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What could cause bad lower back/hip pain that switches from left to right side occasionally? feels very stiff, sometimes felt in butt. Going on 6month

1 doctor weighed in
Dr. Laurence Badgley
General Practice

In brief: Soft tissues

32y fem has "severe low back/hip pain alternating from side to side for six months" + sciatica.
Largest joints in axial spine are sacroiliac joints, SIJ, & responsible for up to 30% of chronic low back pain per med lit. Lumbar nerve roots that conjoin to make sciatic nerve lie over ventral sulcus of SIJ. SIJ hypermobility can tug on these nerves, stimulate them & thereby arouse pain. See Osteopath

In brief: Soft tissues

32y fem has "severe low back/hip pain alternating from side to side for six months" + sciatica.
Largest joints in axial spine are sacroiliac joints, SIJ, & responsible for up to 30% of chronic low back pain per med lit. Lumbar nerve roots that conjoin to make sciatic nerve lie over ventral sulcus of SIJ. SIJ hypermobility can tug on these nerves, stimulate them & thereby arouse pain. See Osteopath
Dr. Laurence Badgley
Dr. Laurence Badgley
Thank
7 comments
Dr. Laurence Badgley
Pain of sciatica can be worse "resting than walking" because ground forces of chair seats and mattresses torque the pelvic girdle bony ring, impinging neural plexi contiguous to major pelvis joints, the sacroiliac joints. In women with benign Hypermobility Syndrome, SIJ subluxation becomes a consideration.
Dr. Laurence Badgley
Any young female with sciatica needs to be evaluated for Hypermobility Syndrome, which can potentiate sacroiliac joint subluxation, which is a common cause of sciatica. There are several other causes of sciatica, and an Osteopath can help to diagnose.
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