Surjit Lidder | Melbourne, VIC | Bright, VIC | Albury, NSW | Hip & Knee Specialist | 03 9110 0019
At Lidder Orthopaedics, we provide specialist diagnosis and treatment for a wide range of hip conditions, including degenerative, developmental, tendon-related, and post-surgical problems. Treatment is tailored to restore mobility, reduce pain, and improve quality of life.
Hip osteoarthritis is a degenerative condition in which the cartilage in the hip joint gradually wears away, causing pain, stiffness, and reduced mobility.
Symptoms:
Groin or thigh pain
Morning stiffness
Reduced range of movement
Difficulty walking, bending, or putting on shoes
Causes:
Age-related wear and tear
Previous hip injury
Hip dysplasia
Genetic predisposition
Diagnosis:
Clinical examination and X-rays are usually sufficient
MRI may be used in early or complex cases
CT or futher scans may be needed to aid diagnosis and for Pre operative planning or Post operative analysis
Non-Surgical Treatment:
Physiotherapy
Weight management
Activity modification
Anti-inflammatory medication
Image-guided injections
Surgical Treatment:
Total hip replacement is the definitive treatment for advanced disease
When Surgery is Considered:
When pain and stiffness significantly impact daily activities, sleep, or quality of life despite conservative management
Hip dysplasia occurs when the hip socket is shallow, leading to abnormal joint loading and early arthritis.
Symptoms:
Groin pain
Hip instability
Clicking or catching sensation
Early-onset osteoarthritis
Causes:
Developmental condition from birth or childhood
Often becomes symptomatic in adolescence or adulthood
Diagnosis:
Clinical examination
X-rays
MRI or CT scans to assess joint coverage and anatomy
Non-Surgical Treatment:
Physiotherapy for hip stability
Strengthening exercises
Activity modification
Surgical Treatment:
Hip preservation surgery (e.g. periacetabular osteotomy)
Hip replacement in advanced arthritis
When Surgery is Considered:
Persistent pain, instability, or progression to arthritis affecting function and lifestyle.
AVN occurs when blood supply to the femoral head is reduced, leading to bone death and possible collapse of the joint surface.
Symptoms:
Deep groin pain
Pain with weight-bearing
Progressive loss of function
Causes:
Steroid use
Alcohol excess
Trauma
Idiopathic (unknown cause)
Diagnosis:
MRI (early detection)
X-rays (later stage collapse)
CT
Non-Surgical Treatment:
Activity modification
Protected weight-bearing
Surgical Treatment:
Core decompression
Bone grafting procedures
Total hip replacement (advanced disease)
When Surgery is Considered:
Once femoral head collapse occurs or symptoms become persistent and function-limiting
Hip pain can originate from the joint, muscles, tendons, or referred from the spine or knee.
Symptoms:
Groin, lateral hip, or buttock pain
Pain with walking or sitting
Stiffness or reduced mobility
Causes:
Arthritis
Tendon or muscle injury
Bursitis
Lumbar spine referral
Diagnosis:
Clinical examination
X-rays or MRI
Diagnostic injections where required
Non-Surgical Treatment:
Physiotherapy
Postural correction
Strengthening programs
Pain management strategies
Surgical Treatment:
Depends on underlying diagnosis;
Hip Arthroscopy
Tendon repair
Total Hip Replacement
When Surgery is Considered:
When a structural cause is identified, and symptoms persist despite non-operative treatment
A common cause of outer hip pain could be due to degeneration or overload of the gluteus medius / minimus tendons.
Symptoms:
Lateral hip pain
Pain lying on the affected side
Pain with walking, stairs, or standing
Causes:
Tendon overload
Weakness of hip stabilisers
Age-related degeneration
Diagnosis:
Clinical examination
MRI or ultrasound imaging
Non-Surgical Treatment:
Load management
Physiotherapy strengthening
Anti-inflammatory strategies
Image-guided injections
Surgical Treatment:
Tendon repair
Bursectomy in refractory cases
When Surgery is Considered:
Persistent symptoms after 3–6 months of structured rehabilitation.
Inflammation of the bursa over the outer hip, often associated with gluteal tendon pathology.
Symptoms:
Outer hip tenderness
Pain lying on side
Discomfort with activity
Causes:
Repetitive friction
Biomechanical overload
Associated tendon irritation
Diagnosis:
Clinical examination
Ultrasound or MRI if required
Non-Surgical Treatment:
Physiotherapy
Activity modification
Anti-inflammatory medication
Corticosteroid injection
Surgical Treatment:
Rarely required (bursectomy in chronic cases)
When Surgery is Considered:
Only after prolonged failure of conservative treatment.
A failed hip replacement occurs when a previous hip replacement no longer functions optimally due to mechanical or biological failure.
Symptoms:
Persistent or worsening hip pain
Instability or dislocation
Reduced mobility
Swelling or mechanical symptoms
Causes:
Implant loosening
Wear of components
Infection
Dislocation
Periprosthetic fracture
Diagnosis:
X-rays
Blood tests
CT scans
Joint aspiration if infection suspected
Non-Surgical Treatment:
Limited role
Pain management and monitoring in select cases
Surgical Treatment:
Revision hip replacement surgery
When Surgery is Considered:
When pain, instability, or implant failure significantly impacts function or quality of life.
Mr Surjit Lidder provides comprehensive hip care across Melbourne, Albury, and Bright, offering both
non-operative management and advanced surgical solutions including hip replacement and revision surgery.
You should seek specialist review if you experience:
Persistent hip pain lasting more than 6 weeks
Pain affecting walking, sleep, or work
Reduced mobility or stiffness
Failure of physiotherapy or injections
Symptoms after previous hip surgery
For a second opinion and peace of mind
Tel: (03) 9110 0019
Fax: (03) 9110 0022
After Hours: (03) 9387 1000
Email: reception@lidderorthopaedics.com
HealthLink: drlidder
