Acupuncture treatment relaxes hypertonicity in the muscles surrounding the hip joint and promotes the secretion of endogenous analgesic substances such as endorphins and serotonin. A systematic review has shown that acupuncture significantly lowers pain NRS scores and improves gait function in patients with hip osteoarthritis. Soft tissue problems such as bursitis, myofascial pain syndrome, and iliopsoas tendinitis respond particularly well to acupuncture. In cases where structural damage has progressed, such as avascular necrosis of the femoral head or end-stage degenerative arthritis, concomitant treatment or a surgical approach may be necessary. From the perspective of a Korean medicine clinic, acupuncture is a treatment that facilitates the flow of meridians to relieve stagnation of Qi and blood and regulate organ functions. Needling major acupoints passing through the hip joint—such as the Huandu point on the lateral side of the hip, the groin area, and the front of the thigh—increases local blood flow and lowers the concentration of inflammatory mediators. At Dongjedang, we go beyond basic acupuncture treatment by using fine needles to separate adhered joint capsules and ligaments, and by adding anti-inflammatory and regenerative effects with bee venom and pharmacopuncture to deepen the treatment. In cases where the underlying cause is weakened kidney energy, we combine internal treatment to address the root cause.