The 2025 JOSPT Clinical Practice Guidelines for Hip OA are here, and the focus has shifted toward what we do best: restoring function. The latest roadmap moves us away from simply looking at a "worn-out joint" and toward a comprehensive ICF-linked approach that prioritizes mobility, activity, and participation.

Key Clinical Takeaways:

• Grade A Interventions: Combine Manual Therapy (joint/soft tissue mobs, long-axis distraction) with supervised, progressive resistance training.

• Assessment Nuance: Focus on documenting flexion, abduction, and ER, while watching for early loss of IR and flexion as diagnostic markers.

• The Evolution: It’s time to move past generic HEPs. High-quality PT response should now be the primary guide for referrals and imaging, rather than jumping straight to surgical pathways.