What To Know About Pain in Lower Right Back and Hip

The treatment of lower back and hip pain with orthopedics is not always straightforward. Since I have been a spine surgeon for fifteen years, it is difficult to determine the root cause of pain in these areas. Many parts of the anatomy of the back and hip can become damaged or worn out. This can lead to many symptoms or pathologies in the same area.

Hip pain can sometimes be caused by the hips, but hip pain can also come from the back. Back pain can sometimes come from the back but most often it comes from the hip. A debilitating hip or back pain is a common problem for 80 to 90% of people. This issue is second only to the common cold as the most common reason for missing work.

Our bodies are able to resolve the problem on their own. If there is a flare-up in the hips or lower back, a combination of activity modification, antiinflammatories and exercises can help to calm the pain.

It is important to get a diagnosis early and correctly.

Your hip and back pain may be related, according to some diagnostics. Your hip, spine or both can cause the pain. We’ll be discussing some of the most common spine conditions that can cause back and hip pain.

Pinched Nerve and Herniated Disc Can Cause Back and Hip Pain

The discs between the spine vertebrae can age and the outer layer of the discs may become weaker, allowing the material “leak” into their spinal canal. This condition is known as a herniated disk. When the disc material presses on nerves that are protected by the spine, a herniated disc can cause pain. This pain can be felt in other parts of the body as well, since the nerves that make up the spinal cord allow for communication between the brain with other areas.

The lumbar area of the spine lies between the pelvis and the ribs. These five nerves are responsible for communicating the brain with the thighs, lower legs and ankles. These nerves also control the abdominal muscles. A herniated disc can cause shooting pains in the legs if pressure is placed on these nerves.

Spinal Stenosis for Hip Pain

Spinal Stenosis is similar in that the nerves are compressed and the pain is caused by pressure. The pressure in spinal stenosis is not caused by a herniated disk, but rather by narrowing of the spinal canal. Cysts, bulging disks, and arthritis are all common causes of narrowing the canal.

Although spinal stenosis might have a different root cause than herniated disk, the symptoms can be very similar. Both can cause pressure on nerves, which can lead both to pain in your back, hip, and legs.

Arthritis and hip pain

Spinal osteoarthritis (also known as degenerative arthritis of spine) is a condition that affects the bones.

Osteoarthritis refers to a condition where the cartilage covering the joints begins to degenerate or becomes damaged. This material can wear down and cause bone spurs and inflammation.

Spinal osteoarthritis refers to a condition where the cartilage and discs of the lower spine become degenerate and no longer serve their purpose of providing cushioning for the joints. The degeneration of the joints and the increased pressure on them can cause inflammation, pain, and pressure on the lumbar nerves.

What are the signs and symptoms of pain in lower right back and hip?

Hip pain due to hip pathology generally manifests in the hips and groin. Sometimes, the pain radiates into the front of your thigh. However, it rarely reaches the knee.

Patients with hip pathology may find it difficult to get up after sitting for long periods of time. Although the pain is initially worse, after a few limping steps, the hip pain subsides.

What are the signs and symptoms of lower back problems?

Patients suffering from debilitating back problems may experience pain in the back of their hips near the buttocks. The pain radiates down to the back of your hamstring, past your knee, and onto the outside or back side of your calf.

What should we do if the diagnosis is not clear?

If pain persists after you have tried other conservative treatments such as anti-inflammatories or physical therapy and the xrays and MRI imaging scans aren’t revealing the problem, then we can administer a series of numbing shots to get rid of the fog. We will simply numb an area in the hip or lower back to see what happens.

For example, if the numbing injection does not work in the hip area, it is likely that the pain is not there. If your pain is gone after the numbing injection, we can pinpoint the source of the problem. These injections can be used as a diagnostic and therapeutic tool for physicians.

An EMG or nerve conduction testing is another option. To check the activity or conduction of nerves, you can insert needles into your leg. An angry nerve may be the cause of symptoms if some nerves don’t signal correctly or are slow to transmit information.

Are there Risk Factors?

There are several risk factors that could predispose you to chronic back pain.

1. Being Overweight

Obesity is linked to a variety of medical conditions, including lower back pain. Weight loss is a key component of managing chronic low back pain and spine problems.

2. Lifestyle of seclusion

Sedentary living means sitting for long periods of time in a bad posture. This can lead to weight gain and other negative outcomes.

3. Occupation

You may be required to lift heavy objects as part of your job. If you lift heavy objects, this can cause spine problems. To avoid back problems, if your job requires you to sit for long periods of time like many desk jobs, it is important to have a routine.

To improve ergonomics in your workplace, get early advice and protect yourself with protective devices.

What is the best time to seek medical advice?

Many situations require immediate medical attention. If you are concerned about any of the following:

  • After a trauma, sudden onset of severe backache
  • Sensitivity loss (numbness) in the hip or lower extremities
  • Weakness or loss of power at the hips or lower extremities.
  • Loss of control over urination and defecation
  • Associated fever and the pain
  • Unintentional weight loss, cancer history, or pain that increases when you rest.

Treatment options


  • A hip-arthroscopy can be performed if you have symptoms in your hips and groin.
  • A hip replacement for an older patient suffering from hip arthritis is the best option.


It is a thrilling time in the world from a spine perspective. It is now impossible to perform the same surgeries that we did fifteen years ago. Today’s spine surgery options are more minimally invasive and robotic technology is a staple.

Not all surgeries are right for everyone. You should ensure that your physician is familiar with all forms of spine surgery. This includes open, minimally invasive, and robotic procedures.

  • A small, minimally invasive procedure can be performed on a pinched nerve to relieve the pressure.
  • A fusion of your spine is required if you are experiencing instability from arthritis or after the fixation of a pinched nervous.

What are the highlights?

  1. It is most likely a problem with the spine if the pain radiates from the calf to the hamstring and is located in the front of your hip/groin area.
  2. An orthopedist consultation and early physical examination are key to finding the right treatment.
  3. MRI’s and X-rays can often reveal normal, symptomatic degenerative issues. Relying solely on imaging can lead to misleading results.

Questions frequently asked

What causes the pain when you lie down?

It all depends where the pain is coming from. A pinched nerve in your back is likely to cause pain that starts in your buttocks and runs down the back of your leg from the knee to the ankle. Pinched nerves in the back can cause patients to be unable to lie flat and will need to use a wedged pillow or recliner to ease some of their pain.

If the pain is only from the knee down, it could be a sign of a knee problem.

Why is my lower back hurting after a long-distance race?

This is something I know firsthand as a long-distance runner. Although running is a great exercise for both mental and physical health, long-distance running can be very taxing on the body.

Running long distances can be very good for your back. Your spine has poor oxygen supply. Running increases your heart rate, which in turn improves circulation to the discs. After running for a while, your muscles start to fatigue. To compensate, you shift your weight from your hip abductors towards your back.

It will be obvious that runners’ gaits at the start and end of a run are different. Their hip abductors get weaker and fatigued, which causes their running gait to become more labored. The muscles in their spine also begin to hold more weight.

Stretching your muscles before you run is a good idea. Before running long distances, you can do activation exercises such as sprints or short jogs. Hip abductor exercises, with or without resistance bands, can strengthen your core and help you get over fatigue in the later miles.

Why is back pain so much worse in the morning than at night?

Although back pain is commonly referred to as a single term, it can also refer to a multitude of different conditions. Your specific pathology will determine when your pain is most severe. Inflammation is caused by hormonal changes that make us wake up in the morning, then make us tireder at the end.

You should seek medical attention if the pain wakes you up at night.

If surgery is not an option, what is your opinion about acupuncture?

Low success rates for back pain surgery are often compared to high success rates for buttocks and hip pain. If surgery is not an option, then I suggest you try other options.

The rest of the therapies can include acupuncture, chiropractic care, stem cell therapy and acupuncture. All forms of therapy have been tried and patients have responded to them all. I’ve also had patients who have not responded to any of these therapies.

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