Spine and pelvic pathology presenting with posterior hip pain

Abstract

Many pathologic conditions of the spine and pelvis have posterior gluteal or “hip” pain as a presenting symptom. It is critical that a thorough history is taken as well as a detailed physical examination of the patient. From this information, pertinent imaging studies may be ordered to better direct the physician toward an accurate diagnosis for the patient’s symptoms. Because pain in this region can be from many different pathologic processes, it is very important that the evaluating physician considers and evaluates the patient in a systematic fashion to properly work up the patient.