Oxford Hip Score

If you have been advised by the practice to submit an Oxford Hip Score please use this form.

Score Grading

  • Score 0 to 19 – May indicate severe hip arthritis. It is highly likely that you may well require some form of surgical intervention, contact your family physician for a consult with an Orthopaedic Surgeon.
  • Score 20 to 29 – May indicate moderate to severe hip arthritis. See your family physician for an assessment and x-ray. Consider a consult with an Orthopaedic Surgeon.
  • Score 30 to 39 – May indicate mild to moderate hip arthritis. Consider seeing you family physician for an assessment and possible x-ray. You may benefit from non-surgical treatment, such as exercise, weight loss, and /or anti-inflammatory medication.
  • Score 40 to 48 – May indicate satisfactory joint function. May not require any formal treatment.
Oxford Hip Score

Oxford Hip Score

Please only complete this form if you have been specifically requested to do so. Any submitted forms that have not been requested by a Medical Professional will be voided.
Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

During the past 4 weeks...

How would you describe the pain you usually have in your hip? *
Have you been troubled by pain from your hip in bed at night? *
Have you had any sudden, severe pain (shooting, stabbing, or spasms) from your affected hip? *
Have you been limping when walking because of your hip? *
For how long have you been able to walk before the pain in your hip becomes severe (with or without a walking aid)? *
Have you been able to climb a flight of stairs? *
Have you been able to put on a pair of socks, stockings or tights? *
After a meal (sat at a table), how painful has it been for you to stand up from a chair because of your hip? *
Have you had any trouble getting in and out of a car or using public transportation because of your hip? *
Have you had any trouble with washing and drying yourself (all over) because of your hip? *
Could you do the household shopping on your own? *
How much has pain from your hip interfered with your usual work, including housework? *