question-icon

Can Hip And Back Pain Cause Radiculopathy?

default
Posted on Mon, 23 Feb 2015
Question: Can radiculopathy be caused by a hip problem or just by a back problem? Can a back issue cause hip pain?
doctor
Answered by Dr. Vaibhav Gandhi (18 minutes later)
Brief Answer:
Radiculopathy can be caused by hip problem also.

Detailed Answer:
Hello,

I have studied your case.

Radiculopathy can be caused by hip problem also.
Speciality of hip radiculopathy is –its referred pain up to knee only not below it. Hip pain in hip joint pathology usually seen on anterior aspect of hip.

In contrast spine radiculopathy is from back up to toes on posterior aspect of lower extremity.

Yes back issue can lead to hip pain.
Back issue can lead to hip pain usually on posterior aspect of hip.
Pain originating from spine will aggravate much on isolated hip movements.

MRI spine and hip along with EMG-NCV study will help in locating origin of pain.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health

Take care.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Vaibhav Gandhi (24 hours later)
Thanks, Dr. XXXXXXX I sent this reply before and the screen went blank so if you've already received this, sorry.

My radiculopathy is in my toes and ankle, mostly fourth and fifth toes, sometimes all of them and across the top of my foot and into my arch. It is unbearable at night.

The hip pain is anterior to lateral, between my hip bone and the bend in my leg. It hurts with any movement, always with sitting and lying. Sometimes that area is too sensitive to even touch, sometimes I can massage it. I can't lay on that side at all and not for long on the other side even with several pillows between my legs. It feels more nervy than joint but I can't tell for sure. The hip is becoming weaker and I don't trust it. Maybe it's weaker because I'm doing less because of the pain.

The back pain is low lumbar. The mri showed basically nothing, some narrowing and bulging consistent with age, my symptoms do not match the mri findings. During the epidural steroid injection the radiologist had trouble advancing the catheter due to a bone spur and I had to wiggle around until he could pass it. I got a copy of the note and this was not documented so I have no proof. Should someone re review the mri?

I've had chronic back pain for 20 years that I deal with. I sprained my hip when I was 16 and it also chronically aches but I deal with that too. None of the pain I have now existed before the fall 2.5 years ago. Doesn't it make sense that the hip would be the problem? But it makes sense that the back is a problem too. Maybe two unrelated problems? One never hurts without the other though.

I've become a chronic pain patient but I'm not a doctor-hopper or pill-seeker. I'm the opposite. Does it make sense to start with the ortho doc and ask for a hip mri and emg/ncv? Or does the neuro doc make more sense? Somedays I'm convinced it's all hip, other days all back. Where is the best place for me to begin to waste the least amount of time?
doctor
Answered by Dr. Vaibhav Gandhi (9 hours later)
Brief Answer:
There is possibility of combined hip and spine problems as per your symptom

Detailed Answer:
Hello again

I have studied your symptoms,

There is possibility of combined hip and spine problems as per your symptoms.

It is important to have good clinical examination from orthopaedic doctor and do required investigation like MRI hip and EMG-NCV study.
This is more important rather than reviewing MRI spine from other doctor.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health

Take care.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Can Hip And Back Pain Cause Radiculopathy?

Brief Answer: Radiculopathy can be caused by hip problem also. Detailed Answer: Hello, I have studied your case. Radiculopathy can be caused by hip problem also. Speciality of hip radiculopathy is –its referred pain up to knee only not below it. Hip pain in hip joint pathology usually seen on anterior aspect of hip. In contrast spine radiculopathy is from back up to toes on posterior aspect of lower extremity. Yes back issue can lead to hip pain. Back issue can lead to hip pain usually on posterior aspect of hip. Pain originating from spine will aggravate much on isolated hip movements. MRI spine and hip along with EMG-NCV study will help in locating origin of pain. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health Take care.