A Answers (6)
This is very difficult to know, without seeing your physician. Your doctor can do a simple in office exam procedure to see if you exhibit the Figure 4 sign. If you do, your pain comes from the hip. If not, it may be radiating from the spine.
Sometimes it is difficult to determine where the pain is coming from. The location of the pain is the key element in diagnosing hip pain. A careful history and physical exam can determine the cause of the pain. The causes of back pain are broad but most often it is related to mechanical issues.
It can be difficult to determine if pain is caused by your back or hip. Generally speaking, if your pain is limited to the back, it is most likely due to a back issue. This question becomes more challenging when the pain is located in the buttock and hip; this can be caused by either a hip or a back issue. Pain associated with certain movements of the hip are often a clue that the pain is hip related rather than back related. Your physician will likely be able to determine this upon physical examination. X-ray or MRI studies can also help to determine the exact cause.
Ronald Tolchin, DO, Physical Medicine & Rehabilitation, answered on behalf of Baptist Health South FloridaUsually, a physician or physical therapist can help you determine the most likely origin of your pain, whether it is primarily back-related or the hip.
In some cases, the condition causing the pain can involve both the back and the hip as in case of sciatica, which involves irritation of the sciatic nerve. Sciatica is felt from the low back to behind the thigh and can radiate down below the knee.
The "slump test" is an orthopedic routine commonly done by a chiropractor, doctor or physical therapist when diagnosing the source of your low back pain. This test involves putting the patient through various positions and motions to help detect a disc herniation and a pinched sciatic nerve in the lumbar spine. Or it can help rule out a back-related issue that could point toward a hip condition.
UCLA Health answered
Arthritic hip pain is typically felt in the hip and groin area, possibly down the leg but not past the knee. Back pain usually doesn’t radiate to the groin; it is usually in the low back, possibly radiating down the buttock and legs.
Brian Yee, Physical Medicine & Rehabilitation, answered
Motion tests can usually differentiate the pain between the back and hip.
1. If you lay on your back and bring you knee to your chest without moving your back - and pain occurs in the front or back of your hip - that would indicate a hip origin.
2. If you stand and bend forwards, backwards, side to side, and your pain is reproduced - its most likely coming from your spine or pelvis.
3. There is a test performed by Physical Therapists called a Slump Test that is a maneuver to determine sciatic nerve involvement - can also reproduce pain in the back and hip. In this case it may figure that the hip and back are both invovled, as the sciatic nerve is irritated.