Illustration depicting a person experiencing right side pain above the hip that radiates towards the back.
Flank Pain

Understanding Right Side Pain Above Hip Towards Back

Pain in the right side above the hip that radiates towards the back can be a concerning symptom with various potential causes. While it might be a result of a minor issue like muscle strain, it could also indicate more serious underlying conditions that require medical attention. In this article, we’ll explore the possible causes, symptoms, diagnostic methods, and treatment options for this type of pain.

Causes of Right Side Pain Above the Hip Towards the Back

Right side pain above the hip towards the back can have several potential causes, including:

  1. Muscle Strain: One of the most common causes of pain in this area is muscle strain. This can occur due to sudden movements, overexertion during exercise, or poor posture.
  2. Kidney Stones: When kidney stones form in the right kidney, they can cause sharp, intense pain that radiates from the flank towards the back.
  3. Appendicitis: Although classically associated with pain in the lower right abdomen, appendicitis can sometimes cause pain that starts near the belly button and moves to the right side above the hip.
  4. Gallstones: Gallstones can cause pain in the upper right abdomen that may radiate towards the back.
  5. Urinary Tract Infection (UTI): Infections in the urinary tract, particularly in the right kidney or bladder, can cause pain in the right side above the hip.
  6. Inflammatory Bowel Disease (IBD): Conditions like Crohn’s disease and ulcerative colitis can cause abdominal pain that may extend to the right side and back.


The symptoms experienced along with right side pain above the hip towards the back can vary depending on the underlying cause. However, some common symptoms may include:

  • Sharp or dull pain in the right side above the hip, possibly radiating towards the back.
  • Nausea and vomiting.
  • Fever or chills.
  • Changes in bowel habits.
  • Blood in the urine.
  • Pain or discomfort during urination.
  • Abdominal bloating or swelling.
  • Pain during sexual intercourse (in females).
  • Difficulty standing or walking.


Diagnosing the cause of right side pain above the hip towards the back typically involves a combination of medical history, physical examination, and diagnostic tests. Your healthcare provider may:

  • Ask about your symptoms, medical history, and any recent injuries or activities.
  • Check for soreness, swelling, or other symptoms by performing a physical examination.
  • Order imaging tests such as ultrasound, CT scan, or MRI to visualize the internal structures and identify any abnormalities.
  • Conduct blood or urine tests to check for signs of infection or other underlying conditions.

Treatment Options

The treatment for right side pain above the hip towards the back depends on the underlying cause. Some common treatment approaches may include:

  1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate mild to moderate pain. For severe pain, prescription medications may be necessary.
  2. Rest and Ice: If the pain is due to muscle strain or injury, resting the affected area and applying ice packs can help reduce inflammation and discomfort.
  3. Medication: Depending on the cause, your healthcare provider may prescribe antibiotics for infections, medications to help dissolve kidney stones or gallstones, or hormonal treatments for conditions like endometriosis.
  4. Surgery: In some cases, surgical intervention may be necessary to remove kidney stones, gallstones, ovarian cysts, or tumors, or to repair hernias or spinal issues.
  5. Physical Therapy: Physical therapy exercises can help strengthen muscles, improve flexibility, and alleviate pain associated with musculoskeletal issues.
  6. Lifestyle Changes: Making lifestyle modifications such as maintaining a healthy diet, staying hydrated, practicing good posture, and avoiding activities that exacerbate pain can help prevent recurrence of symptoms.


Right side pain above the hip towards the back can be a distressing symptom with a wide range of potential causes. While some causes may be relatively minor and self-limiting, others may require prompt medical evaluation and treatment. If you experience persistent or severe pain in this area, it’s important to seek medical attention to determine the underlying cause and receive appropriate care. Early diagnosis and treatment can help alleviate symptoms and prevent complications, leading to improved overall health and well-being.

Janvi Dhiman holds a Master's degree in Biotechnology and has a background in both undergraduate and postgraduate studies from Amity University, Noida. Her passion lies in making meaningful contributions to the healthcare and research sectors. Currently, she is a valued member of our team, serving as a Research Analyst and a medical content writer at DiseaseInfoHub.

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