Discover the underlying causes and effective treatments for low back pain originating in the hip joint.

Discover the underlying causes and effective treatments for lumbar pain originating in the hip joint.

Low back pain is a common ailment that affects a significant part of the population. When this discomfort occurs towards the hip area, it can be especially debilitating and interrupt daily activities. This type of low back pain can be due to a variety of underlying causes and may require immediate medical attention to relieve symptoms and prevent further complications.

One possible cause of low back pain near the hip is degenerative changes in the spine. These changes can lead to narrowing of the spinal canal, known as spinal stenosis, or the development of herniated discs. These conditions can put pressure on the nerves in the lower back, causing pain and discomfort.

Did you know? According to a study published in the Journal of Orthopedic Science, around 60-80% of adults suffer from low back pain at some point in their lives.

In addition to degenerative changes, another cause of low back pain near the hip can be attributed to muscle strains or sprains. The muscles and ligaments of the lower back suffer significant tension due to repetitive movements or sudden twists. This can cause inflammation and localized pain. Some common activities that can contribute to this type of pain are lifting heavy objects, sudden movements during sports or exercise, and poor posture.

  1. Weakness or imbalances in the core muscles
  2. Sciatica
  3. Arthritis
Causes of low back pain next to the hip
Degenerative changes in the spine (spinal stenosis, herniated discs)
Muscle strains or sprains
Weakness or imbalances in the core muscles

Understanding Lower Back Pain and Its Connection to the Hips

The hips are a complex network of bones, muscles, ligaments and tendons that connect the upper body to the lower body. They provide support, stability and mobility to the spine and pelvis. When there is a problem or dysfunction in the hip joint, compensatory changes can occur in the spine, ultimately causing low back pain. Understanding the connection between the hips and low back pain is essential for proper diagnosis and specific treatment.

Important information:

  • The hips and lower back are interconnected and work together to allow proper movement and function.
  • Hip joint problems can cause abnormal movement patterns and increase stress on the lower back.
  • Common hip conditions, such as arthritis, hip impingement, or bursitis, can contribute to low back pain.
  • Weakness or tightness of the hip muscles can cause imbalances that affect the alignment of the spine and cause pain.

To effectively relieve lower back pain, it is crucial to address any underlying hip problems. A thorough evaluation by a healthcare professional can help identify the specific cause of the pain and develop a specific treatment plan. This may include a combination of physical therapy, stretching and strengthening exercises, medication, and, in some cases, surgical intervention.

To go:
Low back pain and hip dysfunction are closely related. Treating the hips can have a significant impact on reducing low back pain and improving overall spinal health.

The Anatomy of the Lower Back and Hips

The lower back, also known as the lumbar region, consists of five vertebrae called L1 to L5. These vertebrae are the largest in the spine, supporting the weight of the upper body and providing flexibility for movements such as bending and twisting. The lower back also houses the spinal cord and nerves that transmit signals to and from the rest of the body.

Key points:

  • The lower back and hips are essential for support, mobility and balance.
  • The lower back is made up of five lumbar vertebrae (L1-L5) that support weight and provide flexibility.
  • The hips are formed by the bones of the pelvis and consist of the ilium, ischium, and pubis.

The hips, for their part, play a crucial role in connecting the upper and lower body. They are made up of the pelvic bones, which include the ilium, ischium, and pubis. The hips are responsible for supporting the weight of the body, maintaining stability during movements, and facilitating various activities such as walking, running, and sitting.

Understanding the detailed anatomy of the lower back and hips allows medical professionals to evaluate potential sources of pain and discomfort in these regions. Whether as a result of a muscle strain, ligament sprain, herniated disc, or any other underlying pathology, a thorough understanding of this anatomy is essential to provide accurate diagnoses and develop effective treatment plans.

Common Causes of Lower Back Pain

  • Muscle strain: Excessive stretching or tearing of the muscles and ligaments in the lower back can cause pain. This can occur from heavy lifting, sudden movements, or improper lifting techniques.
  • Discal hernia: Also known as Hernia Disc, the Hernia Disc occurs when the soft material that is between the vertebrae of the spine goes out. This can press the surrounding nerves and cause low back pain.
  • Spinal stenosis: spinal stenosis refers to the narrowing of the spinal channel, which houses the spinal cord and nerves. This narrowing can compress nerves and cause low back pain. It is usually observed in older people due to degenerative changes related to age.

It is essential to keep in mind that these are just some of the common causes of lumbar pain. If you experience persistent or intense pain, it is crucial that you look for medical attention to obtain a precise diagnosis and proper treatment. Other possible causes may be degenerative disc disease, osteoarthritis, skeletal irregularities and even psychological factors such as stress and depression.

How Hip Alignment Can Contribute to Lower Back Pain

When the hips are not correctly aligned, imbalances can occur in the muscles and tension in the surrounding structures, including the lumbar area. The muscles of the hips and the lower back are interconnected, and any dysfunction in one area can have a waterfall effect on the other. Understanding how hips can influence low back pain is essential to determine proper treatment and preventive measures.

1. Pelvic inclination

A common hip alignment problem is the pelvic inclination, which can contribute to low back pain. The anterior pelvic inclination occurs when the front of the pelvis descends forward, causing an excessive arch in the lumbar area. This position exerts greater pressure on the lumbar column, which causes discomfort and inflammation in the area.

2. Hip flexor tension

Hip flexor tension can also influence low back pain. Hip flexors are a group of muscles located at the front of the hips, responsible for flexing the hips and helping to walk and run. When these muscles tense and shorten, they can pull the pelvis, inclining it forward and causing an increase in the lumbar arch. This can cause muscle imbalances and tension in the lower back, which translates into pain and discomfort.


The sacroiliac joint (SI) connects the spine with the pelvis and plays a crucial role in the stabilization of the lumbar zone. When the sacroiliac joint becomes dysfunctional, it can cause pain and rigidity in the lumbar area and hip. The problems of the sacroiliac articulation are usually due to muscle imbalances or misalignments of the hip articulation itself. Treating the underlying problems of the hip can help relieve low back pain associated with sacroiliac dysfunction.

In general, alignment and hips movement greatly influence low back pain. When addressing any problem related to the alignment of the hip, such as the pelvic inclination, the tension of the hip flexors or the sacroiliac dysfunction, people can improve their posture, reduce muscle imbalances and relieve low light pain effectively.

1. Pain location: unlike back pain caused by column problems, hi p-related low back pain tends to be located mainly on one side of the body. Patients usually describe discomfort as deep and concentrated in the spanner or hip area. It can radiate to the leg, imitating the sciatica, so it is important to differentiate between both conditions during the diagnosis. People who suffer from hi p-related back pain can also notice greater discomfort when walking, climbing stairs or sitting for prolonged periods.

Key point: Hi p-related low back pain is characterized by deep and localized inconveniences that are mainly concentrated on one side of the body and often radiates to the buttock area or hip. It can worsen with specific movements or activities.

2. Factors that contribute to pain: Identifying the factors that contribute to the lumbar pain related to the hip is essential for adequate diagnosis. A trauma or injury, such as a fall or a sudden impact, can cause damage to the hip joint and the consequent discomfort in the back. Another frequent cause is osteoarthritis, a degenerative joint disease that affects the hip joint and can cause a sense of pain referred to in the lumbar area. In addition, problems with the muscles, tendons or ligaments that surround the hip can also contribute to the lumbar pain related to the hip. Understanding the underlying factors that contribute to discomfort is crucial to develop an appropriate treatment plan.

3. Diagnostic Tests and Examinations: Determining the exact cause of hip-related low back pain often requires a thorough evaluation. Physical examinations, which include testing the range of motion, strength, and stability of the hip joint, can provide valuable information. Imaging tests such as x-rays, magnetic resonance imaging (MRI), or computed tomography (CT) scans may also be used to visualize the structures of the hip joint and identify any abnormalities or damage. These diagnostic tools help to accurately diagnose the source of low back pain and formulate an effective treatment strategy.

Key points:
  • Various factors, such as trauma, osteoarthritis, and muscle problems, can contribute to hip-related low back pain.
  • For an accurate diagnosis, a thorough evaluation is necessary, including a physical examination and imaging tests.

Exercises to Relieve Lower Back Pain Caused by Hip Issues

1. Hip Bridges: This exercise focuses on the glutes and hamstrings, which are important for stabilizing the hips and supporting the lower back. To perform this exercise, lie on your back with your feet flat on the floor and your knees bent. Lift your hips off the ground, squeezing your glutes, and hold for a few seconds before lowering yourself back down. Repeat the exercise 10 to 12 times.

  1. Clamshell: The clamshell exercise specifically targets the hip abductor muscles, which can help relieve lower back pain caused by hip stiffness. Start by lying on your side with your knees bent and feet together. Keeping your feet in contact, lift your top knee as high as you can without rotating your hips. Lower it slowly. Perform 10 to 12 repetitions on each side.
  2. Seated Forward Bend: This exercise stretches the hamstrings, which can relieve tension in the hips and lower back. Sit on the edge of a chair with your feet flat on the floor. Slowly bend forward at the hips, extending your hands toward your toes. Hold this position for 20-30 seconds, focusing on lengthening your spine and breathing deeply.

Additional Tips:
Avoid high impact exercises: High-impact exercises can overload the hips and aggravate lower back pain. Opt for low-impact options like swimming or cycling.
Always hot: Prioritize a warm-up routine that includes gentle stretches for your hips and lower back. This helps prepare muscles for exercise and reduces the risk of injury.
Listen to your body: If any exercise produces pain or discomfort, stop immediately. It is essential to work within its limits and consult a healthcare professional if necessary.

Note: These exercises must be carried out under the supervision of a qualified professional, such as a physiotherapist or a physical trainer entitled. They can evaluate their specific status and offer recommendations adapted to their individual needs.

It is essential to receive specialized medical attention for hi p-related back pain, in order to avoid additional complications and guarantee adequate treatment.

The hip joint is a complex structure that connects the femur with the pelvis and allows a wide range of movements. Therefore, any problem or anomaly in the hip joint can impact directly on the surrounding muscles, ligaments and bones, including the lumbar area. Without adequate evaluation and intervention, hi p-related conditions, such as hip pinching, osteoarthritis, bursitis or tendonitis, can create a cascade of pain and discomfort that radiates to the lumbar area.

  • An exhaustive evaluation by a healthcare professional is crucial to determine the underlying cause of lumbar pain and determine if it has its origin in hi p-related problems.
  • An accurate diagnosis will guide appropriate treatment strategies, which may include physiotherapy, analgesics, specific exercises or, in severe cases, surgical intervention.
  • Early intervention is key to effectively treating lumbar pain related to the hip and avoiding subsequent complications, such as limited mobility, muscle weakness or chronic pain.
Signs that indicate the need for professional help: Factors that contribute to lumbar pain related to the hip:
  • Persistent pain or worsens and does not yield with rest.
  • Pain that radiates from the hip to the lumbar area
  • Difficulty walking, standing or doing routine activities
  • Inexplicable weakness or numbness
  • Loss of movement amplitude in the hip or lumbar zone
  1. Structural abnormalities in hip joint, such as pinching
  2. Inflammation or injury of tendons or hip bursans
  3. Osteoarthritis or other degenerative diseases that affect the hip
  4. Imbalances or muscular weakness in the hip and lumbar area
  5. Excessive use or hip joint overload

There are several key factors that must be taken into account when preventing and treating the lumbar pain related to the hip. First, it is essential to maintain a healthy weight, since excess weight exerts additional pressure on the joints of the hip and the lower back. Regular exercise focused on the strengthening of central and hip muscles can improve stability and flexibility, reducing the risk of pain and injury. In addition, to reduce the tension in the hips and the lumbar area it is essential to avoid staying long or standing and adopt a good posture.

Preventive measures for lumbar pain related to the hip:

  • Keep a healthy weight to relieve tension in hip joints and lower back.
  • Practice physical exercise regularly to work the central and hip muscles and thus improve stability and flexibility.
  • Avoid staying for a long time sitting or standing and adopt a good posture.

In addition, people must be aware of their daily activities and use adequate body mechanics when lifting heavy objects. The use of support devices, such as a belt or a corset, can also help distribute the weight evenly and reduce tension in the hips and the lumbar area. If hip lumbar pain persists or worsens despite preventive measures, it is essential to consult a healthcare professional to establish a precise diagnosis and determine appropriate treatment options.

Key strategies to control hip lumbar pain:

  1. Practice adequate body mechanics when lifting heavy objects to avoid unnecessary efforts in the hips and the lumbar area.
  2. Consider using help devices, such as belts or corsets, to distribute the weight evenly and reduce pressure on the affected areas.
  3. Consult a healthcare professional if the lumbar pain related to the hip persists or worsens, to obtain an accurate diagnosis and an adapted treatment.

Author of the article
Dr.Greenblatt M.
Dr.Greenblatt M.
Medical oncologist at the Robert Larner College of Medicine, MD, at the University of Vermont

Cannabis and Hemp Testing Laboratory
Add a comment