I have been reading many threads here and have learned so much already. 5 years ago when I was 40, I was told I had early R hip OA. The MRI report said joint space narrowing and in view of a relatively shallow acetabular this potentially relates to a degree of dysplasia. Xray report said mild osteophytes. I have only just seen the MRI report from 2014 and I don't recall them mentioning the dysplasia, it just said early OA and offered a steroid injection which I declined. I had wondered why I would have OA at the age I was as I didn't think I had any risk factors, no family history, healthy BMI etc. The last few years the pain is worsening. My ROM has decreased and I have muscle weakness in my R leg, despite regular exercise and doing the exercises the physio gave me to do. I have been taking ibuprofen regularly for about 2 years and it does help. I had an xray last week that says moderate osteoarthritic changes are seen. Joint space narrowing superiorly with subchondral sclerosis and marginal osteophytosis. No deformity of the femoral head. I am being referred to orthopaedics. I am in Australia and don't have private health so will be dependent on the public medicare system. From what I have read hip replacement in the public system isn't an option until hip OA is severe. My work is physical with a lot of walking. I am managing currently but get very fatigued by the end of the week. I would be interested to hear how others managed as their hip OA progressed. My gait has changed in the last few months. It sort of feels like my back and pelvis are twisting to swing my leg forward when I walk, and I have been getting lower back pain as well as the shin, knee, thigh and groin pain. Has anyone else had back problems from hip OA? Do they resolve after hip replacement? Is there any lasting damage to the back? What sort of questions should I ask the orthopaeds when I see them? Your experience and knowledge is much appreciated.