Hip complaints Orthopaedist for the hip

A hip orthopaedist is needed when hip pain, reduced mobility or functional problems increasingly affect everyday life. Hip complaints have many possible causes—from temporary overload to structural joint changes requiring targeted orthopaedic evaluation.

Professionelles Portrait von Prof. DDr. Martin Faschingbauer im medizinischen Kontext

As a hip specialist in Vienna, Prof. DDr. Martin Faschingbauer offers holistic evaluation and individual treatment. Not every change on an X-ray means immediate hip surgery. Once the exact cause of hip pain has been identified, a suitable conservative or surgical treatment can be recommended and precisely planned.

Quick facts

  • Focus: evaluation and treatment of hip complaints

  • Treatment location: private practice at Wiener Privatklinik outpatient centre

  • Treatment options: conservative or surgical

  • Specialisation: minimally invasive procedures and navigated joint replacement

  • Recovery: depends on cause and chosen therapy

Common hip conditions & possible causes

  • Hip osteoarthritis (coxarthrosis)

  • Femoroacetabular impingement (FAI)

  • Bursitis

  • Avascular necrosis of the femoral head

  • Labral tear

  • Mechanical causes (malalignment, leg-length discrepancy, muscular imbalance)

  • Inflammatory diseases (e.g., rheumatoid arthritis)

  • Post-traumatic changes after falls, fractures or previous procedures

Typical symptoms

  • Groin, buttock or lateral thigh pain

  • Load-related pain when walking/standing/stairs

  • Stiffness and pain when standing up, improving with movement

  • Reduced flexion/rotation

  • Radiating pain to thigh or knee

  • Limping or gait insecurity

Hüft-Endoprothetik

When you should seek medical evaluation

If hip pain persists for several weeks or does not improve despite rest and simple measures, evaluation is recommended—especially if daily activities are limited, walking distance decreases, or pain occurs at night.

Early assessment can prevent minor damage from becoming major problems and helps guide the course effectively.

Conservative treatment options

Depending on the findings: physiotherapy, targeted strengthening, manual therapy, medication for pain/inflammation, and injections/infiltrations (e.g., corticosteroids for inflammation control, hyaluronic acid to improve lubrication, PRP/autologous blood therapy to support regeneration).

Surgical treatment of the hip

If the cause is clearly identified and conservative measures are insufficient, surgery may be considered. Further details on operative procedures and joint replacement are provided on the respective focus pages.

FAQ – Hip complaints

  • Most common cause: degenerative change such as hip osteoarthritis

  • Hip pain can originate from the spine or muscles

  • Many cases can be treated conservatively

  • Surgery can be necessary in younger patients (e.g., impingement, dysplasia) with joint-preserving goals

  • Recovery time varies; after joint replacement often 6–12 weeks for everyday fitness

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