A twelve-question survey used internationally to
measure how much a hip or knee problem is affecting daily life. It is not a
diagnosis. It is a number worth bringing to a consultation, and it is calculated
entirely in your own browser.
The Oxford Hip Score and the Oxford Knee Score are twelve-question surveys used
internationally to measure how much a hip or knee problem is affecting daily life. They
were developed at the University of Oxford and are used in research, in national
registries and in routine clinical practice to track change over time.
Each question is scored from 0 to 4, giving a total from 0 to 48, where 48 is the best
possible function. Roughly speaking, a score above 40 suggests satisfactory joint
function, 30 to 40 mild to moderate impairment, 20 to 30 moderate to severe, and below 20
severe. These bands are a guide, not a diagnosis.
What it does and does not tell you.
It measures the impact of your symptoms on daily activities. It does not diagnose
anything and it does not indicate whether surgery is appropriate. That requires clinical
assessment and imaging. What the score is genuinely useful for is giving you a number to
bring to a consultation, and a baseline to compare against afterwards. A single score in
isolation says less than two scores six months apart.
It is also worth knowing what the score cannot separate. A knee that is painful because
of arthritis and a knee that is painful because of a
meniscal tear can produce the same number, and
they lead to different treatment. Hip pain that is actually coming from the
outside of the hip or from the lumbar
spine will also score. That is why the number is a starting point for a conversation
rather than the end of one.
Take the score.
Twelve questions, about three minutes. Answer for the last four weeks, and if both sides
are affected answer for the worse one.
Nothing you enter here is sent anywhere.
The score is calculated in your own browser. Nothing is transmitted to this practice,
stored on this device or recorded in analytics, and closing the tab discards it. If you
want us to have the result, print it or write the number down and bring it with you.
Scoring needs JavaScript, which appears to be turned off. The
questions below still work as a paper form: print this page, circle one answer per
question, add up the numbers beside your answers, and bring the total to your
appointment. Each question scores 4 down to 0 and the total runs from 0 to 48. The
rooms can also post you the questionnaire on (07) 5493 8038.
Oxford Knee Score
Answer every question about your knee, thinking about
the last four weeks. If both knees are affected, answer for the
worse one.
Oxford Hip Score
Answer every question about your hip, thinking about
the last four weeks. If both hips are affected, answer for the
worse one.
What to do with the result.
Bring it to your appointment, or give the number to your GP when you are discussing
whether a referral is worth making. If you are already under this practice, bring it to
your next review so it can go in your record alongside the examination and the imaging.
If you are recovering from surgery, the score is most useful repeated. Most people
complete it before their operation, then again at six months and twelve months. Comparing
your own two numbers tells you far more than comparing your number against an average.
Written and reviewed by Professor Daevyd Rodda, MBBS, Dip. Surg Anat, FRACS, FAOrthA. Last reviewed August 2026.
This page provides general information about a medical condition and a surgical procedure. It is not individual medical advice and does not replace consultation with a qualified practitioner. Outcomes vary between individuals and all surgery carries risk. A referral is needed for a consultation with Professor Daevyd Rodda; without one, you can start with the practice nurse practitioner, who can provide it.
Frequently asked questions.
Is my answer sent to the practice?
No. The score is calculated in your browser. Nothing is transmitted to this practice, stored on your device or recorded in analytics, and closing the tab discards it. If you want the practice to have the result, print it or bring the number with you.
What is a good Oxford score?
Above 40 out of 48 usually means the joint is not limiting daily life a great deal. 30 to 40 is mild to moderate impairment, 20 to 30 moderate to severe, and below 20 severe. These bands are a guide rather than a diagnosis, and a low score does not by itself mean surgery is appropriate.
Does a low score mean I need a joint replacement?
No. The score measures the impact of symptoms on daily life. It does not say what is wrong with the joint. Pain from a meniscal tear, from gluteal tendinopathy or from the lumbar spine can all produce a low score and none of them is treated with a joint replacement. The decision needs an examination and imaging.
Which joint should I answer for if both are painful?
Answer for the worse side, and complete the questionnaire again separately for the other side if you want a number for both. The instrument is validated for one joint at a time.
Can I do this on paper instead?
Yes. Print this page and circle one answer per question, or call the rooms on (07) 5493 8038 and the questionnaire can be posted to you.