Hip and Low Back Pain: Why Treating Them Together Works Better
Naomi van Veen
Owner & Chiropractor at TOPCHIRO Amsterdam
Few complaints are as common — or as misunderstood — as hip and low back pain. Patients often see one specialist for the hip and another for the back, only to find that nothing fully resolves. At TOPCHIRO Amsterdam, we treat them as a single, connected system.
Why they travel together
The hips and lumbar spine share muscles, fascia, and nerve supply. A restriction in one almost always shows up in the other. Common patterns include:
- A stiff hip causing the low back to over-rotate during walking
- A tight low back limiting hip extension, leading to knee and hip overload
- Pelvic asymmetry creating chronic one-sided pain
- Long sitting hours weakening glutes and tightening hip flexors
Treating only one side of the equation leaves the driver of the problem in place.
Our combined approach
- Full lower-quarter assessment — pelvis, hips, knees, lumbar spine, gait
- Specific adjustments for both the lumbar spine and the hip joints
- Soft-tissue release of psoas, piriformis, glutes, and lumbar paraspinals
- Targeted exercises — hip mobility, glute activation, core stability
- Daily-habit coaching — sitting setup, walking, sleeping position
What patients report
TOPCHIRO Amsterdam patients with verified outcomes for hip and low back pain often describe a noticeable shift within a handful of visits — better walking, easier stairs, and the return of activities they had quietly given up.
If you have been chasing hip pain or back pain in isolation, treating them together is often the missing piece.