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Hip Pain and the Lower Back….are they connected?

Solutions for Hip and Back Pain

By Dr. Richard Mak PT

Hip Pain New York NYEver had hip pain that occurred without any trauma? Do you experience hip discomfort when sitting for a long time? Does your hip still feel weak and painful even after performing exercises to strengthen the hip muscles? Do you experience some mild aching and stiffness in the lower back?

If so, then your lower back can contribute to your hip pain and weakness. Your lower back is a series of joints that move on top of one another to enable you to bend backwards, bend forwards, and shift your hips from side to side. Stiffness in the lower back will affect some of these motions and may affect the nerves that exit from the lower back and innervate the leg. Some signs of nerve irritation are pain, burning, numbness/tingling, and weakness in the muscles that are innervated by that nerve.

Hip Pain Accompanied By Low Back Pain

When you experience stiffness in the lower back along with hip pain, you may notice that you will have difficulty bending forward to pick up an object and/or have discomfort returning upright. This lower back stiffness can affect the nerves that innervate your hip and contribute to your pain. Improving the motion of a stiff lower back can alleviate the nerve irritation.

Once the nerve irritation is alleviated, the discomfort should subside and your hip strength will improve. People with hip discomfort when sitting for a long time may notice their symptoms decrease once they sit in an upright posture or get up to move around.

A number of my patients are surprised how much their hip pain and strength improves after I address their lower back stiffness in addition to treating their hip. They may complain of minor aching and stiffness in the lower back, but will focus more on the limitations and pain in their hip since it notably affects their daily activities.

Diagnose and Treat Hip Pain

In addition to a movement assessment of the lower back, you will undergo a weak link assessment on the Red Cord system. A Redcord weak link assessment is a series of tests to identify weakness/dysfunctional movement patterns in the core stabilizers and legs that may contribute to your hip pain. The combination of hands on therapy to get your back moving and weak link corrections with the Redcord system will have you moving pain free again.

Come in for a lower back and weak link assessment and we will create a treatment plan to have you back to your favorite activities pain free.


Osteoarthritis: what you need to know

Osteoarthritis (OA) is a common health condition that affects the body’s joints, limiting flexibility and movement. If you have OA, there are a number of reasons it may have occurred. In any affected joint, cartilage within roughens and gradually becomes thinner as the bone beneath the cartilage starts to thicken. The synovium thickens and makes additional fluid, leading to swelling of any affected joint, and bones at the edge of the joint start to form bony spurs. For some people, these changes lead to little pain because the body attempts to heal itself, but for others, the side effects are more severe, leading to cartilage becoming insufficient to cover the bones and then the bones start grating together. Joint shape can also begin to change.

Symptoms of Osteoarthritis

  • Joint pain which intensifies when moved or may appear worse in the evening
  • Stiffness – lessens with movement
  • Grinding – there may be creaking noises during movement
  • Swelling – hard or soft swelling of the joint may occur
  • Lack of movement – restricted movement due to instability of the joint or where muscles have weakened

Symptoms are likely to vary but you may find that where there are changes in the weather – perhaps a damp spell – this could trigger aches and pains in the joint, or when over or under exercising.

Causes of Osteoarthritis

  • Age – it may commence from the late 40s, when muscles weaken or the joints start wearing out
  • Joint injury – OA may occur after injury but equally could commence through having a physically demanding job
  • Obesity – being overweight increases the potential of having OA, especially in the weight-bearing joints
  • Gender – OA tends to be more common and severe in women
  • Joint abnormalities – if born with abnormalities, or if they developed later on in life, this can lead to severe osteoarthritis
  • Genetic – there are some rare forms of OA that impact collagen; also, nodal osteoarthritis mainly impacts the hands of women during middle age

Treatment Options for Osteoarthritis

It is important to gain a correct diagnosis for osteoarthritis and to find the appropriate pain relief if required. If the pain is relatively mild to moderate, some non-steroidal anti-inflammatory drugs may be sufficient. If the pain is more severe, opioids may be a better option. Your doctor will advise you of the best medicines to take. Medicine will not cure your osteoarthritis but you may find that using medication alongside regular exercise such as yoga or walking, and undertaking physical therapy, will all help with the healing process.


Chiropractic treatment can be surprisingly beneficial as it helps to reduce pain by aligning the spine and aiding muscles and joints to move better, impacting your body’s response to pain. Manipulation of the spine will also naturally increase the range of motion available, not just in the spine, but also the shoulders and hips – it is likely that you will feel a release of tension in the muscles as a result. The Chiropractor may suggest taking glucosamine in supplement form to aid relief, but any Chiropractor who has experience treating osteoarthritis will also create a treatment plan for you so that healing continues outside of the therapy sessions.



Hip Pain Relief NYC: Your Complete Guide

Hip pain and inflammation in the hips are among the most common signs of aging. Diminished joint lubrication and chronic joint inflammation are among the many causes of this discomfort. More commonly, however, this pain can be attributed to problems with the spine. Once spinal alignment becomes compromised, people can experience a range of functional problems across all muscle systems and joints. This is why hip pain can develop at any age and across demographics of all activity levels and interests.


As the central supporting structure in the body, the spine is integral for ensuring that no muscle, muscle group or joint is being overworked. With good alignment and good overall posture, people can complete a range of challenging activities including elevation changes, lifting while bending and climbing, without serious risk of injury or discomfort. When either alignment or posture are poor, however, even minor movements can cause discomfort and the risk of physical injury is always high.

Hip Pain Is Often An Alignment Issue Masquerading As Something Else

Many people are surprised to discover that their hip discomfort originates in their back. In addition to being the primary or central support structure for the entire body, however, the spine is also an information highway. Countless messages are sent across the spine between the brain and the nerves each and every second of the day. When alignment issues are present, this communication becomes compromised and problems can occur.


Not only are their issues that can occur as the result of discs having moved, but when the vertebrae aren’t stacked up just right, there is also a high likelihood of having one or more nerves become compressed or pinched. This can lead to excruciating pain that won’t relent until the the compression is resolved.


The pain of nerve compression is sharp and shooting. If the sciatic never is compressed, the resulting pain will travel down the back of the leg and may even impact the buttock. Although consumers might readily reach into their cabinets for pain pills, products like Ibuprofen and aspirin are not designed to address this discomfort. Nerve pain can only be alleviated by very specific families of drugs.

Getting A Long-Term Solution for Hip Pain Relief

It is important to note that pain pills are a poor substitute for a solution when nerve pain exists. This is a functional problem and one that is usually best addressed with functional therapies. The goal of a functional therapy is to improve the way in which a part of the body works in relation to all other body parts for improved mobility and greater overall comfort.


Hands-on therapies such as those that are supplied by chiropractors can be very effective for correcting slipped discs and pinched or compressed nerves. Chiropractors are trained to slowly finesse vertebrae back into their positions so that the spine can function and feel normal again. This is a process that takes time and it is usually completed over a number of visits.


Sometimes hip discomfort develops as the result of a jarring, impact event such as a car crash or a slip and fall injury. Correcting associated alignment issues could be the safest and most natural way to gain relief from this discomfort. When alignment-related hip discomfort occurs outside of an impact event, however, it is also necessary to make strategic lifestyle changes for better protecting this part of the body against future and preventable strain.

Hip Pain Relief NYC


Hip Pain Treatments in NYC

Hip pain can have many causes and finding what the issue is in your case is very important.  By taking the time to really understand exactly what is going on, our doctors can often find solutions to your hip pain that others may have overlooked.  We are dedicated to working with our patients to find out what is really going on in their bodies and help come up with a solution that will be effective in both the long and short terms.  Using a holistic approach, we can help your body’s natural desire to heal itself, which means you can often get exceptional results without dangerous drugs or surgery.

While we do recognize that more invasive treatments are sometimes required, we believe it is best to try all the most natural and lease intrusive solutions first.  This is why our team includes an acupuncturist, a Chiropractor, a physical therapist and a medical doctor.  Together, we can find out what is causing your hip pain and come up with the perfect solution for your situation.

Common Causes of Hip Pain

There are many things that can cause hip pain, which makes this a particularly difficult issue for many doctors.  The following are a few of the many causes of potentially debilitating hip pain.

  • Arthritis – Chronic hip pain is commonly caused by arthritis or osteoarthritis. As your hip joins begin to wear out, stiffness and swelling can occur, which can be very painful.
  • Fractures – A hip fracture is a common problem and one that can cause severe pain.
  • Tendinitis – Issues with the tendons around the hip can make walking or any movement quite painful or uncomfortable.
  • Back Issues – Problems in the back can travel down into the hips causing a lot of pain.

These are just four of the most common issues we see here in our office.  Whether you are struggling with one of these, or you’re not sure what the case of your hip pain might be, we are here to help.  We can start by focusing on providing you with rapid pain relief through spinal manipulation or acupuncture.  These are two natural options that have no negative side effects.  From there, we’ll help get to the root cause of your hip pain so that it can be addressed directly.

Schedule an Appointment Today

The first step in getting relief from your hip pain is to come in and meet with our team of medical professionals.  To do this, please give us a call at 212-349-3444.  You can speak with someone from our team who can answer your questions, take down your information and schedule an appointment for a time that is convenient for you.  We serve people throughout Midtown NYC, Midtown Manhattan and all throughout NYC so if you live or work in this area, please give us a call to start the process.  We look forward to helping you reduce or eliminate your hip pain as quickly as possible.