Hi: I was DX with osteoarthritis of the Rt hip in 2011. I had 2 steroid shots the first year and then I asked for PT. Spent a year doing the PT exercises at home and for the past 2 years I have been going to the gym . I do not have pain so do not take pain pills. I am very active ; climbed to the top of red rock canyon in Las Vegas last week. My concern is when do I need to take action about the lack of cartilage? I see my MD about once a year and he looks at the xray and says ” that does not look so good”. In 2011 I limped, I could not lift my leg to put on pants or get into my SUV. I took the maximum of motrin. What I think has helped me was the regular exercise following the guidelines of my PT instructions. I have been taking Supple drink for 3 years as well. I do not limp, have almost full range of motion in exercises. I do 30 minutes on the treadmill, 15 minutes on the elliptical and 20-30 minutes of weight training ( special attention to strengthening the hip muscles ) I hope that this helps.