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Hip Osteoarthritis Care Pathway

Date of last update: October, 2024

8. Diagnostic Criteria for Hip OA

 

Diagnosis requires a thorough understanding of the patient's condition. It integrates patient stories; clinical findings; risk factor evaluations; and physical, psychological, social, and environmental aspects of pain.

 

A. Hip OA

  • Definition: Hip OA is a chronic degenerative disease and the most common cause of hip pain in older adults. It is characterized by activity-related hip pain, morning stiffness that lasts < 1 hour, and commonly affecting individuals > 45 years of age.

  • Prevalence: Estimated to impact 10% of individuals globally.

  • Risk Factors: Age > 45, history of joint injury, genetics, high BMI, comorbidities such as diabetes.

  • Pain Location: Anterior, posterior, or lateral hip. May refer into the groin, thigh, and/or calf.

  • Duration: Pain is often persistent (more than 12 weeks).

  • Signs and Symptoms:

  • Pain can be aching, sharp, and/or stiff.

  • Can be unilateral or bilateral.

  • Intensity varies from mild to severe.

  • Aggravated by walking, standing, or going up and down stairs.

  • Relieved with sitting or lying down.

  • Associated muscle stiffness or weakness in the surrounding musculature.

  • Morning stiffness < 1 hour.

  • Physical and Neurological Examination: Pain reproduced by hip provocation tests; neurological deficits not present.

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CCGI is funded by provincial associations and regulatory boards, and national associations including the Canadian Chiropractic Association

and Canadian Chiropractic Protective Association. CCGI maintains editorial independence from funders.

All content and media on the Canadian Chiropractic Guideline Initiative (CCGI) website is created and published online for informational purposes only. It is not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of a qualified health professional with questions, concerns or management regarding your health.

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