Pain in the low back, hips, and other areas of the lower body, the source isn’t always easy to pinpoint.
Pain may originate in the lumbar spine (low back) the hip or both.
It’s important that a doctor identify the source of the problem, in order to create the correct treatment plan.
Because the hips and lower spine are located so close it can be easy to mistake back pain for hip pain the other way around.
Most low back pain and hip pain share a common cause:
Normal wear and tear on the body due to aging or triggered by overuse injuries (possibly referred to as degeneration or degenerative changes).- Lumbar sprains
- Strains
- Osteoarthritis
- Herniated discs
Symptoms that the Hip Is the Root
One of the biggest symptoms that pain is caused by a problem in the hip is groin pain.The hip joint is located behind the groin, which is why groin pain typically means the hip is the root.
In some cases, the groin pain will radiate downward toward the knee.
Another symptom that the hip is the source is pain around or over the hip joint.
Hip problems can also refer pain to the low back.
This is what causes the confusion over where the true source of the pain.
Hip-related pain is most often caused by osteoarthritis in the hip.
Osteoarthritis in the hip can cause pain in the:
- Buttocks
- Front of the thighs
- Knees
Osteoarthritis is the most common cause, hip pain can also come from:
- Piriformis syndrome
- Avascular necrosis in the hip
- Sacroiliac joint dysfunction
- Piriformis syndrome will cause dull, mild pain in the low back, buttocks and can radiate down the leg.
- Hip pain attributed to avascular necrosis will be severe and constant.
- Sacroiliac joint pain could be attributed to the hip and the low back because the sacroiliac joints connect the sacrum in the spine to the hip bones.
Symptoms that the Spine Is the Root
Where groin pain is a sign that the pain is linked to the hip when the pain is above the waistline and travels down the body usually indicates a low back issue.Among the most common degenerative conditions that affect the lumbar spine are:
- Herniated discs
- Spinal stenosis
- Spondylolisthesis
- Weakness
- Numbness
- Reduced range of motion
It usually improves after beginning to move.
Spinal stenosis or nerve pressure compression pain worsens with prolonged standing or walking, while relief comes with sitting.
Getting to the Root
When there is pain in the lower body and are not sure whether it's the back or hip, the first course of action is to visit your doctor or a chiropractor.They will review your medical history and perform a series of physical exams, such as various movements to get an idea of what is going on.
Your primary doctor may refer you to a doctor/chiropractor who specializes in hip or spinal conditions to make an accurate diagnosis.
The doctor will ask you to describe the:
- Pain
- Location
- When it worsens
- When it's relieved
- What the pain feels like (e.g., sharp, dull).
The goal is to determine what movements trigger the pain.
One such maneuver called the Flexion Abduction External Rotation (FABER) test helps determine if the pain is sourced in the hip and possible sacroiliac joint problems.
For this test, you lie on your back while flexing and rotating the hips.
The doctor will also palpate (press) on the pain area.
The doctor may order image scans, like x-ray, MRI that can reveal the root of the spine or hip problem.
The Source
Treating Back Pain and Hip Pain
Once the pain is identified whether the hip or low back, your doctor will work with you to create a treatment plan.This regimen includes a specially designed physical therapy program to teach:
- Movements
- Stretches
- Physical therapy
Once the nature of the pain is determined, your doctor may recommend lifestyle changes:
- Exercise program
- Quitting smoking
- Diet change
- Foot orthotics
El Paso, TX Chiropractic Care Hip Labral Tear Treatment
Andrew Hutchinson turned to chiropractic care and PUSHasRx Functional Fitness Workouts rehabilitation after suffering a high ankle sprain and a hip labrum tear for which he went through with surgery to repair it. After being bedridden for months in order to properly recover, Andrew Hutchinson transitioned to chiropractic care and PUSHasRx Functional Fitness Workouts rehabilitation to regain his strength, mobility, and flexibility before returning to play. Although he has suffered other sports injuries, Andrew Hutchinson continues to trust in chiropractic care and PUSHasRx Functional Fitness Workouts rehabilitation to keep his spine properly aligned and maintain overall health and wellness.
Labrum tears in athletes can occur from a single event or recurring trauma. Running may cause labrum tears due to the labrum being utilized more for weight-bearing and taking excess forces while at the end-range motion of the leg. Sporting activities are probable causes, specifically those that require frequent hip rotation or pivoting to a loaded femur as in ballet or hockey. Constant hip rotation places increased strain on the capsular tissue and harm to the iliofemoral ligament. This subsequently causes hip instability putting increased stress on the labrum and causing a hip labrum tear.
