Conditions We Treat
1. Hip Arthritis
Hip arthritis occurs when the smooth cartilage that cushions the ball-and-socket joint wears away, causing the bones to rub together. This leads to pain, stiffness, and swelling, making activities like walking, climbing stairs, or standing up difficult. Pain is usually felt in the groin or outer hip and may radiate down the thigh.
Why It Happens:
Most cases develop gradually due to wear and tear (osteoarthritis), previous injury, or inflammatory conditions such as rheumatoid arthritis. Age, genetics, excess weight, and repetitive strain increase the risk.
Common Symptoms:
Groin or hip pain, worse with movement
Morning or post-rest stiffness
Reduced flexibility and mobility
Occasional swelling or tenderness
Clicking or grinding in the joint
Treatment and Management:
Most patients benefit from:
Activity changes: Avoiding high-impact movements
Exercise: Gentle strengthening and low-impact activity like swimming or cycling
Weight management: Reducing stress on the joint
Medication: Pain relief or anti-inflammatory treatment
In advanced cases, hip replacement surgery can relieve pain and restore mobility. The goal is lasting comfort and independence.
2. Hip Replacement
When is Hip Replacement Needed?
Hip replacement surgery is usually considered when hip pain and stiffness severely affect daily life and other treatments—like medication, exercise, or lifestyle changes—no longer help.
What Happens During Surgery:
During hip replacement, the damaged parts of the hip joint are removed and replaced with artificial components. These are carefully designed to mimic the natural movement of your hip, reduce friction, and relieve pain.
Benefits of Hip Replacement:
Significant reduction in hip pain
Improved mobility and range of motion
Easier participation in everyday activities like walking, climbing stairs, or standing up from a chair
Increased confidence and independence
Recovery:
With modern surgical techniques, most patients experience lasting improvement. Rehabilitation, including physiotherapy, is an important part of recovery to strengthen muscles and restore normal movement.
3. Trochanteric Bursitis / Greater Trochanteric Pain Syndrome
What is GTPS?
Greater Trochanteric Pain Syndrome (GTPS), also known as trochanteric bursitis, is a common cause of pain on the outer side of the hip. It occurs when the bursa—a small fluid-filled sac that cushions tendons—and nearby soft tissues become irritated or inflamed. Unlike arthritis, GTPS affects the tissues around the hip rather than the joint itself.
Symptoms:
Pain on the outer hip, sometimes radiating down the thigh
Discomfort when walking, climbing stairs, or standing for long periods
Pain when lying on the affected side
Tenderness or mild swelling over the outer hip
Occasional clicking or snapping sensation
Why it Happens:
GTPS often results from overuse, muscle weakness, poor posture, or minor injury. It’s more common in people who run, cycle, or stand for long hours, and may also occur in women or those with hip arthritis.
Treatment and Management:
Most people recover well without surgery through:
Activity modification: Avoiding movements that trigger pain
Pain relief: Anti-inflammatory medication or topical creams
Physiotherapy: Targeted stretching and strengthening for hip muscles
Injections: Corticosteroid injections for persistent inflammation
With consistent care, most patients regain comfort, mobility, and return to daily activities with little or no pain.
4. Pubic symphysis pain
Pubic symphysis pain is discomfort at the joint at the front of the pelvis where the two pelvic bones meet. This joint allows slight movement for balance and shock absorption, but irritation or instability can cause pain.
Symptoms:
Pain in the front of the pelvis or groin
Discomfort when walking, climbing stairs, or turning in bed
Sharp or aching pain that worsens with activity
A sense of pelvic instability
Why It Happens:
Pregnancy or postpartum changes: Hormonal effects loosen ligaments
Repetitive activity: Running, twisting, or heavy lifting
Pelvic weakness or injury: Reduced muscle support or past trauma
Treatment and Management:
Activity modification: Avoiding painful movements
Pain relief: Ice, gentle heat, or medication
Exercise: Strengthening core and pelvic muscles
Support: Pelvic belts for added stability
With proper care, most people experience lasting relief and can return to normal activity safely.
5. Hip Impingement Syndrome (FAI)
Femoroacetabular impingement, or hip impingement, occurs when the ball and socket of the hip joint don’t fit together perfectly. Extra bone or an irregular shape in either part causes friction during movement, which can irritate or damage the cartilage and labrum (the ring of cartilage that stabilizes the joint).
Types:
Cam: Extra bone on the femoral head causes jamming.
Pincer: The socket covers too much of the ball, pinching cartilage.
Combined: Features of both cam and pincer types.
Symptoms:
Deep groin or front-hip pain
Pain with sitting, twisting, or squatting
Stiffness and reduced movement
Clicking or catching in the joint
Discomfort after prolonged activity
Why It Happens:
FAI usually develops from small differences in hip shape during growth. It’s common in active young adults and athletes, especially in sports involving hip rotation like football, hockey, or dance.
Treatment and Management:
Activity modification: Avoid deep bending or twisting
Exercise therapy: Strengthen and stretch hip muscles
Pain relief: Anti-inflammatory medication or injections
Surgery (if severe): Reshape bone and repair damaged tissue
With proper care, most patients regain comfort, mobility, and return to normal activities.
6. Snapping Hip
Snapping hip syndrome is a sensation or sound — a snap or pop — that occurs when a tendon or muscle moves over a bony part of the hip joint. It’s usually harmless but can sometimes cause pain, stiffness, or inflammation if tissues become irritated.
Types:
External: The iliotibial (IT) band or gluteus maximus tendon slides over the outer hip bone.
Internal: The iliopsoas tendon moves over bony areas at the front of the hip.
Intra-articular: Caused by something inside the joint, such as a loose fragment or labral tear.
Symptoms:
Snapping or clicking when walking, bending, or standing up
Feeling of the hip “catching” during movement
Pain or tenderness at the front or side of the hip
Tightness or stiffness after activity
Mild swelling if tendons become irritated
Why It Happens:
Often due to tight or imbalanced muscles, repetitive movements (running, dancing, cycling), or natural hip shape differences. It can also appear during growth spurts or with high activity levels.
Treatment and Management:
Activity modification: Limit repetitive or high-impact movements
Stretching and strengthening: Focus on hip flexors, IT band, and glutes
Physiotherapy: Improve flexibility and muscle balance
Pain relief: Ice, rest, or anti-inflammatory medication
Surgery (rare): For persistent structural causes
Most people recover fully with proper care and can return to normal activity comfortably
Book Your Consultation
Get expert advice and personalized treatment from Mr. Bokhari and his team. Click below to book your appointment or contact directly.
Rehabilitation After Hip Replacement
After hip replacement surgery, recovery focuses on helping your body adjust to the new joint and rebuilding strength around it. Your muscles and soft tissues need time and gentle exercise to heal and support smooth movement.
Goals of Rehabilitation:
To reduce pain and stiffness, restore joint mobility, and improve strength and balance for a safe return to daily activities.
What to Expect:
Pain and swelling control: Medication, ice, and rest for comfort
Early movement: Light exercises soon after surgery to prevent stiffness
Physiotherapy: Guided sessions to build flexibility and walking ability
Walking aids: Crutches or a frame at first, then walking independently
Lifestyle advice: Safe ways to sit, bend, and move to protect your hip
Outlook:
With proper care, most people regain smooth walking, independence, and long-term comfort within a few months. Regular follow-ups and gradual activity help keep the new hip strong and mobile.
Revision Hip Replacement
A revision hip replacement is a second surgery done when a previous hip replacement wears out, becomes loose, or causes pain. Over time, the implant may weaken, shift, or become infected. In this procedure, the old parts are removed and replaced with new components to restore stability and comfort.
Why It May Be Needed:
Loosening or wear of the artificial joint
Infection in the hip
Dislocation or instability
Bone loss or damage around the implant
Persistent pain or stiffness
Recovery and Rehabilitation:
Recovery can take slightly longer than the first surgery. The focus is on:
Pain control: Medication and gentle movement
Physiotherapy: Strengthening muscles and improving stability
Gradual mobility: Progressing from walking aids to independent movement
Confidence and independence: Regaining comfort in daily activities
Outlook:
With careful management and consistent physiotherapy, most patients regain mobility, comfort, and independence. Regular exercise and follow-up help protect the new joint for years to come.
Frequently Asked Questions (FAQs)
At the Lancashire Hip Clinic & Lancashire Knee Clinic, we believe that an informed patient is a confident patient. Below are answers to the most common questions regarding our specialist treatments and the surgical journey.
Not necessarily. Our team prioritise a "patient-first" approach. Many conditions can be successfully managed through non-operative pathways, such as targeted physiotherapy with our partners at The Beardwood Hospital, lifestyle modifications, or ultrasound-guided injections. Surgery is only recommended when conservative treatments no longer provide the quality of life you deserve.
Think of it as GPS for your joint. We use advanced software to map your unique anatomy before and during the procedure. This ensures the new joint is aligned with sub-millimeter precision, which can improve the "feel" of the joint and potentially extend its lifespan.
Thanks to our Enhanced Recovery Programme (ERP), many patients are up and walking within hours of their surgery. While full biological healing takes time, most patients return to light activities and driving within 4 to 6 weeks, depending on the complexity of the procedure.
A revision is a specialized procedure performed to replace or repair an existing joint implant that has worn out, become loose, or failed. These are highly complex cases that require the elite level of expertise found at the Wrightington-trained Lancashire Hip Clinic.
This is "keyhole" surgery. Using a tiny camera and specialized instruments, Our team can repair torn cartilage or ligaments through small incisions. This results in less scarring, less pain, and a much faster return to the sports you love. Mr Arshad is a leading ACL repair surgeon in this part of the country, and a few who operate on children ACLs.
Preparation Checklist for Your Surgery
To ensure the best possible outcome, we recommend the following steps:
Optimize Health
Reduce or quit smoking to improve bone healing and recovery.
Pre-Hab
Do light physiotherapy exercises to prepare your body for surgery.
Home Prep
Arrange help with meals, transport, and daily tasks post-surgery.