Evaluation of the Hip

There are several key pieces of information vital to diagnosing and deciding what to do with a painful hip.

  • History
    • Degree, longevity and location of pain
    • Functional limitations
    • History of trauma
    • Functional expectations
    • Use of walking aids (cane, crutches, walker)
    • History of steroid or heavy alcohol use
    • Previous forms of treatment
      • Medication
        • Nonsteroidal anti-inflammatory drugs
        • Steroids
        • Pain medication
        • Medication for rheumatoid arthritis
      • Steroid injection
      • Previous surgery
        • Fracture fixation
        • Osteotomy (bone realignment)
        • Core decompression (for avascular necrosis)
  • Physical Examination
    • Gait abnormalities
    • Range of motion
    • Tenderness
    • Deformities
    • Scars
    • Leg length discrepancy
    • Circulation status
  • Imaging
    • X-rays
    • MRI
    • CT scan
    • Bone scan