Pain in the Sacrum or Crest of the Hip When Sleeping on Side

Your pain pattern,
What aggravates it,
How to get relief,
and more…


How People Describe This Pain Pattern

These people reach back and put their hands on the center of their hips, just below the belt line and say. “It hurts right here.” They go through explanations of wanting to sleep on that side but wake with aching pain in the middle of their hips. They often explain that they have tried sleeping on the other side and it bothers them less but will also wake them.

Other clients complain of pain of this pain while walking, especially on uneven ground or in sand. These people are more likely to complain about the pain that extends along the crest of the hip, especially when they have unexpected shifts onto one leg.

People that have this while standing find that they spend a great deal of time on one foot and fatigue quickly while standing.



How You Activate and Intensify This Pain Pattern

Wesley and buttercup recovering from the fall

This is often activated by a sudden jerk to the hip. Patients report that this happened after a fall, hike on uneven ground, walking in sand, mountain biking, or vigorous tennis. Some have latent trigger points that become more active when they unexpectedly walk, stand, or sit for long periods.


The Musculoskeletal Anatomy Behind Your Pain

Effective relief starts with an understanding of the anatomy.

About the coloring of the illustrations…

This muscle is a fan shaped muscle, with three sections. The front section often pulls at a 90 degree andgle from the psoterior section. You can learn more in this post about gluteus medius.

Very Similar Pain Pattern, Different Muscle

This trigger point also produces pain along the crest of the hip. It also disturbs sleep and makes it painful to get up but needs different self-care. Take a look at this post.


Getting Relief on Your Own

Clinically Proven
Self-Care Recommendations.

This post has strategies for getting relief on your own. Explore how to change your activities, stretch, and other strategies that relieve the pain associated with this trigger point.


Treatment Notes for Therapists

Better Bodywork
Through Shared Expertise.

This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.



This site is undergoing changes. Starting in early 2020, we began changing the format of the posts to include more extensive self-care, illustrations, therapist notes, anatomy, and protocols. We’d love your feedback. We are adding posts and converting the old posts as quickly as time permits.


Weekly Featured Post

Pain relief that is
quicker and more effective
than traditional stretching.

This post covers the basics of Ice-and-Stretch, a toll that is used extensively in these posts combined with Active Isolated Stretching and Yoga poses.

Tony Preston has a practice in Atlanta, Georgia where he sees clients. He has written and taught about anatomy, trigger points and cranial therapies since the mid-90s.

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