Hip arthritis treatment
UK first-line care for hip osteoarthritis is exercise, weight support where needed, and simple pain relief — not an early rush to replacement. Surgery is considered when sleep, walking and daily tasks stay badly limited after months of conservative care.
Treatment approaches
Exercise and physiotherapy
Glute and hip-abductor strength plus low-impact cardio are core NICE-aligned treatment for everyone with hip OA.
Weight management
The hip takes roughly three times body weight when walking, so even modest weight loss can cut load and pain.
Pain relief
Paracetamol, topical NSAIDs, and short courses of oral NSAIDs for flares if safe for you.
Walking aids
A stick in the opposite hand, or a pole, can offload a painful hip on longer walks.
Steroid injection
Sometimes used for a severe flare while rehabilitation continues — not a permanent fix.
Hip replacement
Considered when pain disturbs sleep, limits daily life, and 3–6 months of conservative care has not been enough.
This is general information, not a substitute for personalised medical advice.
Frequently asked questions
What is the best treatment for hip arthritis in the UK?
UK treatment for hip arthritis follows NICE guidance and usually combines self-management (exercise, weight control, pacing), pain relief, and — where needed — specialist medication or therapy. There is no single "best" option; the right plan depends on the type, severity and joints involved.
Can hip arthritis be cured?
Most forms of hip oa cannot be cured, but they can be very effectively managed. With the right combination of exercise, medication, and lifestyle support, many people maintain a full and active life.
What painkillers help hip arthritis?
Common options include paracetamol, topical or oral NSAIDs (such as ibuprofen) and, for inflammatory types, prescription medication such as DMARDs or biologics. Always take pain relief at the lowest effective dose and ask your GP or pharmacist about interactions.
Do I need a referral to see a rheumatologist for hip oa?
Yes — in the UK, you'll usually need a referral from your GP to access UK healthcare rheumatology services. If your GP suspects an inflammatory arthritis, NICE recommends urgent referral so that treatment can start early.
Are there free UK healthcare resources for hip arthritis treatment?
Yes. UK healthcare physiotherapy, occupational therapy, pain clinics and self-management programmes are available — many free at the point of use. Ask your GP or check the UK healthcare system website for services in your area.