What are the common causes of burning pain in hip and lower back. How can you differentiate between various conditions causing hip and back pain. What are the most effective treatment options for burning hip and lower back pain.

Understanding the Connection Between Hip and Lower Back Pain

Hip and lower back pain often occur simultaneously, affecting one or both sides of the body. This interconnected discomfort can stem from various factors, including overuse, injury, or underlying medical conditions. The complex network of nerves, muscles, and joints in this region makes it susceptible to a range of issues that can cause burning sensations and discomfort.

Why do hip and lower back pains frequently coincide? The proximity of these areas and their shared nerve pathways contribute to this phenomenon. When one area is affected, it can easily impact the other, creating a domino effect of pain and discomfort.

Common Causes of Burning Hip and Lower Back Pain

Several factors can contribute to burning pain in the hip and lower back region. Understanding these causes is crucial for proper diagnosis and treatment. Here are some of the most frequent culprits:

1. Sprains and Strains

Sprains (overstretched or torn ligaments) and strains (overstretched or torn tendons or muscles) are common causes of pain in the back and hip area. These injuries often result from:

• Sports-related accidents
• Falls or traumatic incidents
• Awkward body twisting
• Lifting heavy objects improperly
• Inadequate warm-up before physical activity

How can you identify a sprain or strain? Look for symptoms such as muscle pain, weakness, tenderness, swelling, and reduced range of motion. These injuries typically worsen with activity and improve with rest.

2. Tight Hip Flexors

The hip flexors are a group of muscles extending from the hips to the knees, playing a crucial role in leg and hip movement. When these muscles become stiff and tight, often due to prolonged sitting, it can lead to back and hip pain.

What are the signs of tight hip flexors? Common symptoms include:

• Tenderness in the upper leg
• Muscle spasms in the hips or thighs
• Soreness in the hips and thighs
• Difficulty or weakness when kicking or lifting the knee towards the chest

3. Herniated Disk

A herniated disk occurs when one of the cushioning disks between the vertebrae slips out of place, potentially putting pressure on nearby nerves. This condition can cause tingling and burning pain in the lower back that may extend to the hips and legs.

Who is at risk for herniated disks? While it can affect anyone, older adults are more prone due to natural wear and tear of the spine and decreased disk flexibility with age. Common causes include:

• Improper lifting techniques
• Falls or traumatic injuries
• Excess body weight
• Repetitive strain on the back
• Extended periods of driving
• Smoking

Recognizing Symptoms: When to Seek Medical Attention

Identifying the symptoms associated with hip and lower back pain is crucial for determining the severity of the condition and deciding when to seek medical help. While some discomfort may resolve with home care, certain signs warrant immediate attention.

Symptoms of Sprains and Strains

How can you differentiate between a sprain and a strain? While both conditions share similar symptoms, here are some key indicators:

• Localized pain that worsens with movement
• Swelling in the affected area
• Muscle spasms or cramping
• Difficulty moving the affected joint or muscle
• Possible bruising for sprains

Symptoms of Herniated Disk

A herniated disk can produce a range of symptoms, depending on its location and severity. Common signs include:

• Sciatica: Sharp, shooting pain from the buttocks down the back of one leg
• Numbness or tingling in the leg or foot
• Muscle weakness in the affected leg
• In severe cases, loss of bowel or bladder control (requires immediate medical attention)

When should you seek immediate medical care for hip and lower back pain? If you experience any of the following symptoms, consult a healthcare professional promptly:

• Severe, persistent pain that doesn’t improve with rest
• Pain accompanied by fever, unexplained weight loss, or other systemic symptoms
• Numbness, tingling, or weakness in the legs
• Loss of bladder or bowel control
• Pain resulting from a severe fall or injury

Effective Treatment Options for Burning Hip and Lower Back Pain

The treatment approach for burning hip and lower back pain depends on the underlying cause and severity of the condition. Here are some effective strategies to alleviate discomfort and promote healing:

1. Rest and Home Care

For minor sprains, strains, and overuse injuries, initial treatment often involves:

• Rest: Avoid activities that exacerbate the pain
• Ice therapy: Apply a cloth-covered ice pack to the affected area for 10-15 minutes at a time
• Gentle stretching: Perform mild stretches to improve flexibility and reduce muscle tension
• Over-the-counter pain relievers: NSAIDs like ibuprofen or naproxen can help reduce pain and inflammation

2. Physical Therapy

Physical therapy plays a crucial role in treating various causes of hip and lower back pain. A trained therapist can provide:

• Targeted exercises to strengthen muscles and improve flexibility
• Manual therapy techniques to reduce pain and improve joint mobility
• Education on proper body mechanics and posture
• Guidance on ergonomic adjustments to prevent future injuries

3. Medications

Depending on the severity and cause of the pain, a healthcare provider may recommend:

• Prescription-strength NSAIDs
• Muscle relaxants for severe muscle spasms
• Short-term use of opioid pain relievers in cases of severe, acute pain

4. Interventional Procedures

For persistent or severe pain, especially in cases of herniated disks, interventional procedures may be considered:

• Epidural steroid injections: Corticosteroids are injected into the space around the affected nerves to reduce inflammation and pain
• Nerve blocks: Targeted injections to interrupt pain signals from specific nerves
• Radiofrequency ablation: A procedure that uses heat to disable nerve fibers carrying pain signals

Prevention Strategies: Maintaining Hip and Lower Back Health

Preventing burning hip and lower back pain is often easier than treating it. Incorporating these strategies into your daily routine can help maintain the health of your hips and lower back:

1. Exercise Regularly

How can exercise help prevent hip and lower back pain? Regular physical activity offers numerous benefits:

• Strengthens muscles supporting the spine and hips
• Improves flexibility and range of motion
• Enhances overall posture and body awareness
• Promotes healthy weight management, reducing stress on joints

Focus on exercises that target core strength, hip flexibility, and lower back stability. Low-impact activities like swimming, yoga, and Pilates can be particularly beneficial.

2. Maintain Proper Posture

Good posture is crucial for preventing undue stress on the hips and lower back. Here are some tips for maintaining proper alignment:

• Sit with your back straight and shoulders relaxed
• Use ergonomic chairs and workstations
• Take regular breaks from prolonged sitting
• Practice mindful posture during daily activities

3. Use Proper Lifting Techniques

Improper lifting is a common cause of back and hip injuries. Remember these key points when lifting heavy objects:

• Bend at the knees, not the waist
• Keep the object close to your body
• Avoid twisting while lifting
• Ask for help with very heavy items

4. Maintain a Healthy Weight

Excess body weight puts additional stress on the hips and lower back. Maintaining a healthy weight through balanced nutrition and regular exercise can significantly reduce the risk of pain and injury in these areas.

When to Consider Advanced Treatment Options

While many cases of burning hip and lower back pain respond well to conservative treatments, some situations may require more advanced interventions. When should you consider these options?

1. Persistent Pain Despite Conservative Treatment

If pain persists or worsens despite several weeks of rest, physical therapy, and medication, it may be time to explore other options. Advanced imaging studies like MRI or CT scans might be necessary to identify underlying structural issues.

2. Severe Functional Limitations

When pain significantly impacts daily activities, work, or quality of life, more aggressive treatment may be warranted. This could include intensive rehabilitation programs or consideration of surgical options in select cases.

3. Progressive Neurological Symptoms

If you experience worsening numbness, weakness, or changes in bladder or bowel function, immediate medical evaluation is crucial. These symptoms could indicate severe nerve compression requiring urgent intervention.

4. Surgical Considerations

In some cases, surgery may be recommended for conditions like severe herniated disks or spinal stenosis. Surgical options might include:

• Microdiscectomy: Removal of the portion of the disk pressing on nerves
• Laminectomy: Removal of a portion of the vertebral bone to relieve pressure on nerves
• Spinal fusion: Joining two or more vertebrae to stabilize the spine

The decision to pursue surgery should be made in consultation with a specialist, considering the specific diagnosis, severity of symptoms, and overall health status.

Integrative Approaches to Managing Chronic Hip and Lower Back Pain

For individuals dealing with chronic hip and lower back pain, integrating complementary therapies with conventional treatments can offer comprehensive relief. What are some effective integrative approaches?

1. Acupuncture

This traditional Chinese medicine technique involves inserting thin needles into specific points on the body. Research suggests acupuncture may help alleviate chronic lower back pain by:

• Stimulating the release of natural pain-relieving chemicals in the body
• Improving blood flow to affected areas
• Reducing muscle tension and promoting relaxation

2. Mindfulness and Meditation

Practicing mindfulness and meditation can be beneficial for managing chronic pain. These techniques help by:

• Reducing stress and anxiety associated with chronic pain
• Improving pain coping strategies
• Enhancing overall well-being and quality of life

3. Massage Therapy

Regular massage can provide relief for chronic hip and lower back pain through:

• Reducing muscle tension and improving flexibility
• Enhancing blood circulation to affected areas
• Promoting relaxation and stress reduction

4. Herbal Supplements and Nutraceuticals

Certain herbal supplements and nutraceuticals may offer pain-relieving and anti-inflammatory benefits. Examples include:

• Turmeric: Contains curcumin, a potent anti-inflammatory compound
• Omega-3 fatty acids: May help reduce inflammation and joint pain
• Glucosamine and chondroitin: Often used for joint health and pain relief

Always consult with a healthcare provider before starting any new supplement regimen, as some may interact with medications or have side effects.

The Role of Lifestyle Modifications in Long-Term Pain Management

Managing chronic hip and lower back pain often requires a multifaceted approach that includes lifestyle modifications. How can daily habits impact pain levels and overall function?

1. Sleep Hygiene

Quality sleep is crucial for pain management and overall health. Improve your sleep hygiene by:

• Maintaining a consistent sleep schedule
• Creating a comfortable sleep environment
• Using supportive mattresses and pillows
• Avoiding screens before bedtime

2. Stress Management

Chronic stress can exacerbate pain and hinder recovery. Implement stress-reduction techniques such as:

• Deep breathing exercises
• Progressive muscle relaxation
• Engaging in enjoyable hobbies or activities
• Seeking support from friends, family, or support groups

3. Nutrition and Hydration

A balanced diet and proper hydration can support overall health and potentially reduce inflammation. Consider:

• Incorporating anti-inflammatory foods like fruits, vegetables, and fatty fish
• Reducing intake of processed foods and added sugars
• Staying well-hydrated to support joint health and overall function

4. Ergonomic Adjustments

Make your home and work environments more spine-friendly by:

• Using ergonomic chairs and desks
• Adjusting computer screens to eye level
• Using supportive shoes and orthotics if necessary
• Implementing standing desks or sit-stand workstations

By incorporating these lifestyle modifications and integrative approaches, individuals with chronic hip and lower back pain can often achieve better pain control and improved quality of life. Remember that the most effective pain management strategies are often personalized, combining various treatments and lifestyle changes tailored to individual needs and preferences.

Why does my lower back and hip hurt?

Sometimes lower back occurs alongside hip pain. This may happen on one side or both. Certain health conditions or injuries can affect the nerves in both the hips and the lower back.

These pains usually occur as a result of overuse or injury, but they can also be a symptom of an underlying medical condition. People may notice the pain on the left or right side of the body or both.

In this article, we look at possible causes of lower back and hip pain. We also discuss the various treatment options and how to relieve pain.

Share on PinterestPossible causes of lower back and hip pain include sprains, strains, and a herniated disk.

It is easy to overwork the lower back and hips because they are responsible for lifting, twisting, and moving the legs and trunk. Pains due to overuse and minor injury are common in these areas of the body.

Although these pains are common, people should not ignore them. Rest and early treatment can significantly improve a person’s outlook.

The causes are similar in males and females. The following are some of the most common causes of lower back and hip pain.

Sprains and strains are a common cause of pain around the back and hips. A sprain is a torn or overstretched ligament, while a strain is a torn or overstretched tendon or muscle.

People with sprains and strains are likely to experience discomfort that worsens with activity and gets better with rest.

Common causes of sprains and strains in this area include:

• sports injuries
• a fall or trauma
• twisting the body in an awkward way
• lifting something heavy

Playing a sport or engaging in other physical activity without warming up properly can contribute to muscle strain.

Damage to the ligaments, tendons, or muscles in the hip or lower back can cause:

• muscle pain
• muscle weakness
• tenderness
• swelling
• reduced range of motion

Treatment

People will usually find that their symptoms improve with a few days of rest.

Gentle stretching can speed up recovery. Applying a cloth-covered ice pack to the affected area for 10 to 15 minutes at a time can also help.

Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen, can reduce the pain and swelling that these muscle injuries cause.

If these treatments do not reduce symptoms, the injury may be more serious, for example, a muscle tear. In this case, a person should see their doctor.

The hip flexors are muscles that extend from the hips to the knees. They are responsible for the range of motion in the legs and hips. If these muscles are stiff and tight, often due to remaining in a seated position for too long, a person may experience back and hip pain.

Hip flexor strains, which are strains in the hip flexor muscles, can also cause sharp pain in the back and hips.

Symptoms of tight hip flexor muscles include:

• tenderness in the upper leg
• muscle spasms in the hips or thighs
• soreness in the hips and thighs

Some people may also experience a sense of weakness when trying to kick the leg or lift the knee toward the chest.

Read about 10 stretches for tight hips here.

Treatment

Physical therapy exercises and stretching can help relieve tight hip flexors and reduce discomfort. Examples include pulling the knee toward the chest or lunging one leg forward from a kneeling position to create a stretch in the hips.

Avoiding activities that can increase hip flexor tightness, such as sitting too long at a desk or wearing high heels for extended periods, can also help.

Share on PinterestA herniated disk may cause pain in the lower back, legs, and hips.

A herniated disk occurs when one of the cushioning disks between the vertebrae slips out of place. The disk can put pressure on a nearby nerve, which may cause tingling and burning pain in the lower back that extends to the hips and legs.

Older adults are prone to herniated disks because of the natural wear and tear of the spine that occurs over time. The disks also become less flexible with age.

Common causes of a herniated disk include:

• improper lifting or twisting while lifting
• a fall or trauma
• being overweight
• repetitive strain on the back
• driving for long periods
• smoking

Symptoms of a herniated disk include:

• sciatica, or a sharp, shooting pain from the buttocks down the back of one leg
• numbness in the leg or foot
• muscle weakness in the leg or foot

In severe cases, people may experience a loss of bowel and bladder function. If this occurs, they should go to the hospital or call 911 right away.

Treatment

The treatment for a herniated disk involves relieving pain and discomfort while it heals. Bed rest will usually help relieve the pain too.

Other treatment options include:

• physical therapy exercises
• taking NSAIDs to relieve pain and inflammation
• epidural steroid injections, which involve injecting corticosteroids into the epidural space containing the inflamed nerves

In severe cases, a doctor may recommend surgery to correct a herniated disk.

The sacroiliac (SI) joints connect the lower portion of the spine to the pelvis. If these joints move too much or too little, people may feel pain in the back and hips.

The symptoms of SI joint dysfunction include an aching lower back that makes it difficult for a person to find a comfortable position. The pain will usually worsen with physical activity, such as running or climbing stairs.

A herniated disk and arthritis can cause symptoms similar to those of SI joint dysfunction.

Treatment

Treatment options for SI joint dysfunction include:

• NSAIDs to relieve pain and inflammation
• physical therapy exercises to strengthen the core and pelvic muscles
• stretching and applying ice to the affected areas
• the injection of a steroid into the SI joint

A doctor may suggest that a person has corticosteroid injections to reduce spinal inflammation. In rare instances, they may recommend surgery to fuse the joints.

Osteoarthritis of the back can result in the breakdown of the protective and cushioning cartilage of the spine. This loss of cushioning can cause the spinal bones to rub together and place greater pressure on the nerves, including the nerves that go to the lower back and hips.

Arthritis in the back and hips causes joint stiffness and pain. A person may also experience weakness in the legs and hips, which can interfere with their everyday activities.

Treatment

Doctors do not have a cure for arthritis, but people can manage their symptoms using medication and lifestyle methods. These include:

• exercises that strengthen the back and hips muscles to improve flexibility and range of motion
• trying home remedies for arthritis
• alternative therapies, such as massage, acupuncture, and nutritional supplementation
• surgery, if arthritis causes significant spinal canal narrowing
• NSAIDs

Ankylosing spondylitis is a form of arthritis that primarily affects the spine, causing chronic inflammation in the spinal joints. Lower back and hip pain are often some of the first symptoms that a person with ankylosing spondylitis experiences.

Symptoms include muscle pain and stiffness that is usually worse in the morning. Other symptoms may include:

• low-grade fever
• appetite loss
• malaise, which is a general feeling of discomfort

Treatment

Doctors do not have a cure for ankylosing spondylitis, but, as with other forms of arthritis, people can manage the condition with a range of medical and at-home treatments.

Prescription medications, such as tumor necrosis factor (TNF) blockers and NSAIDs, can help. Certain lifestyle measures, including doing regular physical activity, icing affected areas, and not smoking, can also be beneficial.

Share on PinterestHeadaches may be a symptom of Paget’s disease.

Paget’s disease of bone is a rare disorder that affects an estimated 1% of people in the United States, according to the American College of Rheumatology.

This condition causes a person’s bones to remodel abnormally, leading to bone softening, which can affect the pelvis, lower back, hips, and arms. A person with Paget’s disease has a higher risk of bone pain and fractures.

The symptoms of Paget’s disease include:

• hip pain
• hearing loss
• bowed legs, where the knees are wider apart than usual
• headaches
• tingling and numbness down the legs

Treatment

The treatment for Paget’s disease involves medications to reduce the likelihood of the bones breaking. Doctors usually prescribe these medicines to treat osteoporosis. In rare cases, a doctor may recommend surgery to repair bones and restore alignment.

People should seek emergency attention if they experience any of the following symptoms alongside lower back and hip pain:

• loss of bowel and bladder function
• inability to move one or both legs
• loss of sensation in one or both legs
• visible deformity in the legs or back, such as the inability to stand up straight

If a person experiences less severe symptoms that do not improve with rest and over-the-counter treatments, they should make an appointment with their doctor. A doctor can evaluate their symptoms, make a diagnosis, and recommend the most effective treatments.

When a person experiences lower back and hip pain simultaneously, there may be an underlying injury or medical condition causing both of these symptoms. In other cases, the causes may be distinct.

Lower back and hip pain can make performing daily activities difficult. If these symptoms do not resolve or suddenly get worse, a person should seek medical attention.

Regardless of the cause, early treatment helps improve the outlook of a person with back and hip pain. Without treatment, some causes of the pain can get worse and may ultimately affect a person’s mobility and quality of life.

Burning Hip Pain. What Causes It? — Michael Rock MD Chicago Neuropathic Pain

Burning hip pain is caused by a multitude of conditions like bursitis, tendinitis, a pulled muscle or a pinched nerve. Burning hip pain can feel like a sharp, searing or achy pain in the upper outer thigh. This often results from inflammation. And, if it lingers, it can be debilitating. When left untreated, the pain can become so severe that you may end up unable to walk.

The hip joint is a ball and socket joint. There is cartilage that covers the ball of the thigh bone and lines the socket of the pelvic bone. Your tendons attach muscles in the upper leg and thigh. Burning hip pain develops when any of these components—cartilage, muscles, tendons, nerves or the joint space—are defective, injured or not working properly.  

The hip joint is the largest weight-bearing joint in the human body. It helps the hip remain stable during twisting and extreme ranges of motion. A healthy hip joint allows you to walk, squat and turn smoothly without pain. 

Here are some common causes of hip pain.

Hip impingement, also known as Femoroacetabular impingement (FAI), occurs when the labrum, a thick cartilage that acts like a bumper cushion around the ball and socket hip joint, tears away from the socket. The bones of the hip joint—the acetabulum and the proximal femur—rub against one another during movement, which causes pain.

The wearing down of the cartilage and the friction caused by the rubbing of these two bones causes degenerative changes and osteoarthritis. This can sometimes produce a burning sensation that can also be accompanied by a sharp, stabbing sensation similar to an electric shock.

FAI usually develops from hip deformities or traumatic injury. The pain from this can be felt in the groin area and the outer hip. It’s often worse at night and may be mild, moderate, or severe.

People with FAI often find that it interferes with important parts of life such as sleep, sex, work and exercise.

Hip bursitis is one of the most common causes of burning hip pain. The hip has small, jelly-like sacs, called bursa that help cushion the bones and soft tissues in the joint. The bursa, which usually reduce friction, can become inflamed after repetitive motion injuries or certain medical conditions like rheumatoid arthritis, gout or diabetes.

People with hip bursitis may report a burning sensation as well as sharp, achy pain in the hip and outer thigh. For many people, the pain worsens at night, when lying on the hip, or when getting up after a period of rest. Prolonged activity like walking, climbing stairs, or squatting may also make the pain worse. Injury, like falling on the hip or banging it on a hard surface, athletic activities, and hip-related surgery are the most common causes of hip bursitis.

Meralgia paresthetica is a neurological disorder. It happens when your lateral femoral cutaneous nerve, the nerve that provides sensation to the thigh, becomes trapped. This causes numbness and/or burning pain on the outer part of the thigh.

Wearing tight clothes or belts, obesity, and pregnancy are the most common causes of meralgia paresthetica, although injury and diabetes may cause nerve entrapment. Meralgia paresthetica improves by wearing loose clothing or treating the underlying condition.

If you’ve ever experienced a sharp, burning sensation or numbness and tingling that travels down your leg, after a long period of sitting, you may have a pinched nerve in your hip. If the nerve is pinched for a prolonged period of time, it may even cause weakness. Obesity, a herniated disc, arthritis and/or a strained muscle may cause a pinched nerve. Pain is usually felt in the groin and radiates down the thigh or buttocks.

Hip arthritis mainly occurs in old age due to the wearing away of joint cartilage. This leaves the raw bone beneath it exposed. Without the cartilage pad to protect from friction, pain and stiffness set in. If left untreated, you may develop a joint deformity, which may require hip replacement surgery. Mild burning sensation of the hip may be resolved through modifying activity, medications and/or injections.

Sacroiliac joint pain is accompanied by inflammation at the point of insertion, where the backbone meets the pelvis. The sacrum is made of fused, immovable bones in the spine that attach to the right and left iliac bones of the hip. Together this joint supports the weight of the entire upper body. Repetitive joint use, uneven leg length, previous spine surgery, pregnancy, injury or trauma to ligaments surrounding SI joint and gout can lead to sacroiliac joint dysfunction.

The pain is typically worse with walking or standing and is relieved when lying down. Compression of the joint space and inflammation can cause a burning sensation or stiffness in the pelvic region. Oral non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are often prescribed. In some cases, oral steroids like prednisone may be taken for a short period of time to relieve severe inflammation.

A hip labral tear occurs when the ring of cartilage that stabilizes the hip joint—the labrum—tears off. Without the shock absorption of the labrum, you can feel a deep pain in your groin or the front of your hip. Sometimes labrum tears are small and you feel nothing, except during rigorous activities like running.

Overdoing the running, especially without strength training, can lead to an imbalance of muscle strength in the muscles and tendons that surround the hip. Strong quads, glutes, back and core abdominal muscles are needed to absorb the forces of running. An imbalance can lead to mechanical failure of the structures that support the hip such as the labrum.

The sensation that you feel depends on the location of the tear, but often a burning sensation is reported. Clicking and clunking of the hip during movement and increasingly more consistent pain are tell-tale signs that you might have a hip labral tear. A clinical examination and an MRI are usually needed to make the diagnosis. 

If hip pain is interfering with your everyday life, it may be time to contact a doctor. If you have a mild or moderate burning sensation in the hip, but are able to complete your activities of daily living, ask yourself these questions to gauge whether or not you should seek help:

• Is the hip warm or tender to the touch?

• Does the hip appear deformed?

• Are you unable to move or bear weight on the affected leg?

• Did your hip suddenly “give out” from under you?

• Did you experience sudden swelling or intense pain in the hip?

• Have home treatments like rest, ice, heat, or over-the-counter (OTC) pain medications failed to improve your symptoms?

Seek immediate medical attention if you experience:

• Sudden pain

• Tenderness

• Swelling

• Muscle weakness

• Limited range of motion

• Fever

• Numbness and tingling

• Loss of sensation or increased pain when moving the hip

Lower back pain radiating to leg

Patients often complain of pain in the lumbar region, which in some cases radiate to the lower limb (leg). These problems can be associated with a range of diseases, either acute or chronic.

Varieties and possible consequences of occurrence

Such pains are quite common, characteristic of both sexes, and can begin at a young age. Often, the consequences of injuries, overloads that were earlier lead to the occurrence of pain.

Localization and intensity of pain depending on diseases

When pain occurs in the lower back and thigh area, the source of pain can be: the thoracic and lumbar spine, pelvic bones, hip joints, back muscles, buttocks, legs. The causes of pain are changes in the intervertebral discs in the form of protrusions and hernias, tumors, piriformis syndrome, sciatic nerve neuropathy, inflammation of the muscles and tendons in the buttocks on the affected side.

The provoking factor is hard physical labor, hypothermia, posture disorder, fresh or distant injury, stressful situations. If the cause of pain is piriformis syndrome, there is a dull pain in the lower back on the right or left, radiating to the leg. In some cases, pain can go down to the foot, accompanied by leg numbness in the pain area, hypotrophy (weight loss) of the leg muscles.

Pain localized along the lateral surface of the leg also develops when the roots of the spinal cord are compressed by a herniated disc at the lumbar level. In this case, there may be acute pain of the lumbago type (lumbar backache) or irradiation of pain along the nerve.

The source of burning pain in the thigh area may be the external cutaneous nerve of the thigh. During pregnancy, if you are overweight, it may be compressed in the area of ​​the inguinal ligament.

Important! It is very important for a pregnant woman to consult a specialist at the first sign of pain so that there are no negative consequences!

In some cases, pain in the leg area is associated with pathology of the hip joint and adjacent tissues (ligaments, tendons). These patients are characterized by weakness of the thigh muscles, limitation of movements in the hip joint, weight loss of the thigh muscles.

Inflammatory and oncological diseases of the pelvic organs in men and women may be accompanied by pain in the lumbar region, hips.

Diagnosis of hip fractures as a cause of pain in the leg, as a rule, does not cause difficulty.

Severe lower back pain radiating to the legs can be a manifestation of spinal pathology – such as degenerative changes (osteochondrosis, spondylosis), spinal tumors, hereditary diseases (Scheuermann-Mau disease), inflammatory diseases (Bekhterev’s disease), cysts of the sacrum and coccyx .

Interesting fact! Most complications are easily avoided with timely prevention and treatment in the early stages.

Regardless of the cause, these pains affect the patient’s quality of life, sometimes requiring long-term treatment, in some cases even surgery.

Features of non-orthopedic ailments

In rare cases, pain is caused by infectious diseases (herpes zoster, syphilis, abscess), lesions of the spinal cord (stroke, syringomyelia) and leg vessels (endarteritis, thromboangiitis obliterans).

If there is pain in the lower back on the right and radiates to the leg with one of these diseases, in the vast majority of cases, surgical intervention is necessary. In case of delay or late detection of the problem, there is a risk of death.

It is very important not to put off seeing a doctor even at the first sign of discomfort.

Other features of lesion formation

Life-threatening conditions that may be accompanied by pain radiating to the leg include ectopic pregnancy, aneurysm dissection.

How to diagnose and follow up

Due to the fact that many diseases are accompanied by sharp pain in the lower back, radiating to the leg, it is not worth making a diagnosis on your own and, moreover, starting treatment. First of all, you need to contact doctor .

To clarify the cause of pain and the degree of damage, a general blood test, biochemical blood test, X-ray of the spine and joints, MRI, CT are prescribed. If you suspect a pathology of the internal organs – ultrasound, sigmoidoscopy, to detect nerve damage – ENMG.

The doctor has no right to prescribe any full-fledged cure before the diagnosis and 100% diagnosis. Therefore, in most cases, anti-inflammatory and analgesic drugs are first prescribed. But even if they helped, and the discomfort completely disappeared, in no case should you stop visiting a specialist.

The next step after the consultation and examination is the start of treatment according to the recommendations of a specialist. For pain associated with the pathology of the musculoskeletal system, rehabilitation treatment is carried out, aimed at preventing further exacerbations.

You can make an appointment with specialists online , as well as by phone 8 (812) 901-03-03.

Why hip pain occurs

Clinic of Dr. Ignatiev » Pain » Why hip pain occurs – causes, diagnosis, treatment

Contents:

• Causes of hip pain
• Diagnostics
• Pain in right and left thigh, symmetrical pain.
• Treatment of hip pain

Diagnosis of hip pain

Pain in distress is one of the most common and most difficult symptoms in patients of all ages. Most often, the cause lies in serious problems with the spine or pelvis, and minor symptoms require immediate treatment.

Dr. Ignatiev Clinic specializes in the diagnosis and treatment of hip pain. A complete diagnosis allows you to determine the cause in time and stop the disease in time.

Causes of hip pain ↑

Diseases of the spine that affect the nerve roots of the lumbar region. Osteochondrosis complicated by intervertebral hernias causes a rather vivid picture of pain, numbness, slight tingling in the thigh area. Usually the pain proceeds paroxysmal until the patient goes to the doctor and solves his problem. These problems usually occur in young and middle age 15-50 years.

Diseases of the hip joint. Pain in the hip occurs with movement or stress on the joint. A characteristic feature for this problem is the restriction of mobility. When trying to spread the legs, the joints are blocked and further movement is not possible. The problem arises after the age of 65 and further treatment should be carried out at the place of residence by an orthopedist-traumatologist.

Different leg lengths. Sometimes, even in adulthood, patients can find out that there are different leg lengths. This can be determined by lying on your back, looking at the heels or taking special measurements. Symptoms begin with a slight limp and pain in the hip, which leads to a twist of the entire body, different shoulder heights, a twisted neck, etc. With proper diagnosis, the problem can be completely solved. Often in practice, you can find a skew of the pelvis, which causes a false shortening.

Diagnosis ↑

Piriformis syndrome pain

Piriformis syndrome , sciatic nerve entrapment. The most common syndrome that causes pain in the thigh, buttocks. The pain occurs internally in the area between the sacrum and the buttock. It is painful for the patient to sit, aggravated by movement, over time, numbness of the leg occurs, its volume decreases. Changes are accompanied by blocking of the sacroiliac joint, changes in gait, etc. The problem occurs against the background of serious problems with the spine or pelvis.

psoas-syndrome (ilio-lumbar)

Psoas-syndrome . The pain spreads along the front surface of the thigh, begins in the depths of the abdomen, less often in the depths of the lower back, from the inside. If the pain occurs on the right side, then it can be confused with appendicitis. In women, it may appear during intercourse. The syndrome is accompanied by straightening of the lumbar lordosis, periodic pain in the lower back. If this problem is not treated, the muscle keeps the hip joint in constant tension and its destruction occurs, the amount of cartilage decreases, arthrosis occurs.

Obstructive canal syndrome. Sharp pain radiates to the groin and inner thigh.

Bernhard-Roth disease paresthetic meralgia. Dull pain in front of the thigh, which increases when trying to press the bent leg to the stomach.

Sciatica or radiculopathy of the nerve roots of the lumbar region. Acute pain due to damage to the nerves of the lumbar spine.

Sciatica, sciatica, lumboischialgia. A type of pain that starts in the lower back and worsens in the hip area.

Other lesions of nerves, muscles, vessels, ligaments of the thigh.

Pain in right and left thigh, symmetrical pain. ↑

The side of the lesion can also indicate the cause of the pain. If the pain occurs on the right or left side, it says that the problem is in the lumbar, pelvic, or leg.

If the pain occurs symmetrically, occurs simultaneously in the same areas, then this indicates diseases of the central nervous system (brain) or systemic diseases (diabetes mellitus), autoimmune diseases, varicose veins, tumors, etc.

To determine the cause of hip pain, sign up for a consultation with the doctors of the clinic in Kyiv. Correct diagnosis is the key to correct treatment!

Before starting treatment, you need to clearly diagnose and understand the cause of the disease. For the diagnosis of the spine, a complete screening, MRI of the lumbar region, X-ray of the hip joint, ultrasound of the vessels of the lower extremities, etc. are carried out. Contacting a consultation will help to find out the main source of the problem and set the exact tasks for the examination. The methods of treatment largely depend on the problem.

Diagnostic tests for hip pain

Principles of treatment at the Clinic of Dr. Ignatiev
1) Determine and eliminate the cause of the pain.
2) Stop deterioration.
3) Strengthen the spine, muscles and ligaments for further loads.

If you experience pain without knowing the cause of your symptoms, do not self-medicate. The use of painkillers is not recommended, as it leads to a chronic course of the disease. If numbness, tingling of the skin, muscle weakness occurs, call an ambulance immediately.

The main treatment methods used are spinal correction, elimination of pinched nerves and subluxations, strengthening of the muscular corset, reflexology, author’s methods of treatment by Dr. Ignatiev.

Case report:
Quite often, patients who have chronic pain in the thigh, buttocks come to us. During the diagnosis, an intervertebral hernia is detected, which causes pain itself, syndromes of infringement of the sciatic nerve. At the same time, it is often possible to detect traces of attempts to treat with injections, blockades, etc., which have to be eliminated for a long time.
N.B.! Not allowed – inject drugs into diseased areas, thigh or affected buttock! With pain, infringement, tissue trophism is disturbed, their swelling occurs, and the introduction of additional fluid will exacerbate the problem. The pain becomes a little less, but becomes chronic.

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