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Back Pain/hip pain/rib pain
9/26 8:57:34

Question
I have been having pain in the right side under my ribs, down the side, around to the back, and into my hip. I can't tell where the pain is originating from.
I am 33, with three children.

I can tell you exactly when the pain started. I was on a trip to my mom's (about a six hour drive). My back started hurting (right behind my rib cage),right where my rib cage ends, and down the side into my hip. It's more of a burning & stretching pain. No stabbing or shooting pains. That happens when I sit down, and it starts shooting pains under my rib cage. (Kind of like it did when I had my gallbladder out).
When I stand it seems to be better. When I sit, it gets worse. It use to be infrequent pain, now the pain is almost constant.
I am currently seeing a chiropractor. I seen the xrays of my hip, and they don't look good. LOL.  The right hip is lower than the left, and it is twisted inward, too.
I guess what I am asking is if it could be from my hip? How long should it take to get better? (I have had the pain for three years.)Could internal pain (liver, etc.) cause this kind of pain?
Or do you think it's just going to take longer? Do you think that since my right side of my hip is lower, that it's pulling on some muscles, making me hurt like this?
I am at a loss of where to turn to now. The pain gets so severe that I cry alot. It's like the whole right side of my body from the end of my ribs to the end of my hip and over is constantly in pain.
Please give me any insight that you can.
Thanks, alot!

Answer
Jackie,

Your pain likely is not due to a hip (pelvis) being higher or lower unless it is higher or lower by a few inches and causing significant scoliosis to your spine and ribs. On standing xrays, if your hip level is anything under half inch, that is not a logical cause of your pain.  Internal organs can cause pain: liver, gall bladder, kidney.   The fact that you get relief when standing up is revealing. Organ pain would likely not matter with standing verses sitting.  If you have worse pain at night while laying in bed that wakes you from sleep, that would also be a concern for internal organ disease and should prompt your chiropractor to refer you ASAP to an internal medicine specialist.  Three years is a long time to have this pain.   I don't know for how long you've seen the chiropractor, but if you don't have a significant reduction in your pain following about six treatment sessions, then you likely are not going to get better with whatever treatment is being provided.  Understand that there are many different methods and procedures that a chiropractor can utilize, from joint manipulation to soft tissue massage/release, physiotherapies such as ultrasound and heat, and exercises.  I don't know what you're receiving.  If your chiropractor has tried different tactics and nothing is working, I would suggest you make a visit with an "Interventional Pain Management Specialist."  These are MD's with varying specialties, mostly anesthesiology or physiatry, and some are osteopathic physicians, DO's, that get certified in pain management.  
See these articles:

http://www.jaoa.org/cgi/content/full/105/suppl_4/S1
http://www.aapainmanage.org/
http://www.aapmr.org/index.htm

Jackie, if you don't have an internal organ disease, and if chiropractic manual methods are not working, and soft tissue therapies, e.g. trigger point therapy, myofascial release, or Graston Technique are not working, and stretching/strengthening is not working, then you should get a consultation with a medical pain-managment specialist.

'Hope this was helpful,

Dr. G
www.drgillman.com

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