IBS and Hip Pain: Exploring the Surprising Connection

IBS and Hip Pain: Exploring the Surprising Connection

Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder that affects millions of people worldwide. While the primary symptoms of IBS typically revolve around abdominal pain, bloating, and altered bowel habits, there’s a lesser-known symptom that many sufferers experience – hip pain. For those unfamiliar with the connection, it might seem strange to link a digestive disorder with hip discomfort. Yet, there’s a growing body of evidence to suggest that IBS can indeed play a role in triggering hip pain in some individuals. In this blog post, we’ll delve deep into this unexpected relationship, shedding light on why it happens and how to manage it effectively.

Can Irritable Bowel Cause Back And Hip Pain?

Can Irritable Bowel Cause Back And Hip Pain?Yes, Irritable Bowel Syndrome (IBS) can sometimes be associated with back and hip pain. It’s essential to recognize that while IBS primarily affects the gastrointestinal tract, its symptoms, and impact can be more widespread.

Here’s how IBS may be linked to back and hip pain:

  • Referred Pain

This is when pain is felt in a different location than where the problem actually exists. The gut and the musculoskeletal system share certain nerve pathways. So pain originating in the intestines could be felt in the back or hips.

  • Muscle Strain

Abdominal pain and discomfort can lead to a change in posture or movement patterns to alleviate the discomfort. Over time, these altered patterns can strain muscles in the back and hips.

  • Inflammation and Pain Perception

While IBS is not an inflammatory condition like Inflammatory Bowel Disease (IBD), it is still associated with increased sensitivity to pain due to the dysfunction of the gut-brain axis. This heightened sensitivity can make individuals more aware of discomfort in areas like the back and hips, even if the primary source is the gut.

  • Comorbid Conditions

It’s also possible for someone to have both IBS and another condition that causes back or hip pain. For instance, conditions like fibromyalgia. That can cause widespread pain, which is more common in individuals with IBS.

  • Bloating and Distension

Severe bloating, which is common in IBS, can lead to increased intra-abdominal pressure. This can indirectly place stress on the back muscles and potentially lead to discomfort in the back and hip region.

If someone with IBS is experiencing back and hip pain, it’s crucial to see a healthcare professional. While the pain might be related to IBS, it’s also essential to rule out other potential causes and receive appropriate treatment.

Where Is IBS Pain Located?

Irritable Bowel Syndrome (IBS) predominantly affects the gastrointestinal tract. And its associated pain can manifest in various areas within the abdomen. The exact location of IBS pain can vary widely among patients. Most commonly, pain is felt in the lower abdomen, especially the lower left side. This pain can range from a mild cramp to sharp, stabbing pains. Flare-ups might occur after meals or during times of stress. And the pain can either be continuous or come in waves. Bowel movements might relieve this pain for some individuals, while for others, it can exacerbate the discomfort.

Apart from the lower abdomen, some individuals with IBS also experience pain in the upper abdomen. It is often described as a tight or churning sensation, especially after eating. This upper abdominal discomfort can sometimes be confused with conditions like gastritis or gastric reflux. Bloating, which is a frequent symptom of IBS, can cause a feeling of pressure or fullness throughout the abdomen. It’s essential for anyone experiencing abdominal pain to consult with a healthcare professional for an accurate diagnosis.

How To Identify If IBS Causing Hip Pain?

How To Identify If IBS Causing Hip Pain?Determining if IBS is the cause of hip pain can be a bit challenging. As many factors and conditions can result in hip discomfort. However, if you suspect that your hip pain might be linked to IBS, here’s a step-by-step approach to help identify the potential connection:

1. Timing and Triggers

Begin by observing if there’s a pattern or correlation between your IBS flare-ups and hip pain episodes. If your hip pain consistently appears or worsens during IBS flare-ups, there might be a connection.

2. Rule Out Other Causes

Before attributing hip pain to IBS, it’s essential to rule out other potential causes. Conditions like arthritis, bursitis, muscle strains, and sciatica can all lead to hip pain. An orthopedic examination or imaging tests like X-rays or MRIs can help in diagnosing these conditions.

3. Physical Examination

A physical examination by a healthcare professional can help determine if the pain is musculoskeletal in origin. Or if it’s more likely to be referred pain from internal organs like the intestines.

4. Treatment Response

If medications or treatments meant for IBS also alleviate your hip pain, it can suggest a connection. For instance, if antispasmodic medications or dietary changes meant for IBS also lessen your hip discomfort. Then, it might indicate a link between the two.

5. Associated Symptoms

If your hip pain is accompanied by other IBS symptoms like bloating, abdominal pain, altered bowel habits, or gas, it further strengthens the possibility of a connection.

6. Consult with Professionals

It’s essential to discuss your symptoms with both a gastroenterologist and a musculoskeletal specialist or physiotherapist. They can provide insights into whether your hip pain might be related to IBS or if it’s a separate issue.

Remember, even if there’s a suspicion that IBS is causing or exacerbating hip pain, it’s crucial to get a comprehensive evaluation. It ensures that other significant conditions aren’t overlooked. And you receive the most appropriate care.

How To Manage IBS Hip Pain?

If you suspect that your hip pain is related to IBS, there are several strategies you can employ to manage and potentially reduce the discomfort. Here are some steps you can consider:

Dietary Adjustments

  • Low FODMAP Diet: Many people with IBS find relief from their symptoms by following a low FODMAP diet. FODMAPs are certain carbohydrates that can be hard to digest and may trigger IBS symptoms in some people.
  • Identify Trigger Foods: Keep a food diary to identify and then eliminate foods that might trigger or worsen your IBS symptoms and associated hip pain.
  • Stay Hydrated: Drink plenty of water to help regulate bowel movements and reduce constipation. That can exacerbate IBS symptoms and associated pains.

Physical Therapy and Exercise

  • Strengthen Core Muscles: Strengthening the abdominal and lower back muscles can help support the body and alleviate some musculoskeletal pains.
  • Regular Exercise: Activities like walking, swimming, or yoga can enhance digestion and relieve stress. Both of which can be beneficial for IBS sufferers.
  • Targeted Hip Exercises: Specific stretches and exercises can alleviate hip tightness or discomfort. Consult with a physiotherapist for guidance.

Stress Management

Stress Management

  • Mindfulness and Meditation: Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help in reducing stress, a known trigger for IBS flare-ups.
  • Cognitive Behavioral Therapy (CBT): This therapy can help in changing negative thought patterns and behaviors that exacerbate IBS symptoms.
  • Acupuncture: Some people find relief from both IBS symptoms and musculoskeletal pains with acupuncture.
  • Massage: Regular massage can help reduce muscle tension and pain.


  • For IBS: Over-the-counter or prescription medications like antispasmodics might help alleviate IBS symptoms and associated pains.
  • Pain Relievers: Non-prescription pain relievers like acetaminophen or NSAIDs can help manage musculoskeletal hip pain. However, always consult with a doctor before starting any medication, especially if taken regularly.

Stay Informed and Seek Support

  • Education: Understanding your body and the effects of IBS can empower you to make informed choices about treatments and management strategies.
  • Support Groups: Connecting with others who experience similar challenges can provide emotional support and share coping strategies.

Remember, while these management strategies can be effective, it’s essential to consult with healthcare professionals to tailor the approach to your unique needs. And to rule out other potential causes of hip pain.

How To Prevent Hip Pain From IBS?

How To Prevent Hip Pain From IBS?Preventing IBS hip pain involves proactive measures that address both the root cause (IBS) and potential secondary effects on the musculoskeletal system. Here are some prevention strategies:

  • Maintain Proper Posture

Ensuring that you maintain a good posture, especially when sitting for prolonged periods, can prevent undue stress on the hips. Investing in an ergonomic chair and workspace setup can be beneficial.

  • Regular Movement

If your job requires prolonged sitting or standing, take short breaks every hour to walk around or stretch. This can prevent muscle stiffness and reduce the chances of hip pain.

  • Wear Supportive Footwear

Shoes that provide proper arch support and cushioning can help in maintaining alignment and balance, reducing strain on the hips.

  • Warm-Up Before Exercise

Before engaging in physical activities, ensure you have a proper warm-up routine to prepare your muscles and joints, reducing the risk of injuries and strain.

  • Include Omega-3 Fatty Acids in Diet

Foods rich in omega-3, like fish, flaxseeds, and walnuts, have anti-inflammatory properties which might help in preventing pain.

  • Manage Weight

Being overweight can place additional strain on the hips. Maintaining a healthy weight through a balanced diet and regular exercise can reduce this risk.

  • Regular Check-ups

Regular consultations with healthcare professionals can help monitor the progression of IBS and its potential effects on other parts of the body. Early detection and intervention can prevent complications.

  • Pelvic Floor Exercises

Strengthening the pelvic floor can offer better support to the surrounding muscles and joints, potentially reducing hip pain.

  • Avoid Overloading One Side

When carrying heavy bags or objects, try to distribute the weight evenly. Using a backpack instead of a one-shoulder bag, for example, can help in maintaining balance and prevent strain on one side of the hip.

  • Probiotic Supplementation

While primarily targeting gut health, probiotics can potentially help in balancing the gut flora, which might indirectly prevent exacerbations of IBS and associated hip pain. Consult with a healthcare professional before starting any supplementation.

By incorporating these preventive measures into your daily routine, you can minimize the risk of experiencing hip pain potentially linked to IBS.


Addressing the intricate link between IBS and hip pain requires a multifaceted approach, emphasizing both proactive preventive measures and targeted management strategies. As individuals come to understand this connection, they’re better equipped to make informed choices, from dietary adjustments to ergonomic considerations, all aimed at ensuring optimal well-being.

By fostering a holistic understanding and incorporating expert-recommended practices, it’s possible to navigate the challenges of IBS while minimizing its impact on hip health and overall quality of life. If you’re experiencing Hip pain, physical therapy for hip pain at PhysioMantra can help: Book an online physical therapy session.