Lumbo-Pelvic-Hip Complex Dysfunction: A Hidden Cause of Lower Back and Hip Pain
- Dr. Jason Hagman
- 2 days ago
- 4 min read
Updated: 1 day ago

Chronic Lower Back Pain? The Real Problem May Be Pelvic Instability
If you're dealing with recurring lower back pain, especially pain that comes and goes with sitting, walking, or bending, the problem may not be “just your back.” One of the most common underlying causes of persistent low back pain that we see in our Springfield, NJ office is instability in the lumbo-pelvic-hip complex (LPHC).
This group of interrelated structures—including the lumbar spine, pelvis, sacroiliac (SI) joints, and hips—act as the foundation of your spine. When the LPHC isn’t functioning properly, it can cause or contribute to many of the pain syndromes that we commonly see in our practice.
If you are experiencing low back pain and live near Springfield NJ, Summit NJ, Millburn NJ, or any of our neighboring towns, visit our office.
Hip Pain When Sitting or Driving? It Might Be Sacroiliac Joint Dysfunction
The sacroiliac (SI) joints connect your spine to your pelvis and act as shock absorbers during movement. Dysfunction in these joints can refer pain to the low back, hips, buttocks, or groin—especially when sitting for long periods or transitioning from sitting to standing.
At the Springfield Chiropractic Center, we frequently evaluate patients with symptoms such as:
Deep, aching pain near the tailbone or top of the buttocks
Pain with prolonged sitting, especially while driving
Asymmetrical hip pain or a “locked up” sensation
Sharp pain with lifting, twisting, or getting out of bed
These are all common signs of SI joint dysfunction—a condition we address through chiropractic adjustments, pelvic stabilization, and targeted corrective exercises.
Unstable Core? Why Weak Glutes and a Tilted Pelvis Cause Low Back and Hip Pain
Many of our patients who struggle with chronic back or hip pain also present with:
Weak gluteal muscles
Tight hip flexors
Anterior pelvic tilt
This combination causes excessive arching in the lower back and reduces stability during walking, running, or lifting. In fact, a “weak core” is not just about abdominal strength—it’s often more about coordination between your glutes, deep spinal stabilizers, and pelvis.
Chiropractic care combined with physical therapy, such as a tailored glute and core strengthening protocol, can help patients regain proper pelvic alignment and prevent recurring flare-ups.
Trouble Standing or Walking for Long Periods? Your Hips Might Be Overcompensating
If you notice that your back aches when standing for long periods, or that you need to frequently shift your weight from side to side, your body may be compensating for poor hip mobility or pelvic control. I see this pattern frequently in people who work long hours on their feet or have to commute daily from the Summit and Millburn train stations to NYC.
Restricted hip mobility—especially internal rotation—forces the lumbar spine to absorb extra motion, which leads to:
Chronic lumbar strain
Overuse of the lower back muscles
Sciatica-like symptoms down the leg
By correcting these mechanical issues through chiropractic adjustments and mobility training, we help patients move more efficiently and comfortably.
Postpartum Pelvic Pain? Core and SI Joint Instability Could Be the Cause
Many of our new mothers from Springfield and the nearby towns often come to our clinic with lingering pelvic, hip, or low back pain months after giving birth. The hormonal and structural changes of pregnancy—especially ligament laxity and abdominal separation—can lead to:
Unstable sacroiliac joints
Pelvic floor dysfunction
Reduced gluteal and core activation
Our postpartum recovery program includes gentle chiropractic care, pelvic alignment, and targeted core rehab, helping moms regain strength, stability, and confidence in movement.
Sciatica or Piriformis Syndrome? What You Think Is a Pinched Nerve May Be Muscle-Based
Patients sometimes visit us believing they have sciatica, but upon evaluation, are actually dealing with piriformis syndrome or hip entrapment. Both can cause pain that radiates into the buttocks or down the leg, but the treatment approach differs greatly.
If you're experiencing:
Shooting pain down the leg when sitting
Numbness or tingling in the glute or thigh
Pain that improves with movement but worsens with prolonged sitting
…it’s critical to have the LPHC evaluated by a trained chiropractic physician. Identifying whether the origin is spinal, pelvic, or muscular can make all the difference in recovery.

Springfield Chiropractic Treatment for Low Back, SI Joint, and Hip Pain
At the Springfield Chiropractic Center, we provide evidence-based, non-invasive solutions for LPHC-related dysfunction:
Specific spinal and pelvic adjustments to correct misalignment and subluxations
Soft tissue therapy for tight hip flexors and overactive muscles
Core and glute strengthening protocols tailored to each patient
Postural and ergonomic education for work, lifting, and home care
We treat a wide range of patients—from young athletes and professionals to new moms and weekend warriors—throughout Springfield, Summit, Union, Millburn, and the surrounding areas.
Think You Might Be Dealing with Lumbo-Pelvic-Hip Dysfunction?
If you're experiencing any of the following symptoms:
Low back pain that keeps returning
Hip or SI joint pain when sitting, walking, or standing
Weakness or instability in your core or pelvis
Radiating leg symptoms that aren’t responding to stretching or medication
…it’s time for a comprehensive chiropractic assessment.
To schedule a chiropractic appointment or to learn about my practice, please visit www.Springfield-Chiropractic.com
Visit Our Office:
Springfield Chiropractic Center
454 Morris Ave.
Springfield, NJ 07081
(973) 564-7676
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Wishing you good health.
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