Chronic Low Back Pain Of No Specific Origin
Low back pain is defined as pain, tightness, and stiffness between the lower end of the rib cage and the buttocks. “Chronic” means the pain has lasted for twelve weeks or longer, and “no specific origin” means the pain cannot be traced to any specific cause, incident, or injury.
Most susceptible are individuals who perform heavy physical work, especially when there is ongoing anxiety, depression, and emotional stress at the same time. The longer the stress and back pain continue, the more difficult it is to ease the symptoms and return the patient to normal functioning.
Treatment involves nonsteroidal anti-inflammatory drugs and sometimes opioid medications for pain, though both have risks when used long term. Antidepressants may also be tried, along with psychological counseling.
Corticosteroid injections for the back are effective for some patients, and fusion surgery is sometimes attempted. Lifestyle changes in the form of improved diet, exercise, and stress management are very helpful in most cases.
Top Symptoms: lower back pain, unintentional weight loss, back pain that shoots to the butt, fever, involuntary defecation
Symptoms that always occur with chronic low back pain of no specific origin: lower back pain
Symptoms that never occur with chronic low back pain of no specific origin: thigh numbness, buttocks numbness, lower back pain from an injury
Urgency: Primary care doctor
Muscle Imbalances And Trigger Points
To help you sit, stand, walk, run and otherwise be active, the muscles, bones, and joints of the body have an uncanny way of “robbing from Peter to pay Paul,” so to speak. It’s all in the name of keeping you balanced and moving.
But for whatever reason the balance that’s established is often not the most ideal, leading to some muscles getting very tight, and others becoming overstretched and taut. In this case, you may develop painful spasms or trigger points on one side of the body or the other.
Muscles commonly affected include your quadratus lumborum which is your flank muscle and your gluteus medius which is located at the side of your hip, and plays a key role in keeping you from excessive side to side movement. Both can lead to pain on the right side of your back, depending on the nature of the imbalance.
What Could Cause Lower Back And Hip Pain To The Right Side
Lower back and hip pain on only the right side could also be muscle strain, arthritis, a trauma-related injury, tendinitis, bursitis, tight muscles, kidney stones, a kidney infection, or even appendicitis.
The classic appendicitis symptom is pain in your right lower abdomen, but it could also radiate to your right lower back. If you happen to have appendicitis, kidney stones, or a kidney infection, you will likely also have fever, nausea, vomiting, and painful urination as well, which are not symptoms of muscular or skeletal issues.
Women experiencing lower back and hip pain on the right side could be experiencing another set of issues like endometriosis, uterine fibroids, pelvic inflammatory disease, pelvic floor dysfunction, or pelvic girdle pain.
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Improve Movements To Eliminate Hip Pain
The back, hip, and lower extremity work as a comprehensive unit allowing for many of the repetitive tasks you complete at home, work, and during recreational activities. Injuries to one area of the musculature often indicates that additional damage has been incurred by adjacent muscles.
Many therapeutic exercises can help restore proper strength and endurance to the leg muscles. Isometric exercises are often the initial treatment exercises, followed by single plane rubber band exercises for the hip, knee, and ankle: flexion, extension, adduction, abduction, circumduction, inversion, and eversion. Dynamic exercises involving stability foam, rubber discs, exercise ball, and BOSU balls can be performed on the floor. The more unstable the surface, the more effort and stabilization is required of all the lower extremity muscles.
Vibration plates enhance neuromuscular learning throughout the ankle, knee, foot, hip, and back muscles. Additional strength exercises can be found on the hip, knee, and foot strengthening pages. More information for injuries and treatments for knee pain and foot pain.
Overuse Injuries And Trauma
Frequent use and repetitive movement patterns can lead to overuse injuries to muscles, ligaments, and joints. This could include:
- Exercises and physical activities, like tennis or golf, that require repetitive twisting and bending in the same directions.
- Frequently lifting heavy objects for work, or any movements that are regularly repeated.
Trauma can also lead to lower back and groin pain. Trauma could result from:
- Car accidents
- Sports accidents
These can result in both acute and chronic injuries to the body, like strained muscles or broken bones. Depending on the type of trauma, the healing time and treatment needed can vary.
Both overuse and trauma injuries to the lower back or groin area can lead to weakness in the legs, tingling, numbness, pain, stiffness, or popping sensations.
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Greater Trochanteric Pain Syndrome
Greater trochanteric pain syndrome describes pain that is felt along the outer hip area. Causes include sports injury, muscle tears, and injury due to motor vehicle accidents. The pain is caused by a combination of inflammation in two distinct areas: the bursa of the hip and pain in the buttock . Pain may also be caused by tendinitis of the hip abductor muscles. Symptoms of greater trochanteric pain syndrome include hip pain at night lying on side, dislocated hip symptoms, and hip muscle weakness. Hip pain relief can be sought through anti-inflammatory medications, physical therapy, and stretches for hip pain.
Lower Back Pain On Right Side Above Hip Region Causes Treatment Options
A pain that occurs in any part of the body is upsetting, and it also happens in the abdomen. The abdomen is a vigorous organ consisting of kidneys and bladder, pancreas, gallbladder, intestine stomach, liver. Slightly disturbance or disorder of rational functions in these organs can cause massive pain in the abdomen.
Flank pain is the discomposure in your upper abdomen or sides and back. Flank pain develops in the area above the pelvis and below the ribs. Frequently, the flank pain is shoddier on one side of your body. However most of the flank pains are temporary most people experience it once a year although constant pain requires constant medication or severe medical conditions which include urinary tract infection or dehydration, constant pain causes kidney stones or other kidney problem.
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How Is A Diagnosis Made
A medical exam will help determine whether the SI joint is the source of your pain. Evaluation includes a medical history and physical exam. Your physician will consider all the information you provided, including any history of injury, location of your pain, and problems standing or sleeping.
There are specific tests to determine whether the SI joint is the source of pain. You may be asked to stand or move in different positions and point to where you feel pain. Your doctor may manipulate your joints or feel for tenderness over your SI joint.
A diagnostic SI joint injection may be performed to confirm the cause of pain. The SI joint is injected with a local anesthetic and corticosteroid medication. The injection is given using X-ray fluoroscopy to ensure accurate needle placement in the SI joint. Your pain level is evaluated before and 20-30 minutes after injection, and monitored over the next week. Sacroiliac joint involvement is confirmed if your pain level decreases by more than 75%. If your pain level does not change after the injection, it is unlikely that the SI joint is the cause of your low back pain.
Potential Causes Of Pain Radiating From Hip To Knee
Most hip pain is caused from overworking the muscles either by repetitive stress or overdoing exercises. The pain is caused by inflammation of the soft tissues and tendons of the hip. Usually this pain is relieved in a few days. Prolonged hip pain can be the cause of a specific condition. When the hip joint is injured, pain can be felt in the groin all the way down to the knee. Sometimes knee pain is the only sign that the hip is injured – this is called referred pain.
A slipped lumbar disc in your lower back can also cause pain that is felt in your hip. With a lumbar disc injury, your knee and leg may also feel weak. Spinal stenosis is the narrowing of your spinal cord and nerves, which can cause isolated hip pain felt along with a numb feeling in the knees and legs. A sprain in your lower back, or a lumbosacral sprain, is an injury to the ligaments in your lower back. Pain from this injury accumulates to one side of the spine around the hip, making it difficult to bend or twist.
All these hip pain causes can be treated with conservative, therapeutic treatments.
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Hip Arthritis Or Osteoarthritis
Wear and tear of your hip bone can cause inflammation in the hip socket which results in dull aches or, sometimes, sharp jabbing hip pain.
Researchers from the American Academy of Orthopedic Surgeons say that arthritis of the hip causes stiffness and pain. This can affect everyday activities like walking, bending over, or rising from a chair. Other associated symptoms of arthritis of the right hip can include:5
- Pain that intensifies with physical activity
- Hearing a grinding noise when you move the right leg or left leg
- Pain that radiates from your right hip to your groin or thigh
- Pain in the hip socket in damp weather
- Tenderness and possible swelling in the hip
Some ways of reducing pain in your right hip caused by arthritis include losing excess weight, low-impact physical exercise, or physical therapy.
If you suffer from inflammation of the joints, then its important to know which foods to avoid to prevent inflammation. For example, taking omega 3 supplements regularly is a natural remedy for arthritis. Also, turmeric can help to alleviate joint pain and other inflammatory conditions of the joints.
In Many Cases Lower Back Pain Right Side Above Hip Can Be Treated With Simple Home Remedies Or Lifestyle Changes:
- Apply ice or heat for 20-30 minutes, every 2-3 hours to reduce pain and swelling.
- Take painkillers, such as ibuprofen or acetaminophen , as directed by your doctor.
- Drink at least eight glasses of water a day, and limit your intake of animal protein and salt to reduce the risk of kidney stones.
- When using the bathroom, wipe from front to back to prevent bacteria from the colon entering the urinary tract and causing infection.
- Practice the proper lifting process. Lift things up by kneeling on your knees in a square, and hold the load close to your chest.
- Spend a few minutes each day stretching your muscles.
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Leg Pain From Hip Disorders
When the hip is affected, you may have groin pain on the affected side, reduced range of motion of the hip, thigh pain, knee pain, or buttocks pain. The pain usually does not go down below the knee, and there is no associated numbness or tingling. You may feel more pain when walking or standing, and the pain improves with rest. You may sense a limited range of motion when trying to get out of the car, chair or bed. Occasionally, pain in the hip could be secondary to inflammation of a hip bursa. This can happen if you have tight hip abductor muscles, difference in leg length or hip arthritis. Hip pain can also be caused by something more serious but less common, like fractures, tumors, infection or avascular necrosis.
Is Radiating Lower Back And Hip Pain Dangerous
Most back pain is harmless caused by sleeping in an awkward position, stretched muscles, overexertion, sitting down too long or falling on the ischial tuberosity , or minor hip injuries caused by twisting a certain way during sports like volleyball. Many injuries arise simply from improper form during exercise, sports injuries, or strains.
But there are some pretty serious causes for back and hip pain as well. Lower back pain, in particular, can be a sign of various serious conditions such as advanced kidney infections or a condition called interstitial cystitis, which can cause inflammation of the tissues of the bladder. Sciatica causes lower back pain, pain in the back of the knee, pain in right buttock cheek, unilateral pain, thigh pain, pain behind the knee and calf, and muscle weakness in legs as well.
Outer hip pain and lateral hip pain, though typically not cause for alarm , can be a sign of a serious bone condition, such as arthritis in the back, rheumatoid arthritis, osteoarthritis, or tendonitis but can also indicate a more serious bone condition like a fracture, labral tear, or conditions such as snapping hip syndrome or osteonecrosis.
The sciatic nerve is a long nerve that runs all the down both sides of the body, beginning at the bottom two vertebra of the back, through the hip area, and all the way down the legs. The pain is usually unilateral with this disorder.
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Pain In Hip Down To Knee
Hip pain that radiates down to the knee can be very uncomfortable. Your knee and hip joints are the largest joints in your body they support your body’s weight and they work together to give you the mobility that is sometimes taken for granted.
The hip is a ball-and-socket joint that helps you move your legs with a wide variety of motions that you use throughout the day, like going up and down stairs. It has a wide range of motion and is very stable if the knee joint works properly. The joint, which sits atop the femur, is called the femoral head, and the socket created by the hollow of your pelvis is called the acetabulum. Surrounding the joint is the fibrous capsule sleeve that holds the bones together.
The knee is an incredibly complex joint that goes through a tremendous range of motion. It has many muscles that cross the knee joint to help control its movement while walking, running, squatting, or going up and down stairs. All of this movement occurs while supporting your body weight. The internal components of the knee include several strong ligament structures that prevent excessive shearing motions. Likewise, we have several strong muscles that cross the outside of the knee joint including the quadriceps, hamstrings, and gastrocnemius muscles.
Lower Back Pain On Right Side Above Hip Causes
In this article, we are to discuss the origins of pains above the hip region any problem that occurs in the reproductive system or gastrointestinal tracts can cause various kinds of illnesses in the hip area, the intensity of the pain may vary this depends on the underlying issues or problem.
In this article, we will discuss the common causes of pain. It is wise to pursue professional help if the pain occurs more three days.
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When Should I Contact My Healthcare Provider
Get immediate medical attention if you experience:
- Severe leg pain lasting more than a few hours that is unbearable.
- Numbness or muscle weakness in the same leg.
- Bowel or bladder control loss. This could be due to a condition called cauda equina syndrome, which affects bundles of nerves at the end of the spinal cord.
- Sudden and severe pain from a traffic accident or some other trauma.
Even if your visit doesnt turn out to be an emergency situation, its best to get it checked out.
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3. Tendinitis and bursitis Many tendons around the hip connect the muscles to the joint. These tendons can easily become inflamed if you overuse them or participate in strenuous activities. One of the most common causes of tendinitis at the hip joint, especially in runners, is iliotibial band syndrome the iliotibial band is the thick span of tissue that runs from the outer rim of your pelvis to the outside of your knee.
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Another common cause of hip pain in women is bursitis, says , an orthopedic surgeon in Vail, Colorado. Fluid-filled sacs called bursae cushion the bony part of the hip that is close to the surface. Like the tendons, these sacs can become inflamed from irritation or overuse and cause pain whenever you move the hip joint.
4. Hernia In the groin area, femoral and inguinal hernias sometimes referred to as sports hernias can cause anterior hip pain in women. Pregnant women can be susceptible to inguinal hernias because of the added pressure on the wall of their abdomen.
5. Gynecological and back issues Hip pain in women can have gynecological causes, Siegrist says. Its important not to just assume that the pain is caused by arthritis, bursitis, or tendinitis. Depending on your age and other health issues, the pain in your hip could be coming from some other system.
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Pain And Stiffness In The Lower Back And Hip
A feeling of stiffness can accompany pain in the lower back and hip. This symptom is typically a protective mechanism of the body to prevent further injury in the area. Stiffness that occurs with pain can be debilitating and reduce function in the back, hip, and leg considerably. Here are a few common conditions that may cause these symptoms to occur together.