Which hip care options may help you move more easily?

What helps at home without making the hip angrier?

Easy strength exercises can help the muscles guide your hip, so begin below the amount that caused your last bad spell. Add more time slowly if the hip settles by the next morning. If exercise keeps raising the soreness, ask a physical therapist to change it.

A cane can shift body weight away from the aching side during errands. Warmth before movement may ease stiffness, while cold may feel better later. Neither one repairs worn cartilage. These steps are meant to make daily movement calmer and more even.

Could medicine or a cortisone shot help?

Anti-inflammatory pills may ease the ache, but they can also harm the stomach, kidneys, or heart. Let your doctor weigh those pills against your other medicines and health problems. Medicine spread over the skin as a gel may not reach a deep hip joint well.

A cortisone shot may bring short-term relief for some causes of hip soreness. The relief can fade, so talk through the risks before another shot. Ask what the cortisone is meant to change and how long relief may last. Don't stop a pill, exercise plan, or other care unless your doctor tells you.

What if it doesn't settle, and when do hip replacement alternatives make sense?

QC Kinetix provides consultations about regenerative treatments, which are clinic procedures such as PRP, for joint soreness. A licensed medical provider performs the procedure. Regular PRP and concentrated PRP differ in the amount of platelets gathered. Ask why the clinic offers one form for your hip.

These procedures may be tried for soreness before surgery is chosen. They may ease symptoms, but they may not delay or replace surgery. An X-ray can show how much the hip joint has worn. The doctor also checks whether that wear fits your sore place and lost movement.

Ask for a surgery opinion if walking and resting have become very hard. Repeating a procedure with little relief can cost you time and money. Your choice needs to fit your exam, X-ray, health, and daily limits. It shouldn't depend on claims of a rebuilt joint.

Sources

1. The 2019 ACR/Arthritis Foundation guideline makes STRONG recommendations for exercise, weight loss in people with overweight or obesity, self-efficacy and self-management programs, tai chi, cane use, tibiofemoral bracing, topical NSAIDs, oral NSAIDs and intra-articular glucocorticoid injection in knee OA. Notably it does NOT strongly recommend any biologic injectable.

   Kolasinski SL, et al. — 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee.. Arthritis & rheumatology (Hoboken, N.J.), 2020. DOI: 10.1002/art.41142.

2. OARSI 2019 designates arthritis education plus structured land-based exercise (with or without dietary weight management) as CORE treatments for knee OA and strongly recommends topical NSAIDs (Level 1A), while strongly recommending AGAINST oral and transdermal opioids (Level 5). The treatments with the strongest evidence in this condition remain the least dramatic ones.

   Bannuru RR, et al. — OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis.. Osteoarthritis and cartilage, 2019. DOI: 10.1016/j.joca.2019.06.011.

3. A four-arm, multicentre, single-blind phase 2/3 randomized trial of 480 knee OA patients (KL II-IV) compared autologous bone marrow aspirate concentrate, autologous adipose stromal vascular fraction and allogeneic umbilical-cord-tissue mesenchymal stromal cells against a corticosteroid injection control. At 12 months NONE of the three orthobiologic injections was superior to another, or to the corticosteroid control, and none of the four groups showed a significant change in MRI osteoarthritis score from baseline. No procedure-related serious adverse events occurred.

   Mautner K, et al. — Cell-based versus corticosteroid injections for knee pain in osteoarthritis: a randomized phase 3 trial.. Nature medicine, 2023. DOI: 10.1038/s41591-023-02632-w.

4. The strongest recent POSITIVE signal: a meta-analysis of 10 RCTs (818 patients, KL I-III) found intra-articular MSC injection beat hyaluronic acid at 12 months on WOMAC total (MD -10.22), VAS (MD -1.31) and on the MRI Whole-Organ Magnetic Resonance Imaging Score (MD -26.01), all reaching the minimal clinically important difference, with no significant difference in adverse events. Recorded here at full weight: this result and the negative RESTORE and Mautner trials are both in the literature, and an honest page reports both.

   Jin WS, et al. — Mesenchymal Stem Cells Injection Is More Effective Than Hyaluronic Acid Injection in the Treatment of Knee Osteoarthritis With Similar Safety: A Systematic Review and Meta-analysis.. Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2025. DOI: 10.1016/j.arthro.2024.07.027.

5. A Bayesian network meta-analysis of 11 randomized trials (1353 patients) in hip osteoarthritis found that at 2-4 months and 6 months NO injectable - corticosteroid, hyaluronic acid or platelet-rich plasma - significantly outperformed a saline placebo injection for pain or function. Pooled change from baseline exceeded the minimal clinically important difference in every arm including placebo.

   Gazendam A, et al. — Intra-articular saline injection is as effective as corticosteroids, platelet-rich plasma and hyaluronic acid for hip osteoarthritis pain: a systematic review and network meta-analysis of randomised controlled trials.. British Journal of Sports Medicine, 2021. DOI: 10.1136/bjsports-2020-102179.

6. The AAOS evidence-based clinical practice guideline on Management of Osteoarthritis of the Hip states verbatim: STRONG evidence supports intra-articular corticosteroids to improve function and reduce pain in the SHORT TERM; STRONG evidence does NOT support intra-articular hyaluronic acid, because it does not perform better than placebo for function, stiffness and pain; STRONG evidence supports physical therapy for mild to moderate symptoms; STRONG evidence supports NSAIDs for short-term pain and function; and MODERATE evidence does not support glucosamine sulfate.

   American Academy of Orthopaedic Surgeons — Management of Osteoarthritis of the Hip: Evidence-Based Clinical Practice Guideline.. AAOS, 2017.

7. The 2026 Cochrane update of exercise for hip osteoarthritis (18 trials, 1368 participants) found that against attention control or placebo, exercise may have little to no effect on pain (MD -6.31 points on 0-100, 95% CI -12.98 to 0.35, low certainty) and may improve physical function only slightly; against no treatment or usual care it probably reduces pain slightly (MD -7.19, 95% CI -10.70 to -3.68, moderate certainty) but the review states these improvements are unlikely to be clinically meaningful. This is a weaker result than the equivalent knee evidence and it must not be overstated.

   Hall M, et al. — Exercise for osteoarthritis of the hip.. Cochrane Database of Systematic Reviews, 2026. DOI: 10.1002/14651858.CD007912.pub3.

8. In a placebo-controlled, participant- and assessor-blinded RCT of 102 people with radiographically confirmed hip OA, 12 weeks of active physical therapy (education, manual therapy, home exercise, gait aid) did NOT beat sham ultrasound and inert gel on pain (mean difference 6.9 mm favouring sham, 95% CI -3.9 to 17.7) or function at week 13, and mild adverse effects were more common in the active group (41% vs 14%).

   Bennell KL, et al. — Effect of physical therapy on pain and function in patients with hip osteoarthritis: a randomized clinical trial.. JAMA, 2014. DOI: 10.1001/jama.2014.4591.