severe pain in hip/lower back when standing straight

by Jerry
(Bakersfield, Ca)

The pain started about a year and a half ago with just numbness down the side of thigh all the way to foot. I was still able to move around just with a lot of discomfort.

Well today almost no numbness or tingling in my legs or feet but I am unable to walk without leaning forward. I cannot stand completely straight up without excruciating pain in my buttocks and hip.

I had a x-ray with my Dr but all was normal, he said. I was in a car accident and was not wearing my seat belt. My right leg got jolted inward toward my chest but my knee was not in a locked position. I have been going to physical therapy for months now and no relief at all.

I've tried resting, tried stretching, medication even hasn't given me any real relief. Range of motion that is most difficult or that I'm unable to do would be; laying flat on back lifting my right leg off the ground with leg in extended positio; also lying on my back trying to cross my right knee to my left side.

I was ruled out that it was not piriformis syndrome, but haven't been able to figure out what is cause for the pain other than saying it's sciatica.

Im 30 years old, 185 lbs 5ft 11 inches, was always very active and love to play basketball. Now I can barely walk around without hunching over and always needing to sit down. My back is now starting to hurt but it's in the hip area. I hope my information was enough to try and get an idea of what is the issue.

Hello Jerry,
It's a sad tale that you recount. Would you start by reading this page please.

Read it carefully, digest it and then answer these questions; whilst on no painkillers;

1. Bend slowly forwards, then backwards, and then to the side and tell me exactly what you feel. Do it carefully; this can make it worse.

2. Sitting in a normal kitchen chair, ask someone to lift your left leg parallel to the ground; lower the leg, and repeat with the naughty leg. Exactly what do you feel and where?

3. Standing, hold onto the back of a chair. Raise your right leg slightly off the ground; now raise your left big toe off the ground. Then stand on your toes, lifting your heel off the ground. Repeat with the naughty leg. What do you feel?

4. Ask someone to prick both legs with a needle, comparing sides.

Plain xrays can be very misleading; often there is no sign whatsoever of an underlying slipped disc. An MRI will tell another tale.

Let me know, keeping to this thread, and we'll take this further.

Tell me where precisely you mean when you say "pain in the hip."

Dr B.

Comments for severe pain in hip/lower back when standing straight

Average Rating starstarstarstarstar

Click here to add your own comments

Feb 27, 2018
Jerry Contact Me.
by: Nick


I am sorry about your pain. I am experiencing the same thing as well. I am 41 years old. My symptoms are the same exact thing. I doubt you may ever see this, but I am hoping you might contact me. Would love to follow up w you and see if you found out what was the issue.
My email is

Send me a email or reply back. Hoping you will. Thanks.

Yes, it would be good to have an update on how you got on, Rob.

Dr B

Mar 10, 2017
Lower back & R Leg pain
by: Rob

Severe pain when standing straight or leaning backwards in lower back, right side, at the hip and pain shoots down my right leg to the point that I my right leg gives out.

Hello Rob,
I need a lot more detail; like which part of your leg, when did it start, what else increases the pain and what if any treatment or x-rays you've had.

There are two obvious possibilities. Firstly a disc herniation into the foramen where it's pinching the nerve, or hypertrophic facets that are catching the nerve in a pincer.

Which part of your leg is giving out? Down in the ankle, or at the knee?

If you sit in a kitchen chair, slowly bend your head forwards and now straighten the left leg, followed by the right, what happens. Look up Slump test for sciatica by using the Site Search function in the navigation bar at Chiropractic Help.

Either way it's serious; I would recommend an x-ray immediately and if a scan if you can persuade your doctor; they are expensive.

Look up our slip disc rules whilst you are about it; take this seriously or you may be under the knife within the week. Stay at home and don't sit.

Dr B

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Chiropractic help Questions (Low back pain).

Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.