Condition pathway

Lower back & hip problems need more than a temporary fix.

From sciatica and disc-related pain to groin, gluteal and hip symptoms — we assess movement, strength, load and daily habits before deciding the next stage of care.

Physiotherapy assessment for lower-back pain at COMM

Physiotherapy assessment for hip pain at COMM

Typical pathway

Understand → reduce irritation → rebuild capacity.

Education and active rehabilitation help you move from symptom management toward stronger, more confident movement.

✓History, movement and neurological screening

✓Individual mobility, strength and load plan

✓Progress toward work, exercise and daily life

Conditions / Lower Back & Hip

Know what you are dealing with.

Lower back and hip symptoms often overlap. Tap a card to see what it feels like and what to watch for.

SIJ Pain

Sacroiliac joint (SIJ) pain can cause pain around the lower back, buttock or pelvis, often aggravated by prolonged sitting, standing, walking or certain movements. Physiotherapy focuses on improving mobility, strength and movement control to restore function.

Pelvic painButtock pain

Mechanical Low Back Pain

Mechanical low back pain is often related to movement, posture, muscle weakness or changes in load. Physiotherapy focuses on reducing pain, restoring mobility and improving strength and movement control for long-term recovery.

StiffnessPosture & load

Groin Pain

Groin pain can result from muscle strains, tendon overload or hip-related issues, often affecting running, kicking or change of direction. Physiotherapy focuses on identifying the cause, reducing pain and restoring strength and function.

StrainsTendon overload

Gluteal Tendinopathy

Gluteal tendinopathy causes pain around the outer hip or buttock, often aggravated by running, stairs, side-lying or prolonged standing. Rehabilitation focuses on progressive gluteal strengthening and tendon loading to restore function.

Outer hip painTendon pain

Disc-Related Pathology

Disc-related conditions can cause lower back pain, stiffness and sometimes pain, tingling or numbness into the leg. Physiotherapy focuses on symptom management, restoring movement and progressively improving strength and function.

Nerve painTingling

Hip Joint Pain & Arthritis

Hip joint pain and arthritic change can cause groin or outer hip aching, stiffness and difficulty with walking, stairs, squatting or prolonged sitting. Physiotherapy focuses on reducing pain, restoring mobility and building strength so the hip tolerates daily and sporting load.

Joint painStiffness

Hip Labral Injury / Surgery

Labral tears or femoroacetabular impingement (FAI) can cause deep groin pain, clicking or catching and restricted hip rotation with squatting, sitting or sport. Rehabilitation focuses on restoring mobility, rebuilding hip and pelvic strength and a graded return to walking, running and sport, including after hip arthroscopy.

ClickingImpingement

Lumbar Surgery / Fusion Rehabilitation

Rehabilitation after procedures such as discectomy, decompression or spinal fusion needs a structured, staged plan. Physiotherapy focuses on protecting healing tissue, restoring movement, rebuilding trunk and hip strength and progressing confidently back to work, daily activity and sport.

Post-surgeryGraded rehab

Causes / Lower Back & Hip

Why this keeps coming back.

Pain rarely has one cause. We look at load, strength and recovery together to find what is driving your symptoms.

Prolonged sitting or standing

Long hours in one position reduce how much load the lower back and hip tolerate, letting stiffness and ache build through the day.

DeskStiffness

Sudden load or awkward lift

An awkward lift, a slip, or a jump in walking, running or training can overload the back, hip or pelvis beyond its current capacity.

InjurySpike

Weak trunk and hip support

Reduced trunk, gluteal and hip strength means the spine and pelvis absorb load poorly, so everyday movements keep irritating the area.

WeaknessRecurrence

Solution / Lower Back & Hip

Calm it down, then build it up.

Your plan moves from settling symptoms to restoring strength and confidence — matched to work, walking, training or sport.

Settle & mobilise

✓Hands-on care for back, hip and pelvic stiffness
✓Graded lumbar spine and hip mobility work
✓Sitting, lifting and daily activity adjustments

Strength & control

✓Trunk, hip and gluteal strengthening progressions
✓Progressive loading for tendons and joints
✓Movement control for bending, lifting and walking

Stay resilient

✓Load-management and return-to-work plan
✓Graded return to sport or training
✓Long-term strength and prevention habits

Start your assessmentFirst session: history + movement testing + a clear plan.