224. Hip Osteoarthritis: A Practical Guide w/ Marc Surdyka and Chris Hughen

Hip osteoarthritis is a complex condition where radiographic imaging often fails to correlate with clinical symptoms, as many individuals with joint space narrowing or bone spurs remain asymptomatic. Diagnosis relies on clinical examination—such as assessing groin pain, range of motion, and functional limitations—rather than imaging alone. While symptoms can fluctuate, the long-term prognosis for mild cases is generally stable. Management prioritizes non-operative strategies, including tailored exercise programs and lifestyle modifications to improve overall metabolic health and function. When conservative approaches fail to address severe pain or functional decline, total hip replacement remains a highly effective, evidence-based intervention. Clinicians should focus on patient-specific goals and realistic expectations, recognizing that systemic factors and individual preferences play a critical role in determining the most appropriate path forward for those experiencing persistent hip pain.