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my name is dr. mana wat and I'm going to talk about the evaluation of hip pain in the patient commonly patients present with pain in the lower back groin buttock region and it's often difficult to differentiate whether this is back pain or hip pain in origin to understand what a hip does and what the pain it can cause that you need to be aware that it doesn't always have to be in the hip region the pain is often referred to lower regions if the pain is above the belt line in general that means the pain is coming from the back if the pain is below the belt line in general it means the pain is coming from the hip now sciatica is generally pain that's caused by disturbance in the back that is going down the back of the leg in the posterior aspect into the calf and foot sometimes associated with numbness and tingling hip pain tends to cause a problem more in the front of the leg it can manifest itself as pain in the groins pains laterally over the trochanter z' pain in the buttock patients

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