You’d think so. But consider this story of a motorcycle accident: many years ago, a friend hit a car that had pulled out from a side street. He flew over the car & landed on his head. Bystanders showed their ignorance of spinal fracture by, yikes, carelessly moving him. In fact, his thoracic spine was significantly fractured … yet the hospital actually refused to do an X-ray because he had no obvious symptoms of a spinal fracture. Incredible! The next day, a horrified orthopedic surgeon ordered an X-ray immediately, confirming the fracture & quite possibly saved him from paralysis.
A thorough history and physical examination is a good start when sorting out symptoms. X-rays will attest to specific bony/cartilage changes but x-rays don't always correlate with the pain. It is possible to have little pain and much damage on the x-rays or visa versa. It is important to treat the patient, not the x-rays alone. Secondly, x-rays of the back can reveal degeneration of the discs or small joints in the spine but the person does well. Contrary, the back may look degenerative and because of the subsequent bone spurring and symptoms as arthritis progresses, it is important to obtain an MRI to confirm nerve impingements that are suspected. X-rays alone will not show nerve impingement. As you can see, it is important to undergo the history and physical examination and tests that can confirm your diagnosis before treatment begins.
Or anything else. Pain is a poor indicator, period! The human nervous system is really terrible about this: it routinely produces false alarms, and alarms that are much too loud. See Pain is Weird: Pain science reveals a volatile, misleading sensation that is often more than just a symptom, and sometimes worse than whatever started it. BACK TO TEXT

Joint injections: Steroids can reduce the swelling and inflammation of the nerves. Joint injections are a minimally invasive procedure that involves an injection of a corticosteroid and an analgesic-numbing agent into the painful joint (Fig. 2). While the results tend to be temporary, if the injections are helpful they can be repeated up to three times a year.
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While leg lifts, certain ab exercises, and even hula hooping can all help work the hips, the hip flexors can still be a tricky part of the body to stretch Kinetics of hula hooping: An inverse dynamics analysis. Cluff, T., Robertson, D.G., and Balasubramaniam, R. School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada. Human Movement Science, 2008 Aug; 27 (4): 622-35.. To get them even stronger and more flexible, try these five simple hip flexor stretches:
Imagine not being able to climb stairs, bend over, or even walk Changes in hip joint muscle-tendon lengths with mode of locomotion. Riley, P.O., Franz, J., Dicharry, J., et al. Center for Applied Biomechanics, University of Virginia, Charlottesville, VA. Gait & Posture, 2010 Feb; 31 (2): 279-83.. All pretty essential if you ask us! But that’s what our bodies would be like without our hip flexor muscles. Never heard of ‘em? It’s about time we share why they’re so important, how your desk job might be making them weaker (ah!), and the best ways to stretch them out.
The space between the spine and the skin that can become infected by bacteria on rare occasions, causing a spinal epidural. This leads to the accumulation of pus in the spine that can put pressure on nerves and bones, causing great pain. A spinal epidural abscess is a rare but serious condition that can cause spinal pain, radiating lower back pain, and pain that runs down one leg. Spinal epidural abscesses can be caused by a wide range of infections such as skin infections, blood stream infections or urinary tract infections. Spinal epidural abscesses can develop after spinal surgery or epidural catheters used to treat post-operative pain. Symptoms include lower back pain when lying down, radiating back pain, hip pain, tingling in the lower extremities, nausea, fever and vomiting. Treatment includes antibiotics, analgesics, anti-inflammatory drugs, and often drainage and surgery.
How to do it: Begin with a 20- to 30-inch box or bench right behind you. Straighten one leg and lift your foot in front of you, bend your standing leg, and push your hips back as far as possible as if you’re squatting on two legs, but just doing it on one. Continue until your butt hits the bench, pause, then squeeze your glutes and drive through your planted heel to stand up. Do not relax and release the tension in your muscles as you sit. Repeat this movement, alternating sides each time. (Once you master lowering to touch your glutes to the bench, lower the bench or try lowering to the floor.)
Today I’m going to share with you one of my favorite hip flexor stretches. But first, you need to understand this isn’t a standalone fix for the problem. How to truly fix your tight hip flexors is really quite simple, but involves two steps: you need to fix your muscle imbalances and (probably) stretch out those hip flexors like I’m about to show you.

The piriformis muscle connects the top of the femur to the spine, and it’s the main one that supports the outward movement of the hip, upper leg, and foot. The sciatic nerve can sometimes pass through this muscle and thus cause sciatica symptoms, otherwise known as piriformis syndrome, characterized by pain in the lower back and hips, poor movement, and balance. Therefore, the main cause of sciatica is the swelling or constriction of the piriformis muscle, but it can also be a result of some other factors as well.
Flexors are flexible muscle tissues that help a person stretch and move. The muscles that help you lift your knee toward your body and bend at the waist are known as the hip flexors. These muscles are located around the upper and inner things and pelvic region. Keeping the hip flexors strong is particularly important for active people and athletes.
Symptoms of the neuropathies above would include burning sensation in leg areas where these nerves are housed as well as lack of coordination of these leg muscles. Other symptoms include muscle wasting, pain, and twitching, cramps, and spasms in these nerves. Treatment focuses on isolating the underlying cause of the nerve disorder and addressing it using medications such as injected glucocorticoids and/or physical
Up to 85% of Americans experience some type of back pain during their lives. But this doesn't always involve the sciatic nerve. In many cases, back pain is the result of overextending or straining the muscles in the lower back. What most often sets sciatica apart is the way the pain radiates down the leg and into the foot. It may feel like a bad leg cramp that lasts for days.
Hip Flexor Solutions is a complete program designed to put your body back into balance, and to address all of the underlying mobility, flexibility, balance and strength deficits. This program not only will treat your hip flexor injury and reduce your risks for re-injury, it will also enhance your sports performance. A balanced body is a stronger body, and Hip Flexor Solutions can give you both!
Here is how you do the hip rotation stretch: Sit on the floor with your knee out straight. Cross one leg over the other by placing your ankle on top of your knee (as if crossing your legs while sitting). Gently pull your knee across your body, and hold for five seconds. Then gently push the knee of the top leg away from you until a stretch is felt in your hip. Hold this position for five seconds, then slowly release. Repeat 10 times.
Mike, I cannot thank you enough for this instruction on stretching the hip flexor muscle. Over the past three years, my driving has increased dramatically. It is not uncommon for me to drive 1,000 business miles or more each week. I have always been very fit, but now, in my early 50’s, I am finding that it is easier to get “wracked up” by things like excessive driving.
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• Gout. Gout is a form of arthritis that occurs when excess uric acid, a bodily waste product circulating in the bloodstream, is deposited as needle-shaped monosodium urate crystals in tissues of the body, including the joints. For many people, the first symptom of gout is excruciating pain and swelling in the big toe – often following a trauma, such as an illness or injury. Subsequent attacks may occur off and on in other joints, primarily those of the foot and knee. Less commonly gout can affect the spine, causing extreme pain, numbness and tingling. It can be confused with a spinal infection.
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

I am a science writer and a former Registered Massage Therapist with a decade of experience treating tough pain cases. I was the Assistant Editor of ScienceBasedMedicine.org for several years. I’ve written hundreds of articles and several books, and I’m known for readable but heavily referenced analysis, with a touch of sass. I am a runner and ultimate player. • more about me • more about PainScience.com
This pose is similar to seated forward fold, and provides the same benefits. It also stretches your groin. Assume the same starting position as the forward fold, but slide the sole of your left foot against your right inner thigh. Keeping your right foot flexed, lower your left knee as far as you can into a half-butterfly position. Walk your hands down the sides of your right leg as you fold forward as far as you can with your torso. Hold for 8-10 breaths, and then slowly rise back up. Switch legs and repeat.
With a roster of muscles ranging from the powerful glutes to the small and agile abductors, the hips control practically all your movements. Almost every endurance athlete overworks some hip muscles while underworking others, causing severe imbalances: Runners are infamous for having weak hip adductors—the muscles on the side of the hip that help you step laterally—while cyclists tend to have massive quads and tiny glutes.
Irritable hip: What you need to know Irritable hip is a common cause of hip pain and limping in children before they reach puberty. It may happen after an injury or a viral infection, or because of poor blood flow. It usually gets better with rest within 2 weeks. Pain killers may help relieve symptoms. Those under 16 years should not use aspirin. Read now
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