Hip Pain in Orem — When It's Actually Coming From Your Low Back
- muscleiq2
- Apr 27
- 3 min read

You feel it when you stand up from the couch. A deep ache on the side of your hip, sometimes down into the outside of your thigh. Walking from the car into Costco makes it worse. Climbing stairs at home makes it worse. You stretch the hip, you ice it, you try a heating pad. Some days it eases. Most days it does not.
If your hip has been hurting for weeks or months and treatment focused only on the hip has not solved it, there is a good chance the hip is not actually the problem. The pain you feel is real. The source of it is often somewhere else.
Where hip pain really comes from
The nerves that tell your brain about hip pain travel down from your low back. When the tissues in your lumbar spine get strained and stiff, they irritate those nerves before the signal ever reaches the hip. Your brain receives a pain message and assigns it to the hip area, because that is where those nerves end up. You feel hip pain. The cause is two segments higher.
This is called referred pain. It is one of the most overlooked patterns in musculoskeletal care, and it is why a lot of hip pain does not respond to hip-only treatment.
What strained tissue does to your nerves
Tissues that are injured or overworked thicken and stiffen. The harder the tissue, the more irritated the nerve endings running through it become. In the low back, those irritated nerves do not always announce themselves as back pain. They send signals into the hip, the buttock, and the outside of the leg.
This is why some people with hip pain do not have any back pain at all. The back is the source. The hip is the messenger.
Why your hip muscles can go offline
Here is the part most people never hear about. When the low back is irritated, your nervous system can turn down the signal to the muscles around your hip. Think of a muscle tone dial that gets dialed down. The deep stabilizers around the hip, especially the gluteal muscles, partially go offline.
When those muscles are weak, the smaller muscles around them have to overwork. They thicken, tighten, and stay irritated. That overworked tissue creates more pain on the outside of the hip and down the leg, which gets blamed on the hip itself. The original driver in the low back keeps running underneath it.
Until the nervous system turns those gluteal muscles back on, the cycle continues. Stretching does not turn a muscle back on. Foam rolling does not turn a muscle back on. The system has to be reset.
Why hip-only treatment often plateaus
If you have been getting hip-focused care for a while and progress has stalled, this is usually why. The hip work is treating the muscle that is overworked. It is not addressing the muscle that has gone quiet, and it is not addressing the irritated tissue in the low back that started the chain.
A thorough evaluation has to look at both areas together. The lumbar spine, the joints, the fascia, and the muscle tone of the entire chain from the low back through the hip and down the leg. Without that bigger picture, treatment is chasing the symptom.
What a complete evaluation looks like
At Muscle IQ, we test muscle strength on every patient, every visit. We assess the joints and fascia of the low back and hip together. We check the cranial nerves and the broader nervous system patterns that influence muscle tone. The goal is to find the system that is producing the pain and reset it, not to keep treating where it hurts.
When the right muscles are turned back on and the strained tissues in the back are calmed down, hip pain usually breaks its pattern. People stand up off the couch without that first painful step. They make it through Costco without limping back to the car. They sleep on their side again.
When to come in
If your hip has been hurting for more than a few weeks, if hip-only treatment has plateaued, or if walking and stairs are getting harder instead of easier, do not wait it out. The longer the muscle inhibition pattern runs, the more compensations stack on top of it. Coming in sooner means a shorter path back to your active life.
The sooner you get in here, the sooner you can be pain-free.
Take control of your hip pain
Take control of your health today by calling Muscle IQ to schedule an evaluation. We will spend the time it takes to find the real driver of your hip pain — whether that is the hip itself, the low back, or the muscle pattern between them — and build a plan to turn it off.
Call Muscle IQ at (801) 224-9393, or schedule online at muscleiq.com.





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