What could be the reason for pain in the lower left side of the back around the hip joint?

Hello,

We are elated to have you onboard at icliniq.com.

We understand your concerns and will help you get the best medical opinion.

This seems to be from the spine or the hip - you need to take xrays of both the spine and hips, an X-ray lumbar-sacral spine - AP and lateral view, X-ray pelvis with both hips - AP view. I suggest you to follow a few instructions mentioned below.

1. Avoid lifting heavy weights.
2. Avoid arching your back, instead bend your knees to pick up something from the floor.
3. Avoid sitting for Long hours.
4. Avoid 2-wheeler rides.
5. Improve your posture while sitting.
6. Try to get up from your chair every 20 mins and take a quick walk around and then continue working. Always sit on a chair with back support.
7. Do not get up suddenly from a sleeping position. Rather, turn to the side and then get up.
8. Take bed rest if severe pain.
9. Do hot fomentations, locally over the affected area – at least twice daily.
10. Apply Oxalgin gel - for local application, twice daily.
11. Take tablet Pregabalin 75 mg once for 15 days before food at 7 PM every day.
12. Take tablet Ibuprofen 400 mg twice for 10 days after food.
13. Take tablet Rabeprazole 20 mg twice for 10 days before food.
14. Take tablet Shelcal 500 mg twice for 30 days before food.
15. Take tablet vitamin D 60k units. Once daily for 10 days, then once a month for 11 months.

Take these tablets only if you are not allergic to them. Do not take these tablets if you have bronchial asthma.

Do physiotherapy, McKenzie back, extension exercises, back core strengthening exercises, glute strengthening exercises, and passive straight leg raising. These exercises can be done initially under a supervision of a physiotherapist. Start physiotherapy once the pain reduces. Only regular exercises can give results.

After the pain reduces, the following activities are good for you:

1. Swimming, yoga, and walking are good.
2. Jogging, running, and weight-lifting may aggravate back problems.

Kindly consult a specialist, talk to them, and take medications with their consent.

I hope this has helped you. Thank you.