Herniated Disc Hip Pain: Understand Symptoms And Treatments

Dr Deuk

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Friday, June 13, 2025

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Herniated Disc Hip Pain

Herniated disc hip pain can be both confusing and debilitating. Surprisingly, a spinal issue, specifically a herniated disc in the lower back, can often manifest as hip discomfort. 

This article explores the link between herniated discs and hip pain, highlights key symptoms, outlines diagnostic methods, and examines a full range of treatment options from conservative therapies to advanced surgical interventions. 

We’ll also share effective pain management strategies to help you restore mobility and improve your quality of life.

Can a Herniated Disc Cause Hip Pain?

Yes, a herniated disc can cause hip pain, often mimicking hip joint conditions. The lumbar spine’s nerve roots (L4, L5, and S1) govern sensation and motor control in the hips and legs. 

When compressed by a herniated disc, these nerves can produce radiating pain that’s mistakenly attributed to hip problems, manifesting as sharp, aching, or radiating sensations that worsen with sitting or bending.

This phenomenon, known as referred pain, stems not from the hip itself but from nerve irritation in the spine. Lumbar disc herniations frequently masquerade as hip disorders, underscoring the importance of identifying the true pain source to ensure proper and effective treatment.

Illustration comparing normal, degenerative, and herniated spinal discs.

Symptoms

Our findings show that symptoms extend beyond localized hip soreness and often indicate neurological involvement. 

Patients commonly report burning, tingling, numbness radiating from the lower back through the hips and legs, sudden sharp pain during movement, muscle weakness, or foot drop, alongside dull aches that worsen after activity or prolonged sitting.

In some cases, herniated disc groin pain also emerges.

These signs point to nerve-related dysfunction originating in the spine, not the hip joint. Typically, the root cause is inflammation at the site of a posterior annular tear, where material from the disc’s inner core escapes and irritates nearby nerves, following specific nerve root patterns into the legs.

Similarly, some patients with L5-S1 disc herniation abdominal pain may mistake their discomfort for gastrointestinal or pelvic issues, when in fact the source is nerve root compression at the base of the lumbar spine.

Diagnosis

Accurately diagnosing hip pain caused by a herniated disc requires a detailed clinical evaluation beyond imaging alone. Dr. Ara Deukmedjian of Deuk Spine Institute highlights that MRI scans show structural abnormalities but not pain sources. Only patient evaluation can achieve that. 

Our proprietary Deuk Spine Exam boasts a 99% success rate in pinpointing pain generators, often conducted virtually.

High-resolution MRI and CT scans aid in visualizing disc herniations and nerve compression but must be interpreted alongside a comprehensive physical and neurological examination. 

Misdiagnosis can result in unnecessary procedures like hip injections or surgery, making specialist evaluation critical to addressing spinal sources of hip pain effectively.

Patients frequently ask, can a bulging disc cause stomach problems? While less common, our research indicates that disc bulges in the thoracolumbar region can irritate nerves that influence abdominal sensation. This is known as intercostal neuralgia.

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Risk Factors And Prevention

Understanding what increases your risk of developing a herniated disc and consequently hip pain can help in both prevention and early intervention. Age-related disc degeneration is the most common risk factor, particularly in individuals over 40. However, lifestyle choices and occupational habits also play a crucial role.

Common Risk Factors Include:

  • Sedentary lifestyle: Prolonged sitting and lack of core engagement weaken spinal support structures.

     
  • Repetitive lifting or bending: Jobs or sports that involve constant spinal flexion can accelerate disc wear.

     
  • Poor posture: Slouched sitting or improper ergonomics during work increases spinal stress.

     
  • Obesity: Excess body weight puts additional strain on spinal discs.

     
  • Smoking: Tobacco use impairs disc nutrition and accelerates degeneration.man-in-casual-clothes-is-typing-text-in-a-laptop-2025-03-08-23-08-23-utc.jpg

Prevention Tips

  • Engage in regular core-strengthening exercises.

     
  • Maintain an ergonomic workspace.

     
  • Lift with your legs, not your back.

     
  • Maintain a healthy weight.

     
  • Avoid smoking to preserve spinal health.

Proactively addressing these factors not only reduces the risk of disc herniation but also improves overall spine health, decreasing the likelihood of hip pain originating from spinal causes.

How to Treat Herniated Disc Hip Pain

Discs herniate, not hips. When a lumbar disc herniates and causes hip pain, treatment focuses on reducing inflammation and decompressing affected nerves. 

Mild to moderate cases often respond to anti-inflammatories, physical therapy, and ergonomic modifications; however, persistent or severe cases may require minimally invasive surgical solutions.

Non-Surgical Treatment Options

Non-surgical approaches aim to manage symptoms by reducing inflammation around the nerve, though they don't repair the underlying disc injury. Physical therapy, anti-inflammatory medications, epidural steroid injections, and lifestyle adjustments like improved ergonomics and low-impact exercise are common options for initial management.

However, we caution that while these conservative treatments provide symptom relief, they do not address the internal disc damage causing the pain.

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Surgical Treatment Options

When conservative treatments fail or nerve function deteriorates, surgical options are typically recommended by healthcare providers. 

Traditional surgeries like discectomy and spinal fusion carry risks such as extended recovery, permanent instability, high complication rates, and potential future surgeries, often making them less favorable for patients seeking quicker, safer outcomes.

Non-Invasive Options

Deuk Spine Institute’s Deuk Laser Disc Repair selectively removes damaged disc tissue using a laser, preserving healthy structures. 

This outpatient procedure involves minimal disruption, no need for implants, and a success rate exceeding 95%, allowing patients to resume daily activities within 24 hours without major scarring or complications.

Hip Pain Management Strategies

Effective long-term management of hip pain caused by spinal disc issues demands a comprehensive strategy. 

Core strengthening, maintaining good posture, ergonomic modifications, sleeping with spinal alignment, and daily stretching all contribute to spinal health and help prevent future flare-ups.

Deuk Spine Institute stresses the importance of follow-ups and imaging to monitor disc health over time. Once the injured disc material is removed, through Deuk Laser Disc Repair, patients report rapid, complete relief and can return to normal activities within days, achieving lasting results.

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Conclusion

Hip pain resulting from a herniated disc is complex but entirely treatable with the right approach. Accurate diagnosis is key to avoiding unnecessary treatments and ensuring recovery, as the underlying cause often lies in lumbar spine pathology rather than the hip joint itself.

While conservative therapies may temporarily manage symptoms, true healing comes from addressing the root cause through advanced techniques like Deuk Laser Disc Repair. 

Take our free MRI review and achieve complete, lasting relief with Deuk Spine Institute.