• REGENORTHOSPORT HYDERABAD

Non-Surgical Alternatives for
Total Hip Replacement (THR) Treatment

Explore advanced non-surgical treatment options for hip conditions commonly treated with Total Hip Replacement (THR). Our approach focuses on managing hip pain, improving mobility, supporting joint function and preserving natural hip structures without immediate replacement surgery.
Talk to Our Hip Specialist

Understanding Total Hip Replacement (THR)

Total Hip Replacement is a surgical procedure that replaces damaged portions of the hip joint with artificial components. It is commonly considered for advanced hip osteoarthritis, severe joint damage and persistent symptoms that significantly affect mobility and quality of life. However, not every patient with hip pain requires immediate joint replacement. Depending on the underlying condition, severity of joint damage, cartilage health, activity level and response to previous treatment, non-surgical treatment can help manage symptoms and support natural hip function.


A comprehensive evaluation helps determine whether non-surgical treatment is appropriate and whether hip replacement can be delayed or avoided.

What Can Cause Hip Problems Requiring Total Hip Replacement?
Hip osteoarthritis
Cartilage degeneration
Hip labral injuries
Femoroacetabular impingement
Hip dysplasia
Avascular necrosis
Previous hip injuries
Hip fractures
Joint inflammation
Repetitive joint stress
Previous hip surgery
Structural abnormalities

Common Symptoms of Advanced Hip Problems

Hip pain
Groin pain
Pain extending into the thigh
Hip stiffness
Difficulty walking
Pain while climbing stairs
Difficulty getting up from a chair
Pain during exercise
Reduced hip range of motion
Difficulty putting on shoes or socks
Reduced activity tolerance
Difficulty participating in sports

When Should You See a Hip Specialist?

Seek a specialist evaluation if you experience:
Persistent hip or groin pain
Progressive hip stiffness
Difficulty walking
Pain while climbing stairs
Pain during exercise
Reduced hip movement
Difficulty performing daily activities
Symptoms following a hip injury
X-ray-confirmed hip arthritis
Persistent symptoms despite conservative treatment
Increasing dependence on pain medication
Significant reduction in activity
Early assessment helps identify whether arthritis, cartilage damage, labral pathology, avascular necrosis or another condition is contributing to hip symptoms and whether non-surgical treatment is appropriate.

Conditions Associated With Total Hip Replacement

Hip Osteoarthritis

Symptoms

  • Groin pain
  • Hip pain
  • Stiffness
  • Reduced range of motion
  • Pain while walking
  • Difficulty climbing stairs
  • Pain during exercise
  • Difficulty with daily activities

Causes

Hip osteoarthritis can develop from age-related joint changes, previous injuries, abnormal joint structure, hip dysplasia, repetitive stress and other factors that affect the hip joint.

Diagnosis

X-rays help evaluate joint-space narrowing, bone changes and arthritis severity. MRI can provide additional information about cartilage, labrum, bone and surrounding soft tissues.

Non-Surgical Treatment

Treatment can include physical therapy, strengthening, activity modification, weight management, High-Concentrated PRP, High Concentrated Platelets (HCP), BMAC, Platelet Lysate and other regenerative orthopedic approaches when appropriate.

Symptoms

  • Groin pain
  • Hip pain
  • Pain while walking
  • Stiffness
  • Reduced hip movement
  • Difficulty exercising
  • Progressive activity limitations

Causes

Avascular necrosis occurs when blood supply to the femoral head becomes compromised, leading to bone damage. Causes and risk factors can include certain medications, alcohol exposure, trauma and other medical conditions.

Diagnosis

MRI is particularly useful for identifying early bone changes and determining the extent of involvement.

Non-Surgical Treatment

Treatment depends on the stage and severity of the condition. Non-surgical approaches can include activity modification, rehabilitation, image-guided treatments and regenerative orthopedic approaches such as BMAC when clinically appropriate.

Symptoms

  • Hip pain
  • Groin discomfort
  • Stiffness
  • Clicking
  • Reduced range of motion
  • Pain during exercise
  • Difficulty with certain movements

Causes

Cartilage damage can result from injury, repetitive loading, hip impingement, arthritis or structural abnormalities.

Diagnosis

MRI can provide detailed information about cartilage, labrum, bone and other joint structures.

Non-Surgical Treatment

Treatment can include rehabilitation, activity modification, High-Concentrated PRP, HCP, BMAC, Platelet Lysate and other regenerative orthopedic approaches based on the underlying condition.

Symptoms

  • Groin pain
  • Clicking or catching
  • Hip stiffness
  • Pain during activity
  • Pain with prolonged sitting
  • Reduced hip mobility
  • Difficulty exercising

Causes

Labral injuries can occur because of sports injuries, repetitive hip movements, hip impingement, structural abnormalities or trauma.

Diagnosis

Clinical examination and MRI can help evaluate the labrum, cartilage and other hip structures.

Non-Surgical Treatment

Treatment can include physical therapy, movement modification, strengthening, activity modification and appropriate regenerative orthopedic treatments when clinically appropriate.

Signs You Shouldn't Ignore

Persistent hip or groin pain should not be ignored, particularly when symptoms begin affecting walking, exercise or daily activities. These symptoms can indicate arthritis, cartilage damage, labral pathology, avascular necrosis or another hip condition.
Watch for:
  • Persistent hip pain
  • Groin pain
  • Progressive stiffness
  • Difficulty walking
  • Pain while climbing stairs
  • Pain during exercise
  • Reduced hip movement
  • Difficulty sitting or standing
  • Difficulty putting on shoes or socks
  • Symptoms following a hip injury
  • Progressive reduction in activity
  • Pain that continues despite conservative treatment
A specialist evaluation helps identify the underlying problem and determine whether non-surgical hip treatment is appropriate.

How We Diagnose Hip Problems Before Replacement

Accurate diagnosis is essential before deciding whether Total Hip Replacement is necessary. At RegenOrthoSport, the hip is evaluated comprehensively to understand joint health, structural changes and the underlying cause of symptoms.

Medical History

The evaluation includes symptom duration, previous injuries, activity level, previous treatments, medical history and how hip pain affects daily activities.

Physical Examination

The hip is assessed for range of motion, strength, stability, gait, tenderness and pain during specific movements.

X-rays

X-rays help evaluate joint-space narrowing, bone changes, arthritis severity and structural abnormalities.

MRI

MRI provides detailed information about cartilage, labrum, bone, tendons and other soft-tissue structures. It is particularly useful when evaluating cartilage damage, labral injuries and avascular necrosis.

Ultrasound

Musculoskeletal ultrasound can assess certain surrounding soft-tissue structures dynamically and can support image-guided treatment when clinically appropriate.

Functional Assessment

Walking pattern, mobility, strength, balance, movement mechanics and activity limitations are evaluated to understand how the hip condition affects function.

Non-Surgical Alternatives to Total Hip Replacement

High Concentrated PRP Therapy

How It Works

High-Concentrated PRP or High Concentrated Platelets uses a concentrated preparation of the patient’s own blood platelets. Platelets contain growth factors and signaling proteins involved in the body’s natural healing processes. High-Concentrated PRP can be delivered to the hip joint or appropriate surrounding structure using image guidance when clinically appropriate.

Benefits

  • Helps manage hip pain
  • Supports the body's healing environment
  • Supports hip function
  • Supports mobility
  • Uses the patient's own blood
  • Can complement rehabilitation
  • Supports joint-preservation strategies

Recovery

Post-treatment instructions are personalized according to the underlying hip condition and treatment performed. Rehabilitation can be incorporated to restore strength, mobility and functional movement.

Bone Marrow Concentrate (BMAC)

Bone Marrow Concentrate is a regenerative orthopedic treatment prepared from the patient’s own bone marrow. It contains concentrated cells and other components that support the body’s healing environment. BMAC can be considered for appropriate bone, cartilage and joint conditions following a detailed evaluation.

Potential Benefits

  • Supports tissue healing
  • Helps manage hip pain
  • Supports joint function
  • Supports recovery
  • Can complement rehabilitation
  • Focuses on natural joint preservation

Stem Cell Therapy

Ideal Candidates

Stem cell-based treatment can be considered for appropriate patients with:
  • Hip osteoarthritis
  • Cartilage injuries
  • Bone and joint conditions
  • Avascular necrosis
  • Sports-related hip injuries
  • Joint degeneration
  • Persistent hip pain
  • Patients seeking non-surgical treatment options
  • Patients seeking to preserve natural hip structures

Procedure

A cell-based preparation is collected from an appropriate source, processed and delivered to the affected hip structure using image guidance when clinically appropriate.

Benefits

  • Supports the body's healing environment
  • Helps manage symptoms
  • Supports hip function
  • Can complement rehabilitation
  • Focuses on preserving natural joint structures
Treatment is based on the underlying hip condition, imaging findings, stage of joint damage and overall joint health.

Platelet Lysate Therapy

Platelet Lysate is a preparation containing concentrated growth factors derived from platelets. It is used in orthopedic care for appropriate cartilage, bone, tendon, ligament, joint and other musculoskeletal conditions.

Potential Benefits

  • Supports the body's healing environment
  • Helps manage symptoms
  • Supports recovery
  • Can complement rehabilitation
  • Supports hip function
The doctor determines whether Platelet Lysate is appropriate based on the underlying condition, imaging findings and overall hip health.

Physical Therapy and Rehabilitation

Rehabilitation is an important component of non-surgical treatment for many hip conditions. A structured program can focus on:
  • Strengthening the hip muscles
  • Strengthening the glutes
  • Strengthening the core
  • Improving hip mobility
  • Improving flexibility
  • Improving balance
  • Improving gait mechanics
  • Improving movement patterns
  • Reducing excessive joint loading
  • Improving functional movement
  • Gradually returning to exercise
The rehabilitation plan is customized according to the underlying hip condition and the patient’s functional goals.

Activity Modification

Activity modification can reduce excessive stress on the hip while maintaining appropriate movement and strength.


This can include:

  • Modifying high-impact activities
  • Reducing repetitive hip loading
  • Adjusting sports participation
  • Improving movement mechanics
  • Cross-training with lower-impact activities
  • Gradually increasing activity
  • Avoiding movements that significantly aggravate symptoms

Who Is a Good Candidate for Non-Surgical Hip Treatment?

Non-surgical treatment can be considered for appropriate patients with:


A thorough clinical and imaging assessment is necessary before determining the appropriate treatment. Advanced joint destruction, severe structural abnormalities, femoral head collapse or other conditions requiring mechanical reconstruction require detailed specialist assessment before choosing between non-surgical and surgical treatment.

1Early or moderate hip osteoarthritis

2Hip cartilage damage

3 Labral injuries

4 Avascular necrosis at appropriate stages

5 Sports-related hip injuries

6 Persistent hip pain

7 Joint degeneration

8 Patients seeking to preserve natural hip structures

9 Patients seeking alternatives to hip replacement

10 Patients who want to explore non-surgical treatment before surgery

Why Choose
RegenOrthoSport?

Choosing the right treatment for a hip condition starts with an accurate diagnosis. At RegenOrthoSport, the focus is on understanding joint health, cartilage and labral condition, bone health, symptoms and functional requirements before recommending treatment.

Specialized Hip Expertise

Our team focuses on hip arthritis, joint preservation, sports-related hip conditions and regenerative orthopedic treatment.

Regenerative Medicine Focus

We provide image-guided regenerative treatments including High-Concentrated PRP, High Concentrated Platelets, Bone Marrow Concentrate (BMAC), Platelet Lysate and cell-based treatments for appropriate orthopedic conditions.

Personalized Treatment

Every treatment plan is based on the underlying diagnosis, severity of joint damage, imaging findings, activity level, associated conditions and recovery goals.

Advanced Diagnostics

Clinical examination, X-rays, MRI, ultrasound and functional assessment help establish an accurate understanding of the hip condition.

Rehabilitation Support

Structured rehabilitation helps restore hip strength, mobility, stability, movement mechanics and overall function.

Focus on Joint Preservation

The goal is to preserve natural hip structures and support joint function whenever non-surgical treatment is clinically appropriate.

Benefits of Non-Surgical Hip Treatment

Why Consider Non-Surgical Treatment?
  • Focuses on preserving natural hip structures
  • Helps manage hip pain
  • Supports hip function
  • Supports mobility
  • Can improve functional capacity
  • Avoids immediate replacement surgery when clinically appropriate
  • Can incorporate regenerative orthopedic treatments
  • Includes personalized rehabilitation
  • Supports return to exercise and daily activities
  • Focuses on joint preservation

Your Recovery

Within Days

Follow personalized activity instructions while managing symptoms and avoiding activities that aggravate the hip.

Within Weeks

Progress through mobility, strengthening and functional exercises under professional guidance.

Within Months

Continue building hip strength, mobility and stability with gradual progression toward daily activities, exercise and sports.

  • Meet Our Orthopedic Stem Cell Specialists

Care led by experienced physicians

Dr. Venkatesh Movva

Founder, RegenOrthoSport

Dr. Venkatesh Movva is the Founder of RegenOrthoSport and a fellowship-trained Sports Medicine physician with board certification in Pain Management. With more than three decades of clinical experience, Dr. Movva has dedicated his career to advancing regenerative orthopedic medicine and helping patients find effective alternatives to surgery.

His expertise includes the treatment of knee arthritis, sports injuries, tendon and ligament disorders, spine conditions, and joint preservation procedures. Through a patient-centered approach, Dr. Movva focuses on restoring function, reducing pain, and helping patients maintain an active lifestyle while preserving their natural joints whenever possible.

Dr. Anand Alluru

Orthopedic & Regenerative Medicine Specialist

Dr. Anand Alluru is an Orthopedic and Regenerative Medicine specialist at RegenOrthoSport Hyderabad with advanced training in orthopedics, sports injuries, and joint preservation procedures. He is dedicated to helping patients explore non-surgical and minimally invasive alternatives to surgery through evidence-based regenerative orthopedic treatments.

With extensive experience in regenerative orthopedics and advanced image-guided procedures, Dr. Alluru works closely with patients to develop personalized treatment plans aimed at promoting healing, improving mobility, and providing effective alternatives to surgery when clinically appropriate.
  • Voice of Trust

Testimonials

  • Frequently Asked Questions

Frequently asked
questions

What are the early signs of hip joint damage?

Early hip joint problems can cause groin pain, stiffness, reduced hip movement, discomfort while walking, or difficulty putting on shoes and socks. Symptoms can vary depending on the underlying condition.

Hip arthritis commonly causes pain in the groin, but discomfort can also be felt in the outer hip, buttock, thigh, or sometimes the knee.

Damage to the hip joint can cause pain and stiffness during weight-bearing movement. Over time, reduced joint mobility and muscle weakness can also affect walking patterns.

Hip pain can result from osteoarthritis, avascular necrosis, cartilage damage, labral injuries, tendon problems, bursitis, fractures, sports injuries, or other musculoskeletal conditions.

Hip joint preservation focuses on managing the underlying condition while maintaining the patient’s natural hip joint whenever clinically appropriate. Treatment can involve rehabilitation, activity modification, and regenerative orthopedic approaches.

A physician evaluates symptoms, performs a physical examination, and reviews imaging. X-rays and MRI can provide information about joint structure, cartilage, bone, labrum, and surrounding tissues.

The physician considers the extent of joint damage, cartilage condition, bone health, alignment, symptoms, functional limitations, underlying diagnosis, and imaging findings when evaluating joint-preservation options.

Rehabilitation can improve muscle strength, flexibility, movement patterns, balance, and functional capacity. It does not physically restore severely destroyed joint surfaces, so the underlying diagnosis remains important.

Maintaining a healthy body weight can reduce mechanical stress on weight-bearing joints and support mobility. A physician or rehabilitation professional can help develop an appropriate activity and weight-management strategy.

High-Concentrated Platelets are prepared from the patient’s own blood and used in certain musculoskeletal conditions. The treatment is intended to support the body’s natural healing response and manage symptoms in appropriate cases.

Bone Marrow Stem Cell Therapy uses material obtained from the patient’s own bone marrow. After preparation, it can be administered to the appropriate treatment area using image guidance when clinically indicated.

No single treatment is appropriate for every hip condition. A physician evaluates the diagnosis, imaging, severity of tissue damage, symptoms, and overall joint condition before recommending Bone Marrow Stem Cell Therapy.

Certain hip labral injuries can be managed with non-surgical care, including rehabilitation and appropriate regenerative orthopedic treatments. The treatment approach depends on the type of injury and associated joint abnormalities.

Yes. Tendon injuries around the hip can cause pain during walking, running, climbing stairs, or specific movements. Clinical examination helps distinguish tendon-related pain from pain originating inside the hip joint.

Hip joint preservation aims to maintain the patient’s natural hip when appropriate, whereas hip replacement removes damaged joint surfaces and replaces them with artificial components. The two approaches address different levels and types of joint damage.

Avascular necrosis occurs when blood supply to the femoral head is disrupted, which can lead to bone damage and, in advanced stages, structural collapse. Early diagnosis is important when considering joint-preservation options.

Early-stage avascular necrosis can be evaluated for treatments aimed at preserving the femoral head. The appropriate approach depends on the stage of the condition and imaging findings.

Maintaining appropriate physical activity, strengthening the muscles around the hip, avoiding activities that consistently aggravate symptoms, and addressing contributing factors can help support hip function.

Image guidance allows the physician to accurately identify the intended treatment area and guide the injection to the appropriate anatomical structure. This is particularly useful when treating deeper structures such as the hip joint.

The evaluation typically includes a review of your symptoms and medical history, physical examination, and assessment of relevant imaging. The physician then discusses the diagnosis and treatment options based on the condition of the hip and your functional needs.

See more

Visit RegenOrthoSport Hyderabad

First Floor, Bilwa 45, Plot No 1057-A, Road No 45, Jubilee Hills, Hyderabad, Telangana 500033

Get Directions

Orthopedic Main Web Form