At West Chiropractic and Wellness our providers understand the hip joint and its potential involvement in the management of low back pain. The hip is a large ball and socket joint that has many different ranges of motion to help us move. Due to a variety of reasons, the hip may stiffen up and lose mobility. If this happens, it will have to compensate for motion elsewhere. This compensation pattern typically affects the less mobile low back and sacroiliac joints.
Certain muscles are also commonly affected and will be assessed during your exam in reference to hip pain. Two of the most common culprits are the psoas and piriformis muscles. The psoas muscle, commonly referred to as the hip flexor, is a massive structure that starts in the low back and attaches to the front of the hip. When this structure lacks mobility it can pull the low back forward increasing compressive forces on the lower spine that leads to discomfort during activities like bending, standing, and sitting. The piriformis muscle on the other hand, typically causes discomfort in the back side of the hip, and is also responsible at times for mimicking sciatic (radiating) pain into the lower leg.
- Overuse injuries
- Psoas Syndrome
- Piriformis Syndrome
- FAI (femoral acetabular impingement)
- Muscular Imbalances
Treatment for these conditions consists of:
- Manual adjustments
- Assisted stretching/ mobilization of the spine and nearby extremities
- Soft tissue mobilization
- Nerve flossers/ tensioners
- Re-corrective exercises to address movement patterns