The two most likely causes for your pain complaints include an irritated or "pinched" nerve in her lower back burn injury to your hip joint. Pain that radiates into the front of the thigh to the knee cap occur from irritation or injury to the L3 (L = Lumbar) or L4 nerves. Pain from one of these nerves typically radiates into the front of the thigh to the knee and sometimes below and also can include lower abdominal pain.

Pain originating in the hip joint usually but not always presents with groin pain or buttock pain and with weightbearing activities such as standing or walking the pain may radiate into the front of the thigh to the knee.

Has an MRI been performed on your lower back or your left hip?

Numerous conditions can cause lower left side abdominal pain and back pain. According to the Merck Manuals website, abdominal pain that manifests in your abdomen's left lower quadrant may be caused by abdominal organs or problems in your abdominal wall. In some cases, pain that originates in your abdomen or pelvis can be referred or sent to other parts of your body, including your back. Your lower back is a particularly common location for referred abdominal pain.

Your abdomen is the area on the front side of your body, between your lower rib cage and your hips or pelvis. The left lower abdomen is the area from your belly button to your pelvis. Your left lower abdominal quadrant is composed of various tissues, including muscle, fat and connective tissue. The terminal end of your large intestine, including your sigmoid colon and your rectum, are also located within this quadrant. Certain reproductive organs, including your ovaries, are located just below your left lower abdominal quadrant.

Numerous causes of left lower abdominal pain can send pain to your back, especially your lower back. According to the Wrong Diagnosis website, pelvic inflammatory disease, pelvic abscesses, Crohn's disease, ulcerative colitis, dysmenorrhea or menstrual cramps, kidney stones, shingles and ovarian cancer can all cause simultaneous left lower abdominal pain and lower back pain. Although it's usually located closer to the mid-line of your abdomen, an abdominal aortic aneurysm---a ballooning or dilation of the abdominal aorta, one of the body's largest blood vessels---can also cause simultaneous lower abdominal and lower back pain.

symptoms associated with left lower abdominal pain and back pain depend on the cause of the pain and the type of tissue affected. However, possible signs and symptoms associated with simultaneous left lower quadrant abdominal pain and lower back pain include sharp, stabbing, aching or burning pain in the abdomen, dull and aching pain in the lower back, abdominal tenderness, nausea, vomiting, pain when urinating, unexplained weight loss, a rash of fluid-filled blisters that wraps around your flank on one side of your body and diarrhea or constipation.

There is a classic pain pattern that as a Chiropractor I see a lot in the clinic. It stems from a SI/sacroiliac joint dysfunction. There is a knobby part in your low back, called a PSIS/posterior superior iliac spine. This is essentially the beginning of the SI joint. This SI joint extends down to the crease in the bottom of your “butt”. It can cause pain down the back of the upper leg, above the knee. The pelvis/iliac bone extends to the front to this bony prominence in the groin region, called the pubic symphysis, causing irritation of a ligament in your groin region called the inguinal ligament. That is how the back, back of the upper leg, and groin pain is often related.

SYMPTOMS OF S-I JOINT PAIN SYNDROME can manifest in any one of these signs.

1. pain across the low back (one or both sides)

2. a "deep pulling" sensation in the spine, like a taut wire

3. pain just below the waistline, in back (one side)

4. pain deep in buttock(s) that doesn't respond to direct treatment

5. deep pelvic/abdominal pain (ache, "lightning"-like pain), sometimes with nausea

6. numbness in front or side of thigh

7. pain at the top rim of the pelvis, at sides or back

8. pain deep in the hip joint

9. sciatica (if accompanied by other symptoms)

10. groin pain

11. testicular pain

12. bladder pain

13. "pulling" or "stretching" pain at the low back

14. pain along the spine

15. pains in the ribs

16. restricted breathing or the sense that the breathing diaphram is involved

17. neck or jaw pain (reflexive contractions)

You never mentioned which tests your MD completed. Perhaps you should make an appointment with a Chiropractor and bring the results of your tests with you. He or she will give you another perspective on what could be the cause of your pain.

You're experiencing a form of radiculopathy, most likely Sciatica, from lower back dysfunction. There is so much irritation to your nerve (the pain that runs down your leg), that your low back muscles seize up to protect it. This is what is causing the low back pain. Both can be treated with chiropractic care with wonderful results. A chiropractic adjustment of the low back and pelvis will release a lot of the stress and therefore irritation to that area. This may require a dozen or so visits to fully correct the dysfunctional segments in your back, but chiropractic treatment can definitely help.

Bupropion for depression. Citalopram for depression. Ranitidine for ulcers. I'm trying to figure out what any of those meds have to do with your condition or any other conditions that you say you don't have. Pain can certainly drive you crazy. I think you should try a different doctor, one that doesn't think your problem is in your head. This could very well be just the thing that your chiropractor could help you with. If you don't have one get one and go.

I am so sorry to hear about your situation. You said every test was done; does that include MRI? If not, one would be necessary after suffering for over 6 weeks. If an MRI has been performed, obtain a copy of the radiologist's report and post the findings here for discussion. Pain radiating down one leg to the knee immediately suggests a sciatic condition caused by the irritation of a spinal nerve root. Depending on which nerve root is being impinged, it is totally possible for pain to radiate to the front lower abdomen and groin. This pain pattern, when accompanied by unilateral low back pain, strongly suggests a disc protusion. More information is needed to arrive at the exact cause of this pain before any treatment is considered. Seeing a board certified chiropractic physician is a good place to start. Diagnosing and treating problems of this type are what they excel at.

Your pain is dangerously close to becoming a permanent situation.

It is good that you have had a medical examination to rule out referred pain from your internal organs.

Now it is time for a nerve-muscle-joint expert, a chiropractor to take a look at you.

And stop using the heating pad. It only feels good while you are using it and then it locks in the inflammation for the next two days. Switch to 20 minutes of ice at a time.

Bring your medical records to a reputable chiropractor so they can review them and only focus on what hasn't been done yet to get you relief from your back abdomen and knee pain.

Many people have found safe, effective relief with KB-C from www.naturessunshine.ca or .com

It is inexpensive and usually fast acting.

Helping Herbs and Wellness 419728

I would skip the adjustments. I have had quite a few patients that have had a ton of these without getting better. They help initially, but they are only fixing the end result of an equation that is leading to a likely lumbar disc compression. There is a mechanical reason for this and we need to comb through the whole lower quarter to figure out what's going on. I would bet there is considerable hip mobility issues causing compensation at the spine. Massage, acupuncture, ultrasound, are all surface treatments. The reason nobody is helping is because the back is the victim, not the culprit. We need to find what's causing this to continue and it's in your mechanics.

I would find a SFMA certified specialist in your area in order to properly evaluate your condition.

I would also say that this sounds like a psoas minor or major condition and that specific rotational stability work as well as soft tissue work, like ART (Active Release Technique), Graston, FAKTR, or DNS (Dynamic Neuromuscular Stability) work is needed in order to relieve your pain.