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What causes hip pain after spinal manipulation?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am currently experiencing severe lower back and left hip pain and spasms. I have a history of a slight disk herniation at L5-S1 with no nerve impingement. I believe this flare-up began two weeks ago when I attended my first chiropractic visit. The pain became so severe, I broke down and went to a different chiropractor for possible help. The pain was so severe that I got nausea, sweat, and almost passed out in the waiting area. The pain was better since yesterday. The new chiropractor thinks my right hip was tilted forward, causing the muscles on the left to get spasm and be in pain. Please help.

Answered by Dr. Atul Prakash

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

I understand your concern and suggest doing the following. Take analgesics and muscle relaxants. Apply hot packs and Diclofenac gel locally where you feel any tenderness. Either lie in bed or stand. Sit for short durations only, less than 20 minutes at a stretch and that too with your back supported. I would advise against any manipulation by your chiropractor till your spasms subside, though you can have massages of the muscles in spasm. If all this fails to help in the next couple of weeks, get a repeat MRI (magnetic resonance imaging) if there are new leg symptoms like numbness, weakness, or shooting pain below the knee.

I hope this helps.

Thanks.

Medically reviewed by iCliniq medical review team
Published At November 4, 2019
Reviewed At March 5, 2026

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Dr. Atul Prakash

Orthopedician and Traumatology

Education:

MBBS

Professional Bio:

Dr. Atul Prakash is an Orthopedic Surgeon specializing in the diagnosis, treatment, and surgical management of musculoskeletal conditions. His expertise includes joint replacement, fracture management, sports injuries, spine disorders, and arthroscopic procedures. He is committed to providing patient-centered care, advanced treatment planning, and optimal recovery outcomes.

This doctor is not available for online consultations on the platform anymore.

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