Why Your Hip Pain Might Actually Be Coming From Your Lower Back

If you've been dealing with hip pain and can't figure out why, here's something that might surprise you: the problem might not be your hip at all.

At Active Spine and Joint Institute, we see this all the time. Patients come in convinced they have a hip issue, only to discover their lower back is the real culprit.

The Connection You Didn't Know About

Your lower back and hips are intimately connected through:

Nerves: The sciatic nerve and other lumbar nerves run from your lower back straight through your hip region. When these nerves get compressed or irritated in your spine, you feel it in your hip.

Muscles and Fascia: Your hip flexors, glutes, and lower back muscles work as a team. When one area is tight or injured, it creates a chain reaction that affects the others.

Biomechanics: Your pelvis and lumbar spine move together. If your lower back isn't moving properly, your hips compensate—and eventually, they start screaming.

How to Tell the Difference

It might be referred pain from your lower back if:

  • Your hip pain came on gradually without a specific injury

  • You also have lower back stiffness or discomfort

  • The pain shoots down your leg or into your groin

  • It gets worse when sitting for long periods

  • You have numbness or tingling anywhere in your leg

It's more likely a true hip issue if:

  • You have sharp pain with specific movements (like rotating your leg)

  • There was a clear injury or trauma

  • You have a clicking or catching sensation in the hip joint

  • Pain is isolated to the hip joint area only

Why This Matters for Your Treatment

Here's the problem: if you're treating your hip when the issue is actually your lower back, you're wasting time and money on the wrong solution.

We've seen patients go through months of hip-focused physical therapy with zero improvement—because nobody looked at their spine.

What We Do Differently

At Active Spine and Joint Institute, we don't just treat where it hurts. We find the root cause.

Our comprehensive examination includes:

  • Full spinal and hip assessment

  • Movement pattern analysis

  • Nerve function testing

  • Postural evaluation

Once we identify the true source of your pain, we create a treatment plan that actually fixes the problem—not just the symptoms.

Common treatments include:

  • Spinal adjustments to restore proper alignment

  • Spinal decompression for nerve compression

  • Soft tissue work to release tight muscles

  • Corrective exercises to prevent future issues



Your body is connected. Pain in one area often comes from dysfunction in another.

If you've been dealing with hip pain that won't go away, it's time to look at the bigger picture.

Ready to find out what's really causing your pain? Call Active Spine and Joint Institute at 609-886-8585 or visit www.activesj.com to schedule your consultation.

Let's get you moving pain-free again.




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The Hip Pain Mystery: Why Women Suffer More (And What Really Works)