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
Review biomechanical and clinical interplay between hip and lumbar spine; implications for diagnosis and treatment.
Methods
Narrative review focusing on kinematic, neurologic, and clinical interactions, especially in young athletes; proposed diagnostic/treatment algorithm.
Key Findings
- Hip and lumbar spine share nerve supply and biomechanical links causing overlapping pain patterns.
- Hip pathology can alter spine mechanics before spinal degeneration occurs.
- Accurate diagnosis requires evaluation of both hip and spine symptoms.
Conclusion
Recognition of hip-spine relationship is vital for diagnosing and treating patients with combined hip and low back pain.
What Does This Mean for Providers?
- Conduct thorough assessments of both hip and lumbar spine in patients presenting with overlapping symptoms.
- Consider hip pathology as a contributor to spine symptoms (and vice versa) to avoid misdiagnosis.
- Develop integrated treatment plans addressing both regions for optimal patient outcomes.