Understanding the Warning Signs: When Is It Time to Consider a Hip Replacement?

Jan 26, 2026 | Hip Replacement

Introduction

Hip pain and difficulty moving around can seriously affect your daily life, especially as you get older. These issues often point to underlying joint problems that need attention to stop them getting worse. In the UK, hip replacement surgery is becoming more common, particularly among women and those over 50. Spotting the early warning signs means you can seek the right care sooner, improving your joint health and overall quality of life. One large study summed it up well: “Hip and knee joint replacements are effective, and yet little is known about how closely the need for joint replacement matches supply in different population groups” (Steel et al., 2006).

Recognising Early Symptoms of a Worn Hip Joint

Early signs of hip trouble often include constant aching or sharp pain in the hip or groin, stiffness after resting, and difficulty walking or standing for long periods. It’s important to tell the difference between hip joint pain and other common problems like bursitis or muscle strains, as they need different treatments. Symptoms can vary from person to person — for example, some may experience “pain in left hip area female.” You may also struggle with disrupted sleep or find it hard to put on shoes and socks. Recognising these early symptoms is key to getting a proper diagnosis and the right treatment.

When Hip Pain Disrupts Daily Life: Knowing When to Seek Specialist Advice

If your hip pain starts to get in the way of everyday activities — such as walking, climbing stairs, or even doing housework — it may be time to see a specialist. Signs that you might need a hip replacement include reduced mobility, regular use of painkillers just to get by, and difficulty with basic movements. Many people wonder what to do if they are “waiting for hip replacement can’t walk” or how to “minimise pain while waiting for hip replacement.” Some put off surgery for personal reasons, known as “reasons not to have hip replacement,” but conservative treatments may provide some relief in the meantime. Professor Paul Lee and his team at MSK Doctors offer expert, compassionate care that supports patients through assessment and decision making. Research shows “need was greater in women than men… and showed an increasing gradient from the wealthiest to poorest quintile” (Steel et al., 2006).

Understanding the Hip Replacement Process and What to Expect

Starting the hip replacement journey means undergoing a thorough assessment, including scans and detailed consultations. Most patients are over 50, with women making up a large number of those receiving surgery. People often ask about symptoms, average age for hip replacement, or concerns like the “risk of death” and survival rates in older adults. It’s also common to wonder “what I wish I knew before hip replacement surgery,” highlighting the importance of mental preparation. Professor Paul Lee and MSK Doctors provide clear, evidence-based advice to help patients feel informed and confident.

It’s worth noting that research found “people living in the North of England, women and the less wealthy experience relatively high levels of need, yet do not receive relatively more hip and knee joint replacements” (Steel et al., 2006). Another study pointed out, “There is an important unmet need for hip joint replacement in older people with marked inequalities in levels of need and use of services” (Milner, 2004). Further research has shown that “rates of need for hip/knee replacement increase with age and are lower in men than in women,” with the greatest need found in those living in deprived areas. Obesity also plays a big role, with findings noting “obesity was a strong predictor of need for surgery (RR 2.3… for hips)” (Judge et al., 2009).

Living With a New Hip: Long-Term Care and Follow-Up

Recovery times after hip replacement surgery can differ, but most people enjoy better movement and less pain. To keep your new joint healthy, following a long-term exercise routine — sometimes called “hip replacement exercises long-term” — is crucial for maintaining strength and flexibility. Some patients may still experience issues years down the line, such as “why is my hip replacement hurting after 5 years,” “hip replacement pain after 10 years,” or wonder “what causes bursitis after hip replacement.” Although rare, these problems can usually be managed with professional help. Ongoing follow-up care with specialists like Professor Paul Lee and the MSK Doctors team provides the monitoring and support needed to keep you on track. Preparing practically and mentally before surgery, including organising essential items at home, also makes the recovery smoother.

Conclusion & Responsible Disclaimer

Knowing when a hip replacement might be needed — through persistent pain, reduced mobility, and daily struggles — is essential to getting help early. Consulting specialist clinicians such as Professor Paul Lee at MSK Doctors means you’ll have access to expert care and comprehensive support throughout your assessment, surgery, and recovery. For personalised medical advice, always consult a qualified healthcare professional.

References

  • Steel, N., Melzer, D., Gardener, E., & McWilliams, B. (2006). Need for and receipt of hip and knee replacement—a national population survey. Rheumatology, 45(11), 1437–1441. https://doi.org/10.1093/rheumatology/kel131
  • Milner, P. (2004). Inequalities in accessing hip joint replacement for people in need. European Journal of Public Health, 14(1), 58–62. https://doi.org/10.1093/eurpub/14.1.58
  • Judge, A., Welton, N. J., Sandhu, J., & Ben‐Shlomo, Y. (2009). Modeling the need for hip and knee replacement surgery. Part 1. A two‐stage cross‐cohort approach. Arthritis & Rheumatism, 61(12), 1657–1666. https://doi.org/10.1002/art.24892

Frequently Asked Questions

Early symptoms include persistent hip or groin pain, stiffness after resting, disrupted sleep, and difficulty with everyday movements such as walking or putting on shoes. Recognising these signs early allows for prompt assessment by experts like Professor Paul Lee at MSK Doctors.

If hip pain disrupts daily activities or you regularly use painkillers to manage discomfort, it’s advisable to consult a specialist. Professor Paul Lee and the MSK Doctors team offer thorough evaluation and guidance for those experiencing limiting symptoms in their daily life.

Professor Paul Lee is a leading cartilage expert and Royal College of Surgeons Ambassador, providing evidence-based, patient-centred care. MSK Doctors deliver thorough assessments, diagnosis and ongoing support, helping patients make well-informed decisions about hip replacement surgery and recovery.

Preparation involves physical and mental readiness, including organising the home environment and learning about recovery routines. Professor Paul Lee and MSK Doctors ensure that patients are well-informed, supporting them through each stage of surgery, rehabilitation and long-term joint care.

Ongoing follow-up ensures optimal joint health, allowing for early management of any long-term issues. MSK Doctors, led by Professor Paul Lee, provide consistent support, monitoring progress and addressing concerns so patients maintain their mobility and overall well-being post-surgery.