
Hip Osteoarthritis Treatment in Naples & Marco Island
Hip osteoarthritis often shows up gradually — groin pain, stiffness in the morning, difficulty getting in and out of the car or putting on socks — and progresses slowly enough that many patients adapt around it without realizing how much function they have lost. This page describes how we evaluate and treat hip osteoarthritis at Timeless Interventional of Naples, including the interventional and regenerative options that can extend comfort and function meaningfully.
What hip osteoarthritis is.
Hip osteoarthritis is degeneration of the cartilage and underlying bone of the hip joint, producing pain, stiffness, and reduced range of motion. Pain is most often felt in the groin or front of the hip, though it may radiate to the buttock, thigh, or knee. Activities like walking long distances, standing for extended periods, or specific motions — putting on shoes, getting up from a low chair — often become limiting.
How we evaluate.
Evaluation includes a focused history and physical exam, review of imaging, and assessment of the contributing factors that often go missed — gait mechanics, muscle imbalances, lumbar spine and pelvic contributions, and overall inflammatory status.
Treatment options.
Standard care includes physical therapy, weight management when relevant, and oral anti-inflammatory medications. Image-guided injections — including corticosteroid and, increasingly, PRP — provide a non-surgical option for patients with persistent symptoms.
PRP for hip osteoarthritis.
PRP for hip osteoarthritis is supported by growing evidence for patients with mild to moderate disease. The same principles as knee PRP apply — ultrasound-guided injection of concentrated growth factors from the patient's own blood, with slower onset but longer-lasting relief than cortisone, and a profile that allows it to be repeated without the cartilage concerns of chronic steroid use. We evaluate each patient individually to determine whether PRP is the right next step.
When to consider us.
A consultation makes sense if cortisone relief is short-lived, if you would prefer to avoid repeated steroid exposure, if you are not yet ready to consider hip replacement, or if you want to understand all of your options before choosing a path.
Our approach.
At Timeless Interventional of Naples, Dr. Chaturani Ranasinghe, MD, is a double board-certified anesthesiologist and interventional pain physician with extensive experience in image-guided procedures and regenerative treatment options. We serve patients across Naples, Marco Island, and the broader Southwest Florida region.

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