Can Hip, Lower Back, and Leg Pain be all in One?

In Chiropractic we have a term called Tortipelvis.  This is when several things happen at once and create several different issues.  First the lower back will get rotated.  Secondly, your hip flexor muscles will tighten.  Thirdly those muscles will pull and rotate your hips.  Fourth, your tail bone will not want to rotate.  Finally the tail bone not moving and your hips rotating will cause the Piriformis muscle to spam.  The result is the Piriformis muscle can now injure the sciatic nerve.  A sciatic nerve being stressed can create a form a sciatica.

Lower Back

You have five lumbar bones in your lower back.  The top two can rotate together away from the bottom three.  This have nerves that innervate areas of your body.  First the innervate your groin and hip muscles.  Secondly they innervate the colon and small intestine.  When these bones rotate and stress the nerves it is called a subluxation.  Subluxations here can be hip, groin, or effect your bowels.


There is a muscle that connects the top two lumbars to the femur in the hip.  These are hip flexor muscles. You use these muscles every time you lift you leg to climb stairs.  If the lumbars rotate, as described above, you will elongate the muscle.  With the muscle elongated then you using it causes two stresses.  The first stress causes muscle to ache in the groin.  Lastly the stress will also start pulling and twisting the hips.


Now with the hips rotating this causes another issue.  The tail bone usually does not turn with the hips.  You have a muscle called the piriformis. This muscle connects the tail bone to the hips.  If hips move but the tail bone does not the piriformis takes on the stress.  When the piriformis muscle is inflamed it becomes sticky.  The sciatic nerve travels above, below, or few people, through the muscle.  If the muscle is stressed this when then stress the sciatic nerve.