Coxarthrosis: Ultimate Guide to Understanding and Managing Hip Osteoarthritis
- Ernesto De La Cruz Valdes DOs, MSc Orthopedics, BOst( hons)
- Apr 28
- 4 min read
What is Coxarthrosis?
Definition and Medical Overview
Coxarthrosis, or hip osteoarthritis, is a degenerative condition characterized by the gradual breakdown of cartilage within the hip joint. This leads to pain, stiffness, and restricted movement, often affecting daily activities and overall quality of life [1].
As cartilage deteriorates, bones can rub directly against each other, causing inflammation, bone spurs, and joint deformity.

The Difference Between Coxarthrosis(Hip osteoarthritis ) and Other Arthritic Conditions
Unlike autoimmune conditions like rheumatoid arthritis, coxarthrosis results from mechanical wear and tear. It typically affects one or both hips and progresses gradually over time [2].
Causes of Coxarthrosis
Genetic Predispositions
A family history of osteoarthritis significantly raises the likelihood of developing coxarthrosis [3].
Lifestyle and Environmental Factors
Excess weight, repetitive stress on the hip joint, and a sedentary lifestyle contribute to earlier onset and faster progression [4].
Impact of Injury and Trauma
Past hip injuries, such as fractures or dislocations, can damage cartilage and predispose the joint to arthritis later in life [5].
Symptoms of Coxarthrosis
Early Signs to Watch For
Mild groin or thigh pain
Hip stiffness after periods of inactivity
Occasional limping
Progression of Symptoms Over Time
Persistent pain during or after movement
Decreased hip range of motion
Pain at rest, particularly at night
Risk Factors Associated with Coxarthrosis
Age and Gender Influences
Coxarthrosis risk increases after age 50 and is slightly more common in women, especially post-menopause [6].
Occupational and Sports-Related Risks
Manual labor, heavy lifting, and high-impact sports increase cumulative stress on the hip, accelerating joint wear [7].
Diagnosis of Coxarthrosis
Physical Examination Techniques
Doctors assess joint tenderness, crepitus, and range of motion during clinical exams [8].
Imaging Tests and Their Importance
X-rays show joint space narrowing and osteophytes.
MRI scans detect early cartilage loss and soft tissue changes.
Differential Diagnosis
Conditions like labral tears, bursitis, and avascular necrosis should be ruled out [9].
Stages of Coxarthrosis
Early-Stage Characteristics
Occasional discomfort after exertion
Minor stiffness
Moderate to Severe Stage Developments
Persistent pain
Marked loss of mobility
Visible joint changes on imaging
Treatment Options for Coxarthrosis
Non-Surgical Treatments
Pain management with medications
Weight loss
Tailored physiotherapy or osteopathic care
Surgical Interventions
Severe cases may require procedures like total hip replacement [10].
Physical Therapy Approaches
Programs focusing on strength, balance, and flexibility can significantly improve function and delay surgical needs.
Medications for Managing Coxarthrosis
Pain Relievers and Anti-Inflammatories
NSAIDs (like ibuprofen) and acetaminophen are common first-line options.
Supplements and Natural Remedies
Glucosamine, chondroitin, and omega-3 fatty acids may provide adjunctive support [11].
Lifestyle Adjustments to Manage Coxarthrosis
Exercise and Physical Activity Tips
Swimming
Low-resistance cycling
Gentle yoga
Osteopath-recommended strengthening routines
Weight Management and Nutrition
A healthy weight eases stress on the hips, while an anti-inflammatory diet (rich in fruits, vegetables, fish) supports joint health [12].
Osteopathy and Coxarthrosis
Benefits of Osteopathy for Hip Osteoarthritis
At Cruz Osteopathy, we provide holistic, non-invasive osteopathic care to help manage hip pain and support joint health by:
Enhancing mobility
Reducing muscle tension
Improving blood circulation
Supporting natural healing processes
Osteopathy can complement traditional treatments and improve the quality of life for those living with coxarthrosis.
Cruz Osteopathy: Your Partner in Joint Health
If you are experiencing hip discomfort or mobility issues, Cruz Osteopathy is here to help.
Led by Ernesto De La Cruz Valdes — an experienced, fully qualified osteopath — Cruz Osteopathy offers:

Personalized osteopathic treatments
Comprehensive rehabilitation strategies
Patient-centered, compassionate care
Located at:
Cruz Osteopathy
Nizels Golf & Country Club
Nizels Lane, Hildenborough, Kent, TN11 8NU
Phone: +44 7724 020795
Take the first step toward better joint health — visit www.cruzosteopathy.co.uk or explore useful advice on our Blog Page.
FAQs About Coxarthrosis
1. Can coxarthrosis be cured?
No, but symptoms can be successfully managed through lifestyle changes, osteopathy, medications, and surgical options if needed.
2. How long can you live with coxarthrosis without surgery?
Many patients manage with conservative treatments for several years before needing surgery.
3. What are the best exercises for coxarthrosis?
Swimming, cycling, gentle yoga, and strengthening routines are advised by healthcare professionals.
4. Is physical therapy or osteopathy effective?
Yes, both can reduce pain, improve function, and delay the need for surgery.
5. What foods support joint health?
Foods rich in omega-3s (like salmon), antioxidants (berries, spinach), and vitamin D (eggs, fortified dairy) are beneficial.
6. Are there natural remedies for coxarthrosis?
While there’s no cure, supplements, diet changes, and osteopathy can help manage symptoms naturally.
Conclusion: Managing Coxarthrosis with Professional Osteopathic Care
Coxarthrosis doesn’t have to limit your lifestyle.
With early intervention, healthy habits, and professional osteopathic support, it’s possible to maintain mobility, reduce pain, and improve quality of life.
At Cruz Osteopathy in Sevenoaks, we are dedicated to helping you achieve better joint health through safe, individualized care.
Visit www.cruzosteopathy.co.uk or contact us to start your personalized treatment journey today.
References
National Institute on Aging. Osteoarthritis [Internet]. Bethesda (MD): National Institute on Aging; 2021 [cited 2025 Apr 26]. Available from: https://www.nia.nih.gov/health/osteoarthritis
Mayo Clinic. Hip osteoarthritis: Symptoms and causes [Internet]. Rochester (MN): Mayo Foundation for Medical Education and Research; 2022 [cited 2025 Apr 26]. Available from: https://www.mayoclinic.org/diseases-conditions/osteoarthritis/in-depth/hip-osteoarthritis/art-20048150
Arthritis Foundation. Genetics and arthritis [Internet]. Atlanta (GA): Arthritis Foundation; 2023 [cited 2025 Apr 26]. Available from: https://www.arthritis.org/health-wellness/about-arthritis/understanding-arthritis/genetics-and-arthritis
World Health Organization. WHO global report on musculoskeletal health [Internet]. Geneva: WHO; 2022 [cited 2025 Apr 26]. Available from: https://www.who.int/publications/i/item/9789240061789
Cleveland Clinic. Hip fracture: Causes and symptoms [Internet]. Cleveland (OH): Cleveland Clinic; 2021 [cited 2025 Apr 26]. Available from: https://my.clevelandclinic.org/health/diseases/21154-hip-fracture
NHS. Arthritis and aging [Internet]. London: NHS; 2023 [cited 2025 Apr 26]. Available from: https://www.nhs.uk/conditions/arthritis/
British Orthopaedic Association. Work-related osteoarthritis [Internet]. London: British Orthopaedic Association; 2021 [cited 2025 Apr 26]. Available from: https://www.boa.ac.uk/resources/work-related-osteoarthritis.html
American Academy of Orthopaedic Surgeons. Hip osteoarthritis examination [Internet]. Rosemont (IL): AAOS; 2022 [cited 2025 Apr 26]. Available from: https://orthoinfo.aaos.org/en/diseases–conditions/hip-osteoarthritis/
Radiopaedia. Differential diagnosis for hip pain [Internet]. Melbourne: Radiopaedia; 2022 [cited 2025 Apr 26]. Available from: https://radiopaedia.org/articles/differential-diagnosis-for-hip-pain
NICE. Hip replacement for osteoarthritis [Internet]. London: NICE; 2023 [cited 2025 Apr 26]. Available from: https://www.nice.org.uk/guidance/ng157
Versus Arthritis. Supplements and arthritis [Internet]. London: Versus Arthritis; 2023 [cited 2025 Apr 26]. Available from: https://www.versusarthritis.org/about-arthritis/managing-symptoms/diet/supplements/
Harvard Health Publishing. Diet and joint health [Internet]. Boston (MA): Harvard Medical School; 2022 [cited 2025 Apr 26]. Available from: https://www.health.harvard.edu/staying-healthy/diet-and-joint-health

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