When you tell your doctor your hip hurts, the first thing she should do is confirm that your hip is actually the problem. Women might say they have hip pain, but what they may mean is that they have pain in the side of the upper thigh or upper buttock, or they may be experiencing lower back pain, says Stephanie E. Siegrist, MD, an orthopedic surgeon in Rochester, New York, and a spokeswoman for the American Academy of Orthopaedic Surgeons. Hip pain is often felt in the groin or on the outside of the hip directly over where the hip joint (a ball-and-socket joint) is located.
We all know the nursery rhyme about the hip bone being connected to the leg bone. It’s a simple song, but it contains a surprising amount of truth. The fact is that the body’s muscular, nervous, and skeletal systems truly are complex and intricately interconnected. Even a daily task such as walking down the street uses a complete network of a body’s muscles and bones, all of them reliant on each other. And when a strain, tear, or other injury happens in one part of your body, pain can often present itself in an entirely different part of your body.
During pregnancy a woman’s abdominals get stretched out. There is no way to avoid this with a growing baby. Muscles work most effectively when they are at an optimal length. Not too short and not too long. The lengthening that happens during pregnancy puts the abdominal muscles at a decreased advantage for working. This decreases the amount of support they provide for spinal stability.  
It’s well established that about eight in 10 people in the U.S. will experience back pain at some point in their lives. And while the causes of such pain often vary, say physical therapists and other medical professionals say that increasingly, in a world that accommodates a more sedentary lifestyle, the blame for low-back pain can often be traced to an area a little lower in the kinetic chain: the hips.
Like quadriceps, the hamstrings are 2-joint muscles. Unlike the quadriceps, though, the hamstrings reside at the back of your thigh. They attach at the siting bones, which are located on the underside of your pelvis. When the hamstring muscles contract, the effect is a pulling of the back of the pelvis down toward the back of the thigh, or a bringing of the lower extremity back behind you.
How to: Get on your hands and knees, in a tabletop position (a). Slowly widen your knees out as far as they can go and bring your feet in line with your knees. Your shins should be parallel with one another (b). Flex your feet and ease yourself forward onto your forearms. (If the stretch is too intense, try putting your arms on a block or firm pillow.) Hold for eight to 12 breaths (c). If holding the stretch for longer, try slowly moving your hips forward and backward to bring the stretch to different parts of your hips.
You can perform this exercise seated in a chair or on your back on the floor. In a chair, cross your left ankle over your right knee and then lean forward until you feel a stretch in your hip. On the floor, cross your left ankle over your bent right knee and then reach under with both hands and pull your right leg toward your head. Perform each variation on both legs.
Correct posture and a protected spine requires strong muscles, and strong muscles require exercise. Rather than sit around waiting for lower back pain to fix itself, keeping active and exercising regularly can actually help it recover and stay in shape much more quickly. Not only that, regular exercise will help you lose weight which, in turn, will take pressure off your legs, hips, and back.
Wow this is going to help me a ton! I was just thinking about how I wanted to work on my hips when I was on a 9 mile heavy pack hike yesterday. Even more so when I was done and one of my hips was/is pretty sore. Hips keep us together! Like for real they connect out lower and upper body lol. Need to make sure they are strong, mobile, and flexible which is all something I never really put any effort into improving. I figured my activities like Mountain Biking, Hiking, Climbing, Skiing, and doing squats/lunges along with other exercises would keep them strong. Then I come to find out I only was able to get through 2 rounds… This will now be apart of my training program 🙂 Thanks for the great video! Yes simple but yet it can kick your butt if you are doing proper form ad John Wolf stresses.
Greater trochanteric pain syndrome describes pain that is felt along the outer hip area. Causes include sports injury, muscle tears, and injury due to motor vehicle accidents. The pain is caused by a combination of inflammation in two distinct areas: the bursa of the hip and pain in the buttock (gluteal muscles). Pain may also be caused by tendinitis of the hip abductor muscles. Symptoms of greater trochanteric pain syndrome include hip pain at night lying on side, dislocated hip symptoms, and hip muscle weakness. Hip pain relief can be sought through anti-inflammatory medications, physical therapy, and stretches for hip pain.
To start, get into a lunge position with your right knee up and your left knee on the floor. Rest your hands on the ground, directly underneath your shoulders. Next, flex your raised right knee outward, so that you’re resting on the outside of your right foot. Press your chest forward to increase the stretch. Hold this pose for 10 seconds, then repeat on the other side of your body.
MRI and x-ray for low back pain are surprisingly unreliable,1 because things like bulging discs usually aren’t a deal,2 most back pain goes away on its own,3 and trigger points (“muscle knots”) are common and can be alarmingly intense but aren’t dangerous.4 Most patients are much better off when they feel confident about these things. The power of justified, rational confidence is a huge factor in back pain.5 Sadly, many healthcare professionals continue to perpetuate the idea of fragile backs,6 which undermines that valuable confidence.
• Juvenile Spondylarthropathy. Also called juvenile-onset spondyloarthritis (spinal arthritis), this term is used to describe spondylarthropathies that begin before age 16. In addition to affecting the spine, they may cause pain and inflammation in the joints of the pelvis, hips, ankles and knees. They may also affect other body organs such as the eyes, skin and bowels.
Strong muscles support and protect your joints. “Strengthening the lower body takes some of the pressure off of the hip and knee joints,” says William Oswald, DPT, a physical therapist and clinical instructor of rehabilitation medicine at NYU Langone Health. This can relieve some of the pain and protect against more damage. “It can also make daily tasks, such as climbing the stairs, easier,” he says.
Even though it seems like your legs are moving forward and backward when you’re running, in reality, the femur (your thigh bone) both rotates and tilts in the hip socket, Kalika explains. It’s the hip adductors—most notably the gluteus medius—that keeps the femur sitting in the socket as designed. (The hip adductors are the muscles that move your legs inward.) Any weaknesses make the joint unstable, and can contribute to poor running mechanics, hip drop (when the pelvis drops to one side), too-narrow stances, and aggravated tissues throughout the entire body, Sauer says.
The best thing about this stretch is that you can easily adjust where you feel it simply by changing the position of your foot. First, try bringing your foot inward (effectively externally rotating your hip), and repeat the same sequence of instructions. Then, do the same with turning your foot out (internally rotating the hip). Wherever you feel the biggest stretch is likely the version you should be doing more of.
When it comes to your workouts, low-impact aerobic exercises are generally best and least likely to cause issues, says Kelton Vasileff, M.D., an orthopedic surgeon at The Ohio State University Wexner Medical Center. “I recommend swimming, walking, elliptical, cycling, and stationary biking for general exercise,” he says. All of these are great ways to move your body without pounding your joints.
Holland also suggests doing strength work in different planes of motion to keep all the muscles in and around your hip flexors, especially your glutes, firing correctly.“You can’t have good hip flexion if your glutes are tight or weak,” Nurse says, “so it’s super important that you’re always stretching and strengthening the front of your hip flexor and the back, which are the glute muscles.”

Acute back pain is often the result of muscle sprains or strains. Sprains occur when your ligaments are overstretched and sometimes torn. Strains, on the other hand, are caused by stretching — and possible tearing — of your tendons or muscles. Though the immediate reaction is pain in your back, you may also experience dull aches or discomfort in your hip.


One of the biggest dangers to your health is constantly sitting for long periods of time which can cause physical and emotional damage. 10 key moves that will help loosen your hip flexor and unlock the power within your body. There is an easy to follow program to unlocking your hip flexors that will strengthen your body, improve your health, and have an all day energy..... https://bit.ly/2HYTPrJ Report
In the vast majority of patients with low back pain, symptoms can be attributed to nonspecific mechanical factors. However, in a much smaller percentage of patients, the cause of back pain may be something more serious, such as cancer, cauda equina syndrome, spinal infection, spinal compression fractures, spinal stress fractures, ankylosing spondylitis, or aneurysm.
Both types of problems are frequently helped by anti-inflammatory medications particularly in mild to moderate situations. Some types of analgesics can be used intermittently as well. It's important to realize that both problems can be helped significantly by weight loss, proper forms of exercise and conditioning. In fact, back pain can become chronic without a commitment to the appropriate exercises necessary to stabilize and strengthen the spine. Epidural blocks (corticosteroids are injected into the canal of the low back to reduce inflammation and pain) can help several types of back disorders. Using a cane when walking can help both hip and back pain.
When was the last time you got on your gym's abductor or adductor machine and got in a good workout? It's probably been a while. Both are machines that don't get a lot of use, and they are often the target of coaches' ridicule on those "useless gym moves we should all skip" lists. Perhaps rightly so, especially if you're hopping on those machines hoping for a slimming effect.

This pose targets your spine, groin, and the backs and insides of your legs. Sit tall with your feet flexed, and your legs straight and spread as wide as possible. Place your palms on the floor in front of you, pressing them into it as you straighten and stretch your spine. Keeping your torso erect, inhale deeply, and then exhale completely, walking your hands forward as you lower your torso as far as you can towards the floor. Stop when you feel a deep stretch in the areas mentioned above. Hold for 8-10 breaths, and then slowly raise your torso back up.
There is controversy and scientific uncertainty about trigger points. It’s undeniable that mammals suffer from sensitive spots in our soft tissues … but their nature remains unclear, and the “tiny cramp” theory could be wrong. The tiny cramp theory is formally known as the “expanded integrated hypothesis,” and it has been prominently criticized by Quintner et al (and not many others). However, it’s the mostly widely accepted explanation for now. BACK TO TEXT
The sciatic nerve is the largest and longest nerve in the body. It arises from the spinal cord as a collection of fibers from the lower vertebrae. This nerve is responsible for the sensation of the skin of the foot and entire lower leg except for a small area on the inner side. It also supplies muscles in the anterior, lateral and posterior compartments of the leg.
Low back pain commonly is experienced in the back itself. However, due to the complexity of the spinal cord and associated nerves being an intricate part of the low back, pain may and frequently can radiate or travel further down the course of the nerves. This is similar to striking your "funny bone" in the elbow and feeling the sensation in the hand below the elbow.
Tight hip flexors can result in lower back pain, hip pain and injury.  A lot of strain is put on those muscles during activities that involve sprinting and kicking.  For example, runners are more prone to hip flexor injuries because of the small, repetitive movement during running.   But even if you’re not an athlete, hip flexor injuries can occur during everyday activities (for instance, slipping and falling or running to catch a bus).  When those tight muscles are suddenly stretched beyond what they are accustomed to, you might also experience pain in the upper groin region, typically where the hip meets the pelvis.   

Cauda equina syndrome can be causes by spinal birth defects in children or, in adults, falls, inflammation, malignant tumors, injuries, or, and this is the most prevalent cause—a ruptured disc in the lumbar region of the spine. Symptoms of cauda equina include radiating pain in the lower back, pain and numbness in the legs and lower back, weakness in the lower body, loss of sexual function, and loss of bladder control. Another prominent symptom is upper leg pain, sharp pain in the thigh, loss of sensation in the upper leg muscles, and inner thigh pain. It is critical to seek immediate medical care and often including a neurosurgery consultation,
Often people go to the doctor seeking help for hip pain. Sometimes, people try to treat it themselves. They are convinced there is something wrong with their hip and the treatments begin. However, one thing is for sure, hip pain is not always as it appears. Hip pain can be a result of a problem in the hip joint itself. However, it can also be a result of a back problem or a soft tissue problem around the hip region.
Enthoven WT, Geuze J, Scheele J, et al. Prevalence and "Red Flags" Regarding Specified Causes of Back Pain in Older Adults Presenting in General Practice. Phys Ther. 2016 Mar;96(3):305–12. PubMed #26183589. How many cases of back pain in older adults have a serious underlying cause? Only about 6% … but 5% of those are fractures (which are serious, but they aren’t cancer either). The 1% is divided amongst all other serious causes. In this study of 669 patients, a vertebral fracture was found in 33 of them, and the chances of this diagnosis was higher in older patients with more intense pain in the upper back, and (duh) trauma. BACK TO TEXT
• Juvenile Spondylarthropathy. Also called juvenile-onset spondyloarthritis (spinal arthritis), this term is used to describe spondylarthropathies that begin before age 16. In addition to affecting the spine, they may cause pain and inflammation in the joints of the pelvis, hips, ankles and knees. They may also affect other body organs such as the eyes, skin and bowels.
Greater trochanteric pain syndrome describes pain that is felt along the outer hip area. Causes include sports injury, muscle tears, and injury due to motor vehicle accidents. The pain is caused by a combination of inflammation in two distinct areas: the bursa of the hip and pain in the buttock (gluteal muscles). Pain may also be caused by tendinitis of the hip abductor muscles. Symptoms of greater trochanteric pain syndrome include hip pain at night lying on side, dislocated hip symptoms, and hip muscle weakness. Hip pain relief can be sought through anti-inflammatory medications, physical therapy, and stretches for hip pain.

If your sciatica is due to a herniated disk, and it's still causing severe pain after four to six weeks, surgery may be an option. The surgeon will remove a portion of the herniated disk to relieve the pressure on the sciatic nerve. About 90% of patients get relief from this type of surgery. Other surgical procedures can relieve sciatica caused by spinal stenosis.

So if you're doing abs exercises and you feel like your hip flexors are putting in more work, refocus and dial in on the muscles you're trying to target. It might sound trite to just "think" about a muscle working as you're doing an exercise (for example, thinking about your abs contracting as you do a situp), but it might actually prevent you from mindlessly grinding out reps with poor form.
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