Hip

(Osteoarthritis and Femoroacetabular Impingement Spectrum)

Core message: Targeted exercise and load management enhance hip stability, improve joint mechanics, and delay or prevent surgical intervention.

Key evidence:

  1. Bennell KL et al., Ann Rheum Dis 2014;73(8):1451‑1457 — Physiotherapist‑led exercise improved pain and function in hip OA.

  2. Wall PD et al., BMJ 2020;370:m3304 — Systematic review: exercise and education provide outcomes comparable to arthroscopic surgery for femoroacetabular impingement syndrome.

  3. French HP et al., Arthritis Care Res 2013;65(7):1215‑1223 — Exercise therapy recommended as core management across OA stages.

Hip: Osteoarthritis

Clinical Layer:

  • Structured rehab and exercise slow OA progression and delay the need for surgery. Exercise is the main intervention for pain and function, independent of imaging severity.​

  • Circadian alignment of pharmacology and activity enhances joint outcomes.​

Chronobiological Layer:

  • Hip osteocytes and chondrocytes are governed by local tissue clocks. Hormonal rhythms (cortisol, melatonin) further affect bone turnover and matrix integrity.​

  • Nighttime rest and rehydration permit maximal ECM repair—misalignment results in degraded tissue quality.

Why Should I Care?:
Your hip heals best when your activity and recovery fit your body’s natural rhythm. Optimal exercise and good sleep together support the tissue clock, enabling better healing than exercise alone.