Hip MRI:what to expect

Your doctor may recommend a Hip MRI to look closely at your joint, especially if you have:

• Persistent pain in the hip, deep groin, or buttocks, especially when walking or standing.
• A clicking, locking, catching, or popping sensation when you move your leg.
• Stiffness or a limited range of motion in the hip joint.
• A suspected sports injury to the muscles or tendons surrounding the hip.
• Risk factors for restricted blood flow to the bone (such as long-term steroid use or previous hip trauma).

A Hip MRI helps doctors visualize:

• The articular cartilage covering the ball and socket.
• The labrum (a ring of cartilage that seals the hip joint).
• The bone marrow within the femoral head.
• The gluteal tendons, hamstring tendons, and hip flexors.

It is particularly useful for identifying:

• Hip labral tears (damage to the cartilage seal).
• Avascular necrosis (AVN) or osteonecrosis (death of bone tissue due to lack of blood supply).
• Femoroacetabular impingement (FAI), where extra bone grows and causes abnormal friction.
• Early-stage osteoarthritis and cartilage loss.
• Tendon tears, bursitis, or muscle strains.

Often, yes. To evaluate a suspected labral tear, your doctor may order a "Direct MR Arthrogram." This involves injecting a contrast dye (gadolinium) directly into the hip joint before the MRI to make the delicate labrum and cartilage stand out brightly. Tell your doctor if you have kidney disease or contrast allergies.

The labrum is a thick ring of cartilage that grips the ball of your thigh bone, holding it securely inside the hip socket. When this ring tears (often due to sports, repetitive motion, or abnormal bone shapes), it causes deep groin pain and a clicking sensation when you walk. An MRI is the best way to visualize this tear.

There is usually no special preparation. However:

• Remove all jewelry, belts, and clothing containing metal zippers or snaps. You will likely be asked to change into a hospital gown.
• Inform your doctor or radiographer if you have any implants, especially a total hip replacement or surgical screws, as these require specific MRI techniques to minimize image distortion.
• You can eat, drink, and take medications as usual unless instructed otherwise.

The scan is painless, though if you have a joint injection (arthrogram) beforehand, you may feel mild discomfort or fullness in the hip during the injection.

You’ll lie flat on your back on a padded table that slides into the scanner. Your hips will be positioned in the center of the machine. You’ll hear loud knocking and tapping sounds, but earplugs or headphones will be provided.

You must remain perfectly still to ensure clear images.

The scanning process usually takes 30 to 45 minutes. If you are having an arthrogram (dye injection into the joint), expect the entire appointment to take up to two hours.

It’s common to feel claustrophobic. You’ll be in contact with the radiographer the entire time and will be given a call button. You can use a sleep mask, or ask your doctor for a mild sedative prior to your appointment.

After the scan, a Radiologist reviews the images and prepares a report for your doctor. Your doctor will discuss whether your symptoms can be treated with physical therapy, injections, or if arthroscopic hip surgery is needed.

Yes. MRI is generally safe as it avoids radiation. However, be sure to let your doctor know if you are pregnant, as the magnetic field and contrast dye (if ordered) carry specific precautions during pregnancy.

• RadiologyInfo: Musculoskeletal MRI
• ACR Manual on MR Safety
• FDA: MRI benefits and risks

A Hip MRI is a safe, highly detailed, and non-invasive way to assess the cartilage, bones, and tendons of the hip joint. It helps doctors detect subtle tears and blood flow issues that X-rays simply cannot see—making it a crucial tool for diagnosing the true source of your hip and groin pain. If your doctor recommends this scan, it’s the best step toward restoring your mobility and comfort.