If you’ve been dealing with pain in your lower left back above the hip, you’re not alone. This type of discomfort can interfere with daily tasks, sleep, and even your mood. The pain might range from a dull ache to a sharp, stabbing sensation—and understanding its root cause is the first step toward effective relief.
In this post, we’ll explore seven common causes of pain in the lower left back above the hip and provide tips on how to treat and manage it.
1. Muscle Strain or Sprain
One of the most common culprits behind this pain is muscle strain, often due to poor posture, heavy lifting, or sudden movement.
Symptoms:
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Dull ache that worsens with movement
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Tenderness in the area
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Muscle tightness
Treatment:
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Rest and avoid overexertion
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Apply heat or cold packs
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Gentle stretching and physical therapy
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Over-the-counter pain relievers like ibuprofen
2. Sacroiliac (SI) Joint Dysfunction
The SI joint connects your spine to your pelvis. If it becomes inflamed or misaligned, it can cause pain above the hip and into the lower back.
Symptoms:
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Pain when standing up from sitting
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Discomfort on one side of the lower back
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Pain radiating into the or thighs
Treatment:
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Physical therapy for stabilization
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SI joint belts for support
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Anti-inflammatory medications
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Manual adjustments from a chiropractor
3. Herniated or Bulging Disc
A disc pressing on nearby nerves in the lumbar spine can create localized or radiating pain.
Symptoms:
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Sharp, shooting pain
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Numbness or tingling in the leg
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Pain worsens when sitting or bending
Treatment:
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Physical therapy
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Core strengthening exercises
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In some cases, steroid injections or surgery
4. Kidney Issues (Stones or Infections)
Pain in the lower back near the left hip may stem from the left kidney, especially if you’re experiencing additional symptoms.
Symptoms:
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Sharp or cramping pain
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Pain that radiates to the abdomen or groin
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Nausea, fever, or changes in urination
Treatment:
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Increase water intake (for kidney stones)
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Medical treatment for infections
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Imaging and further tests for diagnosis
5. Sciatica
Sciatica occurs when the sciatic nerve is irritated, usually by a herniated disc or muscle inflammation.
Symptoms:
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Radiating pain from lower back through the buttock and leg
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Tingling or numbness
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Pain that worsens with prolonged sitting or standing
Treatment:
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Stretching and low-impact exercises
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Physical therapy
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Anti-inflammatory medication
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Chiropractic adjustments
6. Arthritis or Joint Degeneration
Degenerative joint conditions like osteoarthritis can affect the spine and hips, especially with aging.
Symptoms:
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Stiffness and limited range of motion
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Aching pain during or after activity
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Swelling or tenderness near the hip joint
Treatment:
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Low-impact exercises
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Joint supplements (consult your doctor)
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Physical therapy and supportive braces
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Anti-inflammatory medications
7. Poor Posture and Prolonged Sitting
Spending long hours hunched over a desk or slouching on the couch can strain muscles and joints around the lower back and hips.
Symptoms:
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Dull ache in lower back after sitting
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Pain that improves with stretching or walking
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Mild stiffness or fatigue
Treatment
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Posture correction and ergonomic adjustments
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Frequent breaks for stretching
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Lumbar support cushions
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Core strengthening exercises
Final Thoughts
Pain in the lower left back above the hip can stem from various sources—from everyday habits to more serious medical conditions. If your pain persists, worsens, or comes with symptoms like fever, numbness, or changes in bowel/bladder habits, consult a healthcare provider.
In most cases, simple lifestyle changes, gentle stretching, and proper support can go a long way toward relieving discomfort and getting you back to doing what you love—pain-free.
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