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Pain Around the Crest of the Hip

Your Pain Pattern,
What Aggravates It,

The Underlying Anatomy
How to Get Relief,
and more…


How People Describe This Pain Pattern

People most often complain of pain just under the crest of the hip. They sometimes complain of pain that arcs in front of the hip and into the groin. If they are comfortable doing so, they will complain of pain in the genitalia. Also, they may also complain of pain in the SI joint.

This pain tends to be constant and, at times, intense. Most QL trigger points bother the person when bending forward, this one hurts more when bending forward and to the side.

This is one of the trigger points that bothered me in my 20s and early 30s. I remember how it would shoot around the hip and into the groin when I would step out of the car, onto one foot. It made me think that there was some internal organ problem. I would be so relieved when my massage therapist or chiropractor would work on me and the whole pattern would go away.

How You Activate and Intensify This Pain Pattern

This pain along the rest with stiff low back commonly occurs just after performing a task that involves teetering front to back and side to side. The client often has trouble naming the activity of onset. Still, when they do, it has an unusual twisting motion like reaching up and back to pain a gutter or a particularly strenuous yoga pose that twists forward when the back is already a bit stiff.

This picture is a classic activity of injury. It has all the right elements. He is slightly bent forward, managing a relatively bulky piece of equipment that will sway and jump over uneven terrain. Dropping the head forward to watch the work makes the low back joints less stable and more vulnerable.


The Musculoskeletal Anatomy Behind Your Pain

Start by Understanding the Anatomy.
About the coloring of the illustrations…

This muscle is a small, complicated muscle with three different sections that generate a lot of pain and instability in the low back. Take a look at this post on the anatomy of quadratus lumborum.

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.

Feel for the space in your low back between your ribs and hips. This trigger point is just under the bottom rib. Focus your icing and in that area and along the vertebrae near the last rib.


Treatment Notes for Massage and Bodywork

Better Bodywork
Through Shared Expertise.

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

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Weekly Featured Post

This patient had recovered from a frozen shoulder but developed shoulder pain at the end of his golf swing. More traditional neuromuscular techniques weren’t working. The chiropractic wasn’t working. Integrative Craniosacral was the right solution for lasting relief.

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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*This site is undergoing major changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and will include more patterns with better self-care. In the meanwhile, there may be inconsistency in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.