Hip Spurs (Femoroacetabular Impingement / Bone Spurs)

Overview

Hip spurs, also known as bone spurs or osteophytes, are bony growths that form around the hip joint—typically where the femur (thigh bone) meets the pelvis (acetabulum). These spurs often develop due to joint wear and tear, and may be associated with conditions like osteoarthritis or femoroacetabular impingement (FAI).

 

What Causes Hip Spurs?

• Osteoarthritis: As cartilage wears down, the body forms bone spurs in an attempt to stabilize the joint

• Repetitive motion or overuse, especially in athletes or active individuals

• Femoroacetabular impingement (FAI): An abnormal hip shape that causes friction during movement

• Previous hip injuries or surgeries

• Genetics or structural abnormalities in joint anatomy

 

Symptoms

• Groin or outer hip pain, often worse with activity

• Stiffness and reduced range of motion

• Clicking, catching, or locking sensations in the hip joint

• Pain with prolonged sitting, walking, or squatting

• Over time, hip spurs may contribute to labral tears or cartilage damage

 

Diagnosis

• Physical examination to assess pain location, motion, and joint mechanics

• X-rays to visualize bony overgrowth and joint space narrowing

• MRI may be ordered to assess cartilage, labral condition, or soft tissue irritation

• CT scans provide detailed images for surgical planning if needed

 

Treatment Options

Non-Surgical Treatment:

• Activity modification to avoid painful movements

• Anti-inflammatory medications (NSAIDs) to reduce pain and swelling

• Physical therapy to improve strength, flexibility, and joint stability

• Corticosteroid injections for temporary relief of inflammation

 

Surgical Treatment:

• Considered when conservative treatments fail or joint damage progresses

• Hip arthroscopy may be performed to shave down spurs, reshape the bone, and treat soft tissue damage

• In advanced cases, hip replacement may be recommended

 

Recovery and Rehabilitation

• Non-surgical care may relieve symptoms in early stages

• Post-operative recovery from arthroscopy involves limited weight-bearing initially, followed by physical therapy

• Most patients return to normal activities within 3–6 months depending on treatment