Hip Arthritis

Diagnosis and Staging
Main Line Treatment Options
Alternatives - Limited evidence,
not available on the NHS
Observation/
No Treatment
Pain
Mobility
Daily Activities
Exam
Self help
Non-operative
Operative
All
Observation /
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