The indications for surgery are:
- Pain (groin pain) that is constant,may wake the patient up at night (despite taking pain medications)
- Functional Limitations :difficulty walking, stair climbing, difficulty putting shoes and socks on, difficulty getting in and out of car/public transport
- Stiffness; in a very small proportion of patients stiffness alone may be an indication for surgery especially when there is functional disability
- Failed non-surgical treatment: painful hip and functional limitation despite a course of physiotherapy, pain medications and activity modifications
- X-ray changes – indicative of arthrosis with the above symptoms
2 or more of the above with Xray features are strong indications for surgery.
It is important to consult an orthopaedic surgeon early.