Coxarthrosis, also known as hip osteoarthritis, is a progressive wear of the cartilage in the hip joint that can lead to pain and restricted mobility. Typical symptoms include pain in the groin, which is especially pronounced during the first steps in the morning, difficulty putting on socks or tying shoes, and a gradual loss of movement. In advanced stages, parts of the femoral head may collapse, leading to an inability to walk. There are various treatment options for coxarthrosis, depending on the stage of the disease. Early stages can be improved with targeted exercises, physiotherapy, and focused pain management. In more advanced stages, the injection of cartilage-supporting substances into the joint can help delay the need for surgery. However, once the damage reaches a certain level, joint replacement surgery via minimally invasive approaches can relieve symptoms and enable a rapid restoration of mobility.

The hip impingement syndrome, also known as impingement, is a painful condition caused either by a tear of the labrum (the joint lip) or by a bony deformity. The labrum surrounds the hip socket like a seal and can become pinched between the acetabulum and the femoral head during certain movements, causing pain. A deformity of the bone at the junction between the femoral head and neck can also lead to painful impingement and tearing of the labrum. Symptoms typically include sudden, sharp pains in the groin area, which can be easily triggered during a clinical examination. A definitive assessment of the extent of damage is made via magnetic resonance imaging (MRI), often requiring the injection of contrast medium into the hip joint to precisely evaluate the injury. Treatment options for impingement and labral tears vary depending on the severity and cause. Possible treatments include injection of chondroprotective substances into the joint or a therapeutic hip arthroscopy. These interventions aim to relieve pain and restore mobility.

Avascular necrosis of the femoral head is a condition where bone tissue in the area of the femoral head dies. In the early stages, avascular necrosis is often accompanied by bone marrow oedema. Symptoms include pain in the groin that worsens when standing up and increasing restrictions in movement. In advanced necrosis, walking may become impossible and the hip joint can no longer bear weight. Treatments for avascular necrosis vary depending on the severity of the condition. In the early stage, treating the bone marrow oedema can help prevent further deterioration (e.g., through Ilomedin infusion therapy, offloading). In advanced cases, drilling and decompression of the bone or hip joint replacement with a total endoprosthesis may be necessary. There are modern, innovative therapies and technologies that can relieve pain and restore mobility. It is important to consult a doctor early to receive the best possible treatment.

Inflammations or injuries of the soft tissues near the hip include muscle strains, which can impair mobility for an extended period. Bursitis usually occurs spontaneously and can also cause pain at rest. Chronic tendon insertion irritations can have similar effects. Treatment is usually conservative.