Inflammatory Arthritis of the Hip

Understanding Inflammatory Arthritis of the Hip

Arthritis, characterized by joint inflammation, often results from the degradation of cartilage at the ends of bones. However, in some cases, joint inflammation stems from systemic diseases, leading to what is known as inflammatory arthritis.

Types of Inflammatory Arthritis of the Hip

  1. Rheumatoid Arthritis: An autoimmune disorder affecting multiple joints symmetrically.
  2. Ankylosing Spondylitis: Chronic inflammation primarily targeting the spine and sacroiliac joints.
  3. Systemic Lupus Erythematosus (SLE): Autoimmune disease involving the immune system’s attack on healthy tissues.


Inflammatory hip arthritis manifests primarily as:

  • Groin, outer thigh, or buttock pain, often worsening in the morning.
  • Increased pain and stiffness with vigorous activity, hampering mobility and walking.


Diagnosis involves:

  • Physical examination to assess hip mobility and pain levels.
  • X-rays to detect bone thinning or erosion, and loss of joint space.
  • Laboratory tests to identify specific antibodies indicative of inflammatory arthritis.


  1. Non-surgical Treatment:
    • Anti-inflammatory medications or corticosteroids to alleviate inflammation.
    • Physical therapy to enhance range of motion and muscle strength.
    • Assistive devices like canes or walkers for daily activities.
  2. Surgical Treatment:
    • Total Hip Replacement: Reserved for advanced cases of rheumatoid arthritis or ankylosing spondylitis.
    • Bone Grafts: Utilized in SLE to regenerate new blood cells.
    • Core Decompression: Alleviates bone marrow pressure and stimulates blood flow.
    • Synovectomy: Removes inflamed joint lining, preserving cartilage integrity.

Early diagnosis and appropriate treatment tailored to the specific type of inflammatory arthritis are essential in managing symptoms and preserving joint function. Surgical intervention may be necessary in cases where conservative measures fail to provide relief.

Share the Post: