Understanding How Hip Issues Can Contribute to Your Low Back Pain

Let's delve into back pain today and explore how issues in the hip region might contribute to the discomfort you're experiencing in your lower back. Often, individuals complaining of back pain might find that the source is, in fact, originating from their hips. A key test we conduct to determine this is the Patrick Faber test. For this, we cross the ankle over the opposite leg and apply pressure on the bent knee. Pain with this can indicate a hip issue, which can affect the low back.

Rotating the knee in and out during evaluation also helps identify potential hip-related pain. If these tests unveil hip involvement, it's crucial to address the hip's functionality to promote optimal functioning of the low back. This may involve adjustments to the hip or testing specific hip muscles, such as the gluteus medius and maximus.

We can test the glute medius by abducting the hip and having the patient resist pressure back towards midline. To assess the glute maximus, have the patient face down, lift the thigh off the table, and have the patient resist downward pressure. These tests allow us to ensure these muscles are working as they should. Strengthening and improving hip movement can alleviate pressure and pain in the lower back, particularly if other approaches haven't provided the desired relief.

Incorporating exercises with resistance bands around your feet and doing lateral or frontal movements helps activate the glutes. Squats and lunges contribute to overall muscle movement, strengthening the entire area. Additionally, focusing on core exercises enhances overall body movement and strength, promoting a more robust and pain-resistant back. So, if you're seeking effective relief for low back pain, consider addressing your hip health through targeted exercises and adjustments.