Is Your Back Pain Because of Your Hips?

hip pain treatment

Do you become a victim of a backache as your day comes to an end? Or, do you often hesitate before lifting anything heavy as your fear your back might go out? Then, you should know you aren’t the only one. In fact, CDC data shows that more than 80% of the individual experience back pain at some point during their life! However, many back pain cases are non-specific. What does this exactly mean? This just means that there isn’t any primary reason like a fracture responsible for your backache. Instead, what could cause you pain is your hip. Particularly, its mobility as well as strength.

Trust Therapists at NYDNR

Experienced therapists at NYDNR know that people experiencing back pain either have one of these following three problems or they experience a mixture of the three:

  • Weak glutes muscles
  • Bad posture
  • Lack of hip flexibility

Can hip ligaments lead to a backache?

Hip joints are involved in an extensive motion range. Hip joints are surrounded by y-shaped ligaments known as iliofemoral ligaments. The purpose of these ligaments is to offer support. The problem is, prolonged sitting shrinks the ligaments and reduces the joints’ natural movement. So, when you start to walk with shrunken ligaments, your hips don’t move naturally.

Instead, the ligaments start pulling on the pelvis. Since the pelvis is attached to the spine, this leads to muscle pain, strain, and even inflammation in your back. Plus, reduction in hip motion also tilts the pelvis, thus changing your spine’s posture and elevating strain. However, once hip mobility is improved, you can quickly relieve back pain.

Your hips – are they the one causing pain?

There’s a way to see if the hips are responsible for the pain with two basic tests. In case you find hip motion to be limited or if you experience discomfort and pain, then you should head to NYDNR and get professionals to check it out. The following two tests can help determine mobility:

1.Test for mobility

For the mobility test, do the following:

  • While lying on the back, keep the legs straightened
  • Keep one ankle over your other knee
  • While keeping the ankle pressed to your other leg, start lowering your raised knee on your side
  • Do the same for the second side

Look for a difference in how close your ankles are to the floor. In case there’s any difference, it can be an indication of hip motion issue and lead to discomfort or even severe pain.


  • First, stand beside a counter. Hold onto it gently to balance yourself.
  • While facing forward, keep the knees parallel
  • Finally, squat low while keeping the heels flat

In case you experience excessive pressure on your calf muscles or even your knees, it could be an indication of a hip issue. Repeat the exercise while facing the mirror. If your body tends to lean towards one side, it could be a problem.

Head over to NYDNR today!

On suffering from backache, ensure that you get a professional physical therapist to notice your movements. Visit NYDNR today to find out the primary reason behind your backache, as well as how you can effectively get rid of it! Experts at NYDNR also ensure that the backache doesn’t return!



A clinical exam and diagnostic ultrasound imaging can help your therapist pinpoint the exact location and cause of your hip and groin pain.

Ultrasound enables you and your therapist to view the hip and groin region in real time, while in motion. In addition to ultrasound, video gait analysis can help us identify faulty movement mechanics that contribute to hip and groin pain. Once the exact cause is determined, an effective treatment plan can be initiated.


Explore more advanced diagnostic tools available only at NYDNRehab:


Hip dysfunction and pain can be a complex issue due to interactions of the trunk, pelvis, low back, groin and hip joint. Physical therapy and rehabilitation that is based only on subjective clinical analysis often addresses the symptoms without resolving the underlying cause.


At NYDNRehab, our groundbreaking motion analysis technology and high resolution diagnostic ultrasonography have enabled us to develop a battery of tests that perfectly reveal the dynamic functional pathology of the hip joint and pelvis. Our tests are evidence-based protocols that are considered to be the gold standard in the world of research.

Our testing protocol includes:


Combined lumbopelvic hip stability test using DLEST methodology with C.A.R.E.N., our computer assisted rehab environment


Hip joint stability test using DLEST methodology with C.A.R.E.N.


3D star excursion banner test (SEBT) for assessing the involvement of the hip joint and muscles in postural stability


3D gait or running analysis


3D kinematic joint angle analysis during a squat, lunge, drop jump and pelvis on hip rotation


Rehabilitative ultrasonography for viewing intrinsic hip stabilizing muscle activation patterns

We also perform neuromotor testing with DD Robotech for:

  • Proprioception
  • Tracking ability
  • Force sense
  • Critical power
  • Reactive power
  • Flexibility


Surface electromyography (SEMG) may be added to any of the above tests when needed.

Based on our experience and evidence-based information, we believe that physical therapy and rehabilitation should be based on objective quantifiable data.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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