Hi, thanks for writing to HCM.
Pain originating from the hip region and radiating down into the legs and into the feet is highly suggestive of
Lumbar disc disease in which a protruded
intervertebral disc will be pressing over the
nerve root causing typical symptoms.
An MRI scan of the
lumbar spine will help in establishing the proper diagnosis. An xray of the hip joint is also mandatory to rule out any arthritic changes, which also present with similar symptoms but the pain seldom radiates below the level of knee joint.
The conservative management of lumbar disc disease is as follows -
- Maintain optimum body weight,if you are obese
- Avoid lifting heavy weights as it imparts more strain on your back
- Avoid excessive forward bending activities as it will worsen the
disc protrusion. if you want to bend forwards, do it with your hips and knees flexed.
- Use a lumbosacral back support to stabilize your spinal muscles
- Intermittent pelvic traction might be helpful to cause a regression of the protruded disc
-
Physiotherapy is needed to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.
- Use analgesics like advil or aleve and muscle relaxants as needed.
Vitamin B12 supplements & Pregabalin may be helpful.
If your fail to improve with the above measures, an Epidural steroid injection may provide good symptom relief for a few months.
Hope this information is helpful. Good day