Hip Pain & Osteoarthritis (Southampton, Winchester, Portsmouth, Bournemouth & Romsey)

 Hip pain is a common musculoskeletal problem affecting people across Southampton, Winchester, Portsmouth, Bournemouth, and Romsey. One of the most frequent causes is hip osteoarthritis, but pain can also come from muscles, tendons, bursae, or referred pain from the lower back.

This page explains the most common causes of hip pain, how it is assessed using musculoskeletal ultrasound, and the treatment options available through physiotherapy and guided injections.

Patients can access assessment and treatment via Physio Soton hip pain clinic.


What is Hip Osteoarthritis? (Hip Arthritis Symptoms)

Hip osteoarthritis (sometimes called hip arthritis) is a degenerative condition where the cartilage inside the hip joint gradually wears down. This leads to stiffness, inflammation, and pain during movement.

Common hip osteoarthritis symptoms include:

  • Hip or groin pain when walking or weight-bearing
  • Stiffness in the hip joint, especially in the morning
  • Pain when climbing stairs or standing up from sitting
  • Reduced hip range of motion
  • Discomfort in the buttock or thigh
  • Difficulty with daily activities such as dressing or bending

Hip osteoarthritis is more common with age but can also develop after injury or long-term joint stress.


Other Causes of Hip Pain

Not all hip pain is caused by arthritis. Many patients seen in a hip pain clinic in Southampton or Hampshire actually have soft tissue or tendon-related conditions.

Common causes include:

  • Greater Trochanteric Pain Syndrome (GTPS) (outer hip pain)
  • Gluteal tendinopathy (hip abductor tendon injury)
  • Hip bursitis (inflammation around the hip joint)
  • Femoroacetabular impingement (FAI)
  • Labral tears or hip labral irritation
  • Referred pain from the lower back or sacroiliac joint dysfunction

Because symptoms overlap, accurate diagnosis is essential before treatment.


Hip Pain Assessment (Ultrasound & Clinical Examination)

Hip pain is assessed using a combination of:

  • Detailed musculoskeletal history
  • Physical examination of the hip, pelvis, and lumbar spine
  • Musculoskeletal ultrasound scan of the hip (where appropriate)

Ultrasound imaging is commonly used in private physiotherapy and ultrasound-guided hip injection clinics in Southampton and Hampshire to assess:

  • Tendon inflammation or tears
  • Bursitis around the hip joint
  • Dynamic movement-related pain
  • Guidance for precise injection placement

Treatment Options for Hip Pain & Osteoarthritis

Treatment depends on the underlying diagnosis and severity of symptoms.

Physiotherapy for Hip Pain

Physiotherapy is often the first-line treatment for hip pain and osteoarthritis, focusing on:

  • Hip strengthening exercises
  • Gluteal muscle rehabilitation
  • Movement and gait retraining
  • Load management strategies
  • Improving joint function and mobility

Ultrasound-Guided Hip Injections

In selected cases, ultrasound-guided hip injections in Southampton and Hampshire may be used to help reduce pain and inflammation.

These may include:

  • Corticosteroid injections for hip osteoarthritis or bursitis
  • Local anaesthetic diagnostic injections
  • Image-guided soft tissue injections

These procedures are performed under ultrasound guidance to improve accuracy and safety.


Booking & Clinical Services

Full clinical assessment, musculoskeletal ultrasound scanning, and ultrasound-guided injections are available through Physio Soton.

This allows patients to be assessed and treated in a single pathway where appropriate, combining:

  • Detailed clinical examination
  • Diagnostic musculoskeletal ultrasound
  • Image-guided injection treatment (if indicated)
  • Rehabilitation and physiotherapy planning

This service is available for patients from:

  • Southampton
  • Winchester
  • Portsmouth
  • Bournemouth
  • Romsey

👉 Appointments can be booked via Physio Soton.


When to Seek Help for Hip Pain

You should consider assessment if you experience:

  • Persistent hip pain lasting more than a few weeks
  • Hip pain affecting walking, sleep, or daily activities
  • Suspected hip arthritis or osteoarthritis symptoms
  • Outer hip pain consistent with GTPS
  • Pain not improving with rest or basic exercise

Early assessment can help identify the cause and prevent long-term stiffness or functional decline.


Summary (Hip Pain Clinic Hampshire)

Hip pain can arise from many causes, including hip osteoarthritis, tendon injuries, bursitis, and referred pain from the lower back. A structured assessment using clinical examination and ultrasound imaging can help identify the source of pain and guide effective treatment.

Physiotherapy and ultrasound-guided injections can help reduce pain, improve mobility, and support long-term hip health.


Frequently Asked Questions (FAQs)

What is the most common cause of hip pain?

The most common cause of hip pain is hip osteoarthritis, especially in adults over 50. However, soft tissue conditions such as gluteal tendinopathy, bursitis, or GTPS are also very common.


How do I know if my hip pain is arthritis?

Hip osteoarthritis typically causes groin pain, stiffness, and reduced movement, especially after rest. Outer hip pain is more often related to tendons or bursae. Assessment is often needed to confirm the cause.


Can ultrasound detect hip arthritis?

Ultrasound does not directly show cartilage loss but can identify inflammation, bursitis, tendon problems, and guide injections. X-rays are usually required to confirm osteoarthritis.


Do ultrasound-guided hip injections work?

They can reduce pain and inflammation in conditions such as hip osteoarthritis and bursitis. They do not cure arthritis but can improve symptoms and support rehabilitation.


Are hip injections painful?

Most patients describe them as mildly uncomfortable. A local anaesthetic is used and ultrasound guidance improves accuracy and comfort.


How long do hip injections last?

Relief may last from weeks to several months depending on the condition and activity level. They are often combined with physiotherapy for longer-term benefit.


When should I get help for hip pain?

If pain lasts more than a few weeks, affects walking or sleep, or is worsening, a clinical assessment is recommended.


Can physiotherapy help hip osteoarthritis?

Yes. Physiotherapy improves strength, mobility, and function, and is a key part of managing hip osteoarthritis long term.