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Conditions · Hip

Hip Conditions

Hip problems show up in the groin and thigh, not the side, and they fall into two very different groups.
Hip Osteoarthritis
Groin pain and stiffness that make socks and shoes a project.
Hip Labral Tear
A sharp pinch deep in the groin with pivoting or deep sitting.
Avascular Necrosis of the Hip
Groin pain in a younger adult with no injury.
Hip Fractures
A fall, and a leg that cannot bear weight.
Failed or Infected Joint Replacement
A replacement that worked, and now hurts.
Hip · Joint Replacement

Hip Osteoarthritis

Wear of the cartilage in the ball-and-socket hip joint, causing groin pain, stiffness and a limp that gradually limits walking and daily tasks.
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Hip · Shoulder and Sports Medicine

Hip Labral Tear

A tear in the cartilage rim of the hip socket, usually from impingement between a misshapen ball and socket, causing a sharp pinch deep in the groin with pivoting or sitting.
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Hip · Joint Replacement

Avascular Necrosis of the Hip

Loss of blood supply to the ball of the hip, which causes the bone to die and collapse. Early treatment can save the joint; late disease needs replacement.
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Hip · Joint Replacement

Hip Fractures

A break of the upper thigh bone at the hip, almost always from a fall in an older adult, treated with urgent surgery to get the patient standing again.
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Hip · Joint Replacement

Failed or Infected Joint Replacement

A hip or knee replacement that has loosened, worn, become unstable or developed an infection, causing pain and loss of function years after a good result.
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ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330
What it is

Hip Osteoarthritis

Hip osteoarthritis is the thinning of cartilage between the ball of the thigh bone and the socket of the pelvis.
As the surface wears, the joint stiffens, spurs form, and bone eventually rubs on bone.It progresses over years and is among the most common reasons adults stop doing the things they enjoy.
At a glance
Also calledDegenerative hip
Most commonAfter 55
First stepExam and standing X-rays
Treated by
Jeffrey Wallentine, MD, Joint Replacement surgeon at Ridgeline Orthopedic Specialists
Dr. WallentineJoint Replacement
Kevin Christensen, MD, Knee, Shoulder and Sports Medicine surgeon at Ridgeline Orthopedic Specialists
Dr. ChristensenKnee, Shoulder and Sports Medicine
Hip Osteoarthritis

Symptoms

Deep groin pain, sometimes radiating to the front of the thigh or the knee, with walking, standing from a chair, and getting in and out of the car. Morning stiffness. Trouble bending to put on socks and shoes.A limp others notice before you do.
Common signs
Deep groin pain with walking
Stiff putting on socks and shoes
Pain rising from a chair
A limp others notice
See us sooner if
Sudden severe pain after a fall
Cannot bear weight
Hip Osteoarthritis

Causes

Age and genetics, prior hip injury or childhood hip conditions, subtle shape differences between ball and socket called impingement, and avascular necrosis where the ball loses its blood supply.Pain on the outside of the hip is usually bursitis rather than arthritis and is treated differently.
Hip Osteoarthritis

How We Diagnose It

Exam reproduces groin pain with rotation and shows loss of internal rotation.Standing X-rays confirm cartilage loss and spurs. MRI is reserved for early disease or suspected avascular necrosis.Back problems can mimic hip arthritis; the exam separates them.Direct anterior replacement at a Utah Valley hospital, usually same-day discharge, when conservative care is no longer enough. Dr. Wallentine and Dr. Christensen operate at Utah Valley Hospital and Mountain View Hospital.
Hip Osteoarthritis

Treatment Options

Anti-inflammatories, activity changes, strengthening, a cane in the opposite hand and injections help many patients for years.
When pain limits walking, sleep and daily life, total hip replacement is among the most reliable operations in medicine. Dr. Wallentine and Dr. Christensen use the direct anterior approach, and Dr. Wallentine adds Mako robotic planning.
Your options
Non-surgical
Anti-inflammatories
Strengthening
Cane in opposite hand
Injection
Surgical
Anterior hip replacement
Revision if needed
Related
Hip Osteoarthritis

Procedures That Address It

Hip Osteoarthritis

Surgeons Who Treat It

Dr. Wallentine, MD
Thirty-four years in practice. Mako robotic-assisted hip and knee replacement. Stanford sports medicine fellowship. BYU athletics team surgeon.
Dr. Christensen, MD
Andrews Institute sports medicine fellowship under Dr. James Andrews. Board certified in orthopedic surgery and orthopedic sports medicine. Fluent in Spanish.
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330