Hip Arthritis
Diagnosis and Staging
Main Line Treatment Options
Alternatives - Limited evidence,
not available on the NHS
not available on the NHS
Observation/
No Treatment
No Treatment
Pain
Mobility
Daily Activities
Exam
Self help
Non-operative
Operative
All
Observation /
No
Treatment
No
Treatment
1
Normal
Diagnosis and Staging
Pain
Diagnosis and Staging
Mobility
100%
Diagnosis and Staging
Daily Activities
Diagnosis and Staging
Exam
Leg Shortening ➝
Stiffness ➝
X-Ray ➝
Diagnosis and Staging
Non-operative
Alternatives - Limited evidence,<br>not available on the NHS
All
Observation /<br>No <br>Treatment
2
Start of disease
Diagnosis and Staging
Pain
Diagnosis and Staging
Mobility
100%
Diagnosis and Staging
Daily Activities
Diagnosis and Staging
Exam
-
-
Normal
Diagnosis and Staging
Self help
Non-operative
Alternatives - Limited evidence,<br>not available on the NHS
All
Observation /<br>No <br>Treatment
3
Early Stage
Diagnosis and Staging
Pain
Diagnosis and Staging
Mobility
75-90%
Diagnosis and Staging
Daily Activities
Diagnosis and Staging
Exam
+
+
Mild
Diagnosis and Staging
Self help
Non-operative
Alternatives - Limited evidence,<br>not available on the NHS
All
Observation /<br>No <br>Treatment
4
Mid Stage
Diagnosis and Staging
Pain
Diagnosis and Staging
Mobility
50-75%
Diagnosis and Staging
Daily Activities
Diagnosis and Staging
Exam
+ +
+ + +
Moderate
Diagnosis and Staging
Self help
Non-operative
Alternatives - Limited evidence,<br>not available on the NHS
All
Observation /<br>No <br>Treatment
5
Late stage
Diagnosis and Staging
Pain
Diagnosis and Staging
Mobility
25-50%
Diagnosis and Staging
Daily Activities
Diagnosis and Staging
Exam
+ + +
+ + + +
Significant
Diagnosis and Staging
Self help
Non-operative
Operative
Alternatives - Limited evidence,<br>not available on the NHS
All
Observation /<br>No <br>Treatment
6
Very Late
Diagnosis and Staging
Pain
Diagnosis and Staging
Mobility
10-25%
Diagnosis and Staging
Daily Activities
Diagnosis and Staging
Exam
+ + + +
+ + + + +
Bone-on-bone
Diagnosis and Staging
Self help
Non-operative
Operative
Alternatives - Limited evidence,<br>not available on the NHS
All
Observation /<br>No <br>Treatment
No treatment is guaranteed to work, sometimes diseases will still continue to deteriorate. Alternative treatment options may not be available in all Trusts