Your hip is a strong, ball-and-socket joint connecting the long bone of your thigh to your pelvis. Osteoarthritis (OA) is a common condition which can affect any joint, but it most commonly affects the large weight bearing joints such as the hip. The cartilage which protects the surface of your joints get worn/ damaged which causes friction and prevents the joint from moving smoothly. The joint can become swollen, the joint can change shape and the muscles can feel weaker. Symptoms • Certain movements become difficult, especially trying to rotate or turn your leg inwards. • Pain is usually into your groin and can travel down your leg towards the knee. • Your pain may get worse the more you walk. • The hip feels stiff in the morning but gets a little better as you get moving. • The hip may be painful to lie on and disturb your sleep. • It is more common in people over the age of 50 • It may be triggered by an injury to the hip such as a fracture or come on for no particular reason. • A diagnosis is made by your clinical history and an x-ray to rule out other causes. Click here (http://www.hdft.nhs.uk/osteo)to visit the Harrogate Osteoarthritis website. https://vimeo.com/358855732 Versus Arthritis have also developed exercises to help people who have Hip Osteoarthritis . https://versusarthritis.org/about-arthritis/exercising-with-arthritis/exercises-for-healthy-joints/exercises-for-the-hips/ (https://versusarthritis.org/about-arthritis/exercising-with-arthritis/exercises-for-healthy-joints/exercises-for-the-hips/) Further Resources: Versus Arthritis OA Hip Booklet https://www.versusarthritis.org/media/22728/osteoarthritis-of-the-hip-information-booklet.pdf (https://www.versusarthritis.org/media/22728/osteoarthritis-of-the-hip-information-booklet.pdf) Alternatively, check out the Escape Pain information for Osteoarthritis here(https://escape-pain.org/ESCAPE-pain-Online) •  Nuffield Joint Pain Programme - A six month programme which is designed to help you self-manage your joint pain, with access to Nuffield Facilities and lifestyle advice and exercise sessions. You can refer yourself. Please click the link here: https://www.nuffieldhealth.com/about-us/our-impact/healthy-life/joint-pain-programme (https://www.nuffieldhealth.com/about-us/our-impact/healthy-life/joint-pain-programme) • Active North Yorkshire - Healthy You - 12 week free weight loss programme and gym access. You can refer yourself. Please click the link here: https://www.northyorks.gov.uk/healthy-living/healthy-you (https://www.northyorks.gov.uk/healthy-living/healthy-you) • Active North Yorkshire - Exercise Classes. Please click the link here: https://www.northyorks.gov.uk/active-north-yorkshire/exercise-classes (https://www.northyorks.gov.uk/active-north-yorkshire/exercise-classes) • Active North Yorkshire - MSK Hub: The MSK Hub is a free 12 week programme to help support working people that have a reduced ability to work due to musculoskeletal joint pain. You can refer yourself. Please click the link here: https://www.northyorks.gov.uk/active-north-yorkshire/lifestyle-and-wellbeing-sessions/help-musculoskeletal-conditions (https://www.northyorks.gov.uk/active-north-yorkshire/lifestyle-and-wellbeing-sessions/help-musculoskeletal-conditions)

GTPS is an umbrella term describing pain in the outside of your hip. It includes bursitis (inflammation if the bags of fluid between tendons/bones) and tendinopathy (inflammation of the tendon). Symptoms • It may be triggered by an injury to the hip such as a fall or come on for no particular reason. • Can be aggravated by weight bearing activities (running/twisting/stairs etc.) • Pain is usually to the outside of your hip and can travel down your leg towards the knee. • Your pain may get worse the more you walk. • The hip may be painful to lie on and disturb your sleep. • It is more common in people over the age of 50 • It is more common if your are overweight. • It can be painful to press onto the outside of your hip • A diagnosis is made by your clinical history and maybe an ultrasound scan to rule out other causes. It can be helped by: • Strengthening the muscles around the outside of your hip • Stretching the muscles around the hip • Modifying your activity Click HERE (https://drive.google.com/file/d/1qxrcpLQCU74a1PQ_9adaKeaps9o9e0_E/view?usp=sharing)for advice on good exercises which should help your hip. Further Information: • Nuffield Joint Pain Programme - A six month programme which is designed to help you self-manage your joint pain, with access to Nuffield Facilities and lifestyle advice and exercise sessions. You can refer yourself. Please click the link here: https://www.nuffieldhealth.com/about-us/our-impact/healthy-life/joint-pain-programme (https://www.nuffieldhealth.com/about-us/our-impact/healthy-life/joint-pain-programme) • Active North Yorkshire - Healthy You - 12 week free weight loss programme and gym access. You can refer yourself. Please click the link here: https://www.northyorks.gov.uk/healthy-living/healthy-you (https://www.northyorks.gov.uk/healthy-living/healthy-you) • Active North Yorkshire - MSK Hub: The MSK Hub is a free 12 week programme to help support working people that have a reduced ability to work due to musculoskeletal joint pain. You can refer yourself. Please click the link here: https://www.northyorks.gov.uk/active-north-yorkshire/lifestyle-and-wellbeing-sessions/help-musculoskeletal-conditions (https://www.northyorks.gov.uk/active-north-yorkshire/lifestyle-and-wellbeing-sessions/help-musculoskeletal-conditions) • Active North Yorkshire - Exercise Classes. Please click the link here: https://www.northyorks.gov.uk/active-north-yorkshire/exercise-classes (https://www.northyorks.gov.uk/active-north-yorkshire/exercise-classes)

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FAI describes hip pain which is caused by impingement or 'nipping' of the hip. This impingement can be due to the shape of the hip bones or the balance of the muscles. In some cases the labrum or cartilage rim of the hip’ can become damaged/torn. Physiotherapy can be useful for some patients with FAI to strengthen and stretch muscles which control hip movement. In some cases, if there is a structural problem inside the hip then further investigation may be necessary. Further Information: • Nuffield Joint Pain Programme - A six month programme which is designed to help you self-manage your joint pain, with access to Nuffield Facilities and lifestyle advice and exercise sessions. You can refer yourself. Please click the link here: https://www.nuffieldhealth.com/about-us/our-impact/healthy-life/joint-pain-programme (https://www.nuffieldhealth.com/about-us/our-impact/healthy-life/joint-pain-programme) • Active North Yorkshire - Healthy You - 12 week free weight loss programme and gym access. You can refer yourself. Please click the link here: https://www.northyorks.gov.uk/healthy-living/healthy-you (https://www.northyorks.gov.uk/healthy-living/healthy-you) • Active North Yorkshire - MSK Hub: The MSK Hub is a free 12 week programme to help support working people that have a reduced ability to work due to musculoskeletal joint pain. You can refer yourself. Please click the link here: https://www.northyorks.gov.uk/active-north-yorkshire/lifestyle-and-wellbeing-sessions/help-musculoskeletal-conditions (https://www.northyorks.gov.uk/active-north-yorkshire/lifestyle-and-wellbeing-sessions/help-musculoskeletal-conditions) • Active North Yorkshire - Exercise Classes. Please click the link here: https://www.northyorks.gov.uk/active-north-yorkshire/exercise-classes (https://www.northyorks.gov.uk/active-north-yorkshire/exercise-classes)