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Hip Pain
Treatment in Hursville

Where Do You Feel Hip Pain?

Hip pain is not always felt directly in the hip joint itself. Depending on the structures involved, pain may be experienced in the groin, side of the hip, buttock, or even further down the thigh or leg. While pain location alone cannot diagnose a condition, understanding where you feel pain can provide useful clues during assessment and help identify the most likely source of your symptoms.

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1. Front Of The Hip (Groin)

Pain felt in the front of the hip or groin may be associated with structures inside or around the hip joint. Groin pain is one of the most common locations for symptoms originating from the hip joint itself.

People often notice symptoms when:

  • Sitting for prolonged periods

  • Squatting

  • Pivoting or twisting

  • Getting in and out of a car

  • Running or sporting activities

Possible source include:

  • Hip joint structures

  • Labrum

  • Cartilages

  • Hip flexor tendons e.g., Iliopsoas

  • Adductor muscles

  • Groin-related structures

2. Side Of The Hip

Pain on the outside of the hip is often related to the tendons, bursae, and soft tissues around the greater trochanter (the bony prominence on the side of the hip) rather than the hip joint itself. These conditions are commonly referred to as Greater Trochanteric Pain Syndrome (GTPS). However, symptoms in this area can sometimes be influenced by the lower back or nearby nerves, which is why a thorough assessment is important.

People may notice symptoms when:

  • Lying on the affected side

  • Walking for longer distances

  • Climbing stairs

  • Standing on one leg

  • Crossing their legs

Possible source include:

  • Greater trochanter region

  • Gluteal tendons

  • Bursa​ around the greater trochanter

  • Iliotibial band

  • Nearby nerve irritation

  • Referred from the lower back

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3. Buttock Pain

Buttock pain does not always originate from the hip itself and may be referred from nearby structures such as the deep gluteal muscles, lower back, pelvis, or sacroiliac joint. Because symptoms can overlap, a thorough assessment is often required to identify the most likely source. 

People may notice symptoms when:

  • Sitting for prolonged periods

  • Standing after prolonged sitting

  • Walking uphill

  • Climbing stairs

  • Running

Possible source include:

  • Deep gluteal muscles

  • Proximal hamstring tendon

  • Sacroiliac joint

  • Sciatic nerve

  • Referral from the lower back

4. Pain That Travels Down The Leg

Pain that travels into the thigh, calf, or foot does not always originate from the hip itself. Some people may also experience neurological symptoms such as numbness, tingling, burning sensation or weakness. Symptoms extending below the knee are more commonly associated with the lower back or nervous system than the hip joint itself.

People may notice symptoms when:

  • Walking for prolonged periods

  • Standing for extended periods

  • Bending or lifting

  • Coughing or sneezing (in some cases)

Possible source include:

  • Lumbar spine

  • Sciatic nerve

  • Peripheral nerves

  • Referred from the lower back 

  • Hip-related conditions (Less common)

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Common Causes Of Hip Pain

1. Low Back Pain In Australia

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2. Classification Of Low Back Pain

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Non-Specific Low Back Pain (90–95%)

It means that no single structure or specific disease can be reliably identified as the sole cause of your symptoms. Your pain is real, but it is not always explained by tissue damage alone. Low back pain can be influenced by many interacting factors—including muscles and joints, physical activity, sleep, stress, general health, lifestyle and social factors.

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Low Back Pain With
Nerve-related Symptoms
(5-10%)​

Some people experience low back pain with symptoms that travel into the leg. These may include shooting or burning pain, numbness, tingling, changes in sensation or weakness. When nerve involvement is suspected, a neurological examination can help assess sensation, muscle strength and reflexes to better understand whether a nerve may be involved.

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Serious Spinal Conditions (<1%)​

A very small proportion of people presenting with low back pain have symptoms related to a serious spinal condition, such as fracture, infection, cancer or cauda equina syndrome. A thorough assessment helps identify signs or symptoms that may require further investigation, imaging or medical referral.

Common Questions About Low Back Pain

Medication

  • NSAIDs may be considered as a 1st-line option for short-term symptom relief.

  • Non-pharmacological care prioritised, rather than use of NSAIDs

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Injection

  • Epidural corticosteroid injections may be considered in selected cases.

  • No meaningful benefit over sham procedures.

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Surgery

  • Surgery is generally not recommended.

  • considered for significant neurological involvement or no improvement is persistent radicular symptoms

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When Should I Seek Medical Attention?

Most low back pain is not caused by a serious medical condition. However, certain symptoms or combinations of symptoms may require prompt or urgent medical assessment.

🚨 Call 000

  • New difficulty passing urine or loss of bladder or bowel control

  • New numbness or altered sensation around the genitals, buttocks or inner thighs — sometimes described as the “saddle” area

  • New or rapidly worsening weakness affecting one or both legs

  • Severe back pain following significant trauma, particularly if you are unable to move safely

🩺 See Your GP or Seek Prompt Medical Assessment

  • Fever, chills or other signs of infection

  • A history of cancer with new or unexplained back pain

  • Unexplained weight loss or feeling generally unwell

  • Known osteoporosis or long-term corticosteroid use, particularly following a new injury

  • New or worsening numbness, tingling or weakness in the leg

  • Symptoms that are progressively worsening or changing unexpectedly

  • Persistent symptoms that are not improving as expected

Having one of these features does not necessarily mean that you have a serious condition. Red flags are not diagnostic on their own. Your symptoms, medical history, how your condition is changing and examination findings need to be considered together.

How We Help With Your Low Back Pain

At Evergreen Spine & Wellness, we focus on helping you understand why your knee pain developed and what can be done to improve it.

1. Thorough Assessment

Every person experiences back pain differently. Rather than simply looking for something "out of place," our assessment aims to understand what may be contributing to your symptoms and determine the most appropriate management plan for you.

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Detailed history

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Neurological assessment

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Movement assessment

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Strength assessment

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Special Test

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X-ray if indicated

2. Understanding Your Condition & Making Sense Your Low Back Pain

Low Back Pain Is Rarely Influenced by One Factor Alone. We help you understand the factors that may be contributing to your symptoms and recovery.

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  • Stress or anxiety

  • Fear of movement

  • Concern about pain or imaging findings

  • Previous pain experiences

  • Confidence in your recovery

  • Muscles, joints, discs and nerves

  • Recent injury or physical overload

  • Movement and physical capacity

  • Previous episodes of back pain

  • Nerve-related symptoms

  • Increased sensitivity to movement or touch

  • Widespread or disproportionate pain

  • Sustained postures

  • Repetitive activities

  • Poor sleep & diet

  • Low physical activity

  • ​Overall health and wellbeing

  • Other medical conditions

3. Personalised Management

Our treatment is tailored to your individual needs and goals. Depending on your condition, care may include hands-on treatment, exercise, education and lifestyle guidance to help you move with greater confidence and return to the activities that matter most to you.

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Manual therapy may be used when appropriate to help improve comfort, reduce pain sensitivity, and support movement.

  • Chiropractic adjustment

  • Joint mobilisation

  • Manual stretching

  • Soft tissue therapy

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Individualised exercises designed to improve movement, physical capacity, and confidence.

  • Stretching exercise

  • Strengthening exercise

  • Nerve gliding exercise

  • Functional training

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Neck pain can be coming from various factors, including stress, sleep, activity, and work

  • Stress management

  • Sleep intervention

  • Activity modification

  • Workstation advice

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Helping you better understand:

  • Your pain & symptoms

  • Contributing factors

  • Self-management

  • Recovery strategies

Reference

Ammendolia, C. (2025) ‘Ten myths of back pain in older adults that can lead to ineffective and harmful care’, Chiropractic & Manual Therapies, 33, 45. doi:10.1186/s12998-025-00609-9.

 

Australian Commission on Safety and Quality in Health Care (2022) Low Back Pain Clinical Care Standard. Sydney: ACSQHC.

 

Ballay, C., Mansfield, C.J., Cook, C.E., Erickson, M., McCormick, Z.L. and Remis, A. (2026) ‘Spine-related leg pain: Definitions, etiology, clinical presentation, and management’, Musculoskeletal Science and Practice, 85, 103623. doi:10.1016/j.msksp.2026.103623.

 

Brinjikji, W., Luetmer, P.H., Comstock, B., Bresnahan, B.W., Chen, L.E., Deyo, R.A., Halabi, S., Turner, J.A., Avins, A.L., James, K., Wald, J.T., Kallmes, D.F. and Jarvik, J.G. (2015) ‘Systematic literature review of imaging features of spinal degeneration in asymptomatic populations’, American Journal of Neuroradiology, 36(4), pp. 811–816. doi:10.3174/ajnr.A4173.

 

Buchbinder, R., Underwood, M., Hartvigsen, J. and Maher, C.G. (2020) ‘The Lancet Series call to action to reduce low value care for low back pain: An update’, Pain, 161(Suppl. 1), pp. S57–S64. doi:10.1097/j.pain.0000000000001869.

 

Cashin, A.G., Chou, R., Weimer, M.B. and McAuley, J.H. (2026) ‘Low Back Pain: A Review’, JAMA. doi:10.1001/jama.2026.9631.

 

de Zoete, A., Innocenti, T., Petrozzi, M.J., van Middelkoop, M., Assendelft, W.J.J., de Boer, M.R., van Tulder, M.W. and Rubinstein, S.M. (2026) ‘Spinal manipulative therapy for adults with chronic low back pain’, Cochrane Database of Systematic Reviews, 2026(1), CD008112. doi:10.1002/14651858.CD008112.pub3

 

Finucane, L.M., Downie, A., Mercer, C., Greenhalgh, S.M., Boissonnault, W.G., Pool-Goudzwaard, A.L., Beneciuk, J.M., Leech, R.L. and Selfe, J. (2020) ‘International framework for red flags for potential serious spinal pathologies’, Journal of Orthopaedic & Sports Physical Therapy, 50(7), pp. 350–372. doi:10.2519/jospt.2020.9971.

 

Foster, N.E., Anema, J.R., Cherkin, D., Chou, R., Cohen, S.P., Gross, D.P., Ferreira, P.H., Fritz, J.M., Koes, B.W., Peul, W., Turner, J.A. and Maher, C.G. (2018) ‘Prevention and treatment of low back pain: Evidence, challenges, and promising directions’, The Lancet, 391(10137), pp. 2368–2383. doi:10.1016/S0140-6736(18)30489-6.

 

George, S.Z., Fritz, J.M., Silfies, S.P., Schneider, M.J., Beneciuk, J.M., Lentz, T.A., Gilliam, J.R., Hendren, S. and Norman, K.S. (2021) ‘Interventions for the management of acute and chronic low back pain: Revision 2021’, Journal of Orthopaedic & Sports Physical Therapy, 51(11), pp. CPG1–CPG60. doi:10.2519/jospt.2021.0304.

 

Haddadj, R., Nordstoga, A.L., Nilsen, T.I.L., Skarpsno, E.S., Kongsvold, A., Flaaten, M., Schipperijn, J., Bach, K. and Mork, P.J. (2025) ‘Volume and intensity of walking and risk of chronic low back pain’, JAMA Network Open, 8(6), e2515592. doi:10.1001/jamanetworkopen.2025.15592.

 

Hartvigsen, J., Hancock, M.J., Kongsted, A., Louw, Q., Ferreira, M.L., Genevay, S., Hoy, D., Karppinen, J., Pransky, G., Sieper, J., Smeets, R.J. and Underwood, M. (2018) ‘What low back pain is and why we need to pay attention’, The Lancet, 391(10137), pp. 2356–2367. doi:10.1016/S0140-6736(18)30480-X.

 

Jenkins, H.J., Corrêa, L., Brown, B.T., Ferreira, G.E., Nim, C., Aspinall, S.L., Wareham, D., Choi, J., Maher, C.G. and Hancock, M.J. (2025) ‘Long-term effectiveness of non-surgical interventions for chronic low back pain: a systematic review and meta-analysis’, The Lancet Rheumatology. doi:10.1016/S2665-9913(25)00064-5

 

Maher, C., Underwood, M. and Buchbinder, R. (2017) ‘Non-specific low back pain’, The Lancet, 389(10070), pp. 736–747. doi:10.1016/S0140-6736(16)30970-9.

 

McCormick, Z.L., Hurley, R.W., Anitescu, M., Bhaskar, A., Bhatia, A., Cassidy, R.C., Chen, A.S., Dawson, T.C., De Andres Ares, J., de Campos, J.L., Hayek, S.M., Hernandez-Porras, B.C., Kissoon, N.R., Kohan, L.R., Elgueta Le Beuffe, M.F., Moon, J.Y., Provenzano, D.A., Reece, D.E., Schuster, N.M., Smith, C.C., Stout, A., Szadek, K., Thomas, D-A., Tontisirin, N., Vagg, M.F., Van Zundert, J., Woodbury, A. and Cohen, S.P. (2025) ‘Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group’, Pain Medicine, 26(12), pp. 817–917. doi:10.1093/pm/pnaf129.

 

National Institute for Health and Care Excellence (2020) Low back pain and sciatica in over 16s: Assessment and management (NG59). London: NICE. Originally published 2016, updated 2020.

 

O’Sullivan, P.B., Caneiro, J.P., O’Sullivan, K., Lin, I., Bunzli, S., Wernli, K. and O’Keeffe, M. (2020) ‘Back to basics: 10 facts every person should know about back pain’, British Journal of Sports Medicine, 54(12), pp. 698–699. doi:10.1136/bjsports-2019-101611.

 

Pinto, R.Z., Kongsted, A., Silva, S., Hayden, J.A., Downie, A. and Saragiotto, B.T. (2026) ‘Recent highlights in low back pain research, Part I: Diagnosis and prognosis’, Journal of Physiotherapy, 72, pp. 23–32.

 

Saragiotto, B.T., Abdel Shaheed, C., Overton, M., Hayden, J.A., Hartvigsen, J. and Pinto, R.Z. (2026) ‘Recent highlights in low back pain research, Part II: Prevention and management’, Journal of Physiotherapy, 72, pp. 106–115.

 

Tousignant-Laflamme, Y., Martel, M.O., Joshi, A.B. and Cook, C.E. (2017) ‘Rehabilitation management of low back pain – it’s time to pull it all together!’, Journal of Pain Research, 10, pp. 2373–2385. doi:10.2147/JPR.S146485.

 

Weisman, A. and Masharawi, Y. (2026) ‘When imaging is normal, but biology is not: Aligning diagnostics of pain states with nociceptive biology’, The Journal of Pain, 106399. doi:10.1016/j.jpain.2026.106399

 

World Health Organization (2023) WHO guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings. Geneva: World Health Organization.

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