Table of contents

Expand All Topics

Hip osteoarthritis

Guidelines

Key sources

The following summarized guidelines for the management of hip osteoarthritis are prepared by our editorial team based on guidelines from the American Academy of Family Physicians (AAFP 2024,2020), the American Academy of Orthopaedic Surgeons (AAOS 2024), the American Psychological Association (APA 2024), the European Committee on Infection Control (EUCIC/ESCMID 2024), the European League Against Rheumatism (EULAR 2024), the American College ...
Show more

Medical management

Non-opioid analgesics
As per AAOS 2024 guidelines:
Offer oral NSAIDs to reduce pain and improve function in patients with symptomatic hip OA, unless contraindicated.
A
Consider offering oral acetaminophen to improve pain and function in patients with symptomatic hip OA, unless contraindicated.
E
Create free account

More topics in this section

  • Opioids

  • Duloxetine

  • Agents with no evidence for benefit

Nonpharmacologic interventions

General principles
As per EULAR 2024 guidelines:
Offer an individualized, multicomponent management plan including the recommended core nonpharmacological approaches in patients with hip OA.
A
Consider employing elements of behavior change techniques when lifestyle modifications are needed, such as physical activity and weight loss, in patients with hip OA.
B

More topics in this section

  • Weight loss

  • Physical therapy

  • Self-management programs

  • Walking aids and footwear

  • CBT

  • Occupational therapy

  • Alternative and complementary therapies

Therapeutic procedures

Intra-articular corticosteroids: as per AAFP 2024 guidelines, consider administering intra-articular corticosteroid injections for the management of pain in patients with hip OA.
C
Show 2 more

More topics in this section

  • Other intra-articular injections

  • Transcutaneous electrical nerve stimulation

Perioperative care

Anesthesia: as per AAOS 2024 guidelines, consider administering neuraxial anesthesia to reduce adverse events in patients undergoing total hip arthroplasty.
C

More topics in this section

  • Preoperative decolonization and antibiotic prophylaxis

  • Perioperative tranexamic acid

  • Postoperative physical therapy

Surgical interventions

Total hip arthroplasty, timing: as per AAHKS/ACR 2023 guidelines, consider performing elective hip arthroplasty without delay, rather than delaying for 3 months,
C
or for a trial of physical therapy,
C
NSAIDs, intra-articular corticosteroid injections, viscosupplementation injections, or braces and/or ambulatory aids, in patients with radiographically moderate-to-severe OA with moderate-to-severe pain or loss of function eligible for elective total joint arthroplasty decided through a shared decision-making process and completed ≥ 1 trial of appropriate nonoperative therapy.
C
Show 4 more

More topics in this section

  • Total hip arthroplasty (prognostic factors)

  • Total hip arthroplasty (technical considerations)