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Pain Management

Pain and Stiffness in Sacral Area Between Hips



Please discuss the arthritic causes of pain and stiffness in the sacral area of the spine, between the hips. This pain is worse in the mornings, and gets better with bending forward. There is also pain in the legs when standing. Sometimes it causes numbness in the groin when sitting. Is this type of arthritis non-inflammatory? What blood tests would diagnose it?


Those are different symptoms. There is some missing information, especially the age of the patient and the time line of the pain. A good start is simple X-ray for the spine and the pelvis. The patient definitely needs to be seen by a primary care physician to rule out arthritis.

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Response by:

Hammam  Akbik, MD, FIPP Hammam Akbik, MD, FIPP
Formerly, Assistant Professor of Anesthesia
College of Medicine
University of Cincinnati