- Posted by admin
- On January 14, 2015
- back pain, hip pain
Do you have chronic hip and back pain? Hip and low back pain can have a number of different causes, determining the source of the problem is the key to getting the best treatment.
Getting an Accurate Hip or Low Back Pain Diagnosis
When you tell your doctor your hip or back hurt, the first thing he or she should do is confirm that your hip or your back are actually the source of the pain. It is important to describe where the pain is experienced and what movements or activities increase the pain, such as bending, lifting, twisting, walking, going up stairs. Is the pain in the side of the upper thigh or upper buttock, or is the pain experienced in the lower back pain, felt in the groin or directly over the hip joint. It is important to be mindful of the synergy that exists between the low back, the sacro-iliac and the hip joints. A problem in one area can affect another joint above or below the injured or damaged joint.
Among the most common causes of hip and low pain are:
- Osteoarthritis. This is the most common cause of chronic hip and low back pain is osteoarthritis, particularly the wear-and-tear that takes place in the ball-and-socket of the hip joint and the lumbar facet joints. One of the first signs of osteoarthritis is stiffness or swelling in the joint that causes limitations of movement. Early treatment to reduce the inflammation in the joints is critical, in addition to stabilizing the muscles surrounding the hip joint and spine. Balanced and strong supportive muscles can prevent further joint deterioration along with “putting the fire out” of joint inflammation.
- Hip and vertebral body fractures. Hip and vertebral fractures are common in older women, especially those with osteoporosis, who are at higher risk for fracture most notably if there is a history of a fall. Symptoms of a hip or spinal fracture include pain when you straighten, lift, or stand on your leg. The toes on your injured side may turn out, a sign that can help your doctor in making a preliminary diagnosis of hip fracture.
- Myositis, tendinitis and bursitis and mechanical back pain. Many tendons and ligaments around the hip and spine connect the muscles to the joint. The connective tissue can easily become inflamed if you overuse them or participate in strenuous activities or sustain injuries. One of the most common at the hip joint, is iliotibial band syndrome — the IT band runs from the outer rim of the pelvis to the outside of the knee. Lumbar strain is the stretching of normal tissue that can destabilize spinal joint function, irritating the spinal nerves and causing pain.
Fluid-filled sacs called bursae cushion the bony part of the hip that is close to the surface of the skin. When these become inflamed and irritated, a condition called trochanteric bursitis can occur. Like the tendons, these sacs can become inflamed from irritation or overuse and cause pain whenever you move the hip joint. Early detection and treatment is important to break the pain cycle.
- Hernia. In the groin and lower abdominal areas, femoral and direct and indirect inguinal hernias can cause anterior abdominal, thigh and posterior back pain.
- Referred visceral pain. It’s important not to just assume that the pain is caused by osteoarthritis, myositis, bursitis or tendinitis. Depending on your age, gender and other health issues, the pain in the hip or back could be referred from the colon, ovary, uterus (endometriosis), bladder, prostate, kidneys, ureter or aorta.
Pain from the back and spine also can be referred and felt around the buttocks and hip. Sciatic or lumbar radiculopathy is a pinched nerve, which can cause pain to be referred into the buttock — this pain can start in your lower back and travel down to your buttocks and go down into your legs and feet. Saddle anesthesia is when there is pressure on the spinal cord, causing a condition referred to as cauda equina syndrome. This is an emergent condition requiring urgent and immediate medical and surgical attention.
Hip and low Back Pain Treatment Options
At AZ Pain Centers we focus on confirming the source of the pain and treating that area with non-surgical treatments and methods that use medicines that work synergistically with the natural healing mechanisms of the human body. Our goal is to treat the source of the pain, improve function and the quality of your life.
If you are considering joint surgery, arthroscopy or replacement, explore your options by reading Regenexx 2.0 (BOOK) and have your candidacy reviewed by one of our physicians. Before you commit to surgery, explore all of you options, including RegenexxTM Procedures. If you are interested in learning whether you are a good candidate for the Regenexx Procedure, please complete the Regenexx Procedure Candidate Form or call our friendly Patient Coordinator at 844-Regenexx (734-3639).
Reiner Kremer, NMD, MPH, PA-C Medical Director, AZ Pain Centers