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Guest Blog Post: Back Pain – Is It Caused By My Low Back Or My Hip?

Back Pain – Is It Caused By My Low Back Or My Hip? Make a Living from Home in 2017

For patients with low back pain, it is not uncommon for pain to arise from areas other than the low back, such as the hip. There are many tissues in the low back and hip region that are susceptible to injury with having overlapping pain pathways, which often make it challenging to isolate the truly injured area. Hip pain can present in many different ways.

Why Is It Hard To Know Where the Pain Is Coming From?

When considering the anatomy of the low back (lumbar spine) and hip, it is often difficult differentiating between the two conditions, since the nerves that innervate the hip come from the low back. Complaints may include the inside, outside, front, or back of the thigh, the knee, the buttocks, the sacroiliac joint, or the low back and yet, the hip may truly be the pain generator with any of these presentations.

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When pain radiates down a leg, the almost automatic impression by both the patient and their healthcare provider, is that it is a pinched nerve causing the pain. But again, it could be the hip and not a pinched nerve that is creating the leg pain pattern.

The Possibility Of Several Pain Conditions At the Same Time

Throwing yet another wrench in the works is the fact that a patient can have more than one condition at the same time. So, they truly may simultaneously have both a low back problem and a hip problem.

In fact, it is actually unusual to x-ray the low back of a hip pain patient without seeing some low back condition(s) like; degenerative disk disease, osteoarthritis (spurs off the vertebrae), or a combination of these.

How Do We Differentiate Between Hip Vs. Low Back Pain When It Is Common For Both Low Back and Hip Pain To Coincide?

Back Pain – Is It Caused By My Low Back Or My Hip? Make a Living from Home in 2017

During a consultation, chiropractors often ask the question, “…what activities make your pain worse?” If the patient replies that weight bearing activities like standing, walking, getting up from a sitting position and so forth provokes the pain, and they point to the front or side of the hip, a hip-related diagnosis is favored. However, it still may be arising from the low back or both.

If they say, “…crossing my right leg over the other hurts in my groin,” then it is getting more hip pain-specific, as hip rotation is frequently lost before the forward flexion motion. When we ask the hip pain patient to point to the area of greatest discomfort, they usually point to the front of the hip or groin, and less often to the inner and/or anterior thigh or knee. Non-weight bearing positions like sitting or lying are almost always immediately pain relieving.

How To Know When It Is Arthritis?

When there is arthritis in the hip, motion loss is often reported and may include a shorter walking stride and pain that usually gets worse the longer these patients are on their feet. Initiating motion often hurts, sometimes even in bed when rolling over.

Gorgeous Blend of Crystals and Rose Gold/Silver Cubic Zirconia Engagement Ring/Promise Ring, Nickel and Allergy Free – A Beautiful Gift For Your Loved One – FREE Shipping Worldwide - Sold by Get Happy e-DealsDuring the chiropractic examination, with the patient lying on the back with the knee and hip both bent 90°, moving the bent knee outwards or inwards will almost always reproduce hip/groin area pain. Pulling on or applying traction to the affected leg usually feels good.

Knee and ankle reflexes and sensations are normal, but muscle strength may be weak due to pain. Bending the low back into different positions does not reproduce pain if the pain is only coming from the hip. Though sometimes challenging, doctors of chiropractic are well-trained to be able to differentiate between hip and low back pain, and will treat both areas when it is appropriate (source: Chiro-Trust.org)

Nachmias Chiropractic –
We Got Your Back!

Yes, that is right! Nachmias Chiropractic has your back when you are in pain. Dr. Adam Nachmias has helped patients with back and hip pain for more than 28 years. Dr. Adam is the #1 choice for New York patients and has been awarded “Best Chiropractic in New York”, two years in a row.

Nachmias Chiropractic has practices in both Bayridge and Manhattan, New York. There is still time to take advantage of our “Back To School” campaign and get huge discounts on chiropractic and massage (valid until October 21, 2017). Check it out and claim your discount here.

Nachmias Chiropractic - We Got Your Back!To book an appointment with Dr. Adam Nachmias, call any of our offices:
Brooklyn: 718-238-8900
Manhattan: 212-924-1700

Or book online.

Ensure A Healthy Hip and Spine With
Nachmias Chiropractic!

Stina Pettersson

Make a Living from Home in 2017
Email: stina@makealivingfromhome2017.com

About the Author

Stina Pettersson - Founder and owner of Make a Living from Home in 2017

My name is Stina Pettersson. I am the founder of Make a Living from Home in 2017 and the author of the articles on this site. I am originally from Sweden and am currently a business owner to 3 online businesses.

I help people to start their own online business and make a living from home. I am especially fond of helping the stay at home parent, or single parents to increase their income.

I hope I will get the honor to help YOU achieving your online success.


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