What are the common causes of lower back and hip pain. How can you differentiate between various types of pain in these areas. What treatment options are available for managing lower back and hip discomfort. When should you seek medical attention for persistent pain in your back and hip region.

The Intricate Connection Between Lower Back and Hip Pain

Lower back and hip pain are often intertwined, creating a complex web of discomfort that can significantly impact one’s quality of life. The proximity of the hip joint to the spine means that injuries or conditions affecting one area can easily manifest symptoms in the other. This interconnectedness can make it challenging to pinpoint the exact source of pain, leading to potential misdiagnosis or ineffective treatment strategies.

Understanding the relationship between these two areas is crucial for accurate diagnosis and effective management of pain. The hip joint, a ball-and-socket structure, is surrounded by powerful muscles that connect to the lower back and pelvis. Any dysfunction in this intricate system can result in pain that radiates between the back and hip, sometimes extending to the groin or thigh.

Muscle Strains and Sprains: Common Culprits of Acute Pain

Acute lower back and hip pain often stem from muscle strains or ligament sprains. These injuries typically occur due to sudden movements, overexertion, or poor body mechanics. Muscle strains involve the overstretching or tearing of muscle fibers, while sprains affect the ligaments that connect bones to each other.

How can you differentiate between a strain and a sprain? Strains usually cause muscle spasms, localized pain, and stiffness. Sprains, on the other hand, may result in swelling, bruising, and a feeling of instability in the affected joint. Both conditions can cause pain that radiates from the lower back to the hip area, making it difficult to distinguish between the two without professional assessment.

Treatment Approaches for Strains and Sprains

• Rest and activity modification
• Application of ice or heat therapy
• Gentle stretching exercises
• Over-the-counter pain relievers
• Physical therapy for more severe cases

Is it necessary to see a doctor for every muscle strain or sprain? While many minor strains and sprains can be managed at home, persistent pain or symptoms that worsen over time warrant medical attention. A healthcare professional can rule out more serious conditions and provide targeted treatment strategies to promote faster healing and prevent chronic issues.

Pinched Nerves: When Pressure Leads to Pain

A pinched nerve occurs when excessive pressure is applied to a nerve by surrounding tissues, such as bones, cartilage, muscles, or tendons. This compression can disrupt the nerve’s function, leading to pain, numbness, tingling, or weakness that may radiate from the lower back to the hip and leg.

What causes nerves to become pinched in the lower back and hip region? Several factors can contribute to nerve compression, including:

• Herniated or bulging discs
• Spinal stenosis (narrowing of the spinal canal)
• Bone spurs
• Poor posture
• Repetitive movements
• Obesity

How long does it take for a pinched nerve to heal? The recovery time for a pinched nerve can vary greatly depending on the severity of the compression and the underlying cause. Mild cases may resolve within a few days or weeks with conservative treatment, while more severe cases could take several months and require more intensive interventions.

Managing Pinched Nerve Pain

1. Rest and avoiding activities that exacerbate symptoms
2. Physical therapy to improve posture and strengthen supporting muscles
3. Medications such as anti-inflammatories or nerve pain modulators
4. Corticosteroid injections for temporary relief
5. In severe cases, surgical decompression may be necessary

Arthritis: When Joints Become the Source of Discomfort

Arthritis is a common cause of chronic lower back and hip pain, particularly in older adults. This inflammatory condition affects the joints, leading to pain, stiffness, and decreased range of motion. While there are many types of arthritis, osteoarthritis and rheumatoid arthritis are the most prevalent forms affecting the lower back and hip areas.

How does arthritis manifest differently in the back versus the hip? In the lower back, arthritis often causes stiffness and pain that worsens with inactivity or first thing in the morning. Hip arthritis typically presents as pain in the groin or outer thigh, especially during weight-bearing activities. Both can lead to referred pain, making it challenging to isolate the primary source of discomfort.

Strategies for Managing Arthritic Pain

• Low-impact exercises like swimming or cycling
• Weight management to reduce stress on joints
• Physical therapy to improve joint flexibility and strength
• Medications, including NSAIDs and disease-modifying antirheumatic drugs (DMARDs)
• Joint injections for targeted relief
• In advanced cases, joint replacement surgery may be considered

Can arthritis be reversed? While there is no cure for arthritis, early diagnosis and proper management can significantly slow its progression and improve quality of life. Emerging treatments, such as regenerative medicine techniques, offer promising avenues for potentially reversing some arthritic changes in the future.

Herniated Discs: When Spinal Cushions Slip Out of Place

A herniated disc occurs when the soft inner core of a spinal disc protrudes through its tougher exterior, potentially irritating nearby nerves. This condition can cause pain that radiates from the lower back into the hip, buttock, and leg, often accompanied by numbness or tingling sensations.

Why do discs herniate, and who is at risk? Disc herniation can result from age-related degeneration, sudden injury, or repetitive stress on the spine. Factors that increase the risk of developing a herniated disc include:

• Age (most common between 30-50 years)
• Occupations involving heavy lifting or repetitive motions
• Obesity
• Smoking
• Genetics

Treatment Options for Herniated Discs

1. Conservative management with rest and activity modification
2. Physical therapy to strengthen core and back muscles
3. Pain medications and muscle relaxants
4. Epidural steroid injections for short-term relief
5. Minimally invasive procedures like microdiscectomy for persistent cases

How long does it take to recover from a herniated disc? The recovery timeline varies greatly among individuals. Many people experience significant improvement within 4-6 weeks with conservative treatment. However, some cases may take several months to resolve fully, and a small percentage may require surgical intervention if symptoms persist or worsen.

Sacroiliac Joint Dysfunction: The Hidden Cause of Lower Back and Hip Pain

The sacroiliac (SI) joint connects the sacrum (the triangular bone at the base of the spine) to the iliac bones of the pelvis. Dysfunction in this joint can cause pain that mimics lower back issues or hip problems, often leading to misdiagnosis. SI joint pain typically manifests as discomfort in the lower back, buttocks, and sometimes the groin or thigh.

What causes SI joint dysfunction? Several factors can contribute to SI joint problems, including:

• Pregnancy and childbirth
• Trauma or injury to the pelvic area
• Arthritis
• Leg length discrepancy
• Abnormal gait patterns

Diagnosing and Treating SI Joint Issues

Diagnosing SI joint dysfunction can be challenging due to its similarity to other lower back and hip conditions. Healthcare providers often use a combination of physical examination techniques, imaging studies, and diagnostic injections to confirm the diagnosis.

Treatment approaches for SI joint dysfunction may include:

1. Physical therapy to improve joint stability and muscle strength
2. Chiropractic adjustments
3. Pain management techniques, including medications and injections
4. Use of supportive devices like SI belts
5. In severe cases, minimally invasive SI joint fusion surgery

Can SI joint dysfunction be prevented? While not all cases of SI joint dysfunction are preventable, maintaining good posture, engaging in regular exercise to strengthen core and pelvic muscles, and avoiding excessive stress on the joint can help reduce the risk of developing this condition.

When to Seek Medical Attention for Lower Back and Hip Pain

While many instances of lower back and hip pain can be managed at home, certain symptoms warrant immediate medical attention. Understanding these red flags can help prevent serious complications and ensure timely treatment.

When should you consult a healthcare professional for lower back and hip pain? Consider seeking medical evaluation if you experience:

• Severe pain that doesn’t improve with rest or over-the-counter medications
• Pain accompanied by fever, unexplained weight loss, or night sweats
• Numbness, tingling, or weakness in the legs
• Loss of bladder or bowel control
• Pain following a traumatic injury
• Pain that worsens over time or interferes with daily activities

Diagnostic Approaches for Persistent Pain

When evaluating chronic lower back and hip pain, healthcare providers may employ various diagnostic tools to pinpoint the underlying cause:

1. Comprehensive physical examination
2. Imaging studies (X-rays, MRI, CT scans)
3. Electromyography (EMG) to assess nerve function
4. Blood tests to check for inflammatory markers or other systemic issues
5. Diagnostic injections to isolate pain sources

How do doctors differentiate between various causes of lower back and hip pain? The diagnostic process often involves a combination of patient history, physical examination findings, and diagnostic tests. Healthcare providers look for specific patterns of symptoms, assess range of motion and strength, and may use targeted maneuvers to reproduce pain or identify its source. This comprehensive approach helps ensure accurate diagnosis and appropriate treatment planning.

Innovative Treatments and Future Perspectives in Pain Management

As our understanding of lower back and hip pain evolves, so do the treatment options available to patients. Recent advancements in medical technology and pain management techniques offer new hope for those suffering from chronic pain conditions.

What cutting-edge treatments are emerging for lower back and hip pain? Some promising innovations include:

• Regenerative medicine techniques, such as stem cell therapy and platelet-rich plasma (PRP) injections
• Minimally invasive surgical procedures that reduce recovery time and complications
• Advanced pain modulation devices, including spinal cord stimulators and peripheral nerve stimulators
• Virtual reality therapy for pain management and rehabilitation
• Personalized medicine approaches based on genetic and biomarker analysis

The Role of Lifestyle Modifications in Pain Prevention

While medical treatments continue to advance, the importance of lifestyle factors in preventing and managing lower back and hip pain cannot be overstated. Incorporating healthy habits can significantly reduce the risk of developing chronic pain conditions and improve overall quality of life.

How can you protect your back and hip health through lifestyle changes? Consider implementing these strategies:

1. Maintain a healthy weight to reduce stress on joints and the spine
2. Engage in regular exercise, focusing on core strength and flexibility
3. Practice good posture and ergonomics, especially if you have a sedentary job
4. Incorporate stress-reduction techniques like meditation or yoga into your routine
5. Ensure adequate sleep and proper nutrition to support overall musculoskeletal health

Can chronic pain be completely eliminated? While complete elimination of chronic pain may not always be possible, a multidisciplinary approach combining medical treatments, lifestyle modifications, and pain management strategies can significantly improve pain levels and overall function for many individuals. The key lies in developing a personalized treatment plan that addresses the unique needs and circumstances of each patient.

As research continues to uncover the complex interplay between various factors contributing to lower back and hip pain, the future holds promise for more targeted and effective treatments. By staying informed about emerging therapies and maintaining a proactive approach to musculoskeletal health, individuals can work towards achieving optimal pain management and improved quality of life.

What’s Causing My Lower Back and Hip Pain?

You can develop lower back and hip pain due to injury or strain. But it can also occur due to an underlying health condition.

Experiencing lower back pain is quite common. According to the National Institute of Neurological Disorders and Stroke, close to 80 percent of adults have lower back pain at some point in their lives. The pain can range in intensity from a dull ache to sharp sensations that affect your mobility and quality of life.

Back pain can easily be mistaken for hip pain and discomfort. The joint of your hip is located near your spine. For that reason, injuries to your hip can resemble or actually cause back pain. In addition to hip and lower back pain, you may also experience:

• groin pain on the affected side
• stiffness
• pain while walking or moving
• trouble sleeping

Here are five possible causes of lower back and hip pain.

Acute back pain is often the result of muscle sprains or strains. Sprains occur when your ligaments are overstretched and sometimes torn.

Strains, on the other hand, are caused by stretching — and possible tearing — of your tendons or muscles. Though the immediate reaction is pain in your back, you may also experience dull aches or discomfort in your hip.

Treatment for sprains and strains includes proper stretching and, in more severe cases, physical therapy. If your pain worsens, schedule a visit to your doctor to get proper treatment and to ensure your pain isn’t the result of a more serious injury.

A pinched nerve is an uncomfortable condition that may cause shooting pain, tingling, and discomfort, particularly if it occurs in your back, spine, or hip.

It occurs when too much pressure is applied to a nerve by surrounding bones, muscles, or tissues. The pressure interrupts proper nerve function, causing pain, numbness, and weakness.

In some cases, old scar tissue from previous injuries can also cause pinched nerves. Other causes of pinched nerves include:

• arthritis
• stress
• repetitive movements
• sports
• obesity

Pain from this condition usually lasts a short period of time and often results in no permanent damage once treated. However, if there’s persistent pressure on a nerve, you may experience chronic pain and may be at an increased risk of permanent nerve damage.

The most common treatment for a pinched nerve is rest. If your muscles or nerves are affected, your doctor may recommend physical therapy to increase your mobility and strength.

For short-term relief, you doctor may also prescribe anti-inflammatory medication to reduce pain. More severe cases of pinched or damaged nerves may require surgery.

Arthritis is a common culprit of back and hip pain. It can also be felt in the front of your thigh and groin area. Often a result of aging and gradual wear and tear on the body, arthritis is inflammation of one or more of your joints.

Common symptoms of arthritis include:

• pain
• swelling
• stiffness
• decreased range of motion
• numbness

Treatment for arthritis focuses on relieving symptoms and improving mobility.

Your doctor may recommend anti-inflammatory medications or pain relievers. They might also prescribe disease-modifying antirheumatic drugs, which are drugs meant to slow or stop your immune system from attacking your joints.

Your doctor may also recommend physical therapy to strengthen your joints and increase your range of motion. For more severe cases, surgery may be required.

Also called a ruptured or slipped disk, a herniated disk occurs when the “jelly” inside your spinal disk is pushed out through the harder exterior of the disk. This can cause nearby nerves to become irritated, often causing pain and numbness.

Some people who have a herniated disk, however, may never experience painful symptoms.

Other than back pain, you may also experience symptoms including:

• thigh pain
• hip and butt pain
• tingling
• weakness

To treat a herniated disk, your doctor may recommend muscle relaxers and prescription drugs to reduce pain. Surgery or physical therapy are also treatments for this condition if your symptoms worsen or if your condition begins to affect your quality of life.

Your sacroiliac joint — also referred to as the SI joint — connects your hip bones to your sacrum, the triangular bone between the lumbar spine and the tailbone. This joint is meant to absorb shock between your upper body, pelvis, and legs.

Strain or injury to the SI joint can cause radiating pain in your hip, back, and groin area.

Treatment focuses on reducing pain and restoring normal motion to the SI joint.

Your doctor may recommend rest, pain medication, and hot and cold compresses to reduce muscle tension and inflammation. An injection of a steroid into the joint is often helpful. In more severe cases, your doctor may recommend surgery.

Back and hip pain are common ailments. They may, however, also be symptoms of more serious medical conditions. If your pain worsens or is accompanied by irregular symptoms, schedule a visit with your doctor.

Together, you and your doctor can discuss the best form of treatment to help you cope with your pain and improve your condition.

What’s Causing My Lower Back and Hip Pain?

You can develop lower back and hip pain due to injury or strain. But it can also occur due to an underlying health condition.

Experiencing lower back pain is quite common. According to the National Institute of Neurological Disorders and Stroke, close to 80 percent of adults have lower back pain at some point in their lives. The pain can range in intensity from a dull ache to sharp sensations that affect your mobility and quality of life.

Back pain can easily be mistaken for hip pain and discomfort. The joint of your hip is located near your spine. For that reason, injuries to your hip can resemble or actually cause back pain. In addition to hip and lower back pain, you may also experience:

• groin pain on the affected side
• stiffness
• pain while walking or moving
• trouble sleeping

Here are five possible causes of lower back and hip pain.

Acute back pain is often the result of muscle sprains or strains. Sprains occur when your ligaments are overstretched and sometimes torn.

Strains, on the other hand, are caused by stretching — and possible tearing — of your tendons or muscles. Though the immediate reaction is pain in your back, you may also experience dull aches or discomfort in your hip.

Treatment for sprains and strains includes proper stretching and, in more severe cases, physical therapy. If your pain worsens, schedule a visit to your doctor to get proper treatment and to ensure your pain isn’t the result of a more serious injury.

A pinched nerve is an uncomfortable condition that may cause shooting pain, tingling, and discomfort, particularly if it occurs in your back, spine, or hip.

It occurs when too much pressure is applied to a nerve by surrounding bones, muscles, or tissues. The pressure interrupts proper nerve function, causing pain, numbness, and weakness.

In some cases, old scar tissue from previous injuries can also cause pinched nerves. Other causes of pinched nerves include:

• arthritis
• stress
• repetitive movements
• sports
• obesity

Pain from this condition usually lasts a short period of time and often results in no permanent damage once treated. However, if there’s persistent pressure on a nerve, you may experience chronic pain and may be at an increased risk of permanent nerve damage.

The most common treatment for a pinched nerve is rest. If your muscles or nerves are affected, your doctor may recommend physical therapy to increase your mobility and strength.

For short-term relief, you doctor may also prescribe anti-inflammatory medication to reduce pain. More severe cases of pinched or damaged nerves may require surgery.

Arthritis is a common culprit of back and hip pain. It can also be felt in the front of your thigh and groin area. Often a result of aging and gradual wear and tear on the body, arthritis is inflammation of one or more of your joints.

Common symptoms of arthritis include:

• pain
• swelling
• stiffness
• decreased range of motion
• numbness

Treatment for arthritis focuses on relieving symptoms and improving mobility.

Your doctor may recommend anti-inflammatory medications or pain relievers. They might also prescribe disease-modifying antirheumatic drugs, which are drugs meant to slow or stop your immune system from attacking your joints.

Your doctor may also recommend physical therapy to strengthen your joints and increase your range of motion. For more severe cases, surgery may be required.

Also called a ruptured or slipped disk, a herniated disk occurs when the “jelly” inside your spinal disk is pushed out through the harder exterior of the disk. This can cause nearby nerves to become irritated, often causing pain and numbness.

Some people who have a herniated disk, however, may never experience painful symptoms.

Other than back pain, you may also experience symptoms including:

• thigh pain
• hip and butt pain
• tingling
• weakness

To treat a herniated disk, your doctor may recommend muscle relaxers and prescription drugs to reduce pain. Surgery or physical therapy are also treatments for this condition if your symptoms worsen or if your condition begins to affect your quality of life.

Your sacroiliac joint — also referred to as the SI joint — connects your hip bones to your sacrum, the triangular bone between the lumbar spine and the tailbone. This joint is meant to absorb shock between your upper body, pelvis, and legs.

Strain or injury to the SI joint can cause radiating pain in your hip, back, and groin area.

Treatment focuses on reducing pain and restoring normal motion to the SI joint.

Your doctor may recommend rest, pain medication, and hot and cold compresses to reduce muscle tension and inflammation. An injection of a steroid into the joint is often helpful. In more severe cases, your doctor may recommend surgery.

Back and hip pain are common ailments. They may, however, also be symptoms of more serious medical conditions. If your pain worsens or is accompanied by irregular symptoms, schedule a visit with your doctor.

Together, you and your doctor can discuss the best form of treatment to help you cope with your pain and improve your condition.

Hip pain

There are many health conditions that cause hip pain. Some of them are congenital, others are formed with age. The causes of pain in the thigh can be infectious diseases, tuberculosis of the bone.

Most often, hip pain is associated with pain in the hip joint.

Causes of pain in the hip joint are:

• increased load on the joint,

• joint injury, overweight,

• hormonal disorders,

• metabolic disorders, age,

• genetic predisposition.

The most common diseases that give pain in the hip joint are coxarthrosis (arthrosis of the hip joint) and intervertebral hernia.

Nature of pain and development

1. In case of arthrosis of the hip joints, the earliest and most sensitive symptom of the disease is limited internal rotation with a flexed hip joint and pain in the hip. As a rule, the pain comes from the upper part of the thigh and gives to the knee, which is especially felt when walking. Often aggravated by standing on one leg (on the affected side). The mechanical rhythm of pain is characteristic, that is, their occurrence in the evening hours under the influence of daytime stress and subsiding during the night’s rest. Such pains indicate that there has already been a decrease in the depreciation properties of the cartilage and the osteoarticular surface to loads. At night, dull pains associated with venous stasis in the subchondral bone and increased intraosseous pressure may disturb. When walking, these pains usually disappear.

2. Secondary changes in the bone with subchondral sclerosis, osteophytes and narrowing of the interarticular space during the progression of the disease, in addition to pain associated with movement, cause joint deformity, limited range of motion, crunching, clicking sensation in the joint.

3. With a herniated disc in the lumbar spine, the pain in the joint is aggravated by exertion or movement (for example, rising from a sitting position, standing, walking, standing up on toes) and is felt primarily in the groin. However, it can radiate along the anterior and lateral surface of the thigh, into the buttocks, into the anterior part of the knee, and occasionally along the anterior surface of the lower leg up to the ankle joint. A prolapsed intervertebral disc can cause pain in the groin. The abrupt nature and aggravation on exertion (cough + additional pain in the back) allow us to establish its nature.

4. Trochanteric bursitis causes local pain and tenderness over the trochanter, sometimes radiating down the lateral surface of the thigh. It is especially painful when lying on a sore side. The pain of ischio-gluteal bursitis is felt mainly from behind and worsens when the patient is sitting.

5. Fibrosis of the articular capsule leads to compression of the nerve endings, which leads to pain during certain movements associated with the expansion of the capsule.

6. Constant pain during any movement in the joint can cause reflex spasm of nearby muscles. Tension in the groin is usually the result of a sports injury and is aggravated by standing on the affected leg.

Recommendations

For hip pain, great attention is paid to reducing the load on the joint. It is better to do housework in a sitting position, wash the floors only with a mop, and not tilt, the height of the chair and toilet should be sufficient, it is better to install handrails in the bathroom to make it easier to climb. The use of a cane in coxarthrosis can reduce the load on the vertical axis on the joints. The cane must be carried in the hand opposite the affected joint.

Treatment

In the treatment and rehabilitation center “ODA” a complex of therapeutic measures is used to relieve pain in the thigh. We influence all stages of the development of the disease.

1. Laser therapy has a powerful analgesic effect. Elderly people and patients for whom electrical procedures are contraindicated at the ODA Medical Exhibition Center can be offered magnetic therapy.

2. Joint traction on the ORMED computer bed. Joint traction is carried out in a dosed manner, 10-12 procedures are performed, during which the blood supply to the joint improves significantly, the interarticular gap increases.

3. Lithium electrophoresis stimulates cellular immunity, increases the function of lymphocytes, and has an antihistamine effect. When conducting electrophoresis with lithium in diseases of the joints, an increase in the production of collagen was found, which goes to the construction of the cartilage tissue of the patient. Lithium electrophoresis is especially effective in the presence of osteophytes.

The latest equipment used in the ODA center eliminates the causes that affect the development of the disease, modern drugs inhibit the destruction of articular cartilage and restore the function of the affected joint.

Drawing pain in the thigh, buttock and groin – diagnostics and treatment in Moscow

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Pain in the thighs, buttocks, groin is a manifestation of such a wide range of traumatological, neurological, rheumatological, vascular and infectious diseases that only an experienced doctor can understand this diversity and make a correct diagnosis.

1

Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI images.

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No side effects

The methods used in our clinic are safe and have no side effects.

3

Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

The main causes of pulling pain in the leg, caused by damage to the musculoskeletal system

Most often, pain in the thigh, buttocks, groin is accompanied by many diseases with damage to the spine, muscles, tendons, nerve trunks and blood vessels of the lower extremities.

Osteochondrosis of the lumbosacral spine

With degenerative processes in the cartilage tissue that occur with osteochondrosis, there is a decrease in the height of the intervertebral discs. As a result, pressure increases on the radicular nerve trunks, which combine to form the sciatic nerve. Since the nerve passes along the back of the buttocks and thighs, its irritation leads to unpleasant sensations in this area in the form of pulling pains and cramps in the leg. The pain is aggravated by walking and exertion.

Compressive pressure on the sciatic nerve can be caused by protrusion of the disc and herniated disc.

Arthrosis of the hip joint

Deforming osteoarthrosis — coxarthrosis appears in old age as a result of degenerative changes in the cartilaginous tissues of the hip joint. Women are more often affected.

A characteristic sign of coxarthrosis is the restriction of motor activity of the affected limb. The pain increases with active movements, calming down at rest.

Arthritis of the hip joint

Disease in the hip joint is rare, is autoimmune in nature and is secondary to current rheumatism or psoriasis. The pain is severe and usually bilateral.

Trochanteritis

This is inflammation or damage to the tendons surrounding the hip joint. The most common cause of the disease is an injury or overload of the legs (excess weight, carrying weights, running). Characterized by pain during movement, localized on the outer surface of the thighs – the area of ​​\u200b\u200b”breeches”. Pain is aching constant, but unlike coxarthrosis, there is no restriction in the mobility of the leg.

Aseptic necrosis of the femoral head

The symptoms of this pathology are in many respects similar to the manifestations of coxarthrosis – a significant difference is only the duration of the disease. With coxoarthrosis, the symptoms develop gradually – over the years, and with necrosis, the pathological process progresses rapidly, in a few days the intensity of pain increases rapidly, haunting the patient even at night. In addition, aseptic necrosis of the femoral head often affects young men aged 20-45 years, and women suffer from this pathology 7-8 times less often.

Piriformis syndrome

Manifestations of this syndrome are associated with compression of the trunk of the sciatic nerve and blood vessels when they pass through the hole in the ilium. Compression occurs due to contraction of the piriformis muscle.

The disease develops as a complication of previous injuries, with incorrect injections into the buttock or as a result of hypothermia. The main symptom of nerve compression is constant pulling pain (sometimes with shooting), which is localized along the back of the thigh from the buttock to the foot. The pain may be accompanied by a feeling of numbness or weakness in the leg.

Potential causes of pulling pain in the thighs, not associated with damage to the musculoskeletal system

• Feverish syndrome with hyperthermia, accompanying colds, bacterial and viral infections.
• Iron deficiency and hemolytic anemia.
• Cerebral circulation disorders occurring with paralysis of the lower extremities.
• Damage to blood vessels in the pelvic area and soft tissues of the thigh: varicose veins, obliterating endarteritis, atherosclerosis of the vessels of the legs.
• Lymphostasis and secondary lesions of the lymph nodes.
• Complications of diabetes mellitus in the form of angio- and neuropathies.
• Migration in the muscles of larvae of intestinal parasites.
• Diseases affecting the arachnoid (arachnoid) membranes of the brain and spinal cord: tick-borne encephalitis, poliomyelitis and other infections.
• Muscle dystrophy as a result of prolonged lack of motor activity (immobility).
• Nutritional deficiency of essential trace elements: potassium, magnesium, calcium.
• Fibromyalgia.
• Convulsive syndrome.
• Tumors of the small pelvis.
• Pain in the hip in pregnant women is physiological in nature due to deformation of the axial skeleton and resolves on its own after childbirth.

Treatment success is 90% dependent on experience
and physician qualifications.

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During the consultation, we carry out a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

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Diagnosis

In Dr. Length’s clinic, to make a correct diagnosis, a patient with complaints of pain in the thighs, buttocks and groin is prescribed the following examination methods:

• History taking.
• External examination with assessment of neurological status.
• Analysis of the biomechanics of the musculoskeletal system: range of motion in the joints, movement restrictions.
• Kinesiology testing of joints and musculoskeletal system.
• General and biochemical blood tests, rheumatic tests.
• Instrumental methods: radiography, ultrasound, CT, MRI.

Since pulling pains in the thighs, buttocks and groin can be caused not only by the pathology of the musculoskeletal system, but also by other diseases, the patient is assigned a number of additional studies and consultations of various specialists as part of the differential diagnosis.

Treatment

Pain is a signal of the development of pathological changes in the body. If the patient ignores the growing symptoms for a long time, tries to get rid of pain with the help of various painkillers and does not turn to specialists in time, this can lead to serious consequences in the form of disability with loss of independent movement.

Doctors of Dr. Length clinic successfully treat diseases of the musculoskeletal system with conservative methods that not only relieve the symptoms of the disease, but can also slow down the further progression of the pathological process.

The scheme of complex therapy is compiled for each patient individually, depending on the diagnosis, stage of the disease, clinical manifestations.

Dr. Length’s clinic, which specializes in the treatment of the spine and joints, includes both traditional methods of therapy (medication) and innovative methods of manual therapy.

Taking as a basis the achievements of foreign and Russian scientists in the field of manual therapy, Dr. Dlin developed his own method of Di-Tazin therapy, consisting of three components: soft manual technique, multicomponent electrophoresis and photodynamic laser therapy.

Applying the Di-Tazin therapy method, the doctor achieves the following results in the treatment of patients:

• pain intensity decreases;
• relieves inflammation;
• blood microcirculation is enhanced, and, consequently, the trophism of damaged tissues;
• improves lymph outflow;
• metabolic processes are normalized;
• further destruction of cartilage and bone tissue is suspended;
• regenerative processes are activated in the area of ​​damage;
• links of local immune protection are stimulated.

The therapeutic effect of soft manual therapy lies in the fact that painfully altered muscles and ligaments do not stretch as in the classical technique, but come closer, which leads to a rapid cessation of pain, removal of spasm in the muscles, elimination of restrictions in the movement of the joints.

Due to electrophoresis, pharmacological preparations are introduced into the lesion through intact skin, and the therapeutic effect of the drug lasts for several days.

Photodynamic phototherapy is performed as an application to the skin of a special substance (photoditazine) in the area of ​​pain localization. This photosensitive drug, activated under the action of a certain spectrum of waves emitted by the LED installation, penetrates deep into the tissues and acts at the cellular level, accelerating the regeneration processes.

The technique has proven its effectiveness, has no contraindications , can be used in the treatment of pregnant women, children and the elderly.

In addition, the program of active rehabilitation includes physical therapy, massage, kinesiotherapy.

We are recommended by 94% of patients.
Thank you for your trust and your choice.

Material verified by an expert

Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Video reviews of patients

Articular block in the neck 90 003 Hernia in the lower back and neck

I came to Dr. Length’s clinic with spinal problems. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. For 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared …

Hernia of the lumbosacral region

“After the first time, my back stopped hurting. I felt relieved. Now 7 sessions have already passed and the back really does not hurt. I began to forget about it. And at first it hurt a lot. ”

Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side. After the first visit, relief came immediately within six hours. After 6 courses, the pain was almost gone.

Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that I was put on my feet in the truest sense of the word. I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

“I applied 2 months ago with osteochondrosis of the cervical spine. I have a sedentary job and my neck muscles were very cramped. It was impossible to work. Before that, I went to other doctors, but this did not solve my problem. For 2 months I have a fairly positive dynamics. Every week it gets better and better.”

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

“I came in with problems in my back, cervical, thoracic and lumbar spine. I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made it much easier for me. I’m already turning my head. I have no pain.”

Shoulder shoulder periarthrosis

I came to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Osteoarthritis of the knee joint, 2nd degree

Came in with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I went through a course of treatment at the Clinic and now I am going 100%.

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

“At the 5th-6th session there was an improvement. I felt much better. The pain is gone. Improvement progressed more and more each time. Lesson 10 today. I feel great.”

Pain in the lumbar and cervical region

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical region. I also sometimes had sharp pains. After undergoing therapy, I felt a significant improvement in my back. I have no pain. The condition as a whole has improved.”

Pain in the back

“At the beginning of the path of treatment, my back hurt very badly. I could no longer walk. I take 5 steps and stop. My entire journey consisted of such stops. In the very first procedure, I left the office with no pain in my spine.”

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

“I went to Dr. Long because I had a very bad pain in my neck on the right side. I fell on a snowboard 5 years ago, even went to an osteopath, but somehow it didn’t really help. Now everything is fine, there are some consequences left, the muscles were spasmodic. When I came, I had steel muscles, now my neck is very soft.”

Pain in the thoracic region

“I went to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. After completing the course and receiving instructions in the form of physical exercises, it became much easier. After a month of treatment, I do not feel any stiffness of movements. ”

Pain in the lower back and hip joint

“From a young age, I was troubled by back pain. When they became unbearable, I went to Dr. Length’s clinic. Already after the first procedure, the pain in the hip joint was gone. After the third procedure, the shooting pains in the lower back stopped.

Applying today will help

avoid surgery tomorrow!

Relieve pain and inflammation

After 2-3 treatments, exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Comprehensive rehabilitation of the spine improves well-being: you feel a surge of strength and energy.

Let’s start the regeneration process

The process of restoration of damaged tissues begins, hernias and protrusions decrease.

Let’s strengthen the muscular corset

Strong back muscles support the spinal column, preventing the recurrence of the disease.