Hip Pain Or Low Back Pain – Which One Do You Have?
Technically, the hip is the ball-and-socket joint between the long bone of the thigh and the pelvis; but some people will point to a number of different places on their back or pelvis and say, “My hip is killing me” when it’s not really “the hip” at all.
Hip pain can be located in the front (groin area), the side, the back, or in the buttocks. The “classic sign” of hip pain is reproduced most consistently when you try to cross your legs—put your ankle on the far end of your thigh and then push down on your knee. This may feel tight and cause pain in the groin area. For many people, hip pain is also reproduced when they cross their legs and then pull their knee toward the opposite shoulder.
The hip is a VERY strong joint due to the deep receiving cup of the pelvis and the round ball that fits nicely into it. Because it’s a freely moving joint, there is a joint capsule. The capsule is lined with tissue that produces an oily substance that lubricates the joint called synovial fluid. When hip pain occurs, this can be caused by a capsulitis… or inflammation of the capsule… with a buildup of synovial fluid… called synovitis.
When the smooth, shiny surface of the ball starts to wear thin (which can eventually wear away down to the bone), that’s a condition called “osteoarthritis.” This occurs over time for many and may eventually result in the need for a hip replacement. This usually isn’t needed until an individual is in their late 60s or older… if at all. However, for those who injure a hip earlier in life, the “wearing out” process may accelerate and they may need a hip replacement well before old age.
There are many studies that report that low back and hip arthritis often occur together, and that differentiating between the two can sometimes be a challenge. For example, pain can radiate from the hip to the knee, which some doctors may diagnose as “sciatic nerve.” But hip pain can present exactly the same, making it hard to determine if it’s low back-generated pain or hip-generated pain.
There are specific tests that we can do to help determine if your pain is coming from your back or from your hip. If we find BOTH problems co-existing together, we will treat and manage BOTH problems.
If you’re not sure if your back or your hip is the one bothering you… and you don’t know what to do… call us and we’ll be happy to help you figure out what’s wrong.