[59F] Experiencing severe right hip and lower back pain with numbness in hands

Patient Description

A 59-year-old female reports experiencing constant severe pain in the right hip and lower back, rated at a 10 on a scale of 1-10. The pain is localized to the back of the hip and does not radiate down the leg. The patient notes that the pain is alleviated when lying curled on the left side and worsens with certain activities. Additionally, the patient experiences constant numbness in the hands. There is no history of injury to the hip. The patient finds some relief from the lower back pain by leaning forward.

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Arora's Assessment

What might be happening

Based on the information you've provided, it seems like your symptoms could be related to a few potential issues:

  1. Hip and Lower Back Pain:

    • Osteoarthritis: Given your age and the chronic nature of your hip pain, osteoarthritis could be a possibility. This condition involves the wearing down of cartilage in the joints, leading to pain and stiffness.
    • Sciatica or Lumbar Radiculopathy: The constant lower back pain and numbness in your hands might suggest nerve involvement, possibly due to a herniated disc or spinal stenosis affecting the nerves in your lower back.
  2. Numbness in Hands:

    • Carpal Tunnel Syndrome: This is a common condition that causes numbness and tingling in the hands and fingers, often due to compression of the median nerve in the wrist.
    • Cervical Radiculopathy: Nerve compression in the neck can also cause numbness in the hands, which might be related to your lower back issues.

These are just possibilities, and a healthcare professional would need to conduct a thorough examination and possibly imaging tests to determine the exact cause.

What you can do

Hip and Lower Back Pain:

  • Consult a Healthcare Provider: It's important to see a doctor for a proper diagnosis and treatment plan. They may recommend imaging tests like X-rays or MRIs.
  • Pain Management: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain. Always follow the recommended dosage.
  • Physical Therapy: A physical therapist can provide exercises to strengthen the muscles around your hip and back, which may alleviate pain.
  • Heat and Cold Therapy: Applying heat or cold packs to the affected area can help reduce pain and inflammation.

Numbness in Hands:

  • Wrist Splints: Wearing a wrist splint, especially at night, can help relieve symptoms of carpal tunnel syndrome.
  • Ergonomic Adjustments: Ensure your workspace is ergonomically friendly to reduce strain on your wrists and hands.
  • Stretching Exercises: Gentle stretching exercises for your hands and wrists can improve flexibility and reduce numbness.

Remember, you can use MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden increase in pain or numbness
  • Weakness in your legs or difficulty walking
  • Loss of bladder or bowel control
  • Severe pain that does not improve with rest or medication

These could be signs of a more serious condition that requires immediate medical attention. Always consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago

People Also Ask


What are the common causes of hip and lower back pain in older adults?

Common causes of hip and lower back pain in older adults include osteoarthritis, which is the degeneration of joint cartilage, and conditions like sciatica or lumbar radiculopathy, which involve nerve compression due to issues like herniated discs or spinal stenosis.


How can numbness in the hands be related to back issues?

Numbness in the hands can be related to back issues if there is nerve compression in the spine, such as cervical radiculopathy, where nerves in the neck are compressed, potentially affecting the hands.


What are some non-surgical treatments for osteoarthritis in the hip?

Non-surgical treatments for osteoarthritis in the hip include pain management with medications like ibuprofen, physical therapy to strengthen surrounding muscles, and lifestyle modifications such as weight management and low-impact exercises.


When should I seek immediate medical attention for back pain?

You should seek immediate medical attention for back pain if you experience a sudden increase in pain, weakness in your legs, difficulty walking, loss of bladder or bowel control, or severe pain that does not improve with rest or medication.


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