Which statement correctly reflects first-line nonoperative management for osteoarthritis before considering hip arthroplasty?

• A. Weight loss and activity modification are standard first-line measures.
• B. Total hip arthroplasty should be tried first.
• C. No treatment is beneficial.
• D. Surgery is always required.

Answer: (A)

The main idea is that first-line management of hip osteoarthritis is nonoperative and centers on reducing joint load and symptoms to preserve function before considering surgery. Weight loss lowers the mechanical stress on the hip, which can directly lessen pain and improve mobility, especially when OA is related to excess body weight. Pairing that with activity modification—opting for low-impact activities and avoiding high-impact, repetitive joint loading—helps protect the joint while maintaining fitness. Together with appropriate exercise and physical therapy to strengthen surrounding muscles and preserve range of motion, these nonoperative strategies form the standard starting point before weighing surgical options like hip replacement. Jumping straight to arthroplasty or denying any treatment runs counter to the stepwise approach that aims to relieve symptoms and improve function without surgery.