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Réhabital

Hip Osteoarthritis (Coxarthrosis) Treatment

Groin pain when walking, morning stiffness and trouble putting on socks are classic signs of hip osteoarthritis. At Rehabital in Cote Saint Luc we combine physiotherapy, osteopathy and massage therapy to improve mobility and walking tolerance.

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Understanding This Condition

Hip osteoarthritis involves progressive cartilage wear along with changes in the underlying bone, the capsule and surrounding muscles. Imaging does not tell the whole story: badly degraded X-rays can come with little pain, and the reverse is also true. What really drives quality of life is hip muscle strength, available range in rotation and extension, and the ability to walk without compensating — exactly what rehabilitation targets. International guidelines place therapeutic exercise and education first, ahead of injections and well ahead of surgery.

Common Symptoms

Groin pain, sometimes radiating to the thigh or buttock.
Morning stiffness lasting under 30 minutes.
Loss of internal rotation of the hip.
Difficulty putting on socks and shoes.
Limping or leg fatigue after longer walks.
Night pain in later stages.

Common Causes

Age and cumulative load

Cartilage wear increases over decades, particularly with heavy physical work.

Hip morphology

Femoroacetabular impingement or dysplasia alters load distribution and accelerates wear.

Previous injury

Fracture, dislocation or labral tears raise the risk of early osteoarthritis.

Muscle weakness and inactivity

Weak glutes leave the joint absorbing more load with every step.

Our Treatment Approach

We assess joint range, abductor and extensor strength, gait quality and functional capacity (sit-to-stand, step-up). The physiotherapy program combines progressive glute and quadriceps strengthening, mobility work into rotation and extension, and gait retraining. Osteopathy releases the capsule, psoas and pelvis to restore usable range, and massage therapy eases lumbar and TFL compensations. We also discuss weight management, activity choices (cycling, swimming, interval walking) and when a cane is genuinely helpful.

What to Expect at Your First Visit

The initial assessment takes about 60 minutes. An 8 to 12 week exercise program done two to three times a week usually produces meaningful pain reduction and better walking distance.

At-Home Self-Care Tips

  • Move daily — an arthritic hip stiffens with inactivity.
  • Favour stationary cycling and pool work to maintain range.
  • Strengthen glutes two to three times per week.
  • Avoid long periods of motionless standing.
  • Use a cane on the opposite side for long walks if needed.

Prognosis & Recovery Timeline

Osteoarthritis is not cured, but pain and function improve markedly in most people who follow an exercise program. Many delay surgery by years, and those who do have surgery recover better when they arrive fit.

When to See Us at Réhabital

Come in as soon as walking or sleep are affected. Sudden severe pain after a fall, or inability to bear weight, needs urgent medical assessment.

Why Réhabital Clinic

We pair a rigorous physiotherapy exercise program with osteopathic manual work on the pelvis, which improves mobility faster than either approach alone.

Why Choose Réhabital?

Less pain when walking
Improved internal rotation range
Targeted glute strengthening
Better tolerance for daily activities
Optimised surgical prehab or recovery
Relief of lumbar compensation

Frequently Asked Questions

Address

D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5

Hours

Mon–Fri: 10AM–8PM
Sun: 10AM–4PM

Relieve Your Pain Today

Book online or call us for a comprehensive assessment with our qualified professionals.

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First visit: 10% off

Receive 10% off your first visit to Réhabital clinic in Côte Saint-Luc, on the Island of Montréal. Physiotherapy is excluded. This offer applies to your first clinic visit, not a first visit in each specialty.

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