@elpasomanualpt: Have you been told you have bone-on-bone hip arthritis and assumed that means all your cartilage is gone? Dr. David explains why your hip X-ray may not tell the whole story! X-rays don't directly show cartilage. Instead, doctors look at the space between the bones to help assess cartilage loss and the severity of hip osteoarthritis. But reduced joint space doesn't necessarily mean every part of your hip joint has lost its cartilage. Understanding what your imaging actually shows can help you make more informed decisions about your hip arthritis treatment.