What Patients Need to Know About Bone-on-Bone Hip Arthritis

Bone-on-bone arthritis in the hips can take a quiet toll. What starts as occasional stiffness can turn into daily pain that makes even simple movements feel like work. If that’s where you are, it helps to talk with someone who understands this process inside and out.

Dr. Alexander S. McLawhorn is a board-certified orthopedic surgeon. Practicing in New York and Stamford, he performs more than 600 joint replacements each year and works closely with patients to chart the right course, whether that means surgery or something simpler.

What Does “Bone-on-Bone” Actually Mean?

Bone-on-bone arthritis refers to the loss of protective cartilage in the hip joint. Normally, cartilage cushions the space between your bones and allows pain-free movement. When that cartilage wears away, the bones begin to rub directly against each other. This is what causes stiffness and that aching pain you might feel in your hip, groin, or thigh.

Common Symptoms to Watch For

If you’re noticing persistent hip pain that worsens with activity, stiffness after sitting, or trouble with daily movements, these may be signs of advanced arthritis. Many patients describe the pain as a deep, dull ache that’s hard to ignore.

Over time, limping or reduced mobility often follow. Some also experience pain that radiates into the groin or thigh, especially after standing or walking for long periods.

How It’s Diagnosed and Treated

Bone-on-bone arthritis is usually diagnosed through a physical exam and imaging like X-rays, which show how much joint space has been lost. In the early stages, non-surgical treatments like physical therapy, anti-inflammatory medications, or joint injections can help manage symptoms.

When these no longer bring relief, surgery becomes a consideration. Hip replacement is a reliable solution that helps many patients regain their mobility and comfort.

When Surgery Makes Sense

If your hip pain is affecting your sleep, independence, or ability to stay active, it may be time to talk about surgery. Dr. McLawhorn uses minimally invasive and robotic-assisted techniques to help patients recover faster and get back to living.

To learn more about your options in New York or Stamford, call NY: 212-606-1065 or CT: 203-705-2113 to schedule a consultation.

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