Bone-on-bone hip pain is a common condition, particularly among older adults, often linked to osteoarthritis. This painful situation arises when the cartilage that cushions the hip joint wears away, causing the bones to rub against each other. In Los Angeles, Dr. Farzin Kabaei, MD, a board-certified orthopedic surgeon trained in robotic-assisted joint replacement, specializes in treating this condition.
He offers a range of treatment options to help patients regain mobility and reduce discomfort. His approach is patient-centered, focusing on both immediate relief and long-term management strategies.
Dr Kabaei is an amazing surgeon in his specialty of hip surgery. I recently had the direct anterior type of hip surgery at St Johns Santa Monica Hospital conducted by Dr Kabaei, I have completely recovered with no signs of any pain. Dr Kabaei and his team were extremely knowledgeable about the pre and post procedure patient experience. He uses the latest, cutting edge, minimally invasive technology allowing the patient to recover with speed and low pain. All my questions and concerns were expertly answered by the team. Dr Kabaei is a true expert in his field and i highly recommend him. His patient interaction is extremely compassionate, considerate, flexible and most of all trustworthy.
Bone-On-Bone Hip Pain Symptoms To Recognize
Recognizing the symptoms of bone-on-bone hip pain is crucial for early intervention. Common signs include:
- Stiffness in the hip joint, especially after sitting for long periods.
- Pain during movement, which may worsen with activity.
- A reduced range of motion, making it difficult to perform daily tasks.
These symptoms can significantly impact your quality of life, making it essential to seek medical advice if you experience them. Dr. Kabaei can help identify the underlying causes and recommend appropriate treatment options that meet your needs. Early diagnosis can lead to more effective management and may delay the need for surgical intervention.
Recognizing these symptoms early can also help start discussions about lifestyle changes to reduce discomfort. These may include changes in physical activity or ergonomic adjustments in daily routines.
Causes Of Bone-On-Bone Hip Pain In Older Adults
Bone-on-bone hip pain is primarily caused by the degeneration of cartilage due to osteoarthritis. Other contributing factors include:
- Obesity, which increases stress on the hip joints.
- Previous injuries that may have damaged the joint.
- Genetic predisposition to joint issues.
Grasp these causes can help in managing the condition effectively. Dr. Kabaei emphasizes the importance of addressing these factors to slow the progression of hip pain. For example, weight loss can reduce pressure on the hip joint. Targeted exercises can strengthen the surrounding muscles.
This provides better support and stability. Lifestyle factors such as diet and hydration also play a role in joint health. Proper nutrition helps maintain cartilage integrity and overall joint function.


Effective Non-Surgical Treatments For Hip Pain
Non-surgical treatments are often the first line of defense against bone-on-bone hip pain. Options include:
- Weight management to reduce stress on the hip joint.
- Physical therapy to strengthen surrounding muscles and improve flexibility.
- Non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation.
These treatments can help manage symptoms and improve mobility without the need for surgery. Dr. Kabaei works closely with patients to develop a personalized treatment plan that may include these non-invasive options. Lifestyle modifications, such as low-impact exercises like swimming or cycling, can enhance joint function and reduce discomfort.
Complementary therapies such as acupuncture or massage may provide relief and support well-being. These therapies can be valuable additions to traditional treatment methods.
Role Of Physical Therapy In Managing Hip Pain
Physical therapy plays a vital role in managing bone-on-bone hip pain. A physical therapist can design a program that focuses on:
- Strengthening the muscles around the hip joint.
- Improving flexibility and range of motion.
- Teaching proper movement techniques to reduce strain on the hip.
Regular physical therapy sessions can help you regain strength and mobility, making daily activities easier and more enjoyable. Dr. Kabaei often recommends physical therapy as part of a treatment approach. Therapists may use modalities such as ultrasound or electrical stimulation to enhance healing and reduce pain during rehabilitation.
Education on self-management techniques is also key. This empowers patients to take an active role in their recovery and prevent future injuries.
Corticosteroid Injections For Hip Pain Relief
For more severe cases of bone-on-bone hip pain, corticosteroid injections may be considered. These injections can provide temporary relief by reducing inflammation in the hip joint. While they do not reverse cartilage loss, they can improve comfort and function. Dr. Kabaei evaluates each patient’s situation to determine if corticosteroid injections are a suitable option for managing hip pain.
These injections are typically used as part of a broader treatment strategy rather than a standalone solution. Patients should be informed about potential side effects and the frequency of injections to ensure appropriate use.
When To Consider Surgical Options For Hip Pain
If non-surgical treatments fail to provide adequate relief, surgical options may be necessary. Common surgical interventions include:
- Robotic-assisted total hip replacement using the Mako robotic-assisted joint replacement system.
- Direct anterior hip replacement, which minimizes muscle damage.
Dr. Kabaei has extensive experience with these procedures and can help you understand the potential benefits and risks involved. Surgery is typically considered when pain significantly limits your daily activities and quality of life. Also, he discusses post-operative rehabilitation plans to ensure optimal recovery and long-term success. Grasp the surgical process, including recovery timelines and expected outcomes, can help patients feel more prepared and confident in their decision to proceed with surgery.
Follow-Up Care For Bone-On-Bone Hip Pain
After treatment for bone-on-bone hip pain, follow-up care is essential. Regular check-ups allow Dr. Kabaei to monitor your progress and adjust your treatment plan as needed. This ongoing care can help ensure that you maintain mobility and manage any lingering symptoms effectively. He may also suggest imaging studies from time to time to check the hip joint.
This helps address any changes quickly. Follow-up appointments also give patients a chance to discuss new concerns or challenges during recovery.

Frequently Asked Questions
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Bone-on-bone hip pain is mainly caused by the wear and tear of cartilage due to osteoarthritis. Other factors include obesity, past injuries, and genetic predisposition, all of which can contribute to the degeneration of the hip joint.
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Initial treatments often include weight management, physical therapy, and non-steroidal anti-inflammatory drugs (NSAIDs). These methods aim to reduce pain and improve mobility without the need for surgery.
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Surgery may be necessary if non-surgical treatments do not relieve your pain effectively. Dr. Kabaei will evaluate your situation and discuss surgical options like robotic-assisted hip replacement if your daily activities are significantly affected.
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Physical therapy focuses on strengthening the muscles around the hip joint and improving flexibility. Regular sessions can help you regain mobility and make daily activities easier.
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Corticosteroid injections can provide temporary relief by reducing inflammation in the hip joint. While they don’t reverse cartilage loss, they can improve comfort and function as part of a broader treatment plan.

Why Choose Us For Bone-On-Bone Hip Pain Treatment?
At our practice in Los Angeles, we focus on treating bone-on-bone hip pain with a personalized approach. Dr. Farzin Kabaei, MD, is a board-certified orthopedic surgeon with extensive experience in joint care. He has performed over 2,000 hip replacements, including more than 1,000 robotic-assisted procedures using the Mako system. This experience allows him to customize treatment plans to fit each patient’s unique needs.
We offer a range of treatment options, from non-surgical methods like physical therapy and corticosteroid injections to advanced surgical techniques. Our practice utilizes the Mako robotic-assisted joint replacement system, which enhances precision and can lead to quicker recovery times. We prioritize patient education, ensuring you understand your options and feel confident in your treatment journey.
Dr. Farzin Kabaei, MDExplore Treatment Options For Your Hip Pain Today
If you’re experiencing bone-on-bone hip pain in Los Angeles, it’s time to explore your treatment options. Dr. Farzin Kabaei, MD, is dedicated to helping you regain mobility and improve your quality of life. Contact our practice today to schedule a consultation and take the first step toward relief. With an approach that combines advanced surgical techniques and non-surgical care, you can look forward to a more active and fulfilling lifestyle.