The Hip-Spine Connection: Understanding Its Importance in the Treatment of Hip Pathology
Authors
Redmond JM, Gupta A, Nasser R, Domb BG
DOI: 10.3928/01477447-20150105-07
Purpose
To review the biomechanical and clinical relationship between the hip and lumbar spine and discuss implications for diagnosis and treatment of patients with concurrent hip and spine symptoms.
Methods
A narrative review summarizing the kinematic, neurologic, and clinical interactions between the hip and lumbar spine, with a focus on young athletic populations and a proposed diagnostic and treatment algorithm.
Key Findings
- Hip and lumbar spine share innervation and biomechanical interactions that can cause overlapping pain patterns.
- Hip pathology can affect lumbar spine mechanics even before degenerative spine changes develop.
- Proper diagnosis requires careful evaluation of both hip and spine to guide appropriate treatment.
Conclusion
Recognition of the hip-spine connection is essential for accurate diagnosis and effective treatment in patients presenting with combined hip and lumbar spine pain, especially in younger athletic individuals.
What This Means for Patients
Patients with hip or low back pain should be evaluated for both hip and spine issues to ensure correct diagnosis and treatment, improving symptom relief and functional outcomes.