[40F] Experiencing lower back and hip pain

Patient Description

A 40-year-old female reports a few weeks' history of left-sided lower back pain, described as a dull burning sensation, with an intensity of 5 out of 10. The pain is exacerbated by walking and improves with rest. The patient experiences the most discomfort in the morning and also reports associated hip stiffness. There is no recent history of injury or trauma to the back. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Sciatica: This condition occurs when the sciatic nerve, which runs from your lower back down to your legs, is irritated or compressed. It typically causes pain, numbness, or tingling in the lower back and hip, which can worsen with movement or prolonged sitting.

    • Treatment often involves physical therapy, pain relievers, and in some cases, surgery.
  • Lumbar Spinal Stenosis: This is a condition where the spinal canal narrows and compresses the nerves at the level of the lower back. It is often associated with aging and can cause pain, numbness, or weakness in the lower back and legs.

    • Treatment may include physical therapy, medications to relieve pain and inflammation, and in some cases, surgery.
  • Sacroiliac Joint Dysfunction: The sacroiliac joint connects the spine to the hips. If this joint becomes inflamed, it can cause pain in the lower back and hips.

    • Treatment typically involves physical therapy, medications, and sometimes injections or surgery.

What you can do

While waiting for a formal assessment from a healthcare provider, you can try the following to alleviate your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications like ibuprofen or acetaminophen can help reduce pain and inflammation.
  2. Heat and Cold Therapy: Applying a hot or cold pack to the affected area may help relieve pain.
  3. Gentle Exercise: Light activities such as walking or swimming can help keep your back flexible. Avoid strenuous activities that may worsen your pain.
  4. Rest: Make sure you're getting enough rest, but avoid prolonged bed rest as it can make your symptoms worse.

What you should look out for

Please seek immediate medical attention if:

  • Your pain is severe or worsening
  • You experience sudden, severe stomach pain
  • You lose control of your bladder or bowels
  • You experience numbness or weakness in your legs

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What are common causes of lower back pain that worsens with walking?

Common causes of lower back pain that worsens with walking include sciatica, lumbar spinal stenosis, and sacroiliac joint dysfunction. These conditions can cause nerve irritation or joint inflammation, leading to pain that is aggravated by movement.


How can I differentiate between sciatica and other causes of lower back pain?

Sciatica typically presents as pain that radiates from the lower back down the leg, often accompanied by numbness or tingling. Other causes of lower back pain may not have this radiating pattern and could be more localized to the back or hip area.


What are some effective home remedies for managing lower back pain?

Effective home remedies for managing lower back pain include using over-the-counter pain relievers like ibuprofen, applying heat or cold packs to the affected area, engaging in gentle exercises such as walking or swimming, and ensuring adequate rest without prolonged bed rest.


When should I seek medical attention for lower back pain?

You should seek medical attention for lower back pain if the pain is severe or worsening, if you experience sudden severe stomach pain, if you lose control of your bladder or bowels, or if you experience numbness or weakness in your legs.


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