The most common symptom is pain in the groin and at the front of the thigh, especially, for example, when you twist while putting on your shoes or getting in or out of a car. In the early stages, the pain might be intermittent and relieved by rest, but the symptoms are a pretty sure sign that youre suffering from hip osteoarthritis (OA). Youve tried pain relievers and exercise, but to no avail. The solution, your doctor tells you, may be a total hip replacement. But youre now on the other side of 60 and youre concerned about the risks-implant failure, infection, possible hip dislocation-not to mention the pain and inconvenience of undergoing such an operation.