Can Low Back Pain Cause Groin Pain? Yes, Here's How

In this video, we will explain how can low back pain cause groin pain. Nerves and joints of the lower back can create groin or hip pain with referred pain. Pressing on muscles of the lower back or SI joint often sends pain traveling to the front of the hip. This groin/ hip pain can get worse with walking, picking up leg, running or getting into a car.

UPDATED VIDEO: https://youtu.be/djcvBfJS1Z0

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[Performance Place website low back article excerpt] Hip flexor pain can wreak havoc on your love for running. Many of us run for weight loss or because it’s something we feel we “need to do” to be healthy. But not Julie. She simply loved the act of running!

A 10-minute marathon runner in her mid-40s, Julie would typically run five days per week. Some days she would run in track groups, rising to the challenge when her friends motivated her to get faster. Other times, she relished the solitude of solo runs.

Running was Julie’s “fix.” So when a cluster of symptoms started keeping her from doing what she loved, she knew she needed to take action. She came to Performance Place® Sports Care after seven months of unsuccessful attempts at treating the pain. I knew a detailed examination and proper guidance on how to decrease her symptoms would get her on the right track.

How It All Started
About 10 months ago, Julie began to notice hip flexor and sit bone pain when she ran. Since she didn’t do anything to create it, she thought it would go away on its own—just like most of her minor running-related issues had in the past.

But this time was different.

Soon, her hip flexor and sit bone were starting to ache at the very first step of her morning run, causing her pain for the entire duration. Her sit bone region would feel aggravated all day, especially exacerbated when she sat for long periods of time at work. The pain weighed on Julie’s mind. She wondered what she could do to make it go away.

When Julie couldn’t stand the aching any longer, she decided to take a break from running for a few days. Her hip flexor pain stopped, so she made the difficult decision of not running for two weeks.

Although it was painful to give up running, she hoped the pause would give the condition time to improve. And it did—until she hit the track again.

Just one minute into Julie’s first run in weeks, the pain surged back in full force. Frustrated, she decided to seek help.

What Didn’t Work
Julie started by exploring the typical healthcare route. But she quickly became irritated when her primary care doctor suggested rest and over-the-counter anti-inflammatory medications. She had already tried rest, to no avail, and she didn’t like the idea of medication.

Unsatisfied, Julie searched for a better solution.

Her next stop was to see a physical therapist who was highly recommended by one of her friends. Physical therapy was covered by Julie’s insurance, minus deductible and copay, so she decided to give it a try.

Under her physical therapist’s guidance, Julie tried to remedy her problems with a daily 15-minute routine consisting of stretching, glute strengthening and hip mobility drills. As her inpatient care, she received tool-assisted soft tissue work. But despite two months of diligently following this plan, her sit bone was still tender while sitting at work. And she still hadn’t returned to running.

Frustrated by the lack of progress, Julie continued searching for a real solution.

Next, she visited a chiropractor suggested by a friend whose sciatica had improved under his care. Julie received adjustments and soft tissue work two times per week, which was covered partially by her insurance. But after three months, she saw little improvement.

At this point, Julie was beyond frustrated. It had been five months since she was able to run, and there was still no real solution in sight. She decided to search the Runner’s World forum for more ideas on how to loosen up her hip flexor. After learning about the Active Release Technique, she visited a specialist who cost $150 per 15-minute session—not a penny covered by her insurance. After two months, the treatment yielded no improvement.

In all, Julie’s seven months of health care had cost her more than $2500. But more critical than her financial hit was the void in her life from not running. She still couldn’t even jog without her hip flexor and sit bone immediately starting to ache.

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