Osteoarthritis (OA) is a degenerative process affecting the joints.  Initially there is mild ‘fraying’ of the cartilage surrounding joint, which if progresses, can develop into loose bodies which float around, the formation of osteophytes (bony growths), and ultimately, areas of cartilage erosion down to the bone.

Signs & Symptoms

  • Pain in the groin, deep in the hip, outside of the hip and lower back

  • Referred pain down the front of the thigh to the knee

  • Pain worse in the morning, in cold weather before it rains, and after exercise

  • Aggravated by getting in/out the car, squatting, crossing legs, putting on shoes

  • Spasm of iliopsoas hip muscle

  • Reduced hip range of movement (especially extension)

  • Reduced weightbearing on affected side

What Causes It?

Age related degeneration increased by:

  • repetitive high impact activities which load the joints

  • leg length discrepancy

  • abnormal biomechanics

  • lumbar joint stiffness and thickening

  • reduced function of ipsilateral core muscles leading to pelvic instability

  • glute weakness

  • tight piriformis

  • obesity as it results in greater load that the joints have to endure

How to Self Manage

  • Keep your hip moving (pain free range)

  • Reduce high impact exercise, but maintain flexibility and strength

  • Use heat to reduce pain

  • See your pharmacist for advice on joint supplements

  • Seek assessment of your hip by your physiotherapist

  • Consider requesting an x-ray referral from your GP


Conservative management may be enough to manage mild arthritis, or even prevent surgery in the short term.

Once pain becomes constant and severe, and life activities are significantly impeded then specialist intervention and surgery is required.

How Physio Helps

  • Assess your hip and exclude other areas to confirm if OA is likely

  • Refer for an investigation (x-ray) if necessary

  • Prescribe an individual specific exercise program to gain as much range as possible

  • Address any biomechanical contributing factors

  • Correct any muscular weaknesses or imbalances

For an online consultation click here


Monday-Friday: 8:00am - 8:00pm

​Saturday: 8:00am - 12:00pm

Sunday: By Appointment​



Sammy Margo Physiotherapy

444 Finchley Road



Email: physiophysio@hotmail.com

Tel: ​020 7435 4910​​​
Fax: 020 7435 0461

Web: sammymargophysiotherapy.com


Disclaimer: Information made available by AskPhysio (Sammy Margo Physiotherapy) is provided for guidance only and should not be considered as medical recommendations or advice.  AskPhysio is not responsible for errors or omissions in the information. Please consider what the best options for your healthcare are, based on the urgency of your condition and nature of your condition. Please consult a GP or Healthcare Specialist to discuss any specific concerns that exist prior to using the information provided.