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Orthopedic Nurse Navigator

(209) 339-7870

Welcome to the Hip Assessment

There are numerous factors associated with the development of hip pain and mobility disorders. This Hip Assessment will take less than 5 minutes to complete. At the end, our team receives your score and will reach out if a hip consultation with our provider is the next best step for you.

  • 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?*

Congratulations!

You've completed the Hip Quiz.

Now, enter your contact information so we can send your score.

Personal Information

  • Patient Information

    If you are a strong candidate for hip surgery, our office will contact you.

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