part of successful treatment. Hip arthritis affects every patient differently, and treatment decisions should be based on careful clinical assessment rather than X-ray findings alone. Our orthopaedic team evaluates the cause of arthritis, the severity of symptoms, your lifestyle, and your long-term mobility goals before recommending the most appropriate treatment.Whether your condition can be managed conservatively or requires joint replacement surgery, you receive evidence-based care focused on improving mobility, relieving pain, and helping you return to your daily activities safely.
Qualifications
MBBS • MS (Orthopaedics) • DNB (Orthopaedics) • FCPS • FRCS
Dr. Milind Sawant is a senior orthopaedic surgeon with more than three decades of experience in joint replacement, reconstructive orthopaedics, and sports injuries. Following advanced training in India and the United Kingdom, he completed fellowships in knee surgery, sports medicine, and revision joint replacement across internationally recognised centres. Alongside his clinical practice, he has contributed to orthopaedic education and research, reflecting his commitment to evidence-based patient care.
Consultant Orthopaedic Surgeon
Qualifications
MBBS • MS (Orthopaedics) • MRCS (Edinburgh) • FRCSEd (Trauma & Orthopaedics) • Dip. CAOS
Dr. Nikhil Gokhale graduated from G.S. Medical College and KEM Hospital, Mumbai, where he received multiple distinctions and a Gold Medal in Surgery before completing his MS in Orthopaedics. He subsequently underwent advanced specialist training in the United Kingdom, including fellowships in joint replacement and reconstructive orthopaedic surgery. With experience of more than 2,500 orthopaedic procedures, he combines evidence-based practice with modern surgical techniques to deliver personalised care for patients with joint disorders.
Qualifications
MBBS • MS (Orthopaedics) • DNB (Orthopaedics)
Dr. Pradip Nemade is a Consultant Orthopaedic Surgeon with extensive experience in managing bone and joint disorders, complex trauma, and joint replacement surgery. Since 2009, he has treated patients with a wide range of orthopaedic conditions, with particular expertise in pelvic and acetabular trauma, total hip replacement, and complex orthopaedic reconstruction. His approach combines accurate diagnosis with evidence-based treatment to restore mobility, relieve pain, and improve long-term joint function.
Hip arthritis is a condition in which the smooth cartilage lining the hip joint gradually becomes damaged, causing pain, stiffness, inflammation, and reduced movement. Healthy cartilage acts as a protective cushion, allowing the ball of the thigh bone (femoral head) to move smoothly within the hip socket (acetabulum) with minimal friction. When this cartilage begins to wear away or becomes damaged, movement becomes less efficient, pressure within the joint increases, and everyday activities can become progressively more painful.
One of the common misconceptions about hip arthritis is that the pain is caused by cartilage rubbing against bone. In reality, cartilage itself does not contain pain-sensitive nerves. Pain usually develops because the surrounding structures including the joint lining (synovium), underlying bone, ligaments, and surrounding muscles—become irritated as the joint gradually loses its normal mechanics. This explains why some people experience significant pain even when X-rays show only early arthritis, while others with more advanced joint damage report relatively mild symptoms.
Hip arthritis is most commonly caused by osteoarthritis, a degenerative condition associated with gradual cartilage loss. However, it may also develop because of inflammatory arthritis, previous hip injuries, developmental abnormalities of the hip, or secondary conditions such as avascular necrosis. Identifying the underlying cause is an important part of treatment because management differs depending on the type of arthritis and the stage of joint damage.
Hip arthritis is not a single disease. Several conditions can damage the hip joint and produce similar symptoms, but the underlying cause influences both treatment and long-term outcomes. Identifying the specific type of arthritis helps your orthopaedic specialist develop the most appropriate treatment plan.
Osteoarthritis is the most common type of hip arthritis and accounts for the majority of cases seen in orthopaedic practice. It develops gradually as the protective cartilage within the hip joint wears down over time. As cartilage deteriorates, the bones move less smoothly against one another, leading to pain, stiffness, reduced mobility, and progressive degeneration of the joint. Although age is an important risk factor, osteoarthritis is not an inevitable part of ageing. Previous injuries, excess body weight, genetics, developmental abnormalities of the hip, and repetitive stress on the joint may also contribute to cartilage degeneration.
Rheumatoid arthritis is an autoimmune disease in which the immune system attacks the synovial lining of the joints. Persistent inflammation damages cartilage, bone, and surrounding soft tissues, eventually affecting joint function. Unlike osteoarthritis, rheumatoid arthritis often affects multiple joints throughout the body and may involve both hips. Early diagnosis and medical management play an important role in slowing disease progression and preserving joint function.
Hip arthritis may develop months or even years after a significant injury such as a fracture or hip dislocation. Damage to the cartilage or changes in joint alignment increase the risk of premature wear, even if the original injury healed successfully. Patients with post-traumatic arthritis often have a history of previous trauma, although symptoms may not appear until long after the injury.
Avascular necrosis (AVN) occurs when the blood supply to the femoral head is reduced or interrupted. As the bone weakens and collapses, the smooth joint surface becomes damaged, eventually leading to secondary hip arthritis.Because AVN requires a different diagnostic and treatment approach, patients diagnosed with this condition should be evaluated separately.
Related Service: Avascular Necrosis (AVN) Treatment
Inflammatory conditions such as ankylosing spondylitis, psoriatic arthritis, lupus, and other autoimmune disorders can also affect the hip joint. Persistent inflammation gradually damages cartilage and surrounding tissues, causing pain, stiffness, and reduced movement.Managing inflammatory arthritis usually requires close collaboration between orthopaedic specialists and rheumatologists to control both joint damage and the underlying disease process.
No. One of the most common misconceptions about hip arthritis is that a diagnosis automatically leads to hip replacement surgery. In reality, many patients achieve significant pain relief and improved mobility through non-surgical treatment, particularly when arthritis is diagnosed in its early or moderate stages.
Treatment recommendations depend on several factors, including:
The objective is always to recommend the least invasive treatment that provides meaningful improvement. For many patients, physiotherapy, activity modification, medication, weight management, and image-guided injections may effectively control symptoms for years. Hip replacement surgery is generally considered only when these measures no longer provide adequate relief and arthritis significantly affects quality of life.This individualised approach helps ensure that treatment is appropriate for both the condition and the patient rather than being based solely on imaging findings.
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