Lower Back or Pelvis Pain

This is hard for you to differentiate because lower back and pelvis pain just feels like it hurts everywhere across the lower back and refers to the hips and bum muscles and sometimes down the legs.

The pelvis is lower, onto the bony parts, and, if painful, is felt here.

The lower back is felt around here, above the line of the pelvis.

Lumbar spine pain is typically felt much more locally in the back than pelvis.

Issues in the pelvis arise from the Sacro Iliac joint (SIJ). The SIJ gives tightness in the bum and hamstring but is not usually painful apart from when you try to run or exercise.

Lower back pain, however, can be very painful and can give sharp pain into the buttock, groin, thigh and lower leg as far as the foot.


Physiotherapists are the front line of low back pain treatment with exercise being the treatment of choice.

General guidelines from the Chartered Society of Physiotherapy and set out on the BBC

  1. Your back is stronger than you may think – the spine is strong and not easily damaged, so in most instances, the pain will be down to a simple sprain or strain
  2. You rarely need a scan
  3. Avoid bed rest and get moving (but avoid aggravating activities)
  4. Do not fear bending or lifting – do it in a way that is comfortable, using the hips and knees
  5. Remember that exercise and activity can reduce and prevent back pain
  6. Painkillers will not speed up your recovery
  7. Surgery is rarely needed
  8. Get good quality sleep if you can, because it will help you feel better overall
  9. You can have back pain without any damage or injury
  10. If it doesn’t clear up, seek help but don’t worry – book an appointment to see your physiotherapist if the pain persists

A few more stats!

Back pain costs the National Health Service (NHS) £1.3 million every day…

It results in 12.5% of all work absence in the UK… see here for more details.