Hip Pain Due to Herniated Disc

Herniated Disc Hip Pain

Many people visit the doctor for help with hip pain. Sometimes, people will try to manage the problem themselves. They believe there is something wrong and they start to look for solutions. But, hip pain may not be as obvious as it seems. Hip pain can result from a problem in the hip joint. But, hip pain can also result from a problem in the hip joint or soft tissue.

It is important to have a clear diagnosis before you can resume activities or live an active life. Let’s examine the causes and treatment options for both back and hip pain. Patients may have a misconception about the cause of pain. This may sound strange but it is very true. The hip joint is found just below the groin area on either side of the body. The spine extends from the base and tip of the skull to reach the tailbone. Certain nerves are located in the lumbar spine and can have an influence on the feeling around the hip area.

When the hip is the usual suspect

Surprisingly, hip problems are often accompanied by groin pain. The hip joint itself is very close to the spine.

“Groin discomfort is a hip problem until proven otherwise.”

“Pain above a beltline is not an issue for hipsters.”

Osteoarthritis (inflammation of the hip joint) is the most common reason for hip pain. If:

  • It’s in your groin.
  • It’s normal to feel uncomfortable at times, but it gets more frequent over time.
  • Pain can worsen when you are standing, walking, or doing any other activity. However, rest is a great way to get rid of it.
  • It’s hard to feel stiff.
  • A limp walks with you.

Avascular necrosis, also known as AVN, refers to a serious condition characterized by the death or swelling of the hip bone. The pain is typically worse and more consistent than that experienced with osteoarthritis.

When the spine is the most likely culprit

The most common problem with the lower spine is a herniated or bulging disc. This presses on nerves throughout the spinal column. This can cause sciatica (a type of pain in the lower back) and can also be felt in your hip. If you experience pain, you may have a herniated or bulging disc.

  • Your hips, back, buttocks and hips are the only ones that will be affected.
  • Shoot down your leg.
  • There are also problems when you bend or sit.
  • This improves when you are standing or walking.
  • You should consult your doctor if you are suffering from night sweats or a history cancer.

Some people have a “double-whammy,” which is problems in both their lower back and hips. “It’s not surprising because both osteoarthritis as well as spinal changes are becoming more common every decade.

These are some tips to help your hip pain.

  • Your primary care doctor should be consulted. You will most likely be prescribed nonsteroidal antiinflammatory drugs (NSAIDs), in order to check if the hip pain disappears.
  • Lose weight. In order to alleviate hip pain, losing weight is essential. “Losing weight helps to reduce hip pain.

These are some suggestions for back pain relief:

  • Talk to your doctor and keep active. He or She will most likely prescribe NSAIDs up to two weeks. Keep moving. “Activity is something that should not be stopped. Long-term bed rest of more than 24 to 48 hrs is bad advice.
  • If physical therapy is necessary after two weeks, call a physical therapist. If you still have pain after 2 weeks, a physical therapist will show you exercises to strengthen your spine.
  • Reduce weight and stop smoking. Maintaining your ideal weight can ease the pressure on your spine. It is important to not smoke. “Nicotine hinders microcirculation. Therefore, your spine will degenerate more quickly.”
  • If your pain is difficult or not easily identifiable, a specialist in hip and spine medicine can help. The specialist may order an injection of lidocaine, or they may perform diagnostic/therapeutic hip injection under fluoroscopy or ultrasound.

This will relieve symptoms and numb any pain in the hip. “If the discomfort doesn’t go away, then we know we’re on the wrong track.” The same technique can be used to confirm or rule back pain.

Are my back and hip pain related?

A person who has both hip and back pain may experience lower back, groin, thigh, or buttock pain. People who have pain in these areas are called “hip spine syndrome”. The pain can sometimes be located in different places, making it more difficult to determine the source.

You can visit your doctor or specialist if you have back or hip pain. To assist in their diagnosis, a doctor may use advanced imaging methods after performing a thorough examination of you and reviewing your medical history.

The diagnosis could reveal that the pain in your hips and back may be connected. You may have pain in your hip, spine, back, or both. Here are some of the more common issues that cause pain in the spine, including back pain and hip pain.

Hip Pain and Back Pain

Pinched Nerve or Herniated Disc can cause back and hip pain. As the discs that connect the spinal vertebrae ages, the outer layers may become worn and weaken, which can allow the material to “leak” into the spinal canal. This is called a herniated dis. A herniated disc can cause pain when disc material places pressure on nerves. Because the spinal cord is responsible for communicating with the brain and other areas, this type of pain can also affect other areas.

Between the pelvis’ ribs, is located the lumbar spine region. Five major nerves emanating from this region of the spine are responsible to transmit information between the brain and the legs, ankles, feet, thighs and lower legs. These nerves are also responsible for controlling the abdominal muscles. An injury to the nerves of the lower back or lumbar region can lead to shooting pain in the legs.

Spinal Stenosis and Hip Pain

Spinal stenosis looks similar to herniated discs in that the nerves are under pressure. But spinal stenosis does not involve a herniated disc. Instead, it is due to a narrowing in the spinal canal. Cysts or bulging discs can cause narrowing of your canal.

Even though spinal stenosis could have a different root cause to herniated spine disc, the resulting symptoms might be the same. Both conditions can put pressure on the nerves. It can cause pain in one’s back, in the hips, or down the legs.

Arthritis & Hip Pain

Spinal osteoarthritis can be described as degenerative arthritis in the spine. Osteoarthritis can be described as a condition in which the cartilage that lines your joints is degenerate, or even breaks down. Additional wear on the bones from this cartilage can lead to inflammation, bone spurs, or pain.

Spinal osteoarthritis can be defined as a condition when the cartilage, discs and lower regions of the spine begin to degenerate. They no longer function as cushions for the joints. Increased pressure on joints can cause degeneration, inflammation, pain and even pressure on the nerves in the lumbar.

Other causes of back and hip pain

This article focuses on conditions of the spine that can lead to pain in the hips. But, hip related conditions can also cause lower back discomfort. SI joint dysfunction, osteoarthritis in the hip, and other conditions may cause pain in the hip and lower spine. You should consult your doctor if your symptoms include back pain as well as hip pain.

How to get an accurate diagnosis

For diagnosing symptoms, it’s important to have a detailed history and an examination. While X-rays will show specific bony/cartilage problems, they do not always indicate the severity of the pain. It’s possible to feel little pain, but see a lot of damage on xrays. It is important to treat each patient, and not just the images.

 A second concern is that while x rays of the back might reveal degeneration of discs or small joints, the individual does well. Contrary to popular belief the back looks degenerative. Also, due to bone spurring as arthritis progresses and other symptoms like arthritis, it’s important to obtain an MRI in order to confirm nerve impingements. Nerve impingement is not something that can be seen on X-rays by itself. You should have your history and undergo a physical exam and other tests to confirm your diagnosis.

Herniated Disc Treatment

Anti-inflammatory medications are often used in mild to moderate situations to help with both of these types of problems. You may also be able to use analgesics occasionally. Both can be treated with proper training and weight loss. If you do not exercise the correct exercises to strengthen and stabilize your spine, chronic back pain could become a problem. The injection of corticosteroids into the canal of your low back can reduce pain and inflammation. It is also known as epidural blocking. A cane is a good option for back pain and hip pain.

For pain relief, surgery is an option. This includes a hip replacement to treat hip arthritis and back surgery to correct a herniated or damaged disc, vertebral disorders or spine stenosis. Both back and hip surgery are highly successful. It is important to have a full evaluation and that conservative measures be considered first.

A diagnosis of pain in the hips is rarely straightforward and often requires a specialized evaluation. Before you can establish a treatment plan, it is important to discuss all options with your doctor once the diagnosis has been made. This article helps you determine whether pain is coming from the back or the hip. There are many options available for treatment. First, you must diagnose the problem.

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Kevin Pauza, M.D.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Matthias H. Wiederholz, M.D. - Performance Pain and Sports Medicine

Founding Partner, Triple Board Certified – Physical Medicine & Rehabilitation; Sports Medicine; Anti-Aging, Regenerative & Functional Medicine

Dr. Matthias H. Wiederholz is cofounder of Performance Spine & Sports Medicine, LLC. He is a fellowship-trained interventional pain physician whose clinical interests include: Interventional Pain Management, Sports Medicine, Musculoskeletal Medicine, Minimally-Invasive Spine Surgery, Non-Surgical Orthopedics, and Anti-Aging / Functional Medicine.

He received his specialty training in Physical Medicine and Rehabilitation at Baylor College of Medicine in Houston, Texas where he served as chief resident. He completed fellowship training in Interventional Pain Management in Marietta, Georgia. He is board-certified in Physical Medicine & Rehabilitation and Sports Medicine. He also received advanced fellowship training through the American Academy of Anti-Aging Medicine and is board-certified in Anti-Aging, Regenerative & Functional Medicine.

Dr. Wiederholz performs a myriad of interventional pain procedures including, but not limited to the following: epidural steroid injections, facet joint injections, radiofrequency ablation, sacroiliac joint injections, discography, percutaneous disc decompression, epidural lysis of adhesions spinal cord stimulator implants, and minimally-invasive discectomies. Endoscopic spine surgery is a very unique and valuable tool in his armamentarium and makes Dr. Wiederholz one of the most specialized physicians in the field of Pain Medicine.

Dr. Wiederholz uses musculoskeletal ultrasound in the diagnosis of musculoskeletal injuries. He incorporates ultrasound for precise injection therapy including cortisone injections, prolotherapy, and PRP (platelet rich plasma). This technology is also utilized to perform the Tenex procedure, a percutaneous procedure for treating chronic tendon pain (tennis elbow, rotator cuff, plantar fasciitis, etc).

Dr. Wiederholz is the fellowship director for the sports and spine fellowship at Performance Spine & Sports Medicine. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute.

Being advanced fellowship trained in Anti-Aging, Regenerative & Functional Medicine means that Dr. Wiederholz has the most advanced training in Anti-Aging Medicine available. He is a leading expert in Bio-Identical Hormone Restoration and helps patients achieve wellness through nutrition, lifestyle, and hormone therapies.

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Yasuyuki Nonaka, M.D. - Nonaka Lumbago Clinic

Kevin Pauza, M.D. - Turtle Creek Surgery Center

Prior to attending Penn State University, Dr. Pauza earned his undergraduate degree from Lehigh University, and furthered his training with a Surgical and Medical Internship at Columbia University College of Physicians and Surgeons. He continued his specialty training at the University of Pennsylvania, followed by an Interventional Spine Fellowship. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. He established a Spine Fellowship program and continues training physicians from around the world. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians.

After helping hundreds of patients who failed to experience relief after spine surgery, it became evident to Dr. Pauza that current methods needed to change. This motivated him to seek better ways to help patients, by thinking outside the box.

Dr. Pauza is the first physician in history to pursue FDA approval for using biologics to treat the spine. Millions of patients will benefit from his development of minimally invasive treatments for degenerative disc disease and other more common and serious disorders of the spine.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Brandon Tolman, D.O. - Nashville Spine Institute

Boris Terebuh, M.D. - Regenerative Spine & Joint Center

Boris Terebuh, MD specializes in providing personalized nonsurgical solutions for spine problems that interfere with the function patients desire and the independence they deserve. Dr. Terebuh completed his Physical Medicine & Rehabilitation residency training at The Ohio State University in 1997 and has been in solo practice in Ohio since 2001 because he is committed to providing accessible, individualized and attentive care to his patients. His regenerative approach to solving spine problems enhances the body’s natural ability to heal itself. His guiding principle is integrity – doing what is right for patients in a conscientious manner with the motivation of helping them become fully functional, independent and satisfied. Dr. Terebuh is a very unique Medical Doctor because he has earned seven Board Certifications in the field of musculoskeletal medicine and nonsurgical spine care. Boris Terebuh, MD is delighted to be a Discseel® provider because this revolutionary new technology aligns perfectly with his preferred regenerative treatment approach and patient care philosophy. Dr. Terebuh is also grateful to Discseel® developer, Kevin Pauza, MD, for all the years of diligent and meticulous research to create this innovative, paradigm-shifting intervention, which will certainly spare countless individuals the prospect of avoidable spine surgical procedures.

Thierry Bonnabesse, M.D. - Champlain Spine and Pain Management

Gregory Lutz, M.D. - Regenerative Sportscare Institute

Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). In addition, he currently serves as Physiatrist-In-Chief Emeritus at Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Dr. Lutz is one of the world’s leading experts in the field of regenerative interventional orthopedic medicine, appearing annually on Castle Connolly’s and New York Magazine’s “Top Doctors” lists.

Janet Pearl, M.D. - The Boston Stem Cell Center

Dr. Janet Pearl has been in practice since 1999 and is the Medical Director of The Boston Stem Cell Center. She is also the Medical Director of  Complete Spine and Pain Care  an interventional integrated Pain Management practice, both located in Framingham, Massachusetts. Dr. Pearl is Triple Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology and has over 20 years experience in doing these procedures.

Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Pain Management Fellowship program.

After graduating from Harvard College with an A.B. in Applied Mathematics with Economics, Dr. Pearl received a M.Sc. in Health Planning and Financing at the London School of Hygiene and Tropical Medicine. She then received her M.D. from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.

Watch Dr Pearl give an introduction to The Boston Stem Cell Center

Dr. Pearl completed her internship in Internal Medicine at New England Deaconess Hospital, her residency in Anesthesiology at the Massachusetts General Hospital, and her fellowship in Pain Management at the Brigham and Women’s Hospital. Dr. Pearl was the first resident ever to serve on the Accreditation Council for Graduate Medical Education (ACGME)’s Residency Review Committee for Anesthesiology. She is a Joseph Collins Scholar and a Rotary Scholar and was awarded the AMA/Glaxo Welcome and AMA/Burroughs Welcome Resident Leadership Awards.

From 2004 to 2010, Dr. Pearl served on the University of Massachusetts Board of Trustees. While there she chaired the Committee on Science, Technology and Research, was a member of the Committee on Academic and Student Affairs and the Governance Committee and also served as Vice Chair of the Advancement Committee, and as a member of the Committee on Athletics.

Dr. Pearl is Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology with the American Board of Regenerative Medicine and the American Board of Anesthesiologists.

Memberships:

  • The American Pain Society;
  • The Massachusetts Medical Society;
  • The Massachusetts Society of Anesthesiologists;
  • The Massachusetts Society of Interventional Pain Physicians;
  • The American Society of Anesthesiologists;
  • The American Society of International Pain Physicians;
  • The American Institute of Ultrasound in Medicine; and,
  • The American Board of Regenerative Medicine.

PUBLIC SERVICE:

  • Member, Massachusetts Department of Industrial Accidents, Health Care Services Board 
  • Member of the Association of Harvard College Class Secretaries and Treasurers
  • Past Member of the Board of Directors of the Harvard Alumni Association
  • Former Member of the Board of Trustees University of Massachusetts. (10/2010 – 10/2014) 

Travis Foxx, M.D. - Premier Anesthesiology & Pain

Mark Reecer, M.D. - Fort Wayne Physical Medicine

Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. He has over 20 years of work comp experience, and he routinely provides Independent Medical Examinations (IMEs) for the Indiana Workers’ Compensation Board. Dr. Reecer has lectured extensively and has authored multiple publications that promote his specialty and the use of treatment modalities to eliminate pain, improve function and avoid surgery.

Dmitry Buyanov, M.D. - IV Infusion Treatment Center

Dr. Buyanov is originally from Kiev, Ukraine. He received his training in Anesthesiology and his Interventional Pain Management Post-Doctoral at Penn State Medical Center, PA. Dr. Buyanov moved to San Antonio in 2003 at which time he was part of a multi-specialty group before he founded Premier Pain Consultants in 2004. His practice has over 5000 active patients in his practice. Dr. Buyanov treats his patients in a cost-effective manner although giving them the best care with interventional pain treatments/procedure to help each patient improve their quality of life. Dr. Buyanov strongly believes in an individualized and multidisciplinary approach to pain management, he believes in the Buddhist saying: “pain is inevitable but suffering is optional”. He works closely with the area internists, physical therapists, chiropractors, psychiatrists, neurologists, and spine surgeons to insure that each patient has the most optimal individualized treatment plan. Dr. Buyanov enjoys spending his spare time with his children.

Desmond Hussey, M.D. - NASA Neuroscience and Spine Associates. P.L

Dr. Hussey earned his undergraduate degree from Dartmouth College, and proceeded to earn his Medical Degree from The University of Miami School of Medicine. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. Dr. Hussey continued his specialty training at John Hopkins University pain clinic. A member of The Spinal Injection Society and The American Academy of Neurology and Psychiatry.

Haley Burke, M.D. - Colorado Rehabilitation and Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Maxim Moradian, M.D. - Interventional Spine Care & Orthopedic Regenerative Experts

Dr. Moradian is triple-board certified in Physical Medicine and Rehabilitation (PM&R), Sports Medicine and Pain Management. Dr. Moradian’s clinical practice is devoted to the comprehensive care of spine, joint, muscle, tendon, ligament, and peripheral nerve disorders. He is proficient in performing advanced, minimally-invasive procedures under fluoroscopic and/or ultrasound guidance in the entire spine. Dr. Moradian performs electrodiagnostic testing (EMG/NCS) for the accurate diagnosis of muscle and/or nerve disorders. He has a special interest in regenerative medicine, sports concussions, neuromuscular ultrasound, medical education, and clinical research. His true passion is to treat his patients like his family and friends.

Wendi Lundquist, D.O. - Active Life Physical Medicine & Pain Center

Dr. Lundquist is the Medical Director and founder of Active Life Physical Medicine & Pain Center, Innovative Surgery Center, and Regena Spa. She is dual board certified in Physical Medicine and Rehabilitation along with Pain Management and a diplomat with the American Board of Pain Medicine. She completed her training at Loyola University in Chicago, Illinois in July of 2005. During her time there, she served as Chief Resident and was involved in several research projects. Prior to, she completed medical school at Midwestern University at the Arizona College of Osteopathic Medicine campus in Glendale, Arizona and internship at Doctors Hospital in Massillon, Ohio. She also has a Bachelor of Science in Biology and minor in Chemistry from the University of New Mexico in Albuquerque. She has a special interest in sports medicine, pain and spine. With 17 years experience, she has great enthusiasm towards regenerative medicine.

Michael Wolff, M.D. - Southwest Spine & Sports