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Center for Hip Preservation

Lumbosacral Issues Impacting the Hip - Hip Conditions

The close anatomic relationship of the hip joint to the lower, lumbosacral spine can often present a challenge in determining the primary cause of pain. Most “true” hip disorders are manifest by anterior hip pain (often called groin pain) while posterior pain/buttock pain is, in general, a symptom of lumbar spine problems. However, there are many instances where true hip pathology presents as lateral hip pain or even buttock/gluteal pain. In addition, not all groin pain is the result of hip pathology; upper lumbar root impingement, for example, will present as groin discomfort. It is therefore key to make sure that a complete lumbar exam is performed on a new patient seeking a hip evaluation.