The Oxford Hip score (and Oxford Knee Score) is a self-administered way of estimating the need for surgery. It is used in conjunction with other information to help a patient make a sensible decision as whether to proceed to surgery or not.  It is NOT a black and white answer but more of a guide. It can also be used to show change in a patients situation- deteriorating if the arthritis is getting worse, improving, say after treatment.

It is most useful in research, to show trends and compare like with like for assessing treatments.

Calculate your Oxford Hip Score
Answer answer the following 12  questions

  for symptoms in the last 4 weeks....

1. How would you describe the pain you usually have in your Hip?
None
Very mild
Mild
Moderate
Severe

2. Have you been troubled by pain from your hip in bed at night?
No Nights
Only 1 or 2 nights
Some nights
Most nights 
Every night

3. Have you had any sudden, severe pain (shooting, stabbing, or spasms) from your affected hip?

No days
Only 1 or 2 days
Some days
Most days
Every day

4. Have you been limping when walking because of your hip?
Rarely/never
Sometimes or just at first
Often, not just at first
Most of the time
All of the time

5. For how long have you been able to walk before the pain in your hip becomes severe (with or without a walking aid)?
No pain for 30 minutes or more
16 to 30 minutes
5 to 15 minutes
Around the house only
Not at all


6. Have you been able to climb a flight of stairs?
Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

 

7. Have you been able to put on a pair of socks, stockings or tights?
Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

8. After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your hip?
Not at all painful
Slightly painful
Moderately painful
Very painful
Unbearable

9. Have you had any trouble getting in and out of a car or using public transportation because of your hip?
No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty 
Impossible to do

10. Have you had any trouble with washing and drying yourself (all over) because of your hip?
No trouble at all
Very little trouble
Moderate trouble
Extreme difficulty
Impossible to do

11. Could you do household shopping on your own?
Yes, easily
With little difficulty
With moderate difficulty
With extreme difficulty
No, impossible

12. How much has pain from your hip interfered with your usual work, including housework?
Not at all
A little bit
Moderately
Greatly
Totally

Your  Oxford Hip Score is:

Grading for the Oxford Hip Score

0 -19
May indicate severe Hip arthritis. It is highly likely that you may well require some form of surgical intervention, contact your family doctor for a consult with an Orthopaedic Surgeon.
20 - 29

May indicate moderate to severe Hip arthritis. See your family doctor for an assessment and x-ray. Consider a consult with an Orthopaedic Surgeon.
30 - 39

May indicate mild to moderate Hip arthritis. Consider seeing your family doctor for an assessment and possible x-ray. You may benefit from non-surgical treatment, such as exercise, weight loss, and /or anti-inflammatory medication
40 - 48

May indicate satisfactory joint function. May not require any formal treatment.