Discover targeted relief for lower back and hip pain at Clearcut Physiotherapy, your premier destination in London. Our specialised treatments address the root causes of discomfort, providing tailored solutions for city dwellers seeking effective pain management.
Navigating the Challenges of Lower Back and Hip Pain
If you’re facing persistent lower back and hip pain, ClearCut Physiotherapy offers a unique approach tailored to the demands of living in a bustling city like London. City life can contribute to posture challenges, stress-induced pain, and lifestyle factors affecting joint health—our team understands these nuances and crafts personalised strategies for lasting relief.
Tailored Solutions for Pain Management
Explore our specialised treatments designed to alleviate lower back and hip pain:
- Posture Solutions: Address muscle strain resulting from challenges such as commuting and desk work with personalised exercises targeting posture improvement.
- Stress Management Techniques: Combat the fast-paced lifestyle with stress management practices integrated into our holistic approach, promoting both mental and physical well-being.
- Arthritis Management: Learn how city living may impact joint health and discover lifestyle adjustments that effectively manage arthritis-related lower back and hip pain.
Clearcut Physiotherapy’s Holistic Approach
Reclaim a pain-free life in London with Clearcut Physiotherapy’s comprehensive approach:
- Personalised Physical Therapy: Our experienced physiotherapists create tailored exercise plans addressing musculoskeletal imbalances, providing effective relief for lower back and hip pain.
- Nutritional Guidance: Adopt an anti-inflammatory diet with practical advice suited to the demands of city living, offering a holistic approach to pain management.
- Lifestyle Adjustments: Receive practical tips for city dwellers, including commuting and workspace hacks, seamlessly integrating pain management into your daily routine.
- Mind-Body Practices: Incorporate massage, meditation, and counseling into your treatment plan, empowering you to manage the challenges of city life and associated pain.
Exercise Therapy for Relief
Clearcut Physiotherapy recommends specific exercises to relieve lower back and hip pain. These exercises, accessible on our videos page on our website , are designed to be safe and effective when incorporated into a holistic health routine.
Orthopaedic Insights: Understanding the Complexity of Lower Back and Hip Pain
Orthopaedic treatment of hip and lower back pain is not black and white. As a practising spine surgeon for the last fifteen years, I’ve found that determining the root issue of someone’s pain in these areas is often grey and filled with ambiguities. The anatomy of the hip and back comprises numerous parts that can be injured or worn out, and many problems that occur in this area can display the exact same symptoms or pathology.
To put it plainly, sometimes hip pain comes from the hip, but a lot of times hip pain comes from the back. Sometimes back pain comes from the back, but a lot of times back pain comes from the hip. Eighty to ninety percent of the population develops a debilitating back or hip pain at some point in their life, and this issue is the second most common reason for missed work behind the common cold.
Fortunately, our bodies typically take care of the issue on their own. When a flare-up of symptoms occurs in our hips or lower back, usually a combination of rest, activity modification, anti-inflammatories, and exercises calms the pain down.
Early and Correct Diagnosis is Key
When seeing a physician for hip or lower back pain, imaging such as x-rays and MRIs are usually conducted at the site of the symptoms. Yet, these studies can sometimes show abnormalities that are not actually the root cause of the pain.
A fifty-year-old gentleman had severe pain in the outside of his hip. It was determined that he had mild arthritis in the hip, but the arthritis should not have caused the extensive symptoms he was enduring. His treatment plan moved on to a stem cell injection with platelet-rich plasma in the hip, which also offered no improvement to his symptoms.
This man’s symptoms started in April and proceeded to get worse to the point that he was in a wheelchair when he came to the London clinic in August. A minimally invasive surgery was performed, and his pain was gone immediately.
Again, hip and lower back orthopaedics is not always straightforward. There is often more than one diagnosis, but an early and an exhaustive physical exam of all potential areas that could be the root cause of the problem is key in determining the correct diagnosis.
What are the Symptoms of Hip Conditions?
In general, people suffering from hip pain from hip pathology have symptoms that appear in the front of the hip and the groin area. Sometimes the pain will radiate into the front of the thigh but very rarely goes past the knee.
After sitting for a period of time, patients suffering from hip pathology find it difficult to walk when they first get up. The pain is worse initially, but after a couple of limping steps, the hip lubrication kicks in, and the pain subsides.
What are the Symptoms of Lower Back Conditions?
Patients with debilitating back issues develop symptoms in the back of the hip near the buttocks. The pain goes down the back of the hamstring, past the knee, and to the outside or back of the calf.
What Can We Do if the Diagnosis Isn’t Clear?
If you are still in pain after trying more conservative treatment options such as anti-inflammatories and physical therapy, and the x-ray or MRI imaging studies aren’t showing us what exactly is wrong, we can do a series of numbing injections to clear the fog.
If there is no response to the numbing injection in the hip area, for example, then that is obviously not where the root cause of the pain is located. However, if your pain has dispersed after a numbing injection, then we have located the area of the root cause. These injections act as both a therapeutic and diagnostic tool we can use as physicians.
Another route we can take is an EMG or nerve conduction test. Needles can be put into your leg to see the conduction or activity of nerves. If some nerves are slow or are not signalling correctly, then we know that an angry nerve is the culprit of the symptoms.
- If you are a younger patient with symptoms in the front of the hip and in the groin area, a hip arthroscopy is usually the best surgical option.
- If you are an older patient with hip arthritis, a hip replacement is the best surgical option.
- From a spine standpoint, it is an exciting time in our world. The surgeries we were doing fifteen years ago are completely antiquated. The surgical treatment options of today are much more minimally invasive, and the advancement in robotic technology has become a mainstay for spine surgeries.
- However, not all surgeries are perfectly suited for every patient. When consulting with a physician about undergoing spine surgery, you want to make sure that the physician has all types of surgery from open procedures to minimally invasive procedures to robotic procedures in their toolbox.
- If you have a pinched nerve, a small, minimally invasive outpatient procedure is performed to remove the pressure from the nerve.
- If you have instability due to arthritis, or instability is created after the fixing of a pinched nerve, a fusion of the spine will be needed.
What Are the Highlights?
- If pain is in the front of the hip/groin region and radiates down the thigh to the knee, it is most likely a hip issue.
- If pain is in the back of the hip/buttocks region and radiates down the hamstring to the calf, it is most likely a spine issue.
- Early physical examination and consultation with an orthopedist are going to get you the right treatment.
- X-rays and MRIs can often find asymptomatic, normal degenerative issues, and relying on imaging alone can be misleading.
Frequently Asked Questions
Q: When lying down, what causes pain that shoots from the knee to the ankle?
A: It all depends on where the pain is shooting from. If the pain starts in the buttocks and shoots down the back of the leg past the knee to the ankle, that is most likely a pinched nerve in the back. Patients with a pinched nerve in the back often can’t lie down flat and may use a recliner or wedged pillow to relieve some pain when lying down.
If the pain is just from the knee down, the issue could be from a knee pathology.
Q: After a long-distance run, why is my lower back in pain?
A: Long-distance running can be great for your back, increasing circulation to the discs in your spine. However, after running a certain distance, muscles become fatigued, and compensatory movements may lead to lower back pain. Stretching before running and hip abductor exercises can help prevent fatigue-related pain.
Q: What causes back pain to be significantly worse at night or in the morning?
A: Hormonal shifts and increased inflammation in the morning may contribute to back pain. If pain wakes you up in the middle of the night, it should be assessed earlier. Specific pathology determines the peak time of pain.
Q: What is your opinion on acupuncture if surgery is not an option?
A: If surgery is not an option, exploring alternative therapies like acupuncture is recommended. Back pain responses to different therapies vary, and acupuncture may provide relief for some individuals.
Note: The information provided is for educational purposes and does not substitute professional medical advice. Consult with your healthcare provider for personalised guidance on your lower back and hip pain.
How Clearcut Physiotherapy Can Help You
If joint or muscle pain hinders your movement, Clearcut Physiotherapy offers an face to face physiotherapy at our clinics in London. Easily Book your appointment now , treatments include Ultrasound, Cupping , Spinal adjustments and therapeutic exercises, stretches, and personalised guidance from a dedicated care team.