What Does It Mean When Your Lower Back Hurts

Why Does My Lower Back Hurt After I Drink Alcohol

Pain felt in your lower back after drinking alcohol is typically occurring in the kidneys. This is where alcohol is processed and broken down, and depending on the type and quantity of alcohol you consumed, it can be really taxing.

Frequency matters too, though. If you are a binge drinker your kidneys will be working overtime. Lets talk a bit about the kidneys and their role.

Acute Back Pain: Short

If your back pain is acute, it probably means your pain came along suddenly. Things like stress, strenuous exercise, an awkward movement or lifting something wrong can all contribute to acute back pain.

Most back pain is diagnosed as acute. With acute back pain, the pain lasts no longer than six weeks. And in most cases, the underlying cause of the pain doesnt pose a serious or long-term problem.

How Pnbc Helps You Heal Your Back Pain

What many people dont realize about chronic back pain is that it can often be solved without surgery. Yes, sometimes surgery is the suggestion but only after non-surgical options have stopped working.

At PNBC our spine strengthening program focuses on active physical therapy which focuses on movement-based activities. This is a proven method for healing chronic back pain just ask any of the 200,000-plus patients weve worked with over the past 30 years.

Through this program, youll do an intake with a doctor or physical therapist who specializes in spine care and chronic pain. Theyll work with you to determine the best pain management treatment plan. Then youll work one-on-one with a physical therapist.

Most programs are six to 12 weeks long, and your therapy happens at one of our facilities that features state-of-the-art medical exercise equipment. As part of your care, youll learn about what chronic pain is and how the brain processes it.

Youll also focus on body mechanics such as proper lifting, standing and sleeping all the things that can contribute to back pain but you probably dont think about. And as you progress, youll learn how to continually improve and maintain your back strength on you own so you can keep back pain at bay long-term.

Want to learn more about PNBC? Watch this short video.

Think PNBC is right for you? Schedule a consultation appointment.

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Whenyour Back Pain Could Be A More Serious Medical Problem

There are a few ways to tellthe difference between spinal stenosis and something more serious:

• Pain that gets worse when going uphill is more common with peripheral arterial disease, a buildup of plaque in the blood vessels leading to the your limbs.
• Arterial disease patients dont get relief from the grocery cart position.
• If your symptoms are worse at night but better with exercise, neuropathy may be to blame.
• In younger people, morning stiffness that lasts longer than 30 minutes and gets worse with stillness may be a sign of inflammatory arthritis, such as ankylosing spondylitis.
• Other unexplained symptoms such as weight loss and fatigue may be signs of a cancerous growth very rare, but absolutely worth looking into.

Serious issues such asmalignancies or abdominal aortic aneurysms rarely present with spine symptoms,Dr. Khalaf says, but sometimes they do. Theyre serious enough that rulingthem out is important.

What Are The Treatments For Lower Back Pain

Lower back pain usually gets better with rest, ice and over-the-counter pain relievers. After a few days of rest, you can start to get back to your normal activities. Staying active increases blood flow to the area and helps you heal.

Other treatments for lower back pain depend on the cause. They include:

• Medications: Your provider may recommend nonsteroidal anti-inflammatory drugs or prescription drugs to relieve pain. Other medications relax muscles and prevent back spasms.
• Physical therapy : PT can strengthen muscles so they can support your spine. PT also improves flexibility and helps you avoid another injury.
• Hands-on manipulation: Several hands-on treatments can relax tight muscles, reduce pain and improve posture and alignment. Depending on the cause of pain, you may need osteopathic manipulation or chiropractic adjustments. Massage therapy can also help with back pain relief and restore function.
• Injections: Your provider uses a needle to inject medication into the area thats causing pain. Steroid injections relieve pain and reduce inflammation.
• Surgery: Some injuries and conditions need surgical repair. There are several types of surgery for low back pain, including many minimally invasive techniques.

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Unexplained Acute Low Back Pain

Unexplained low back pain means chronic pain that comes on gradually, over time, with no specific injury, event, or illness causing it.

Common causes:

• Prolonged sitting and lack of fitness can weaken back muscles and cause pain from lack of support.
• Ankylosing spondylitis, a form of arthritis.
• Spinal stenosis, a narrowing of the spinal column that puts pressure on the spinal cord.
• Certain types of cancer, in rare cases.

Those most susceptible are over 30, overweight and/or pregnant, and not physically fit. Smoking interferes with healing after any sort of stress to the back.

If there are additional symptoms, medical care should be sought: fever, unexplained weight loss, leg weakness or numbness, or trouble urinating.

An exact diagnosis is made through blood tests and through imaging such as x-rays, CT scan, or MRI.

Once more serious causes are ruled out, treatment may include medications to ease pain, swelling, and inflammation. Steroid injections are useful in some cases.

Overall, exercise and maintaining a healthy weight can be very helpful with easing chronic low back pain.

Rarity: Common

Top Symptoms: lower back pain, back pain that shoots to the butt, fever, back pain

Symptoms that always occur with unexplained acute low back pain:lower back pain

Symptoms that never occur with unexplained acute low back pain:buttocks numbness, thigh numbness, involuntary defecation, fever

Urgency: Self-treatment

Sensations That Might Indicate A Medical Emergency

1. Sharp pain rather than a dull ache: This could indicate a torn muscle or ligament, or a problem with an internal organ in the back or side.2. Radiating pain: This pain “moves” or shoots to the glutes or legs, which could indicate a nerve compression condition.

3. Sudden weakness in the legs: Limb weakness can be caused by compressed nerves in the spine due to conditions like sciatica or spinal stenosis. However, sudden leg weakness could also indicate a stroke.4. Incontinence: Back pain paired with inability to control the bowels or bladder might be a sign of serious nerve compression or a spine infection, such as discitis or meningitis.5. Numbness or pins and needles in the groin or glutes: This is known as saddle anesthesia and is also a sign of a serious nerve or spine condition.

If you have leg weakness, incontinence, and numbness together, you might have cauda equina syndrome, a serious illness characterized by spinal cord nerve damage. This is a medical emergency, and patients usually need surgery immediately to decompress the nerves and reduce permanent damage.

Related reading: Get help for back, neck, and leg pain caused by spinal stenosis

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All Of The Worst Possible Causes Of Back Pain And Their Major Features

None of these are common. All of them usually cause serious symptoms that are easy to take seriously. Some of them can fly under the radar in early stages, but usually not for long. The names of the conditions link to carefully chosen articles from good sources.

Finucane LM, Downie A, Mercer C,et al. International Framework for Red Flags for Potential Serious Spinal Pathologies. J Orthop Sports Phys Ther. 2020 Jul 50:350372. PubMed #32438853

How Is Back Pain Treated

Acute back pain usually gets better on its own. Acute back pain is usually treated with:

• Medications designed to relieve pain and/or inflammation
• analgesics such as acetaminophen and aspirin
• non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen may be sold over the counter some NSAIDS are prescribed by a physician
• muscle relaxants are prescription drugs that are used on a short-term basis to relax tight muscles
• topical pain relief such as creams, gels, patches, or sprays applied to the skin stimulate the nerves in the skin to provide feelings of warmth or cold in order to dull the sensation of pain. Common topical medications include capsaicin and lidocaine.

Exercising, bed rest, and surgery are typically not recommended for acute back pain.Chronic back pain is most often treated with a stepped care approach, moving from simple low-cost treatments to more aggressive approaches. Specific treatments may depend on the identified cause of the back pain.

Also Check: How Do I Treat Back Pain

Back Pain Culprit: Chronic Conditions

Several chronic conditions can lead to low back pain.

• Spinal stenosis is a narrowing of the space around the spinal cord, which can put pressure on the spinal nerves.
• Ankylosing spondylitis inflames the joints of the spine, and sometimes the shoulders, hips, ribs, and other areas too. It causes chronic back pain and stiffness. In serious cases, spinal vertebrae start to fuse .
• Fibromyalgia causes widespread muscle aches, including back pain.

How About When My Lower Back Hurts When I Cough

• Keep your back arched. Many people instinctively hunch forward when they cough or sneeze. This actually causes pressure inside the discs of the spine to increase a great deal. When coughing or sneezing, make sure to keep your back in its natural arch.
• You could also try putting your hand on a firm, flat surface when coughing or sneezing to stabilize yourself and decrease the compressive effect on the spine

Also Check: How Can You Relieve Lower Back Pain

Other Types Of Diagnosis

• A chiropractor will diagnose through touch, or palpation, and a visual examination. Chiropractic is known as a direct approach, with a strong focus on adjusting the spinal joints. A chiropractor may also want to see the results of imaging scans and any blood and urine tests.
• An osteopath also diagnoses through palpation and visual inspection. Osteopathy involves slow and rhythmic stretching, known as mobilization, pressure or indirect techniques, and manipulation of joints and muscles.
• A physical therapist focuses on diagnosing problems in the joints and soft tissues of the body.

Common Causes Of Chronic Lower Back Pain

“Chronic lower back pain is less likely to be caused by injury to your muscles and ligaments and more likely to be due to issues with the lumbar disks, nerves, joints or vertebrae,” says Dr. Palmer. “There are several potential causes of chronic pain in the lower back.”

In general, osteoarthritis and degenerative disk disease are the underlying cause of many types of chronic lower back pain. However, lower back pain can also be caused by accident-related trauma and acute stress.

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Your Posture Could Be Causing The Pain

The way you hold your body when walking can play a major role in your comfort level and ease of walking. While good posture can result in little to no pain or stress, bad or inefficient posture can cause lower back pain and postural stress.

What are the Symptoms of Postural Stress?

Beyond lower back pain, if youre suffering from postural stress, you may also experience:

• Aches and pains in other parts of the body, such as the neck, shoulders, and knees
• Slumped or rounded shoulders

• Looking down at a cell phone while walking4

Can Correct Posture While Walking Prevent Lower Back Pain?

Maintaining good posture while walking may help prevent pain in the lumbar spine. Study the way you hold your body when you are walking. Are you following these steps?

Stand up straight, without leaning forward or back.Pull in your stomach and rotate your hips forward with your buttocks in.Keep your eyes forward with your chin parallel to the ground.

It is also a good idea to increase strength in your hamstrings and back muscles to help maintain good posture. Stress management may also help decrease postural stress.5

The Most Common Causes Of Lower Back Pain Are A Strain Or Sprain

Whether you notice it or not, your lumbar spine gets put to work throughout the entire day.

Amid all of this work and motion, a lower back sprain or strain can result from an acute injury, such as one experienced while falling, lifting something too heavy or playing sports. A sprain or strain can also develop over time due to repetitive movements or poor posture.

“Straining a muscle or spraining a ligament are the most common causes of lower back pain,” says Dr. Palmer. “While they can be serious, these common causes of lower back pain aren’t long-lasting taking anywhere from a few days to heal or, at most, a few months.”

Your doctor can help you determine the particular course of self-care that can help heal your lower back pain.

“The treatment for a pulled back muscle or strained back ligament is fairly simple and can include pain and anti-inflammatory medications, muscle relaxers, ice to help reduce inflammation, heat to promote healing, and avoiding strenuous activity until the pain recedes,” explains Dr. Palmer. “The best course of care will depend on the severity of your injury as well as your overall core and lower body strength.”

If your lower back pain persists despite treatment, it may be time to consider other causes of lower back pain.

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Stay Active And Stretch

In general, it is recommended that people who suffer from lower back pain stay active as much as possible.Staying active gets the blood flowing keeping muscles, ligaments, and tendons healthy and strong. Of course, staying active also prevents weight gain which can put stress on the muscles and make back pain worse.Great exercises for those with back pain include walking and swimming. There are also a lot of great yoga poses you can do to help stretch the back muscles such as half-pigeon or legs up the wall.

Causes Of Lower Right Back Pain With Treatments

Lower back pain, also known as lumbago, usually occurs suddenly and can range from mild to severe. Experiencing lower right back pain can be frustrating and terrifying. This pain may be mild and dull or sharp, stabbing and severe. This kind of back pain often affects only one side of the body, and the symptoms can be reduced by rest.

Most of us are affected by this pain at some point. However, women are more likely to suffer from lower back pain than men because of womens menstrual cycles. There are many possible causes of this common condition. For example, kidney problems, muscle trauma, fracture, inflammation of organs, and digestive problems can cause lower back pain.

The best way to treat the problem is by understanding what causes it. In this article, you will learn 14 common causes of lower right back pain with treatments. This information will help you relieve back pain effectively.

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What Are The Most Common Lower Back Surgery Procedures

Spine surgery is not necessary for most people who have lower back pain. If you do need it, your doctor will recommend an appropriate procedure to address your specific symptoms and medical situation. Common spine surgeries include:

Spinal Fusion. Two or more vertebrae are permanently fused together to limit excess spinal motion. Your surgeon will use a combination of bone, bonelike material, screws, plates and rods to hold the vertebrae together so they can heal into a single unit. Spinal fusion may be done to correct spinal deformities or to increase the spines stability in severe cases of spinal osteoarthritis or herniated discs.

Laminectomy and laminotomy. Laminectomy is a surgery in which your surgeon removes the back portion of one or more vertebrae to create more space for the spinal cord or other nerves. In people with severe arthritis, bone spurs within the spinal canal can grow large enough to press on the spinal cord, causing pain and limiting mobility. In a similar surgery known as laminotomy, your surgeon will remove a small piece of bone called the lamina from the back of the vertebra.

What Can Cause Lower Back Pain

Most acute low back pain is mechanical in nature, meaning that there is a disruption in the way the components of the back fit together and move. Some examples of mechanical causes of low back pain include:

Congenital

• Skeletal irregularities such as scoliosis , lordosis , kyphosis , and other congenital anomalies of the spine.
• Spina bifida which involves the incomplete development of the spinal cord and/or its protective covering and can cause problems involving malformation of vertebrae and abnormal sensations and even paralysis.

Injuries

• Sprains , strains , and spasms
• Traumatic Injury such as from playing sports, car accidents, or a fall that can injure tendons, ligaments, or muscle causing the pain, as well as compress the spine and cause discs to rupture or herniate.

Degenerative problems

• Intervertebral disc degeneration which occurs when the usually rubbery discs wear down as a normal process of aging and lose their cushioning ability.
• Spondylosis the general degeneration of the spine associated with normal wear and tear that occurs in the joints, discs, and bones of the spine as people get older.
• Arthritis or other inflammatory disease in the spine, including osteoarthritis and rheumatoid arthritis as well as spondylitis, an inflammation of the vertebrae.

Nerve and spinal cord problems

Non-spine sources

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Is Lower Right Or Left Back Pain Worrisome

Pain on one side of the back is not particularly more worrisome than central pain. There are three main kinds of one-sided back pain:

Most of the anatomy of the low back and abdomen is symmetrical. Some of the guts are not symmetrical, and only some of those is a plausible cause of back pain on one side. Heres some of the key anatomy to consider:

The side of the pain on its own doesnt tell us much, and most of the one-sided sources of pain are viscera that usually cause abdominal pain instead of back pain, or in addition to it. In other words, the only reason to worry about right or left lower back pain is if it is otherwise worrisome: if you have other red flags or significant non-back symptoms.

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