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What causes low back and hip pain. Lower Back and Hip Pain: Causes, Symptoms, and Effective Treatments

What causes low back and hip pain. How to identify the symptoms of common conditions affecting the lower back and hips. Which treatment options are most effective for relieving discomfort in these areas. When should you seek medical attention for persistent pain.

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Common Causes of Lower Back and Hip Pain

Lower back and hip pain often occur together, affecting one or both sides of the body. This discomfort typically results from overuse, injury, or underlying medical conditions. Understanding the root cause is crucial for effective treatment and relief.

Sprains and Strains

Sprains and strains are among the most frequent causes of pain in the lower back and hip area. A sprain involves a torn or overstretched ligament, while a strain affects tendons or muscles. These injuries commonly occur due to:

  • Sports-related incidents
  • Falls or traumatic events
  • Awkward twisting movements
  • Lifting heavy objects
  • Inadequate warm-up before physical activity

How can you identify a sprain or strain? Symptoms typically include:

  • Muscle pain and weakness
  • Tenderness and swelling
  • Reduced range of motion
  • Discomfort that worsens with activity and improves with rest

Tight Hip Flexors

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

What are the signs of tight hip flexors? Look out for:

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

Herniated Disk

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

Who is at risk for a herniated disk? Older adults are more prone to this condition due to natural wear and tear of the spine and decreased disk flexibility with age. Common causes include:

  • Improper lifting techniques
  • Falls or traumatic events
  • Being overweight
  • Repetitive strain on the back
  • Extended periods of driving
  • Smoking

Recognizing Symptoms and Seeking Appropriate Treatment

Identifying the specific symptoms associated with lower back and hip pain is crucial for determining the appropriate course of treatment. Each condition presents unique signs that can help in diagnosis and management.

Symptoms of Sprains and Strains

How do sprains and strains manifest in the lower back and hip area? Common symptoms include:

  • Localized pain that worsens with movement
  • Muscle weakness in the affected area
  • Visible swelling or bruising
  • Stiffness and limited range of motion

Treatment for sprains and strains typically involves:

  1. Rest for a few days to allow healing
  2. Gentle stretching exercises
  3. Applying ice packs for 10-15 minutes at a time
  4. Using nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and swelling

When should you consult a doctor for a sprain or strain? If symptoms persist or worsen after a few days of home treatment, it’s advisable to seek medical attention, as the injury may be more severe than initially thought.

Managing Tight Hip Flexors

Tight hip flexors can significantly impact mobility and comfort. How can you alleviate this condition? Consider the following approaches:

  • Engaging in physical therapy exercises and stretches
  • Practicing hip flexor stretches, such as knee-to-chest pulls or lunges
  • Avoiding prolonged periods of sitting
  • Limiting the use of high heels for extended durations

Are there specific exercises that target tight hip flexors? Yes, numerous stretches can help, including the pigeon pose, butterfly stretch, and hip flexor lunge. Consistently performing these exercises can improve flexibility and reduce discomfort over time.

Addressing Herniated Disk Symptoms

A herniated disk can cause significant discomfort and may require more targeted treatment. What are the telltale signs of this condition?

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

How is a herniated disk typically treated? Treatment options may include:

  1. Bed rest to alleviate pain
  2. Physical therapy exercises
  3. NSAIDs for pain and inflammation relief
  4. Epidural steroid injections in more severe cases
  5. Surgery as a last resort for persistent or severe cases

Prevention Strategies for Lower Back and Hip Pain

While not all instances of lower back and hip pain can be prevented, there are several strategies that can significantly reduce the risk of developing these issues. Implementing these practices into daily life can promote overall musculoskeletal health and minimize discomfort.

Maintaining Proper Posture

How does posture affect lower back and hip health? Poor posture can place undue stress on the spine and surrounding muscles, leading to pain and discomfort over time. To maintain proper posture:

  • Sit with your back straight and shoulders relaxed
  • Keep your feet flat on the floor when seated
  • Use ergonomic chairs and desks when possible
  • Take regular breaks from sitting to stand and stretch
  • Be mindful of your posture when standing or walking

Regular Exercise and Stretching

Incorporating regular physical activity into your routine can strengthen the muscles supporting the lower back and hips, reducing the risk of injury and pain. What types of exercises are most beneficial?

  • Low-impact aerobic activities like swimming or cycling
  • Core-strengthening exercises such as planks and bridges
  • Yoga or Pilates for flexibility and balance
  • Targeted stretches for the lower back and hip area

Remember to warm up properly before exercising and cool down afterwards to prevent strain or injury.

Maintaining a Healthy Weight

Excess weight can put additional stress on the lower back and hips, increasing the risk of pain and injury. How can maintaining a healthy weight benefit these areas?

  • Reduces pressure on the spine and joints
  • Improves overall mobility and flexibility
  • Decreases the risk of conditions like herniated disks
  • Enhances the body’s ability to recover from minor strains and sprains

Combining a balanced diet with regular exercise is key to achieving and maintaining a healthy weight.

When to Seek Medical Attention for Lower Back and Hip Pain

While many cases of lower back and hip pain can be managed at home, certain symptoms warrant immediate medical attention. Recognizing these signs is crucial for preventing potential complications and ensuring proper treatment.

Red Flags Requiring Immediate Care

Which symptoms indicate a need for urgent medical evaluation? Seek immediate medical attention if you experience:

  • Sudden, severe pain following an injury or fall
  • Loss of bowel or bladder control
  • Numbness or weakness in the legs
  • Fever accompanying back pain
  • Unexplained weight loss along with back pain

These symptoms may indicate serious conditions such as spinal cord compression, infection, or other urgent medical issues requiring prompt treatment.

Persistent or Worsening Pain

When should you consult a doctor for ongoing lower back and hip pain? Consider seeking medical advice if:

  • Pain persists for more than a few weeks despite home treatment
  • Discomfort interferes with daily activities or sleep
  • Pain is accompanied by other symptoms like fever or unexplained weight loss
  • You experience recurring episodes of back or hip pain

A healthcare professional can provide a thorough evaluation, accurate diagnosis, and tailored treatment plan for persistent or complex cases.

Complementary and Alternative Treatments for Lower Back and Hip Pain

In addition to conventional medical treatments, many individuals find relief from lower back and hip pain through complementary and alternative therapies. These approaches can often be used in conjunction with traditional treatments to provide comprehensive pain management.

Acupuncture

How does acupuncture potentially alleviate lower back and hip pain? This ancient Chinese practice involves inserting thin needles into specific points on the body to:

  • Stimulate the release of natural pain-relieving chemicals
  • Improve blood flow to affected areas
  • Reduce inflammation and muscle tension
  • Promote overall relaxation and well-being

While research on acupuncture’s effectiveness for back pain is mixed, many individuals report significant relief from this treatment.

Massage Therapy

Massage therapy can be an effective complementary treatment for lower back and hip pain. What benefits does massage offer for these conditions?

  • Reduces muscle tension and spasms
  • Improves blood circulation to affected areas
  • Enhances flexibility and range of motion
  • Promotes relaxation and stress relief

Different massage techniques may be employed depending on the specific cause and nature of the pain.

Chiropractic Care

Chiropractic treatments focus on the relationship between the spine’s structure and the body’s function. How might chiropractic care help with lower back and hip pain?

  • Manual adjustments to improve spinal alignment
  • Techniques to reduce pressure on joints and nerves
  • Exercises and stretches to improve flexibility and strength
  • Advice on posture and ergonomics

While chiropractic care can be beneficial for many, it’s important to consult with a healthcare provider before beginning treatment, especially if you have certain health conditions.

Lifestyle Modifications to Manage Chronic Lower Back and Hip Pain

For individuals dealing with chronic lower back and hip pain, incorporating certain lifestyle changes can significantly improve quality of life and reduce discomfort. These modifications, when combined with medical treatments, can provide comprehensive pain management.

Ergonomic Adjustments

How can ergonomic changes in your daily environment help manage pain? Consider the following adjustments:

  • Using a supportive chair with proper lumbar support
  • Adjusting your workstation to maintain proper posture
  • Utilizing a standing desk to alternate between sitting and standing
  • Employing ergonomic tools and equipment in daily tasks

These changes can reduce strain on the lower back and hips during work and other daily activities.

Sleep Hygiene and Proper Mattress Support

Quality sleep is crucial for pain management and overall health. How can you improve your sleep environment to support your lower back and hips?

  • Invest in a supportive mattress that maintains proper spinal alignment
  • Use pillows to support your lower back and hips while sleeping
  • Adopt a sleep position that minimizes strain on your back and hips
  • Establish a consistent sleep schedule to improve overall sleep quality

Proper sleep posture and support can significantly reduce morning stiffness and pain.

Stress Management Techniques

Chronic pain and stress often form a vicious cycle, each exacerbating the other. What stress management techniques can help break this cycle?

  • Practicing mindfulness meditation
  • Engaging in deep breathing exercises
  • Participating in gentle yoga or tai chi
  • Seeking support through counseling or support groups

Reducing stress can help relax tense muscles and improve overall pain management.

Emerging Treatments and Research in Lower Back and Hip Pain Management

The field of pain management is continuously evolving, with new treatments and approaches emerging through ongoing research. Staying informed about these developments can provide hope and new options for those struggling with chronic lower back and hip pain.

Regenerative Medicine

What promise does regenerative medicine hold for treating lower back and hip pain? This innovative field includes treatments such as:

  • Stem cell therapy to promote tissue repair
  • Platelet-rich plasma (PRP) injections to reduce inflammation and promote healing
  • Gene therapy to target specific pain mechanisms

While many of these treatments are still in experimental stages, early results show potential for managing chronic pain conditions.

Advanced Pain Management Technologies

How are technological advancements contributing to pain management? Emerging technologies include:

  • Implantable neurostimulation devices for chronic pain relief
  • Virtual reality therapy for pain distraction and management
  • AI-powered pain tracking and management apps
  • Wearable devices for real-time pain monitoring and intervention

These technologies aim to provide more personalized and effective pain management solutions.

Targeted Drug Therapies

What new pharmaceutical approaches are being developed for lower back and hip pain? Research is focusing on:

  • Novel anti-inflammatory medications with fewer side effects
  • Drugs targeting specific pain receptors in the nervous system
  • Topical treatments for localized pain relief
  • Combination therapies addressing multiple pain mechanisms simultaneously

These targeted approaches aim to provide more effective pain relief with reduced systemic side effects.

In conclusion, managing lower back and hip pain often requires a multifaceted approach, combining traditional treatments with lifestyle modifications and emerging therapies. By staying informed about the latest developments and working closely with healthcare providers, individuals can develop comprehensive strategies to effectively manage their pain and improve their quality of life.

Why does my lower back and hip hurt?

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

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

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

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

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

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

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

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

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

Common causes of sprains and strains in this area include:

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

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

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

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

Treatment

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

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

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

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

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

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

Symptoms of tight hip flexor muscles include:

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

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

Read about 10 stretches for tight hips here.

Treatment

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

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

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

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

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

Common causes of a herniated disk include:

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

Symptoms of a herniated disk include:

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

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

Treatment

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

Other treatment options include:

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

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

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

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

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

Treatment

Treatment options for SI joint dysfunction include:

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

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

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

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

Treatment

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

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

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

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

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

Treatment

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

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

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

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

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

The symptoms of Paget’s disease include:

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

Treatment

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

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

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

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

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

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

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

Why does my lower back and hip hurt?

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

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

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

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

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

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

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

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

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

Common causes of sprains and strains in this area include:

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

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

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

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

Treatment

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

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

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

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

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

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

Symptoms of tight hip flexor muscles include:

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

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

Read about 10 stretches for tight hips here.

Treatment

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

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

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

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

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

Common causes of a herniated disk include:

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

Symptoms of a herniated disk include:

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

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

Treatment

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

Other treatment options include:

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

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

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

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

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

Treatment

Treatment options for SI joint dysfunction include:

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

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

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

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

Treatment

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

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

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

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

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

Treatment

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

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

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

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

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

The symptoms of Paget’s disease include:

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

Treatment

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

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

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

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

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

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

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

Lower back pain while sleeping on the back: causes and methods of treatment

Author of the article: Eduard Svitich – orthopedic traumatologist

Back pain is one of the most common pain syndromes in medicine. Almost every healthy person at one time or another had a “jammed” back or she just ached. In the vast majority of cases, such pain is harmless and disappears with time.

Contents

  • Nighttime back pain and its causes
  • Why does the lower back hurt during sleep?
  • Methods of treatment and prevention

Nighttime back pain and its causes

The main signs of “safe” back pain include: an association with exercise or posture, the absence of severe chronic diseases, injuries, fever or skin numbness. If your back hurts mainly at night, it is advisable to understand the sources of discomfort. Here are a number of diseases that can cause night pain:

  • Diseases of the gastrointestinal tract. Night pains radiating to the back are characteristic of ulcers, sometimes pancreatitis or cholecystitis. Such pain is not relieved by massaging the painful area or changing the position of the body.
  • Diseases of the kidneys. The lower back can whine with pyelo- and glomerulonephritis. Such pain is usually accompanied by an increase in body temperature, a change in the color of urine.
  • Inflammatory diseases of the vertebrae and intervertebral discs. If the night pain is intense and prolonged, a doctor’s examination is definitely necessary. Sometimes it’s better to be safe than to miss a dangerous condition.
  • Most often, nighttime back pain is associated with muscle overload during the day or an uncomfortable bed.

Why does my back hurt while sleeping?

A typical situation with nocturnal pain in the lower back: only one side of the back hurts, or the pain is felt in the middle in the very depths. At the same time, turning on the other side or on the stomach, if not completely saves from pain, then greatly facilitates it. All the described signs indicate that it is time to pay attention to the shape of the lumbar spine.

Lumbar lordosis is the most important curve of the spine, it acts as a natural shock absorber of the back. Both too flat and too arched the lumbar spine reduces stability and increases the risk of injury. Of great importance is the absence of scoliosis. Lateral bending disrupts the functioning of the core muscles and is also associated with a greater frequency of pain syndromes.

The main cause of nocturnal muscle pain in the lower back is the lack of support for the highest points of the spine by the mattress surface. Such pains are also characteristic of excessive lordosis and scoliosis of the lumbar spine. Sometimes a flat back or an anatomically correct spine with spondyloarthrosis, “worn out” intervertebral joints, can hurt.

Methods of treatment and prevention

A competent doctor always takes into account the circumstances of the appearance of pain. In this case, the discomfort appears at night, and one of its causes may be the wrong position during sleep. We will talk about the features of orthopedic pillows for the neck in another article, and in this one we will focus on solutions for the lower back.

Somnologists (sleep scientists) recommend at least two pillows for a comfortable sleep. If you sleep on your side, one, of course, is located under your head, and the second should be placed between the knee joints. This maintains the neutral position of the pelvis, to which the back muscles are attached.

In the supine position, the second pillow is placed either under the lower back or under the knee joints. If the lumbar curve is pronounced, it is the lumbar pillow that works well, if the back is flat, leg support. Thanks to the second pillow, the muscles of the legs and back relax as much as possible, their tension and pain are eliminated.

Daytime lumbar overload is also important. So that your back does not hurt at night, take care of it during the day. Sit less and do more exercises. If you still have to sit, use pillows or rollers for the back: they bring the lower back into the correct position and tone.

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Why does the lower back hurt and radiate to the thigh: causes and treatment

Content

  • 1 Pain in the lower back, radiates to the thigh
    • 1. 1 Lumbo-sacral pain: what is it?
    • 1.2 Common causes of low back and hip pain
    • 1.3 Symptoms of disease
    • 1.4 Diagnosing low back pain and its causes
    • 1.5 How to avoid low back and hip pain
    • 1.6 How to treat low back pain
    • 1.7 What medicines help get rid of low back pain
    • 1.8 Medical exercises for the treatment of low back pain
    • 1.9 Physiotherapy procedures for pain in the lower back and hip
    • 1.10 Surgical treatment of lumbosacral pain
    • 1.11 Prognosis and prevention of the disease
    • 1.12 Related videos:

Find out what causes low back pain that radiates to the hip. Familiarize yourself with possible diseases and methods of treating this unpleasant symptom.

Low back pain is one of the most common complaints among people worldwide. It can occur in people of any age and social status. It is important to understand that pain in the lower back and hip can be associated with various reasons: from a banal incorrect body position to serious diseases. Therefore, it is important to consult a doctor if the pain recurs and is accompanied by other symptoms.

One of the most common causes of back pain is osteochondrosis. It occurs due to the deformation of the intervertebral discs and leads to compression of the nerve endings in the lumbar region. In addition, pain can be caused by inflammatory processes, tumors or diseases of the internal organs, which “give” pain to the lower back and thigh.

Treatment for low back and hip pain depends on the cause. In some cases, it is enough to change the lifestyle, relieve the load from the lower back, do physical exercises or prevent premature aging of the spine. In more complex cases, medical and surgical treatment is indicated.

Low back pain: what is it?

Lumbosacral pain is a painful condition in which pain is felt in the lumbar region and sacral region of the back. This is the most common type of back pain and is often associated with damage to the muscles, ligaments, and spine.

The onset of low back pain can be caused by a variety of causes, such as trauma, swelling of the discs between the vertebrae, scoliosis, radiation of pain from other areas of the body, or even stress and depression.

Treatment for low back pain may include exercise, physical therapy, lifestyle changes (including improved nutrition), and medication to relieve pain and restore back health.

  • Important note: If low back pain lasts more than a few days or is accompanied by severe leg pain, numbness, or loss of function, it is recommended to see a doctor.

The main causes of pain in the lower back and hip

Pain in the lower back and hip can be caused by many causes, but the most common are:

  1. Osteochondrosis severe back and hip pain.
  2. Herniated disc is a pathological change in the structure of the disc, in which its contents extend beyond the boundaries of the spinal canal and exert pressure on the nerve endings, which leads to pain in the lower back and hips.
  3. Spondylarthrosis is a pathology in which the destruction of the joints between the vertebrae occurs, which leads to severe pain in the lower back and hips.
  4. Myofascial Syndrome is a condition in which muscles become tight and unable to relax, resulting in lower back and hip pain.

At the same time, even in the presence of one of these causes, pain in the lower back and hips can have a different degree of manifestation and features of the course of the disease, which depends on the individual characteristics of the patient and the level of development of the disease.

Symptoms of the disease

Pain in the lower back and radiating to the leg are the main symptoms of the disease. There may be a feeling of numbness and tingling in the thigh, as well as muscle weakness.

Symptoms are greatly aggravated by prolonged exertion of the lower back or by heavy lifting.

If you feel pain and radiating pain in the thigh, you should consult a doctor for diagnosis and treatment. Early treatment can help avoid complications and get the patient back to a normal life faster.

Diagnosis of lumbosacral pain and its causes

The lower back is one of the most commonly affected parts of the spine. Low back pain can occur due to a variety of reasons, and proper diagnosis is an important step towards successful treatment.

To start the diagnosis, a physical examination is necessary, which includes an assessment of the patient, as well as studies to determine the exact location of the pain. The doctor may ask the patient to describe the nature of the pain, the time of its onset, the circumstances that cause an increase or decrease in pain, the presence of other symptoms.

An important step is the X-ray examination of the spine, which allows you to identify changes in the structure of bones and cartilage, determine the presence of osteochondrosis, dislocations or fractures. An MRI or CT scan may also be ordered to see a more detailed picture of the pathology.

It is important to know that before starting treatment on your own, you should consult with your doctor in order to get the most accurate diagnosis and treatment recommendations. Improper treatment can only worsen the situation and lead to more serious consequences.

How to avoid lower back and hip pain

Stay active

Sitting or standing still for long periods of time can lead to lower back and hip pain. Therefore, it is important to stay active and move regularly. Outdoor activities, exercise, or yoga can help keep muscles toned and reduce the risk of pain.

Correct body position

Incorrect body position can also cause back and hip pain. When sitting, keep your back straight and your knees in line with your hips. When lifting weights, you must use the correct technique, keep your back straight and not bend over.

Wear the right shoes

Wear comfortable shoes that won’t put pressure on your feet and allow you to move freely. High heels are not recommended for long walks, as they can strain the thigh and lower back muscles.

Strengthen your muscles

Exercise regularly to strengthen your lower back and hip muscles. Strong muscles will help maintain the correct position of the body, as well as protect against injury and overexertion.

Control your weight

Being overweight can put stress on your joints and muscles, which can lead to lower back and hip pain. Therefore, it is important to control your weight and monitor proper nutrition.

How to treat lumbosacral pain

Lumbosacral pain is one of the most common diseases of the spine, which is manifested by pain in the lumbar region, as well as radiating pain in the leg. To successfully treat this disease, it is necessary to determine its cause. This requires a doctor’s consultation.

Depending on the cause, the doctor may prescribe one or more treatments. These include:

  • Physical Therapy – spinal exercises, stretching and massage of the back muscles will help relieve pain and restore normal back mobility;
  • Preparations – analgesics and anti-inflammatory drugs will help eliminate pain, reduce inflammation in the body;
  • Orthopedic products – a properly selected orthopedic mattress and pillow for sleeping, a belt for lumbar support will help reduce the load on the back and eliminate the negative impact on the circulatory system;
  • Surgery – in extreme cases, when conservative methods do not help, the doctor may decide that surgery is necessary.

The treatment of lumbosacral pain is a complex process that requires constant attention and control from the doctor and the patient. However, with the right therapy and regular implementation of the doctor’s recommendations, you can completely eliminate pain and normalize the quality of life.

What medicines help relieve low back pain

Different medicines are used for low back pain, depending on the cause of the pain. In most cases, anti-inflammatory and analgesic drugs are prescribed:

  • Ibuprofen is a universal anti-inflammatory and analgesic drug that is recommended for mild back pain.
  • Nimesulide is an anti-inflammatory drug that is effective for severe low back pain.
  • Diclofenac is an anti-inflammatory and analgesic that can help with severe pain.

In addition, muscle relaxants can be prescribed to relieve muscle tension and pain, as well as B vitamins to strengthen the nervous system and reduce pain in the lumbar region.

However, before using any medication, you should consult your doctor to determine the most appropriate treatment option and to prevent possible side effects.

Therapeutic exercises for lower back pain

Massage and healing exercises are key methods of treating low back pain. They help relieve muscle tension and improve blood circulation in the lumbar region.

The basic principle of gymnastics is to strengthen the back muscles, namely the latissimus dorsi and abdominal muscles. It is also necessary to strengthen the muscles of the legs in order to relieve excess stress from the lumbar region.

To improve the condition of the spine, it is necessary to perform the following exercises:

  • Forward and backward torso bends
  • Torso torso bends to the right and left
  • Curved pose – lie on your stomach on a hard surface, stretch your arms forward and bend your knees. Raise your arms and legs and hold for 5-10 seconds
  • Side bends
  • Barbell deadlift (start light weight, gradually increase the load)
  • Squat in place

It is important to remember that before doing gymnastics it is necessary to consult a doctor and undergoing tests to determine the causes of low back pain.

ExerciseInstruction

Forward and backward body bends Take a vertical position, feet shoulder-width apart, hands down. We fix the bending of the legs and pelvis, inhale and on the exhale we lean forward, lowering our hands to the level of the feet. Inhale – rise to the starting position.
Lateral bends Assume a vertical position, feet shoulder-width apart, hands free at the bottom. We inhale and, on exhalation, lean to the right, lowering the hand to the knee. Inhale – return to the starting position. We do the same to the left, repeat the exercise several times.

Physiotherapy treatments for back and hip pain

One of the most effective treatments for back and hip pain is physiotherapy. They are aimed at reducing pain, improving blood circulation and healing tissues.

One such procedure is electrical stimulation of the lumbar muscles. Electrodes are applied to the patient’s body, which create an electric current. This helps to reduce muscle spasms and improves blood circulation in the tissues, which helps to reduce pain in the lower back and hip.

Ultrasound therapy can be another procedure. Ultrasonic waves help relieve muscle spasms, improve blood circulation and speed up metabolism. It can be very helpful for lower back and hip pain.

Magnetotherapy is also a very effective procedure. This is a treatment method in which the effect on the patient’s body is carried out by the force of a low-frequency electromagnetic field. Magnetotherapy is used to reduce pain, provide anti-inflammatory and relaxing effects on the muscles. It can be very helpful for lower back and hip pain.

In addition, shock wave treatments and laser therapy are very effective. They can help relieve lower back and hip pain, improve blood circulation, and speed up the process of tissue regeneration.

In any case, before using physiotherapy procedures, you should consult a doctor and undergo the necessary examinations. This will help you choose the most effective method of treatment and avoid possible complications.

Surgical treatment of lumbosacral pain

Low back pain can be caused by various causes, including herniated discs, spondylolisthesis, spinal stenosis, and other conditions. Conservative treatment can help most patients, but in some cases, surgery may be required.

Surgical treatments for lumbosacral pain may include:

  • Discectomy is a procedure to remove part of an intervertebral disc that can press on nerve endings and cause pain;
  • Laminectomy is an operation to widen the spinal canal to relieve pressure on the spinal cord and nerve roots. Sometimes, during a laminectomy, part of the intervertebral disc is removed or spinal fusion is performed to fix the vertebrae and reduce pressure on the nerve roots;
  • Spinal stenosis correction is a procedure aimed at increasing the diameter of the spinal canal. During the operation, part of the bone tissue can be removed, which gives additional space for the spinal cord and nerve roots;
  • Herniectomy and spinal fusion – surgery removes a herniated disc and fixes the vertebrae to create stability for the spinal segment. This procedure may be necessary if other methods have not worked and if the hernia is interfering with the patient’s normal functioning.

Surgery for lumbosacral pain may be an effective treatment for patients who do not experience symptom relief after conservative treatment or where the patient’s condition is at risk of worsening. However, surgical procedures can also carry risks and complications, and should only be performed according to the individual situation of each individual patient and under the close supervision of qualified professionals.

Prognosis and prevention of the disease

Prognosis: With timely medical attention, the prognosis of the disease is positive.