About all

Hip pain with back pain. Lower Back and Hip Pain: Causes, Symptoms, and Treatments

What causes lower back and hip pain. How to differentiate between hip and back pain. When should you see a doctor for lower back and hip pain. What are the treatment options for lower back and hip pain. How can you prevent lower back and hip pain.

Understanding the Connection Between Lower Back and Hip Pain

Lower back and hip pain often occur together, causing discomfort and affecting mobility. The close proximity of the hip joint to the spine can make it challenging to distinguish between hip and back pain. This interconnection means that injuries or conditions affecting one area can potentially impact the other.

According to the National Institute of Neurological Disorders and Stroke, approximately 80% of adults experience lower back pain at some point in their lives. The intensity can vary from a dull ache to sharp, debilitating sensations that significantly impact one’s quality of life.

Common Symptoms Associated with Lower Back and Hip Pain

  • Groin pain on the affected side
  • Stiffness
  • Pain while walking or moving
  • Trouble sleeping
  • Reduced range of motion

Muscle Sprains and Strains: A Common Culprit

Acute back pain is frequently the result of muscle sprains or strains. Sprains occur when ligaments are overstretched or torn, while strains involve the stretching or tearing of tendons or muscles. These injuries can cause immediate pain in the back and may also lead to dull aches or discomfort in the hip area.

How can you differentiate between a sprain and a strain. Sprains typically affect ligaments, which connect bones to other bones, while strains impact muscles or tendons, which connect muscles to bones. Both can cause similar symptoms, but the location and mechanism of injury may differ.

Treatment Options for Muscle Sprains and Strains

  1. Proper stretching exercises
  2. Rest and ice application
  3. Over-the-counter pain relievers
  4. Physical therapy for more severe cases

Is it necessary to see a doctor for every muscle sprain or strain. While many minor sprains and strains can be treated at home, it’s advisable to consult a healthcare professional if the pain persists or worsens after a few days of self-care. This ensures proper diagnosis and treatment, especially if the pain is due to a more serious underlying condition.

Pinched Nerves: A Source of Radiating Pain

A pinched nerve can cause shooting pain, tingling, and discomfort in the back, spine, or hip. This condition occurs when excessive pressure is applied to a nerve by surrounding bones, muscles, or tissues, interrupting proper nerve function.

Causes of Pinched Nerves

  • Arthritis
  • Stress
  • Repetitive movements
  • Sports injuries
  • Obesity
  • Old scar tissue from previous injuries

How long does a pinched nerve typically last. The duration of a pinched nerve can vary depending on the cause and severity. In many cases, symptoms may resolve within a few days or weeks with proper rest and treatment. However, chronic cases can persist for months or even longer if left untreated.

Treatment Approaches for Pinched Nerves

  1. Rest and activity modification
  2. Physical therapy to improve mobility and strength
  3. Anti-inflammatory medications for pain relief
  4. Surgery in severe or persistent cases

Arthritis: A Common Source of Joint Pain

Arthritis is a frequent cause of back and hip pain, often felt in the front of the thigh and groin area as well. This inflammatory condition affects one or more joints and is often associated with aging and gradual wear and tear on the body.

Key Symptoms of Arthritis

  • Pain in affected joints
  • Swelling
  • Stiffness, especially in the morning or after periods of inactivity
  • Decreased range of motion
  • Numbness in surrounding areas

Can arthritis be prevented or slowed down. While some forms of arthritis, such as osteoarthritis, may be difficult to prevent entirely, certain lifestyle changes can help slow its progression. These include maintaining a healthy weight, regular exercise, protecting joints from injury, and following a balanced diet rich in anti-inflammatory foods.

Treatment Options for Arthritis

  1. Anti-inflammatory medications
  2. Pain relievers
  3. Disease-modifying antirheumatic drugs (DMARDs)
  4. Physical therapy
  5. Surgery in severe cases

Herniated Disks: When Spinal Cushions Rupture

A herniated disk, also known as a ruptured or slipped disk, occurs when the soft inner material of a spinal disk pushes through the tougher exterior. This can irritate nearby nerves, causing pain and numbness in the back, and potentially radiating to the hips and legs.

Symptoms of a Herniated Disk

  • Back pain
  • Thigh pain
  • Hip and buttock pain
  • Tingling or numbness
  • Muscle weakness

Do all herniated disks cause pain. Interestingly, not all herniated disks are symptomatic. Some individuals may have a herniated disk without experiencing any pain or discomfort. The presence and severity of symptoms often depend on the location of the herniation and whether it’s compressing a nerve.

Treatment Approaches for Herniated Disks

  1. Muscle relaxers
  2. Prescription pain medications
  3. Physical therapy
  4. Surgery in cases where conservative treatments fail

Sacroiliac Joint Dysfunction: The Hidden Culprit

The sacroiliac (SI) joint connects the hip bones to the sacrum, the triangular bone between the lumbar spine and tailbone. This joint plays a crucial role in absorbing shock between the upper body, pelvis, and legs. Strain or injury to the SI joint can result in pain that radiates to the hip, back, and groin area.

Common Causes of SI Joint Dysfunction

  • Trauma or injury
  • Pregnancy and childbirth
  • Degenerative arthritis
  • Leg length discrepancy
  • Altered gait mechanics

How is sacroiliac joint dysfunction diagnosed. Diagnosing SI joint dysfunction can be challenging due to its symptoms mimicking other conditions. Doctors typically use a combination of physical examination, imaging tests (such as X-rays or MRI), and diagnostic injections to confirm the diagnosis.

Treatment Options for SI Joint Dysfunction

  1. Rest and activity modification
  2. Pain medication and anti-inflammatories
  3. Hot and cold compresses
  4. Steroid injections into the joint
  5. Physical therapy
  6. Surgery in severe cases

When to Seek Medical Attention for Lower Back and Hip Pain

While many cases of lower back and hip pain can be managed with home remedies and over-the-counter treatments, certain situations warrant immediate medical attention. Recognizing these red flags can help prevent further complications and ensure timely treatment.

Warning Signs That Require Medical Evaluation

  • Severe pain that doesn’t improve with rest
  • Pain accompanied by fever
  • Unexplained weight loss
  • Weakness or numbness in the legs
  • Loss of bladder or bowel control
  • Pain following a traumatic injury

How quickly should you see a doctor if you experience these symptoms. If you experience any of these warning signs, it’s crucial to seek medical attention as soon as possible, ideally within 24 to 48 hours. Prompt evaluation can help identify serious underlying conditions and prevent potential long-term complications.

Diagnostic Procedures for Lower Back and Hip Pain

  1. Physical examination
  2. Medical history review
  3. Imaging tests (X-rays, MRI, CT scans)
  4. Blood tests to check for inflammatory markers
  5. Nerve conduction studies

Preventive Measures and Lifestyle Changes

While not all cases of lower back and hip pain can be prevented, adopting certain lifestyle changes and preventive measures can significantly reduce the risk of developing these issues or exacerbating existing conditions.

Strategies to Minimize Lower Back and Hip Pain

  • Maintain good posture
  • Practice regular exercise and stretching
  • Use proper lifting techniques
  • Maintain a healthy weight
  • Ensure ergonomic work setups
  • Get adequate sleep on a supportive mattress
  • Manage stress through relaxation techniques

How effective are these preventive measures in reducing lower back and hip pain. While individual results may vary, implementing these strategies can significantly reduce the risk of developing chronic pain conditions. Studies have shown that regular exercise, maintaining a healthy weight, and practicing good posture can decrease the incidence of lower back and hip pain by up to 60%.

Complementary Therapies for Pain Management

  1. Acupuncture
  2. Massage therapy
  3. Yoga and Pilates
  4. Chiropractic care
  5. Mindfulness meditation

Lower back and hip pain are complex issues that can significantly impact one’s quality of life. Understanding the potential causes, recognizing warning signs, and implementing preventive measures are crucial steps in managing these conditions. While many cases can be treated with conservative methods, persistent or severe pain should always be evaluated by a healthcare professional to ensure proper diagnosis and treatment. By staying informed and proactive about your health, you can take steps to minimize the impact of lower back and hip pain on your daily 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.

Back pain? Check the hip joints

Every day we work for hours at a computer, we lift weights, we ignore physical education, we have little rest. Therefore, it is not surprising that our back begins to “protest”. But what to do if everything is in order with the spine, and the pain intensifies? Check the hip joints, the clinic’s orthopedists note.

Back pain is not uncommon for a modern person. Moreover, sad statistics show that about half of the adult population suffers from back pain. Once having arisen, this feeling can turn into an “unpleasant background”, which prevents not only full-fledged work, but also rest. All methods are used to restore the former lightness and freedom of movement – ointments, pills, massages, special exercises. But when, tired of pain, patients go to the doctor, very often it turns out that their back hurts because of problems with hip joints.

“Contrary to popular belief, a symptom such as back pain is not always associated with spinal pathology. Patients often come to our clinic who have been treating the lower back, Bekhterev’s disease, intervertebral hernias for years, without even knowing that their hip joint is collapsing (aseptic necrosis of the joint develops),” Ivan Zabelin, head of the clinic for orthopedics, arthrology and sports injury, Zaporozhye Regional Hospital, notes .

Over time, the clinical picture becomes more and more “diverse”: back pain is accompanied by aching discomfort in the hip joint, limitation of mobility, crunching, swelling . But even such seemingly eloquent manifestations of joint disease are attributed by patients to age. In fact, swollen, deformed and constantly aching joints do not at all indicate the number of years lived, but the presence of a disease. And all these manifestations are a good reason as soon as possible contact an orthopedist in a specialized clinic.

The Orthopedics and Sports Injury Clinic advises patients not to delay treatment. In the early stages, the development of aseptic necrosis, and hence the complete destruction of the joint, can be stopped by conservative treatment.

X-ray of the destroyed joint

Joint after arthroplasty

If the time when the disease could be affected by drug therapy is missed, this is not a reason to despair.