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Hip Osteoarthritis Treatment in Naples & Marco Island
Hip arthritis can quietly narrow your world — shorter walks, stiffness getting out of a chair, groin pain that flares with the wrong movement. This page is a comprehensive resource on how we evaluate and treat hip osteoarthritis at Timeless Interventional of Naples, with image-guided, non-surgical options for patients who aren't ready for — or want to delay — hip replacement.
SYMPTOMS
How hip arthritis feels.
The hallmark is groin or front-of-hip pain that's worse with weight-bearing and eases with rest, often with morning stiffness that loosens as you move. Many people notice it first with specific motions — putting on shoes and socks, getting in and out of a car, or rising from a low seat. Because hip pain can refer to the buttock, thigh, or knee, it's sometimes mistaken for a back or knee problem — which is why mapping the pain to its true source matters.
OVERVIEW
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.
InjuryMap, CC BY-SA 4.0 <https://creativecommons.org/licenses/by-sa/4.0>, via Wikimedia Commons
THE IMAGING QUESTION
Why your X-ray severity may not match your pain.
Hip X-rays and pain don't track as neatly as most people expect. Some patients with "bone-on-bone" arthritis on film walk comfortably with only occasional aches, while others with mild-looking changes have significant pain. The image is one piece of information — not the whole story. Inflammation, the surrounding muscles and tendons, gait mechanics, and contributions from the lower back and pelvis all shape how much a given hip actually hurts. That's why we treat you — your symptoms, your function, and your goals — not just the grade on your report.
TREATMENT
Treatment of hip osteoarthritis.
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.
Corticosteroid (cortisone) injections
Fast-acting, image-guided relief for a flare — best used selectively, since repeated steroids can accelerate cartilage wear over time.
Platelet-rich plasma (PRP)
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. See how PRP for the hip works in detail →
TREATMENT
Realistic expectations.
Non-surgical treatment won't regrow a worn hip joint, but for the right patient it can meaningfully reduce pain, improve walking distance, and buy real time — sometimes years — before replacement becomes necessary. Cortisone tends to work quickly but briefly; PRP is slower to build but longer-lasting and repeatable. We're honest about where you are on that spectrum, and equally honest about when a hip that's truly worn out is better served by a surgical consultation.
GOOD TO KNOW
Frequently asked questions
WHERE IS HIP ARTHRITIS PAIN USUALLY FELT?​
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Most often in the groin or front of the hip, and it can radiate to the buttock, thigh, or knee. Because of that referral pattern, hip arthritis is sometimes mistaken for a back or knee problem — a careful exam sorts out the true source.
CAN HIP OSTEOARTHRITIS BE TREATED WITHOUT SURGERY?
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Yes, especially for mild-to-moderate arthritis. Physical therapy, activity and weight adjustments, and image-guided injections (cortisone or PRP) can reduce pain and delay or avoid hip replacement for many patients.
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DOES PRP WORK FOR HIP ARTHRITIS?​
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For patients with mild-to-moderate hip osteoarthritis, PRP has growing evidence. It uses concentrated growth factors from your own blood, delivered under ultrasound guidance — slower to take effect than cortisone but longer-lasting and repeatable, without the cartilage concerns of repeated steroids.​
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DOES "BONE-ON-BONE" X-RAY MEAN I NEED A HIP REPLACEMENT?​
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Not necessarily. X-ray severity and pain often don't match, and some people with advanced-looking arthritis do well with non-surgical care. Replacement is a decision based on your pain, function, and goals — not on the image alone.
THE NEXT STEP
Our approach.
Dr. Chaturani Ranasinghe, MD is a double board-certified anesthesiologist and interventional pain physician with deep experience in image-guided and regenerative treatments, serving Naples, Marco Island, and greater Southwest Florida. If hip pain is limiting how you move, the best next step is a simple conversation about whether a non-surgical, image-guided approach can help.
Already get these injections, or here for the season? With recent imaging, we can often evaluate and treat you the same day or next — no insurance pre-authorization wait.