Introduction: Understanding Hip Problems and Your Treatment Options
Hip problems are a common concern, especially as we get older. Many people experience pain, stiffness, and difficulty moving around, which can really affect daily life. Hip replacement surgery has been a trusted and effective treatment for severe hip pain and loss of function for many years. But it’s not right for everyone. Whether due to health issues, personal choice, or concerns about surgery, some people look for other options.
The good news is that there are exciting new FDA-approved alternatives and natural, non-surgical treatments emerging that may offer relief without the need for traditional replacement surgery. This article will help you understand these options, as well as share important information like the typical age people have hip replacement s and reasons why some might want to delay or avoid surgery.
What Exactly Is Hip Replacement Surgery — And Who Might Need It?
Hip replacement surgery , often called total hip arthroplasty , involves removing damaged parts of the hip joint and replacing them with artificial implants made of metal, plastic, or ceramic. It’s usually recommended when osteoarthritis or injury causes severe, persistent pain and restricts movement .
Most people who have hip replacement s are in their 60s or older, but younger patients, even those in their 50s, may also need it, especially if they have suffered injury or other complications. Statistics tell us that women tend to have hip replacements slightly later than men, on average.
One authoritative source describes hip replacement surgery as a comprehensive and well-established procedure that orthopaedic surgeons rely on worldwide (Sancheti, 2011). Another recent study highlights that hip arthrosis — the gradual wearing away of cartilage in the joint — is becoming more common not just in older adults but also in younger, active people (Kocjančič & Kocjančič, 2024). This cartilage normally cushions the joint, allowing smooth movement; when it wears down, the bones rub together, causing pain and stiffness.
While hip replacement often significantly improves quality of life, it’s important to remember that, like all surgeries, it carries risks, including the possibility of complications and a very small risk of death. Many patients say they wish they’d known more about these before choosing surgery. Some may have reasons, such as other health conditions or personal preferences, that lead them to explore alternatives.
Exciting New FDA-Approved Alternatives to Traditional Surgery
Recent years have seen the development of less invasive, FDA-approved treatments that can be effective for some people. For example, metal-on-metal surface replacement is a technique where just the surface of the hip joint is replaced, rather than removing the entire femoral head (the ball of the joint). This procedure preserves more bone, which may be better for younger or more active patients, offering quicker recovery and fewer complications in the early stages.
Another promising option involves biological injections such as platelet-rich plasma (PRP) or stem cell therapies. These treatments aim to reduce inflammation and help the body heal damaged tissues naturally. While not suitable for everyone, for the right patients, these therapies may delay or even avoid the need for surgery altogether. Of course, they carry their own risks, such as inflammation , but many people report good results.
These new FDA-approved alternatives are helping reshape how we think about managing hip joint problems — expanding choices beyond traditional surgery.
Natural and Non-Surgical Ways to Look After Your Hips
Alongside these medical approaches, natural and non-surgical treatments continue to be important. Physical therapy , for instance, plays a crucial role in strengthening the muscles around the hip, improving joint stability, and increasing flexibility. Exercises done before any surgery, such as swimming, cycling, or gentle stretches, can ease pain and help keep the joint working well, sometimes even postponing the need for surgery.
Maintaining a healthy weight also reduces pressure on the hip joints , slowing wear and tear. For those concerned about pain many years after hip replacement , or wondering if it’s too late to have surgery, these conservative strategies can help reduce long-term complications.
It’s also vital to understand that “primary treatment of osteoarthritis includes informing patients of the importance of a healthy lifestyle, including physical activity” (Kocjančič & Kocjančič, 2024). In some cases, doctors may recommend painkillers like paracetamol or anti-inflammatory drugs ( NSAIDs ), and occasionally joint injections to relieve symptoms without surgery.
More recently, therapies like yoga have been recognised as helpful in recovery and ongoing hip health . Researchers have noted that “Yoga can contribute to post-operative recovery, and designing a safe Yoga practice after rehabilitation is valuable” (Robold & Bauer, 2005). Tailored yoga exercises and mindful breathing, done carefully under guidance, can support improved mobility, strength and mental well-being.
Balancing the Benefits and Risks: Surgery Versus Other Options
When considering what’s best, it’s essential to weigh the advantages and possible drawbacks of each treatment. Hip replacement surgery often offers substantial and lasting relief; many people enjoy improved mobility and a better quality of life for 15 to 20 years or more. However, the risk of complications like infection or prosthesis loosening increases with age and other health problems.
Alternatives typically carry fewer immediate risks, but might not provide enough benefit for advanced joint damage . There’s also some evidence suggesting that the time of year you have surgery can influence recovery, though this is less relevant for non-surgical options.
Ultimately, the best pathway depends on individual circumstances, and should always be discussed thoroughly with a healthcare professional who can tailor advice to your needs.
Conclusion: Empowering You to Make the Right Choice
If you’re struggling with hip pain, it’s reassuring to know that you have choices. Beyond traditional hip replacement surgery , new FDA-approved treatments and natural therapies can offer effective relief and improve your quality of life.
Understanding your personal risks and preferences, knowing when surgery is appropriate, and exploring all available options with your specialist are essential steps. Shared decision-making enables you to choose the treatment that best fits your lifestyle and health goals.
Remember, managing hip health is about more than just surgery — it’s about finding the path that lets you move, live, and enjoy life comfortably.
References
- Kocjančič, E., & Kocjančič, B. (2024). From Hip Arthrosis to Hip Replacement Surgery – Total Hip Endoprosthesis. University of Lubljana Press. https://doi.org/10.55295/psl.2024.i2
- Robold, L., & Bauer, P. (2005). Yoga and Hip Replacement Surgery. International Journal of Yoga Therapy, 15(1), 65–80. https://doi.org/10.17761/ijyt.15.1.2q65660433262832
- Sancheti, K. H. (2011). Total Hip Replacement Surgery. Indian Journal of Orthopaedics, 45(3), 286–286. https://doi.org/10.1007/bf03545755
Frequently Asked Questions
MSK Doctors provide cutting-edge, evidence-based care led by internationally respected experts like Prof Lee, who is known for both innovative treatments and a personalised approach, giving patients access to a wide range of surgical and non-surgical options tailored to their needs.
Prof Lee brings decades of expertise in hip treatment, offering advanced techniques and up-to-date knowledge. His patients benefit from individualised assessments, honest guidance, and access to the latest surgical and non-surgical therapies designed for the best possible outcomes.
MSK Doctors stay at the forefront by providing new FDA-approved alternatives, including metal-on-metal surface replacement and biological therapies such as platelet-rich plasma or stem cell injections, which may help suitable patients postpone or avoid traditional surgery with specialist-led care.
Yes, MSK Doctors offer comprehensive rehabilitation programmes. This includes physiotherapy and guided yoga, focusing on improving joint function, strength, and mobility. Prof Lee’s team supports patients with tailored, evidence-based plans to complement or delay the need for surgery where possible.
Choosing MSK Doctors means access to international expertise and the latest diagnostic tools. Prof Lee and his team build bespoke treatment plans, supporting informed decisions and prioritising each patient’s health, mobility, and comfort throughout their hip care experience.