Hip arthritis symptoms
Hip osteoarthritis usually starts as a deep ache in the groin or front of the hip, often mistaken for knee or thigh pain. Morning stiffness usually eases within about 30 minutes of moving.
Common symptoms of hip arthritis
- Deep groin or front-of-hip ache that worsens with walking or standing from a chair
- Stiffness after sitting or first thing in the morning
- Pain putting on socks, shoes or clipping toenails
- Outer-hip or buttock ache that can travel to the knee
- A limp or shorter stride after longer walks
- Night pain that wakes you when you roll onto the painful side
When to see your GP
See your GP if groin pain has lasted more than a few weeks, wakes you at night, or is stopping you walking usual distances. Ask about physiotherapy and, if night pain or limp is severe, whether imaging is needed.
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What are the first signs of hip arthritis?
The earliest signs of hip arthritis often include joint pain, stiffness — particularly in the morning or after rest — and reduced flexibility in the affected area. Symptoms typically develop gradually, so keep a short symptom diary and speak to your GP if pain persists for more than a few weeks.
How is hip arthritis diagnosed in the UK?
In the UK, GPs diagnose hip arthritis from your symptoms, a clinical examination, and — where appropriate — blood tests, X-rays, ultrasound or MRI. For inflammatory types, your GP may refer you to UK healthcare rheumatology for specialist review under NICE guidance.
Can hip oa symptoms come and go?
Yes. Many people with hip oa experience flares — periods of worse pain, swelling and stiffness — followed by quieter spells. Tracking your flares helps you and your GP spot triggers and adjust treatment.
When should I see a GP about hip arthritis symptoms?
Book a GP appointment if joint pain has lasted more than a few weeks, is interfering with sleep or daily life, or is accompanied by swelling, warmth, locking or unexplained fatigue. Early assessment leads to better long-term outcomes.
Is hip arthritis the same as general arthritis pain?
No — there are over 100 forms of arthritis, and hip arthritis has its own pattern of symptoms, affected joints and treatment pathway. Getting the right diagnosis matters because the most effective treatments differ between conditions.