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

21.11.202124.07.2023 by alexxlab

Why does my lower back and hip hurt at the same time. What are the common causes of combined lower back and hip pain. How can I differentiate between various conditions causing pain in my lower back and hip. What are the treatment options for lower back and hip pain.

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The Interconnection Between Lower Back and Hip Pain

The lower back and hip are closely interconnected structures in the human body. Their codependence means that a problem in one area can often lead to dysfunction and pain in the other. This relationship is crucial to understand when diagnosing and treating pain in these regions.

How does this interconnection manifest? When chronic lower back pain occurs, it can result in reduced hip movements and cause the muscles surrounding the hip joint to become tense and painful. Conversely, if there’s an abnormality in hip function, it can alter the mechanics of the lower back, potentially causing pain in both areas.

The shared muscle groups between the lower back and hip play a significant role in this interconnection. When a specific muscle is affected, it may lead to compensatory movements, fatigue, and pain in the surrounding muscles. This domino effect can create a complex pain pattern that affects both the lower back and hip simultaneously.

Common Causes of Combined Lower Back and Hip Pain

Several conditions can cause pain that affects both the lower back and hip. These conditions may affect one side or both sides simultaneously. Understanding these causes is crucial for proper diagnosis and treatment.

Piriformis Syndrome

Piriformis syndrome is a condition characterized by spasm of the piriformis muscle, located deep in the buttock. This condition can cause:

Moderate to severe lower back, hip, and buttock pain
Referred pain that may extend into the back of the thigh
Inability to sit for a long time

The pain is typically felt on one side and may worsen with hip movements, such as when getting out of bed. Piriformis syndrome is commonly caused by overactivity of the hip rotator muscles or sitting on hard surfaces for prolonged periods. An injury to the buttock may also trigger this condition.

Sacroiliac Joint Dysfunction

Inflammation within the sacroiliac joint, which connects the lower spine to the pelvis, can lead to:

A sharp, stabbing pain felt directly over the lower back, hip, and buttock
Pain that may extend down the back of the thigh, but typically does not extend below the knee

Certain positions or activities may exacerbate the pain, such as transitioning from standing to sitting, climbing stairs, or lying on the affected side. Sacroiliac joint dysfunction can be caused by arthritis, trauma, or repetitive stress within the joint.

Differentiating Between Various Causes of Lower Back and Hip Pain

Distinguishing between different causes of lower back and hip pain can be challenging due to the overlap in symptoms. However, certain characteristics can help in differentiation:

Pain Location and Pattern

The specific location and pattern of pain can provide clues about its origin. For example, piriformis syndrome typically causes pain in the buttock that may radiate down the back of the thigh, while sacroiliac joint dysfunction often results in pain directly over the lower back and hip.

Aggravating and Relieving Factors

Different conditions may be exacerbated or relieved by specific movements or positions. For instance, piriformis syndrome pain often worsens with prolonged sitting, while sacroiliac joint pain may be aggravated by certain movements like climbing stairs.

Associated Symptoms

Some conditions may present with additional symptoms beyond pain. For example, piriformis syndrome might cause numbness or tingling in the affected leg, while sacroiliac joint dysfunction might lead to stiffness in the lower back.

Diagnostic Approaches for Lower Back and Hip Pain

Accurately diagnosing the cause of combined lower back and hip pain often requires a comprehensive approach. This may include:

Physical Examination

A thorough physical examination can provide valuable information about the source of pain. This may involve assessing range of motion, performing specific tests to provoke symptoms, and evaluating muscle strength and flexibility.

Imaging Studies

Imaging techniques such as X-rays, MRI, or CT scans can help visualize the structures of the lower back and hip. These studies can reveal issues like arthritis, herniated discs, or structural abnormalities that may be contributing to the pain.

Diagnostic Injections

In some cases, diagnostic injections may be used to pinpoint the source of pain. For example, a sacroiliac joint injection can help confirm whether this joint is the origin of the pain.

Treatment Options for Combined Lower Back and Hip Pain

The treatment of lower back and hip pain depends on the underlying cause. However, several general approaches can be beneficial:

Physical Therapy

Physical therapy plays a crucial role in managing many conditions that cause lower back and hip pain. A tailored exercise program can help improve flexibility, strengthen supporting muscles, and correct posture and movement patterns.

Medications

Various medications may be prescribed to manage pain and inflammation. These may include nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or in some cases, corticosteroids.

Lifestyle Modifications

Simple changes in daily habits can often provide significant relief. This may include ergonomic adjustments, avoiding prolonged sitting, and incorporating regular stretching and exercise into one’s routine.

Alternative Therapies

Some patients find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. While the evidence for these approaches varies, they may provide symptomatic relief for some individuals.

Prevention Strategies for Lower Back and Hip Pain

While not all causes of lower back and hip pain can be prevented, several strategies can help reduce the risk:

Regular Exercise

Maintaining a regular exercise routine that includes both cardiovascular activities and strength training can help keep the muscles supporting the lower back and hip strong and flexible.

Proper Posture

Paying attention to posture, especially during prolonged sitting or standing, can help reduce stress on the lower back and hip structures.

Ergonomic Adjustments

Ensuring that workstations, chairs, and other frequently used items are ergonomically appropriate can help prevent repetitive stress injuries.

Maintaining a Healthy Weight

Excess weight can put additional stress on the lower back and hip joints. Maintaining a healthy weight through proper diet and exercise can help reduce this stress.

When to Seek Medical Attention for Lower Back and Hip Pain

While many cases of lower back and hip pain can be managed with conservative measures, certain situations warrant prompt medical attention:

Severe or Worsening Pain

If the pain is severe, persistent, or gradually worsening despite home remedies, it’s important to consult a healthcare provider.

Neurological Symptoms

The presence of neurological symptoms such as numbness, tingling, or weakness in the legs may indicate nerve involvement and requires immediate evaluation.

Pain Following Trauma

If the pain occurs after a fall, accident, or other traumatic event, medical attention should be sought to rule out fractures or other serious injuries.

Associated Systemic Symptoms

The presence of fever, unexplained weight loss, or other systemic symptoms along with lower back and hip pain may indicate a more serious underlying condition and should be evaluated promptly.

Understanding the complex relationship between the lower back and hip is crucial for effectively managing pain in these areas. By recognizing the potential causes, seeking appropriate diagnosis, and implementing targeted treatment strategies, individuals can often find relief from combined lower back and hip pain. However, it’s important to remember that persistent or severe pain should always be evaluated by a healthcare professional to ensure proper management and to rule out any serious underlying conditions.

Why Does My Lower Back and Hip Hurt?

Your lower back and hip are codependent structures. A problem in one of these structures can cause dysfunction and pain in the other.

¹
Reiman MP, Weisbach PC, Glynn PE. The Hip’s Influence on Low Back Pain: A Distal Link to a Proximal Problem. Journal of Sport Rehabilitation. 2009;18(1):24-32. doi:10.1123/jsr.18.1.24

If you have chronic lower back pain, the movements in your hip may be reduced and the muscles surrounding your hip joint can become tense and painful.
²
Lee SW, Kim SY. Comparison of chronic low-back pain patients hip range of motion with lumbar instability. J Phys Ther Sci. 2015;27(2):349–351. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4339135/
^,
³
Lee SW, Kim SY. Effects of hip exercises for chronic low-back pain patients with lumbar instability. J Phys Ther Sci. 2015;27(2):345–348. doi:10.1589/jpts.27. 345
If there’s an abnormality in your hip function, the mechanics of your lower back may be altered, causing pain in both regions.
⁴
Harris-Hayes M, Sahrmann SA, Van Dillen LR. Relationship between the hip and low back pain in athletes who participate in rotation-related sports. J Sport Rehabil. 2009;18(1):60–75. doi:10.1123/jsr.18.1.60

The lower back and hip share many groups of muscles. When a specific muscle is affected, it may lead to compensatory movements, fatigue, and pain in the other surrounding muscles.

¹
Reiman MP, Weisbach PC, Glynn PE. The Hip’s Influence on Low Back Pain: A Distal Link to a Proximal Problem. Journal of Sport Rehabilitation. 2009;18(1):24-32. doi:10.1123/jsr.18.1.24

Read on to learn how lower back and hip pain can occur together. While some conditions may affect one side of your lower back and hip, others can cause pain on both sides at the same time.

Sharp pain in the lower back and hip on one side

A shooting and sharp pain felt on one side on your lower back and hip may be caused by muscle spasm, joint dysfunction, and/or nerve compression in the region. Common conditions that cause this type of pain are discussed below.

Piriformis Syndrome Video

Piriformis syndrome

Spasm of the piriformis muscle located deep in the buttock may cause

⁵
Hicks BL, Varacallo M. Piriformis Syndrome. [Updated 2019 Dec 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448172/
:

Moderate to severe lower back, hip, and buttock pain
Referred pain that may extend into the back of the thigh
Inability to sit for a long time

The pain is typically felt on one side and may be worsened by hip movements, such as when getting out of bed.

Piriformis syndrome is commonly caused by overactivity of the hip rotator muscles (which help rotate the hip inward or laterally) or sitting on hard surfaces for prolonged periods of time. An injury to the buttock may also cause this pain.

⁶
Papadopoulos EC, Khan SN. Piriformis syndrome and low back pain: a new classification and review of the literature. Orthopedic Clinics of North America. 2004;35(1):65-71. doi:10.1016/s0030-5898(03)00105-6

Sacroiliac joint dysfunction

Inflammation within the joint that connects your lower spine to your pelvis, the sacroiliac joint, can cause

A sharp, stabbing pain felt directly over the lower back, hip, and buttock
Pain that may extend down the back of your thigh, but typically does not extend below the knee

Certain positions or activities may cause your pain to flare up, such as going from standing to sitting, climbing stairs, or lying on the affected side.

Sacroiliac joint dysfunction can cause pain in the lower back, hip and buttock. Watch Sacroiliac Joint Dysfunction Video

The sacroiliac joint may become a source of lower back, hip, and buttock pain due to arthritis, trauma, or repetitive stress within the joint.

⁷
Raj MA, Varacallo M. Sacroiliac (SI) Joint Pain. [Updated 2019 May 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470299/
This joint is also a common source of pain in pregnant women due to hormonal and bodily changes at the time.

⁸
Cohen SP, Chen Y, Neufeld NJ. Sacroiliac joint pain: a comprehensive review of epidemiology, diagnosis and treatment. Expert Review of Neurotherapeutics. 2013;13(1):99-116. doi:10.1586/ern.12.148
^,
⁹
Filipec M, Jadanec M, Kostovic-Srzentic M, van der Vaart H, Matijevic R. Incidence, pain, and mobility assessment of pregnant women with sacroiliac dysfunction. International Journal of Gynecology & Obstetrics. 2018;142(3):283-287. doi:10.1002/ijgo.12560

While more common on one side, sacroiliac joint pain can also affect both sides of the lower back and hip.

Read more about Sacroiliac Joint Dysfunction (SI Joint Pain)

The symptoms of piriformis syndrome and sacroiliac joint dysfunction may mimic lumbar radiculopathy, commonly called sciatica.

Pain and stiffness in the lower back and hip

A feeling of stiffness can accompany pain in the lower back and hip. This symptom is typically a protective mechanism of the body to prevent further injury in the area. Stiffness that occurs with pain can be debilitating and reduce function in the back, hip, and leg considerably. Here are a few common conditions that may cause these symptoms to occur together.

Strained hamstrings

Tightness in your hamstrings due to a strain injury may alter the biomechanics of your spine.

Tight hamstrings are shorter in length and this change can affect the curvature of the lower part of your spine, disrupting the alignment of the lower back with your hip. A feeling of stiffness in your lower back with or without pain may be experienced.

¹⁰
Jandre Reis FJ, Macedo AR. Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during Forward Bending. Asian Spine J. 2015;9(4):535–540. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522442/

The stiffness is usually more pronounced when you bend your spine forward. Some people also walk with a stiff leg to avoid bending their hip and knee joints.

¹¹
Chu SK, Rho ME. Hamstring Injuries in the Athlete: Diagnosis, Treatment, and Return to Play. Curr Sports Med Rep. 2016;15(3):184–190. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003616/

View Slideshow: Hamstring Stretches for Back Pain Relief

Osteoarthritis of the hip

Age-related degeneration of the hip joint (hip osteoarthritis) can cause pain in the lower back and stiffness in the hip.

Hip osteoarthritis causes stiffness and a significant decrease in the hip’s range of motion. This change can cause the hip to incline forward, disrupting the curvature of the lower spine. The inward curvature (lordosis) of the lower spine may become more pronounced, sometimes causing the lower spinal discs to bulge or herniate.

¹²
Shigeharu Tanaka, Shinsuke Matsumoto, Kengo Fujii, Kotaro Tamari, Shigeru Mitani, Akio Tsubahara. Factors related to low back pain in patients with hip osteoarthritis. BMR. 2015;28(2):409-414. doi:10.3233/BMR-140535
^,
¹³
Rivière C, Lazic S, Dagneaux L, Van Der Straeten C, Cobb J, Muirhead-Allwood S. Spine-hip relations in patients with hip osteoarthritis. EFORT Open Rev. 2018;3(2):39–44. Published 2018 Feb 21. doi:10.1302/2058-5241.3.170020

This condition may over time cause degeneration of the spinal joints too, resulting in a more advanced problem called hip-spine syndrome.

Learn more about Hip Osteoarthritis on Arthritis-health.com

This list is not exhaustive of all possible causes of lower back and hip pain. If you experience pain and/or stiffness in your lower back and hip that does not resolve with self-care and affects your daily activities, talk to your doctor. A doctor can accurately diagnose the cause of your lower back problem and formulate a treatment plan for the underlying condition.

Learn more:

Sacroiliac Joint Dysfunction Symptoms and Causes

Symptoms and Diagnosis of Piriformis Syndrome

Dr. Benjamin Bjerke is an orthopedic surgeon. He specializes in minimally invasive and motion-preserving spine surgery.

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How to Tell the Difference Between Hip and Lower Back Pain

Orthopedic treatment of hip and lower back pain is not black and white. As a practicing spine surgeon for the last fifteen years, I’ve found that determining the root issue of someone’s pain in these areas is often grey and filled with ambiguities. The anatomy of the hip and back is comprised of numerous parts that can be injured or wear out, and many problems that occur in this area can display the exact same symptoms or pathology.

To put it plainly, sometimes hip pain comes from the hip, but a lot of times hip pain comes from the back. Sometimes back pain comes from the back, but a lot of times back pain comes from the hip. Eighty to ninety percent of the population develops a debilitating back or hip pain at some point in their life, and this issue is the second most common reason for missed work behind the common cold.

Fortunately, our bodies typically take care of the issue on their own. When a flare up of symptoms occur in our hips or lower back, usually a combination of rest, activity modification, anti-inflammatories, and exercises calms the pain down.

Early and correct diagnosis is key

When seeing a physician for hip or lower back pain, imaging such as x-rays and MRIs are usually conducted at the sight of the symptoms. Yet, these studies can sometimes show abnormalities that are not actually the root cause of the pain. Let me share a quick example.

A fifty-year-old gentleman had severe pain in the outside of his hip. He saw a physician and had an x-ray of the hip area performed. It was determined that he had mild arthritis in the hip, but the arthritis should not have caused the extensive symptoms he was enduring.

So, he started physical therapy for a period of time and saw no improvement. He then received a cortisone shot in the hip, and that didn’t work either. His treatment plan moved on to a stem cell injection with platelet rich plasma in the hip, which also offered no improvement to his symptoms.

This man’s symptoms started in April and proceeded to get worse and worse to the point that he was in a wheelchair when he came to the OrthoVirginia office in August. I looked over his symptoms and decided to have a MRI performed on his lower back, even though he had absolutely zero pain coming from his lumbar spine.

It turned out that the L3 and L4 nerves in his back were being compressed, and the symptoms were appearing in his hip. A minimally invasive surgery was performed, and his pain was gone immediately.

Again, hip and lower back orthopedics is not always straight forward. There is often more than one diagnosis, but an early and an exhaustive physical exam of all potential areas that could be the root cause of the problem is key in determining the correct diagnosis.

What are the symptoms of hip conditions?

In general, people suffering from hip pain from hip pathology have symptoms that appear in the front of the hip and the groin area. Sometimes the pain will radiate into the front of the thigh but very rarely goes past the knee.

After sitting for a period of time, patients suffering from hip pathology find it difficult to walk when they first get up. The pain is worse initially, but after a couple of limping steps, the hip lubrication kicks in, and the pain subsides.

What are the symptoms of lower back conditions?

Patients with debilitating back issues develop symptoms in the back of the hip near the buttocks. The pain goes down the back of the hamstring, past the knee, and to the outside or back of the calf.

What can we do if the diagnosis isn’t clear?

If you are still in pain after trying more conservative treatment options such as anti-inflammatories and physical therapy, and the x-ray or MRI imaging studies aren’t showing us what exactly is wrong, we can do a series of numbing injections to clear the fog. Essentially, we will numb up an area of the hip or lower back and see what happens.

If there is no response to the numbing injection in the hip area for example, then that is obviously not where the root cause of the pain is located. However, if your pain has dispersed after a numbing injection, then we have located the area of the root cause. These injections act as both a therapeutic and diagnostic tool we can use as physicians.

Another route we can take is an EMG or nerve conduction test. Needles can be put into your leg to see the conduction or activity of nerves. If some nerves are slow or are not signaling correctly, then we know that an angry nerve is the culprit of the symptoms.

Treatment options

Hip

If you are a younger patient with symptoms in the front of the hip and in the groin area, a hip arthroscopy is usually the best surgical option.
If you are an older patient with hip arthritis, a hip replacement is the best surgical option.

Spine

From a spine standpoint, it is an exciting time in our world. The surgeries we were doing fifteen years ago are completely antiquated. The surgical treatment options of today are much more minimally invasive, and the advancement in robotic technology has become a mainstay for spine surgeries.

However, not all surgeries are perfectly suited for every patient. When consulting with a physician about undergoing spine surgery, you want to make sure that the physician has all types of surgery from open procedures to minimally invasive procedures to robotic procedures in their toolbox.

If you have a pinched nerve, a small, minimally invasive outpatient procedure is performed to remove the pressure from the nerve.
If you have instability due to arthritis, or instability is created after the fixing of a pinched nerve, a fusion of the spine will be needed.

So, what are the highlights?

If pain is in the front of the hip/groin region and radiates down the thigh to the knee, it is most likely a hip issue.
If pain is in the back of the hip/buttocks region and radiates down the hamstring to the calf, it is most likely a spine issue.
Early physical examination and consultation with an orthopedist is going to get you the right treatment.
X-rays and MRI’s can often find asymptomatic, normal degenerative issues, and relying on imaging along can be misleading.

Frequently asked questions

When lying down, what causes pain that shoots from the knee to the ankle?

It all depends on where the pain is shooting from. If the pain starts in the buttocks and shoots down the back of the leg past the knee to the ankle, that is most likely a pinched nerve in the back. Patients with a pinched nerve in the back often can’t lie down flat, and they will have use a recliner or wedged pillow to relieve some pain when laying down.

However, if the pain is just from the knee down, the issue could be from a knee pathology.

After a long-distance run, why is my lower back in pain?

As a long distance runner myself, I have experienced this issue firsthand. Running is an extremely beneficial exercise both mentally and physically, but long-distance running takes a toll on the body.

Long-distance running can actually be great for your back. The discs located in your spine have poor oxygen supply. By running, you get your heart rate up, and this increases circulation to those discs. However, after running a certain distance, your muscles become fatigued, and you begin to compensate by shifting your weight from your hip abductors to your back.

You will notice that a runner’s gait at the beginning of their run looks a little different compared to the end of their run. As their hip abductors become fatigued and weaken, their running gait becomes more labored, and the muscles in their spine start to carry more weight than they are used to.

Before running, you should always stretch your muscles so they are prepared for the workout. You can also do activation exercises before a long distance run such as short jogs and sprints. Lastly, hip abductor exercises with or without a resistance band can help strengthen your core and get you over that fatigue in those later miles of your run.

What are some reasons that back pain is significantly worse at night or in the morning?

Back pain is often perceived as one general term, but in my world back pain can mean a thousand different things. So your specific pathology will play a significant role in what time of day your pain is at its peak. I think the hormonal shifts that wakes us up in the morning and then makes us more tired by the end of the day contributes to inflammation.

If the pain is waking you up in the middle of the night, that is more of a red flag and should be assessed earlier.

What is your opinion on acupuncture if surgery is not an option?

Back pain often has low success rates when it comes to surgery compared to buttocks pain that has high success rates. So if surgery is not an option for you, I think the answer is yes try everything else.

Everything else can range from physical therapy to acupuncture to chiropractic care to stem cell therapy. I have had patients respond to every version of therapy, and I have had patients respond to none of these options.

I would absolutely recommend trying acupuncture to see how much relief that provides you.

Drawing pain in the thigh, buttock and groin – diagnosis 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.

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

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

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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 dystrophic 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 disc protrusion and herniated disc.

Arthrosis of the hip joint

Deforming osteoarthritis — 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 development 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 sciatic nerve trunk 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 damage to 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.
Pelvic tumors.
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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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 at Dr. Length’s 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.

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

pain intensity decreases;
relieves inflammation;
blood microcirculation increases, 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 is 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.

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Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Video testimonials of patients

Articular block in the neck 90 006 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 …

Lumbo-sacral hernia

“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 went 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.

Arthrosis of the knee joint, 2nd degree

She 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 came 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

“I have been suffering from back pain since I was young. 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 process of regeneration

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.

We treat

Cubital tunnel syndrome: symptoms, diagnosis, treatment
Intertibial syndesmosis: how to get rid of the disease
Spinal osteophytes
Subluxation of the hip joint
Hypermobility of the spine
Back pain between shoulder blades

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Reviews about us on Yandex Maps

Hip pain

There are many human health conditions that lead to 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 stress 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.

The nature of pain and development

1. In case of arthrosis of the hip joints, the earliest and most sensitive symptom of the disease is the restriction of internal rotation with a bent 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 bone changes 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.