The hip is one of the body’s most important weight-bearing joints. Standing, walking, climbing stairs, sitting and many everyday movements depend on healthy hip function. When hip pain develops, it can affect not only mobility but also work, independence and overall quality of life.

Although many people consider hip pain a normal part of ageing, persistent pain may indicate an underlying joint or bone condition that requires medical attention.

What Causes Hip Pain?

Hip pain can develop for many different reasons. Inflammatory conditions such as rheumatoid arthritis and ankylosing spondylitis can cause inflammation and progressive damage to the joint. Infections, including tuberculosis (TB), may also affect the hip.

Another important condition is avascular necrosis (AVN), which occurs when the blood supply to the femoral head is reduced, potentially leading to progressive bone damage.

Other causes may include:

• Hip fractures and traumatic injuries
• Congenital hip abnormalities
• Inflammatory joint diseases
• Joint infections
• Avascular necrosis
• Age-related degeneration
• Previous hip injuries or surgery

Identifying the underlying cause is essential because treatment varies depending on the condition.

Hip Pain May Be Felt in Other Areas

One of the challenges with hip problems is that the pain may not always be felt directly over the hip. It can sometimes spread to the groin, thigh, lower back or even the knee.

Because of this, some patients may initially believe they have a back or knee problem when the actual source of their symptoms is the hip joint.

Common symptoms may include:

• Persistent hip pain
• Groin or thigh pain
• Stiffness of the hip
• Difficulty walking
• Difficulty climbing stairs
• Reduced range of hip movement
• Limping
• Difficulty sitting or standing for long periods

If these symptoms continue or gradually worsen, an orthopedic evaluation is recommended.

Early Diagnosis Can Make a Difference

Many hip conditions can be managed more effectively when diagnosed at an early stage. Depending on the underlying condition, treatment may include medication, physiotherapy, activity modification and lifestyle changes.

Maintaining a healthy body weight can reduce stress on the hip joint. Regular, appropriate exercise can help maintain muscle strength and mobility, while low-impact activities such as swimming may be suitable for some patients.

Long-term use of steroid medication should also be undertaken only under appropriate medical supervision, as prolonged exposure can increase the risk of certain complications, including avascular necrosis in susceptible individuals.

When Is Hip Replacement Surgery Needed?

When the hip joint becomes severely damaged and pain or restricted movement significantly affects daily life, joint replacement surgery may be considered.

Total Hip Replacement (THR) is an established surgical procedure that replaces the damaged portions of the hip joint with artificial components. For appropriately selected patients, hip replacement can significantly reduce pain and improve mobility and quality of life.

Depending on the patient’s condition and previous surgical history, different procedures may be required, including:

• Primary Total Hip Replacement
• Complex Primary Total Hip Replacement
• Revision Total Hip Replacement

The choice of procedure depends on factors such as the severity of joint damage, bone quality, previous surgery and the patient’s overall health.

Recovery After Hip Replacement

Recovery following hip replacement involves more than the surgery itself. Physiotherapy and rehabilitation play an important role in helping patients regain movement, strength and confidence.

Patients are generally guided through a structured rehabilitation programme and advised on appropriate activities during the recovery period. Regular follow-up allows the orthopedic team to monitor progress and address any concerns.

Advanced Hip and Joint Replacement Care at Evercare Hospital Dhaka

The Orthopedics and Joint Replacement Surgery Department at Evercare Hospital Dhaka provides comprehensive care for patients with complex hip and knee conditions. The department combines modern diagnostic facilities, advanced surgical technology, modern operating theatres and experienced specialist surgeons.

Each patient undergoes careful evaluation so that the treatment plan can be tailored to their individual condition and needs. From diagnosis and surgical treatment to rehabilitation and follow-up care, the multidisciplinary team focuses on helping patients achieve the best possible functional outcome.

Don’t Ignore Persistent Hip Pain

Hip pain that continues for weeks, limits movement or interferes with walking and everyday activities should not be ignored. Early medical assessment can help identify the cause and determine whether conservative treatment or surgery may be appropriate.

If persistent hip pain is affecting your mobility or quality of life, consult an orthopedic specialist for a comprehensive evaluation and personalized treatment plan.