Iliac Crest Pain

iliac crest syndrome/back pain

The advancement of pain in the iliac crest prevails in older people, athletes or those that experience lower back pain. Iliac crest pain may also be a symptom of swelling in the iliolumbar ligament. This pain can be felt throughout the hip, lower back or core. Properly addressing this pain as quickly as it develops will help to make sure an adequate recovery.

Causes of Iliac Crest Pain

A lot of who experience iliac crest pain explain this feeling as an aching or bruising feeling that establishes along the hips.

Weak Muscles

There are many muscles that connect above and listed below iliac crest that are important to movement of the body. The hip flexor muscles along with back and abdominal or core muscles are all active in this location. If these muscles are weak then running or other recurring motions can aggravate these attachment points and trigger pain.

Iliotibial Band Syndrome

The iliotibial band is located along the external thigh and transfers to the outer side of the knee joint. Runners and other professional athletes will frequently experience hip pain that is centralized to this location. The iliotibial band is responsible for supporting the hips, so it can be irritated by an imbalance in between legs. Putting too much strain on one side of the body can trigger pain in this area.

Piriformis Syndrome

Piriformis syndrome is normally triggered by the luteal muscles becoming too tight and putting pressure on the sciatic nerve, which can radiate throughout the hip and buttocks as the pelvis is triggered extra wear and tear, according to Working out in worn shoes, inflexibility, length inconsistencies of the legs and muscle imbalances can add to this condition.

Iliolumbar Syndrome

Iliac crest pain can frequently be triggered by inflammation of the iliolumbar ligaments.This swelling can put pressure on the muscles within the hips or the lower back.

Gluteus Medius Pain

Stress in the gluteus medius can trigger pain below the iliac crest which can lead to decreased elasticity, lowered flexibility, minimized variety of motion, a boost of pressure, minimize nerve or muscle function or reduced blood circulation to the location.

Pain on Iliac Crest After Running

The knees, Achilles tendons, and soles of the feet are maybe the most typical running sites of running related pains and issues, however pain in the hip, especially in the upper point of the pelvic bone recognized anatomically as the iliac crest, can be disabling and has a variety of causes. Most common causes of a pain on iliac crest after running already mentioned above: Iliotibial Band Syndrome, Piriformis Syndrome and Muscle Weakness.

Home Remedies for Iliac Crest Pain


Rest entirely for a couple of days to give your body time to address your symptoms. Carefully work your method back into your training schedule to avoid putting overwhelming pressure on the damaged muscles.

Apply Ice

Placing an ice bag on the aching or injured area of the iliac crest every night will help to decrease swelling and this discomfort. Do not apply ice straight to the skin as this can lead to damage to these cells.

Gentle Stretch

Gently extending the core and hip muscles will assist you to develop strength that will help to prevent injuries in the future. Stretch hamstrings, iliotibial band, hip flexors and quadriceps prior to each run to see to it the body is ready to handle this exercise.

Medical Treatments for Iliac Crest Pain

Anti-inflammatory Medications

You can make use of anti-inflammatory medications to minimize swelling and restrict your discomfort as you start to treat your iliac crest pain.


Corticosteroids might be injected into the affected location to assist remove inflammation of the iliac crest. This is commonly provided for those that have had limited success with other treatment techniques such as ice, physical treatment and rest.

Physical Therapies

Those that are experiencing pain in the iliotibial band may see the most success with physical therapy. Your doctor may assess your running style to figure out if you an underlying cause might be adding to this inflammation. Gait analysis, muscle stamina and muscle flexibility tests can be made use of in order to figure out how best to avoid causing such damage in the future.

Iliac crest pain including syndrome also can be during/after running, after exercises, and cancer, after sitting, with arthritis, when walking, during pregnancy, after bone graft, when cycling, at night, after fall, with sciatica, after standing from sitting position, with anterior, after hip replacement, with lupus, after spinal fusion, after birth.

iliac crest pain after standing from sitting position

Preventions for Iliac Crest Pain

Change Worn-out Shoes

Gradually your shoes will wear out and will fail to supply appropriate assistance for the feet. Make the effort to change them with something tougher that will assist to provide the essential shock absorption and stability for your legs.

Avoid Uneven Road

Prevent constantly operating on surfaces that are unequal or in locations that are uphill or downhill as these put extreme pressures on the legs.

Enhance Muscles

Pain that develops on the side of the iliac crest may be caused by inflammation to your core muscles or the tensor fascia. While extending and applying ice you will have to improve hip and core strength as stamina deficits can trigger you to establish an abnormal gait. This will trigger the hip to drop on your non-weight bearing leg that can stress the muscles on the affected side of the hips.

Last modified: September 16, 2017


The Author

Reyus Mammadli

As a healthy lifestyle advisor I try to guide individuals in becoming more aware of living well and healthy through a series of proactive and preventive measures, disease prevention steps, recovery after illness or medical procedures.

Education: Bachelor Degree of Medical Equipment and Electronics.

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