Causes, treatment, and when to see a doctor

When pain in the lower back occurs alongside hip pain, there may be a common cause. Certain health conditions or injuries can affect the nerves in both of these areas.

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

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

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

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

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

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

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

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

Common causes of sprains and strains in this area include:

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

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

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

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

Treatment

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

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

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

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

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

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

Symptoms of tight hip flexor muscles include:

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

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

Read about 10 stretches for tight hips here.

Treatment

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

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

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

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

Common causes of a herniated disk include:

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

Symptoms of a herniated disk include:

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

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

Treatment

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

Other treatment options include:

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

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

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

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

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

Treatment

Treatment options for SI joint dysfunction include:

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

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

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

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

Treatment

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

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

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

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

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

Treatment

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

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

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

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

The symptoms of Paget’s disease include:

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

Treatment

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

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

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

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

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

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

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

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

• 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.^2,3
• If there’s an abnormality in your hip function, the mechanics of your lower back may be altered, causing pain in both regions.⁴

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

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.

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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

Spasm of the piriformis muscle located deep in the buttock may cause ⁵:

• 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.⁵

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

Read more: What Is Piriformis Syndrome?

Sacroiliac joint dysfunction

Inflammation within the joint that connects your lower spine to your pelvis, the sacroiliac joint, can cause⁷:

• 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.⁷

Sacroiliac Joint Dysfunction Video
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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 This joint is also a common source of pain in pregnant women due to hormonal and bodily changes at the time.^8,9

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

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

View Slideshow: Hamstring Stretches for Back Pain Relief

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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.^12,13

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

References

• 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
• 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
• 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
• 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/
• 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
• 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/
• 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
• 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/
• 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/
• 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

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?

1. 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.
2. Early physical examination and consultation with an orthopedist is going to get you the right treatment.
3. 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.

Sacroiliac Joint Pain, hip and buttock pain, SI joint fusion

Overview

Sacroiliac (SI) joint pain is felt in the low back and buttocks. The pain is caused by damage or injury to the joint between the spine and hip. Sacroiliac pain can mimic other conditions, such as a herniated disc or hip problem. Accurate diagnosis is important to determine the source of pain. Physical therapy, stretching exercises, pain medication, and joint injections are used first to manage the symptoms. Surgery to fuse the joint and stop painful motion may be recommended.

What is sacroiliac joint pain?

The SI joints are located between the iliac bones and the sacrum, connecting the spine to the hips. The two joints provide support and stability, and play a major role in absorbing impact when walking and lifting. From the back, the SI joints are located below the waist where two dimples are visible.

Figure 1. The sacroiliac joints connect the base of the spine (sacrum) to the hip bones (ilium).

Strong ligaments and muscles support the SI joints. There is a very small amount of motion in the joint for normal body flexibility. As we age our bones become arthritic and ligaments stiffen. When the cartilage wears down, the bones may rub together causing pain (Fig. 1). The SI joint is a synovial joint filled with fluid. This type of joint has free nerve endings that can cause chronic pain if the joint degenerates or does not move properly.

Sacroiliac joint pain ranges from mild to severe depending on the extent and cause of injury. Acute SI joint pain occurs suddenly and usually heals within several days to weeks. Chronic SI joint pain persists for more than three months; it may be felt all the time or worsen with certain activities.

Other terms for SI joint pain include: SI joint dysfunction, SI joint syndrome, SI joint strain and SI joint inflammation.

What are the symptoms?

The signs and symptoms of SI pain start in the lower back and buttock, and may radiate to the lower hip, groin or upper thigh. While the pain is usually one sided, it can occur on both sides. Patients may also experience numbness or tingling in the leg or a feeling of weakness in the leg.

Symptoms may worsen with sitting, standing, sleeping, walking or climbing stairs. Often the SI joint is painful sitting or sleeping on the affected side. Some people have difficulty riding in a car or standing, sitting or walking too long. Pain can be worse with transitional movements (going from sit to stand), standing on one leg or climbing stairs.

What are the causes?

The SI joint can become painful when the ligaments become too loose or too tight. This can occur as the result of a fall, work injury, car accident, pregnancy and childbirth, or hip/spine surgery (laminectomy, lumbar fusion).

Sacroiliac joint pain can occur when movement in the pelvis is not the same on both sides. Uneven movement may occur when one leg is longer or weaker than the other, or with arthritis in the hip or knee problems. Autoimmune diseases, such as axial spondyloarthritis, and biomechanical conditions, such as wearing a walking boot following foot/ankle surgery or non-supportive footwear, can lead to degenerative sacroiliitis.

How is a diagnosis made?

A medical exam will help determine whether the SI joint is the source of your pain. Evaluation includes a medical history and physical exam. Your physician will consider all the information you provided, including any history of injury, location of your pain, and problems standing or sleeping.

There are specific tests to determine whether the SI joint is the source of pain. You may be asked to stand or move in different positions and point to where you feel pain. Your doctor may manipulate your joints or feel for tenderness over your SI joint.

Imaging studies, such as X-ray, CT, or MRI, may be ordered to help in the diagnosis and to check for other spine and hip related problems.

A diagnostic SI joint injection may be performed to confirm the cause of pain. The SI joint is injected with a local anesthetic and corticosteroid medication. The injection is given using X-ray fluoroscopy to ensure accurate needle placement in the SI joint. Your pain level is evaluated before and 20-30 minutes after injection, and monitored over the next week. Sacroiliac joint involvement is confirmed if your pain level decreases by more than 75%. If your pain level does not change after the injection, it is unlikely that the SI joint is the cause of your low back pain.

What treatments are available?

Nonsurgical treatments: Physical therapy, chiropractic manipulation, and stretching exercises help many patients. Some patients may require oral anti-inflammatory medications or topical patches, creams, salves or mechanical bracing.

Figure 2. A needle is gently guided into the sacroiliac joint using x-ray fluoroscopy. An anesthetic and corticosteroid mixture (green) is injected into the inflamed joint.

Joint injections: Steroids can reduce the swelling and inflammation of the nerves. Joint injections are a minimally invasive procedure that involves an injection of a corticosteroid and an analgesic-numbing agent into the painful joint (Fig. 2). While the results tend to be temporary, if the injections are helpful they can be repeated up to three times a year.

Nerve ablations: Injections into joints or nerves are sometimes called “blocks.” Successful SI joint injections may indicate that you could benefit from radiofrequency ablation – a procedure that uses an electrical current to destroy the nerve fibers carrying pain signals in the joint.

Surgery: If nonsurgical treatments and joint injections do not provide pain relief, your physician may recommend minimally invasive SI joint fusion surgery. Through a small incision, the surgeon places titanium (metal) implants and bone graft material to stabilize the joint and promote bone growth. The surgery takes about an hour. The patient may go home the same day or following day. For several weeks after surgery, the patient cannot bear full weight on the operated side and must use crutches for support.

Figure 3. In a sacroiliac joint fusion, rod and/or screw devices are placed across the joint to stop painful motion.

Recovery and prevention

A positive attitude, regular activity, and a prompt return to work are all very important elements of recovery. If regular job duties cannot be performed initially, modified (light or restricted) duty may be prescribed for a limited time.

Prevention is key to avoiding recurrence:

• Proper lifting techniques
• Good posture during sitting, standing, moving, and sleeping
• Regular exercise with stretching /strengthening
• An ergonomic work area
• Good nutrition, healthy weight, lean body mass
• Stress management and relaxation techniques
• No smoking

Sources & links

If you have questions, contact Mayfield Brain & Spine at 800-325-7787 or 513-221-1100.

Links

Spine-health.com

Spineuniverse.com

updated > 5.2019
reviewed by > Marc Orlando, MD, William Tobler, MD, Mayfield Clinic, Cincinnati, Ohio

Mayfield Certified Health Info materials are written and developed by the Mayfield Clinic. This information is not intended to replace the medical advice of your health care provider.

Oh, My Aching Back — Or Is It My Hip? – Health Essentials from Cleveland Clinic

Back problems can masquerade as hip problems. “There is a lot of overlap,” says hip specialist Trevor Murray, MD. Most pain from hip and back problems is due to ordinary wear and tear on the body.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

When the hip is the usual suspect

Surprisingly, hip problems
usually produce groin pain on the affected side. That’s because the actual
joint of the hip is near the spine.

“Groin pain is a hip issue until proven otherwise,” says back pain specialist Russell DeMicco, DO. “Pain above the belt line is not a hip issue.”

The most common cause of
hip pain is osteoarthritis of the hip joint. You may have hip arthritis if:

• Pain is in your groin.
• Discomfort comes and goes, becoming more frequent over time.
• Pain worsens with standing, walking and activity, and is relieved by rest.
• You feel stiff.
• You walk with a limp.

Avascular necrosis, or AVN,
is a serious condition marked by death of hip bone at the joint. The pain is
usually worse and far more constant than in osteoarthritis. “People come to me
saying, ‘My hip is killing me,’” says Dr. Murray.

When the spine is the likely culprit

Most lower spine problems are caused by a herniated disk that presses on nerves in the spinal column. This produces the pain known as sciatica, which can be felt in the hip. You may have a herniated disk if pain:

• Is limited to your back, buttocks or hip.
• Shoots down your leg.
• Worsens with sitting or bending.
• Improves when standing or walking.

If you have night sweats, a
history of cancer, or pain that is not relieved by lying down (“night pain”),
see your doctor — the problem may be more serious.

Some people develop what
Dr. DeMicco calls a “double whammy” — problems in both the hip and lower back.
“It’s not surprising, since both osteoarthritis and spinal changes are more
common with each passing decade,” he explains.

To relieve hip pain, try these
first:

• See your primary care doctor. He or she will likely prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) to see if hip pain improves.
• Lose weight. Shedding extra pounds is critical in relieving hip pain. “Losing weight often reduces symptoms to the point where surgery is not necessary,” says Dr. Murray. “It also increases your chances of a successful outcome if surgery is one day warranted.”

For back pain problems, try these
first:

• See your care primary doctor, and stay active. He or she will likely prescribe NSAIDs for two weeks. Meanwhile, stay active. “Activity can and should be continued. Prolonged bed rest (more than 24 to 48 hours) is bad advice,” says Dr. DeMicco.
• Schedule physical therapy if needed after two weeks. If you’re still in pain after two weeks, a physical therapist can show you exercises that can strengthen the muscles supporting your spine as well as back-friendly maneuvers.
• Lose weight, and quit tobacco. Maintaining your ideal weight will take the pressure off your spine. It’s important to avoid tobacco products too. “Nicotine impedes microcirculation, so your spine will degenerate at a faster rate,” says Dr. DeMicco.

If the source of your pain is difficult to pinpoint, seek help from a hip or spine specialist. The specialist may order an injection of lidocaine, or they may perform diagnostic/therapeutic hip injection under fluoroscopy or ultrasound.

If the problem is the hip,
this will numb the hip joint and relieve symptoms immediately. “If the pain
does not improve, we know we’re barking up the wrong tree,” says Dr. Murray.
The same technique can rule out or confirm back pain.

Is It Normal to Have One-sided Back Pain? – Health Essentials from Cleveland Clinic

Back pain is common: 80% of adults will experience it in their lifetime. Usually, people think of all-over back pain, but one-sided back pain is also a thing. And it can be an annoying thing.

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When to worry about back pain that’s only on the left or right side

“Unless you experienced an obvious cause, like a fall, you probably aren’t dealing with a fracture that requires special care,” says spine specialist Russell DeMicco, DO. “Rarely do you need to worry just because your pain is only on the left side or right side of the back.”

The exceptions are:

• Age: An older adult may experience a minor injury that results in a more serious condition — either because they have low bone density, or they developed arthritis that causes pain.
• Athleticism: Athletes may experience greater musculoskeletal wear and tear than the general population. They’re often more vulnerable to fractures, herniated disks or arthritis.

Tissue-related back pain is most common

Spontaneous one-sided back pain can occur for a variety of reasons, but it’s usually related to the soft-tissue (muscle, ligament, joint). The back muscles run up and down the left side and the right side — they don’t cross the midline (spine). So if you irritate a muscle on the left side of your back, you would likely only have pain in that region.

“Someone who is experiencing tissue-related pain will feel an
aching soreness and stiffness,” says Dr. DeMicco. “Often, the area will be
tender to the touch and have restricted range of motion because of the
discomfort they feel.”

Causes of tissue-related discomfort include:

• Sound sleeping: If you have a night with limited movement, you might find that the muscles on just one side of the back tense up, causing pain.
• Sitting at the computer: If you’re in the zone at work and forget to move around, you could end up feeling it on just one side of your back.
• Travel: Being stuck in a seated position for an extended period can cause muscle tightness. Dr. DeMicco recommends taking frequent breaks if you travel by car or walking around the airplane cabin whenever possible.

Usually, muscle-related pain will subside if you use a nonsteroidal anti-inflammatory drug (NSAID), rest the area and use an ice pack.

Left- or right-sided organ-related back pain

If the pain you experience is a little deeper in the back,
and you’re having other symptoms as well, it could be related to an internal organ.
See your doctor, because these are signs of an infection or irritation:

• Intestines: Inflammation of the colon may
  affect just one side of the lower back, but you’d probably also experience
  abdominal cramping, digestive problems and weight change.
• Kidneys: An infection or kidney stones may
  also cause one-sided back pain that occurs between the bottom of the rib cage
  and your hips. Again, you could expect to have other symptoms like blood in the
  urine, pain when urinating or fever.
• Uterus: Pain on the right side of the
  lower back may be due to fibroids or endometriosis. Along with the pain, you’d
  likely also experience menstrual irregularities, a frequent need to urinate and
  painful intercourse.

When to see a provider about one-sided back pain

“If you have pain in the left or right side of your back
that started for no particular reason, it will most often resolve on its own or
with minimal treatment,” says Dr. DeMicco. “Typically, we see 50% of cases
resolving within two weeks and 75% resolving by six to eight weeks.”

Have you been dealing with intense pain for 10 days and
over-the-counter pain relievers aren’t cutting it? Time to call your doctor,
who may recommend:

• Stronger medicines: Prescription-strength muscle relaxants and anti-inflammatory medications could take the edge off as your body heals.
• Manipulation: A physical therapist, chiropractor or osteopath could perform hands-on treatment that deliver relief.

“If your pain extends beyond six weeks, your doctor will
likely recommend imaging,” says Dr. DeMicco. “An X-ray is usually the first
step to ensure there isn’t a broken bone or some other obvious reason for the
pain.”

24 Reasons for Radiating Lower Back or Hip Pain on One Side

Low-medium risk causes of radiating back or hip pain

Usually managed as an outpatient by your doctor with prescription medication.

5. A Pinched Nerve

A pinched nerve in the hip or back can cause radiating lower back and hip pain. If you wonder what does nerve pain feel like – it often involves severe pain and numbness that may be referred from other areas of the body. For example, a pinched nerve in the upper back can cause numbness in the fingers. But if you’re suffering with a pinched nerve—your main questions are probably ones of how to fix a pinched nerve, how long does a pinched nerve last, and how do you get pinched nerve relief? Often, pinched nerves are due to inflammation due to muscle tears, injuries, or pulled muscles. Sometimes, scar tissue from old injuries begins to accumulate and press on nerves. The best treatment for pinched nerves is often rest. But medications such as glucocorticoid injections and oral NSAIDs may help. For patients whose radicular pain has not improved with conservative treatment over six weeks and who want nonsurgical treatment, epidural injection of glucocorticoids may be reasonable.

6. Lumbosacral spinal stenosis

With lumbar stenosis nerves in the spinal cord and lower back become compressed. This type of injury can cause many of the symptoms of sciatica—including numbness and tingling in the legs and pain in the buttocks. Possible treatments include a sciatic nerve block, steroid injections, opioid pain medications, physical therapy, and rest. However, the use of epidural steroid injections is not supported by limited amount of available evidence.

7. Diabetic amyotrophy

The more common name for diabetic amyotrophy is diabetic neuropathy. It is a condition caused by advanced diabetes mellitus which affects the nerves in the legs, feet, hips, and buttocks. Symptoms include a wasting of the muscles of the legs as well as weakness of the leg muscles and severe, chronic pain in the buttocks, legs, and feet. Treatment includes monitoring blood glucose and keeping blood sugars well controlled as well as physical therapy and rest.

8. Lumbosacral plexopathy

Lumbosacral plexopathy, more commonly called diabetic lumbosacral plexopathy is a condition caused by advanced diabetes, in which patients begin suffering with debilitating pain in the hips, thighs, and legs. With lumbosacral plexopathy there is typically a wasting of the leg muscles asymmetrically. This condition can affect individuals who have both type I or II diabetes. Treatment includes controlling blood glucose levels, and chronic neuropathic pain management achieved through anticonvulsant medications (such as gabapentin for back pain) and selective norepinephrine reuptake inhibitors (such as duloxetine).

9. Mononeuropathies of the leg (eg, lesion of the femoral/sciatic/peroneal/tibal nerve)

Mononeuropathies can affect nerves in the legs, arms, or other parts of the body. Mononeuropathy means a single nerve or nerve group has been damaged, for example, by a lesion that has developed along a nerve or group of nerves. Carpal tunnel syndrome is a good example of a mononeuropathy, in this case, affecting the wrist area. With mononeuropathy symptoms may be sudden (acute) or may develop slowly (chronic). Some of the more common mononeuropathies are

• femoral neuropathy (affecting the nerves of the leg/femur)
• sciatic nerve dysfunction (affecting the sciatic nerve)
• peroneal neuropathy (a branch of the sciatic nerve which affects the toes and foot).
• tibial neuropathy (the tibial nerve, affecting the calf and foot).

Symptoms of the neuropathies above would include burning sensation in leg areas where these nerves are housed as well as lack of coordination of these leg muscles. Other symptoms include muscle wasting, pain, and twitching, cramps, and spasms in these nerves. Treatment focuses on isolating the underlying cause of the nerve disorder and addressing it using medications such as injected glucocorticoids and/or physical

10. Ankylosing spondylitis

Ankylosing spondylitis is a type of arthritis that specifically affects the spine. Ankylosing spondylitis causes a severe inflammation of the spinal vertebra that can cause debilitating pain throughout the back region. This condition can cause stiffness and pain not only in the spine but also inflammation, pain and stiffness in the ribs, shoulders, ribcage, hands, and feet as well. Symptoms include a dull pain in the lower back and buttocks, stiffness and lack of mobility in the hips, back, and legs, loss of appetite, fever, and general malaise. Treatment includes physical therapy, medication, hot and cold therapy, and exercises that reinforce good posture practices.

11. Greater trochanteric bursitis

Trochanteric bursitis is a condition which causes pain in the hip region. Trochanteric bursitis is inflammation of the bursa at the outside area of the hip, which is called the greater trochanter region. When this bursa becomes irritated or inflamed, it causes severe pain in the hip area. Treatment may include stretches for hip pain, NSAIDs and anti-inflammatory medications, opiate pain medications, and physical therapy.

12. Greater trochanteric pain syndrome

Greater trochanteric pain syndrome describes pain that is felt along the outer hip area. Causes include sports injury, muscle tears, and injury due to motor vehicle accidents. The pain is caused by a combination of inflammation in two distinct areas: the bursa of the hip and pain in the buttock (gluteal muscles). Pain may also be caused by tendinitis of the hip abductor muscles. Symptoms of greater trochanteric pain syndrome include hip pain at night lying on side, dislocated hip symptoms, and hip muscle weakness. Hip pain relief can be sought through anti-inflammatory medications, physical therapy, and stretches for hip pain.

13. Ischiofemoral impingement

Ischiofemoral Impingement is a common but widely unrecognized cause of hip and back pain. It is caused by a narrowing of the space between the pelvic bone and femur bone, which pinches soft tissues between these boney protrusions. Symptoms of ischiofemoral impingement include front hip pain or feeling of stretched muscles in the hip or hip tendonitis, pain in the hip socket, hip pain at night lying on side, and a feeling as if there is a hip out of place. Treatment for ischiofemoral impingement includes rest, anti-inflammatory drugs, NSAIDs, such as ibuprofen, and physical therapy aimed at strengthening the gluteal muscles so the patient can better control the pelvis.

14. Sacroiliac joint dysfunction

The sacroiliac joint connects the lower spine to the pelvis and any injury or strain to this area can cause a lot of back, hip, groin, and sciatic pain. Sacroiliac joint dysfunction (SJD) can cause not only radiating lower back pain but can also severe pain in the hip area including hip pain at night when sleeping and hip pain when sitting. Often the pain resembles that of a hip injury it is so severe. SJD can also cause severe pain in the groin area. Women may also notice pain running along the distribution of the sciatic nerve. Treatment for sacroiliac joint dysfunction includes rest, anti-inflammatory drugs, and sciatic nerve massage.

PAIN IN THE HIP JOINT | orto.lv

Pain caused by a disease of the hip joint radiates to the groin, lower back, leg (knee and in rare cases lower) or the muscle of the hip joint. Therefore, people do not always associate such pain with problems in the hip joint.

The doctor will find and evaluate the real causes of pain. Often, problems with the hip joint can be combined with diseases of the spine and knee joint. Therefore, it is important to perform an accurate diagnosis in order to determine the causes of pain and choose the appropriate treatment.

Anesthetic injections into the hip joint (which are done under ultrasound control) are often used for diagnosis, so that, after briefly removing pain in the hip joint, it is possible to assess whether other pains persist and to clarify their cause. Considering that the ORTO clinic specializes in the treatment of diseases of the musculoskeletal system, you can get help and advice from an orthopedic traumatologist, spinal surgeon and neurologist in one place.

Contact an orthopedist-traumatologist if:

• Hip pain does not go away for several days;
• you wake up in pain at night;
• You are forced to change positions frequently when standing or sitting due to pain or discomfort in your hip joint.

Groin pain. Groin pain is often felt along with pain in the hip joint. This pain resembles tension, throbbing. If the pain in the hip joint is in the buttocks and not in the groin, it may indicate compression of the sciatic nerve or inflammation of the hip joint.

Pain in the lower back is one of the most common signs of pain in the hip joint. The pain is usually described as dull and throbbing.If the cause is left untreated, there is a risk of severe limitation of movement.

Leg pain can be caused by problems in the hip joint. For example, pain caused by problems in the hip joint can radiate to both the groin and the leg, including the knee. Releasing pain can manifest itself as weakness or itching. If leg pain persists within a few days, it is advisable to see an orthopedic traumatologist to find out the cause of the pain.

Stiffness and a feeling of being “hooked” are characteristic signs of osteoarthritis of the hip joint.However, they can be the consequences of, for example, rheumatoid arthritis.

Restricted movement in the hip joint may be a sign of injury or deforming osteoarthritis. Restrictions of movement in the hip joint can manifest themselves, for example, in the form of difficulty or inability to bend down to put on / take off shoes. It can be difficult or even impossible to climb and descend stairs.

Lameness. For problems with the hip joint, walking is often difficult and painful, so the person is lame.If you notice that you are limping due to pain, see an orthopedic traumatologist immediately. Otherwise, in an effort to relieve pain, you unknowingly hold your sore hip joint higher than the other. The result is a habit that gradually changes the mechanics of the musculoskeletal system. The length of the leg decreases as part of the thighbone is lifted above the thighbone of the second leg. These patients have different leg lengths after surgery on the damaged hip joint.A long course of therapeutic exercises is needed to gradually restore the correct position of the hip joint and align the length of the legs.

Crunch in the hip joint. A crunching sound is produced by the ligaments when a person stands, walks, or otherwise moves the hip joint. If the crunch is painless, it does not say anything bad about the state of health. A crunching hip joint accompanied by pain may indicate damage to the hip joint.If the crunch in the hip joint is painful, you should contact an orthopedic traumatologist to find out the cause and start appropriate treatment.

Drawing pain in the thigh, buttock and groin

Free admission and diagnostics of a chiropractor, osteopath, neurologist

Author’s method of treating disc herniation

Free reception
and diagnostics

Pain relief
for 1-2 sessions

Author’s method
treatment

Internships in the USA,
Israel, Germany

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 variety and make the correct diagnosis.

one

Positive dynamics in 97% of cases

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

2

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.

Main causes of pulling pain in the leg due to 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

In dystrophic processes in the cartilaginous tissue that occur with osteochondrosis, there is a decrease in the height of the intervertebral discs. As a result, the pressure on the radicular nerve trunks, which unite into the sciatic nerve, increases. Since the nerve runs 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 increases with walking and exertion.

Compression pressure on the sciatic nerve can be exerted by disc protrusion and intervertebral hernia.

Osteoarthritis of the hip joint

Deforming osteoarthritis – coxoarthrosis appears in old age as a result of degenerative changes in the cartilage tissues of the hip joint. Women suffer more often.

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

Hip arthritis

Disease in the hip joint is rare, is autoimmune in nature and is secondary against the background of ongoing rheumatism or psoriasis. The pain is severe and, as a rule, bilateral.

Trochanterite

This is an inflammation or injury to the tendons surrounding the hip joint. The most common cause of the disease is trauma or overloading of the legs (being overweight, carrying weights, running). Pain during movement is characteristic, localized on the outer surface of the thighs – the “breeches” area.Pain is constant aching, but unlike coxoarthrosis, there is no limitation in leg mobility.

Aseptic necrosis of the femoral head

The symptoms of this pathology are in many respects similar to the manifestations of coxoarthrosis – the only significant difference is the duration of the development of the disease. With coxoarthrosis, the symptomatology develops 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 20-45 years old, 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 as they pass through the opening 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 lumbago), 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 hips, 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 lymph node involvement.
• Complications of diabetes mellitus in the form of angio- and neuropathies.
• Migration of intestinal parasite larvae in the muscles.
• 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 physical activity (immobility).
• Lack of essential microelements in the diet: potassium, magnesium, calcium.
• Fibromyalgia.
• Convulsive syndrome.
• Tumors of the 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.

The success of treatment is 90% dependent on experience
and the qualifications of the doctor.

Free consultation and diagnosis of a doctor

• Chiropractor
• Vertebrologist
• Osteopath
• Neurologist

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

one

We will carry out functional diagnostics of the spine

2

We will perform a manipulation that significantly relieves pain

3

We will compose an individual treatment program

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Diagnostics

In the clinic of Doctor Length, the following examination methods are prescribed for a patient with complaints of pain in the hips, buttocks and groin to make the correct diagnosis:

• Taking anamnesis.
• External examination with an assessment of the neurological status.
• Analysis of biomechanics of the musculoskeletal system: range of motion in the joints, movement restrictions.
• Kinesiological testing of joints and musculo-ligamentous apparatus.
• General and biochemical blood tests, rheumatic tests.
• Instrumental methods: X-ray, ultrasound, CT, MRI.

Since pulling pains in the hips, 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 from various specialists within the framework of differential diagnosis.

Treatment

Pain serves as a signal for 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 the clinic of Doctor Length 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.

The clinic of Doctor Length, specializing 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 the author’s 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;
• removes inflammation;
• increased microcirculation of blood, and, consequently, trophism of damaged tissues;
• the outflow of lymph improves;
• metabolic processes are normalized;
• further destruction of cartilage and bone tissue is suspended;
• , regenerative processes in the area of ​​damage are activated;
• local immune defense links are stimulated.

The therapeutic effect of mild manual therapy is that painfully changed muscles and ligaments do not stretch , as in the classical technique, but come closer together, which leads to a quick cessation of pain, relieving muscle spasm, and eliminating restrictions in the movement of joints.

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

Photodynamic phototherapy is performed in the form of application to the skin of a special substance (photoditazine) in the area of ​​pain localization. This photosensitive drug, being 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 active rehabilitation program includes physiotherapy exercises, massage, kinesiotherapy.

94% of patients recommend us.
Thank you for your trust and your choice.

Video reviews of patients

Hernias in the lower back and neck

I came to the clinic of Doctor Length with spinal problems. With two intervertebral inferior hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. In 4 months my lower vertebrae completely disappeared and the crunches in my neck disappeared…

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Lumbosacral hernia

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

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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 practically disappeared. ”

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Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, doctor oncologist-mammologist
I want to express my deep gratitude for the fact that they put me 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 of a rather prolonged nature and the ineffective treatment that I used in the past.Fortunately, I ended up at the clinic of Dr. Length and his team of super professionals!

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Osteochondrosis of the cervical spine

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

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Ankylosing spondylitis

“I have had ankylosing spondylitis for 10 years.The vertebrae began to move out, I began to slouch. I have consulted other chiropractors, very famous media therapists. As a result, I did not get the result. After 2 sessions, I felt much better. Now nothing hurts me. ”

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Spinal pain

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

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Shoulder-scapular 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 in pain. After the first session of procedures, it became much easier for me. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

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Arthrosis of the knee joint of the 2nd degree

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

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Herniated disc

“I came to the clinic after I had back pain and there was an intervertebral hernia. I went to other places, but there they only removed the attacks of pain. Only Sergei Vladimirovich, his golden hands, gave the hope for a return to ordinary life! ”

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Scoliosis

“From adolescence I was worried about scoliosis in the thoracic region.I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a masseur, an osteopath, but I did not feel a strong effect. After treatment at Length S.V. I almost have an even spine now. Currently I don’t feel any problems or discomfort. ”

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Herniated disc

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

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Pain in the lumbar and cervical spine

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

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Back pain

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

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Hernia of the cervical spine

“I came up with a problem in my neck and my right arm was very sick. 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 that I have 2 hernias in my cervical vertebra. After the sessions, I did an MRI and one hernia decreased.Now I started to move, my hand started working. ”

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Neck pain

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

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Pain in the thoracic region

“I went to the clinic with pain in the back, namely in the thoracic region.After 10 treatment sessions, I could calmly do my usual things, sit at work until lunchtime, without howling in pain. Now I have already come to the correction after 2 months. I’m fine, my back doesn’t hurt. ”

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Hernia and protrusion

“I came to the clinic with hernia L4-L5 and protrusion L5-S1. The course of treatment ended today. The lower back hurt, it was difficult to bend over. 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. ”

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Pain in the lower back and hip joint

“From a young age I was worried about back pain. When they became unbearable, I went to the clinic of Dr. Length. After the first procedure, pain disappeared from the hip joint. After the third procedure, the shooting pains in the lower back stopped. ”

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Very effective procedures

The procedures turned out to be very effective.I used to go to other clinics and absolutely did not relieve my pain, they bothered me. After this specialist, after three or four sessions, my functions recovered, the pain in my joints went away.

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Calling today will help

avoid tomorrow’s surgery!

Relieve pain and inflammation

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

Eliminate the cause of the disease

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

Start the regeneration process

The process of repairing damaged tissues begins, hernias and protrusions are reduced.

Strengthen the muscle corset

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

90,000 Why does the lower back hurt and how to help yourself

This is familiar to many: in the morning it is difficult to get out of bed due to stiffness and sharp back pain that radiates to the leg.The same thing – after a long sitting, for example, at the computer, and the leg seems to give way. Traumatologist, orthopedist Leonid Tumorin, a traumatologist and orthopedist, told the Russia 1 TV channel about the symptoms of what diseases these sensations may be.

Pain in the lower back and irradiation to the leg is the result of pinching of the sciatic nerve of the thigh, which is formed by the plexus of the roots of the lower part of the spinal cord. This nerve is the thickest and longest in our body. It goes from the lower back along the back of the thigh and bifurcates at the knee level into the tibial and peroneal nerves.

1. Herniated disc (intervertebral hernia) is the most common cause of pinching of the branches leading to the sciatic nerve. Each nerve root in the lumbar spine is responsible for its own area on the leg, and from the sensations in the legs, you can “calculate” the level where the pinching occurred.

2. Spondylolisthesis – displacement of the vertebrae relative to each other. In this case, nerve compression also occurs.

3. Spondyloarthrosis – a problem of the intervertebral joints, their deformation or overload with weakness of the back muscles.The nerve roots are pinched, causing severe pain.

4. Thrombosis of nearby vessels can become a non-orthopedic cause of sciatic nerve pain syndrome. Women with varicose veins of the lower extremities also often have pelvic varicose veins, which increases the risk of thrombosis of these veins.

5. Neoplasms (tumors) of the spine, small pelvis, gluteal region can press on the sciatic nerve, causing pain.

6. Inflammation of the pelvic organs.Tubovar – an inflammatory conglomerate in the area of ​​the fallopian tube and ovary – is treated by a gynecologist. After stopping the inflammation, the pain syndrome of the sciatic nerve disappears.

Magnetic resonance imaging will help determine the cause of back pain. Pain relieves anti-inflammatory and analgesic drugs. If they do not help, specialists do blockages (injections into the spine) or radiofrequency innervation (cauterization of the nerve that causes pain). The latter method relieves pain for a period of six months to two years.

However, if, having got rid of the pain, a person does not take any measures to prevent its recurrence, the problem will surely return, – warns the program “On the most important”. One of the simplest exercises for relaxing the sciatic nerve and strengthening the muscles of the lower back is the “cat”: standing on all fours, you need to bend your back with your head up and bend it down for 20 seconds. You can also roll a tennis ball on the back of your thigh. All this must be combined with physiotherapy: acupuncture, magnetic procedures.Therapy must be comprehensive!

90,000 What to do if lower back hurts?

Low back discomfort can occur for a variety of reasons, from muscle damage and back problems to abdominal diseases. If the lower back hurts, you must first understand the reason – only then the pain can be cured quickly and effectively.

Possible causes of back pain

There are several systems in the lumbar region that can cause pain:

• Musculoskeletal system .Pain can result from a spinal injury or overexertion and damage to the muscles in the lower back.
• Nervous system . The cause of pain can be curvatures, hernias, protrusions, neuropathies, inflammation of the vertebrae and pinched nerves. The nervous system is the most common cause of back pain.
• Digestive system . In the lumbar region, pain from the pancreas, stomach, liver, gallbladder and intestines will be given.This is possible with pancreatitis, gastritis, stomach ulcers, poisoning and intoxication, stones in the bile ducts and various forms of obstruction.
• Excretory and reproductive systems . Lower back pain can occur with diseases of the kidneys and bladder (renal failure, pyelonephritis, urolithiasis, cystitis), lesions of the uterus and ovaries (cysts, fibroids, inflammation).

Which doctor should you go to if your lower back hurts

By the location of the strongest focus of pain, you can determine where the problem is.But all the organs in the abdominal cavity are very close, so the symptoms are often confused, and pain, especially aching and prolonged, can gird the entire body at the level of the waist and tailbone. So if you do not first carry out a diagnosis, you can begin to treat a completely wrong disease. And for this you need to contact the right specialist in time.

• Traumatologist or Surgeon – if you have recently fallen, injured or played intensively.
• Neurologist – in case of acute or shooting pain in the spine, partial loss of sensitivity and mobility, feeling creepy on the stomach and legs; if, with prolonged immobility or a change in body position, the pain in the spine increases.
• Gastroenterologist – with prolonged pulling pain mainly on one side of the lower back; with pain accompanied by digestive disorders; if lower back pain is accompanied by weakness and fever.
• Urologist or Nephrologist – with acute pain on one side, as well as with mild aching pain in the lower back against the background of difficult or very frequent urination.
• Gynecologist – for pain in the lumbar region on one or both sides, accompanied by weakness and aggravated by movement, against the background of pregnancy or menstruation.

You can postpone a visit to a doctor only if you know why your lower back hurts, and this reason does not cause concern. For example, muscle fatigue from physical work will go away in one to two days without any treatment, and for this you do not need to visit a traumatologist.

Possible diagnosis and treatment

The diagnosis your doctor prescribes depends primarily on your symptoms. First, the doctor will conduct an examination and ask about his health, on the basis of which he will be able to understand the approximate cause of the pain.Then, depending on the symptoms, he will direct you to:

• X-ray of the spine – for injuries, scoliosis and hernia. Only bone tissue is clearly visible on it, so it will be useless for other diseases.
• MRI of the lumbosacral spine – for hernia and protrusion, neuropathy, curvature, trauma, neoplasms. This is a very accurate type of diagnosis that allows you to examine soft tissues at any depth.
• CT of the lumbar spine – for the same indications, if the patient cannot undergo magnetic resonance imaging.
• Ultrasound – if you suspect a disease of the abdominal or pelvic organs. This is a completely safe examination that can be carried out even for children, but not all pathologies can be considered on it.
• Gastroscopy and Colonoscopy – for diseases of the digestive system. These types of examinations allow you to examine organs and immediately take tissue samples for analysis, if necessary.
• MRI of the abdominal cavity and intestines – for a more thorough examination of the internal organs and the circulatory system.

Almost all patients who complain of back pain come with problems of the spine and back muscles. A sedentary lifestyle and heavy lifting lead to constant pain in the lumbar region, regardless of age. Therefore, the diagnosis will begin with an examination of the back and spinal column. Well, if no pathologies are visible on the x-ray, the doctor will refer you for an extended examination of the abdominal organs.

Many diseases that cause lower back pain are treated surgically: hernias, neoplasms, stones in the ducts, pancreatitis.In case of unbearable pain, be sure to ask your doctor what analgesics you can take. Diseases of the spine, if they do not require surgery, are treated with anti-inflammatory drugs, physiotherapy, exercise therapy, a balanced diet, chondroprotectors and lifestyle changes. In each case, everything is individual, so let the doctor prescribe the treatment.

How to avoid lower back pain?

A healthy lifestyle and moderate constant movement will keep your back healthy for years to come.Monitor your posture, arrange a comfortable place to sleep. If you have a sedentary job, get up regularly and warm up. And if you do not want to play sports, then just include walking in your mode: for example, to work or from the store.

To avoid diseases of internal organs, you should also monitor your diet and give up bad habits. This is especially true for those who have already been diagnosed with diseases of the stomach, liver, kidneys and pancreas. It is also necessary to monitor clothing so that the body in the lumbar region and small pelvis is always warm.Too cold air can lead to both inflammation of the nerves and diseases of the internal organs.

When lifting weights, keep your back straight and lift using your legs. This will shift the load without damaging your lower back muscles. And, most importantly, do not ignore mild pain if it started for no apparent reason. It is better to visit a doctor and make sure you are in excellent health than to miss the onset of the disease when it was easiest to cure it.

Lumboishalgia – treatment, symptoms, causes, diagnosis

Lumboishalgia is a term for lower back pain radiating to the buttock, to the leg, to the back of the leg.The pain may be accompanied by numbness and tingling in the area of ​​the sciatic nerve innervation. The term lumboishalgia (synonym for lumbosacral radiculitis) means only pain and is not a diagnosis.

One or more symptoms are characteristic of lumboishalgia:

• Constant pain only in the buttock or thigh on one side (less often in both legs)
• Pain increases when sitting
• Burning or tingling sensation down the leg
• Weakness, numbness or movement disorder in the leg
• Constant pain on one side
• Acute pain that can make it difficult to get up or walk

Pain syndrome in lumbar ischalgia can be of varying intensity, depending on the underlying disease, which led to the development of lumbar ischalgia.Symptoms for lumboishalgia are caused by irritation of the sciatic nerve.

The sciatic nerve is the largest nerve in the trunk and consists of individual nerve roots that begin in the lumbar spine (at the L3 level) and collectively form the “sciatic nerve”. The sciatic nerve runs from the lumbar spine to the leg. Parts of the sciatic nerve then branch out in each leg and innervate certain parts of the leg – the buttocks, thighs, calves, feet, toes.

Symptoms of lumbosacralgia (sciatica) such as leg pain, numbness, tingling, weakness may vary depending on where the nerve is being compressed.

The incidence of lumboishalgia (lumbosacral radiculitis) increases in middle age. Lumboishalgia rarely occurs before the age of 20, such pain syndromes are most likely at the age of 40-50 years, and in the older age group, the likelihood of lumboishalgia decreases.

Often, specific events or injuries do not cause inflammation of the sciatic nerve, but over time, the damage leads to the development of ischalgia.In overwhelming patients, conservative treatment can be quite effective, and the pain syndrome decreases significantly within a few weeks, but in a certain number of patients the pain syndrome may be persistent.

Reasons

There are 6 most common causes of lumboishalgia:

Herniated disc in the lumbar spine.

A herniated disc occurs when the soft inner disc nucleus (nucleus pulposus) protrudes through the fibrous outer annulus, affecting nearby nerve roots.

Osteochondrosis

Degenerative changes in the intervertebral discs are a natural involutionary process that occurs as the body ages. Degenerative changes in the discs can lead to irritation of the roots and the development of pain.

Spondylolisthesis

This condition occurs when the arches of a vertebra are damaged (spondylolysis), as a result of which one vertebra slides in relation to another. The displacement of the vertebra causes damage and displacement of the intervertebral disc, which together can lead to irritation of the nerve roots and irritation of the sciatic nerve.

Stenosis of the spinal canal of the lumbar spine

This condition usually causes inflammation of the sciatic nerve due to narrowing of the spinal canal. Stenosis of the spinal canal in the lumbar spine is most often associated with natural involutional changes in the spine and occurs in patients over 60 years of age. The condition usually results from a combination of one or more of the following factors: enlargement of the facet joints due to bony growths, overgrowth of soft tissue (ligamentous apparatus), and protrusion of the disc (disc herniation).

Piriformis syndrome

Irritation of the sciatic nerve can occur in the area of ​​passage in the buttock under the piriformis muscle. If there is a spasm of the piriformis muscle or other changes in this muscle, it is possible to affect the sciatic nerve with the development of pain syndrome. And although this syndrome is an independent disease, pain in the leg can be similar to lumboishalgia.

Sacroiliac joint dysfunction

Irritation of the sacroiliac joint can also cause irritation of the L5 root, which extends into the upper part of the sacroiliac joint, and if there are problems in this joint, inflammation of the sciatic nerve and pain can occur.Leg pain can be similar to that of lumboishalgia (sciatica).

Other causes of lumboishalgia

A number of other conditions and diseases can cause inflammation of the sciatic nerve, including:

• Pregnancy. Changes in the body that occur in the body during pregnancy, including weight, displacement of the center of gravity, and hormonal changes, can cause inflammation of the sciatic nerve during pregnancy.
• Presence of scar tissue. If the scar tissue compresses the nerve roots, it can irritate the sciatic nerve
• Muscle stretching. In some cases, the inflammation associated with muscle strain can put pressure on the nerve roots and cause inflammation of the sciatic nerve.
• Tumors of the spine. A tumor in the spine (most often of metastatic origin) can exert a compressive effect on the sciatic nerve.
• Infection.Infections rarely occur in the spine, but can also be the cause of the effect on the roots with the development of inflammation of the sciatic nerve.

Symptoms

As a rule, with lumboishalgia, the symptoms are on one side, and the pain starts from the lower back and goes down the back of the thigh down to the foot.

• Lower back pain is usually less intense than leg pain.
• Pain, usually on one side of the lower back, radiating into the buttock or thigh along the sciatic nerve – along the back of the thigh, lower leg and foot.
• Pain is relieved when the patient is lying down and when walking, and worse when standing or sitting.
• The pain is acute, burning.
• Some patients may describe tingling, numbness, or weakness in the leg.
• Weakness or numbness when moving the leg.
• Severe or shooting pain in the leg which may make it difficult to stand or walk.
• Depending on the localization of the effect on the sciatic nerve, pain can be in the foot and toes.

Symptoms of lumboishalgia depend on where the root compression occurs.

For example:

• L4 root – Symptoms will usually appear on the thigh. Patients may feel weak when straightening the leg and possibly a decreased knee reflex.
• L5 root – Symptoms can manifest in the big toe and ankle. Patients may feel pain or numbness in the upper part of the foot (between the big and second toe).
• S1 root – Symptoms may appear on the outer part of the foot, radiating to the toes and little toe. Patients may feel weak when raising the foot or trying to stand on tiptoe, and there may be decreased reflexes at the ankle.

When multiple root compression occurs, a combination of symptoms is possible.

There are a number of symptoms that deserve special attention, as they require urgent medical attention, sometimes up to surgery.These symptoms are as follows:

• Symptoms that continue to progress rather than diminish, which may indicate possible nerve damage, especially if neurologic symptoms are progressing (eg, weakness in the leg).
• Symptoms of lumboishalgia are present in both legs and there are signs of bowel or bladder dysfunction, which may be a sign of cauda equina syndrome. With cauda equina syndrome, emergency surgery is indicated.

In the presence of such symptoms, urgently seek medical attention.

Treatment

In most cases, conservative treatment of lumboishalgia is quite effective. The range of treatment methods for lumboishalgia is wide and is aimed at reducing the compression of the nerve roots and reducing pain. The most effective is the use of a comprehensive approach to the treatment of lumboishalgia and the use of a combination of various methods of treatment (physiotherapy, massage, manual therapy, drug treatment, acupuncture and exercise therapy).

Drug treatment . The use of anti-inflammatory drugs (ibuprofen, naproxen, voltaren), COX-2 inhibitors (celebrex) can reduce inflammation, which leads to a decrease in pain.

Epidural injections . If the pain is severe, an epidural steroid injection may be given. Epidural steroid administration differs from oral steroid administration in that the drugs are injected directly into the painful area around the sciatic nerve, which can quickly reduce inflammation and relieve pain.The effect of such a procedure is usually temporary, but it helps to relieve severe pain syndrome quickly enough.

Manual therapy

Modern soft manual therapy techniques allow restoring the mobility of the motor segments of the spine, removing muscle blocks, improving the mobility of the facet joints and sometimes significantly reducing the compression of nerve fibers.

Acupuncture also helps to reduce pain and allows you to restore conduction along nerve fibers.

Massage

Therapeutic methods of massage can improve microcirculation, relieve muscle spasm, and also increase the production of endorphins by the body.

Physiotherapy . The existing modern methods of physiotherapy (cryotherapy, laser therapy, ultrasound electrophoresis) can reduce inflammation, improve blood circulation and thus reduce pain.

LFC . Physical exercises, which must be used after reducing pain manifestations, allow you to restore the muscle corset and normalize the biomechanics of the spine, and improve blood circulation in the motor segments.Physical exercises include both mechanotherapy (training on simulators) and gymnastics, which allows you to develop both muscles and strengthen the ligamentous apparatus. Exercises for lumboishalgia must be selected with a doctor (instructor) exercise therapy, since independent exercises often lead to a relapse of symptoms.

Surgical treatment

Indications for surgical treatment are the following factors:

• Severe leg pain that persists for more than 4 to 6 weeks.
• Lack of effect from conservative treatment and preservation or enhancement of neurological symptoms.
• Pain syndrome significantly affects the patient’s quality of life, the patient’s ability to participate in daily activities

Urgent surgery is usually only necessary if there is progressive neurologic symptoms (increasing weakness in the legs or sudden bowel or bladder dysfunction).

90,000 Back pain: 7 alarming symptoms.Professor of the Russian Academy of Sciences Natalya Suponeva says

8 out of 10 people experience back pain throughout their lives. Of course, there is no need to run to the doctor for the slightest problems and undergo an examination, and this is not necessary. The whealth.ru correspondent spoke with a neurologist about when back pain should not be ignored.

Most of the unpleasant sensations are mild and short-term pain in the lumbar region, which have no pathological basis and are caused by normal muscle strain.We are interested in cases when the cause lies in diseases of the spine.

Pain does not go away for a long time

Usually, pain in the back disappears after a short rest or taking anesthetic. If there is no improvement within a month, pain interferes with normal daily activity, it is worth going to the doctor.

Pain spreads to the arm or leg

If, in addition to the back area, the pain spreads to any limb, this is a sign of irritation of the spinal cord root or even the presence of an intervertebral hernia.

Natalya Suponeva adds: “This symptom may not mean a serious lesion of the intervertebral disc, but it is still worth consulting with a neurologist: there are many non-surgical methods of treatment. Massage, physiotherapy, manual therapy, gymnastics to strengthen the muscle corset, stretching, can help. drug blockade or kinesio taping (application of a special elastic patch). The tactics are selected individually. You can count on a positive result if you seek qualified medical help in a timely manner. “

The appearance of numbness, tingling or weakness in the arm or leg

“Long-lasting sensory disturbances in the limbs (feeling of numbness or stiffness of the skin, tingling with needles) indicate persistent damage to the nerve fiber. Decreased muscle tone in the lower extremities or the appearance of lameness also a formidable symptom indicating impaired motor function, “says the expert.

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Methods of dealing with hip pain during pregnancy

Methods for managing hip pain during pregnancy

Hip pain during pregnancy is a common symptom that you may experience.This symptom is most often felt during late pregnancy, especially in the third trimester. This is because your body is organizing itself for an important cause. Soreness and pain is often felt most strongly on the side of the baby in your uterus.

What causes hip pain during pregnancy?

During pregnancy, your body produces hormones that allow connective tissue to relax and soften.As a result, the joints, as well as the ligaments between the bones in your pelvis, begin to weaken.