Why Does My Back Hurt
There are a number of reasons, some of which may not be glaringly obvious, why you are experiencing back pain. Trauma or direct injury to the area can certainly result in acute or chronic pain, but oftentimes the cause of your back pain can be traced to something else. Some of the most common causes of back pain include:
Seemingly harmless activities like repetitive lifting or repetitive motions such as swinging a golf club often put a strain on your muscles and ligaments and result in back pain. Chronic or degenerative conditions, such as those listed above, can also be culprits of back pain. However, if none of these things apply to you, your back pain may be the result of something else.
About Lower Back Pain
Lower back pain is pain in the area of your back from the bottom of your ribs to the top of your legs. It can come from any of the many structures that make up your back. These include bones, joints, muscles, ligaments, nerves and tendons.
Your spine supports your back. Its made up of 24 separate bones called vertebrae stacked on top of one another. The lower section of your spine is called the lumbar spine. Below the vertebrae, at the bottom of your spine, are bones called your sacrum and coccyx. You may hear lower back pain referred to as lumbosacral pain.
Discs of cartilage sit between each vertebra, acting as shock absorbers and allowing your spine to bend. Some lower back pain originates from these discs. Your spinal cord threads through the vertebrae, carrying nerve signals between your brain and the rest of your body. If nerves at the base of your spine become compressed or inflamed, it can cause sciatica. Sciatica is a type of pain that starts in your back or buttocks and spreads down your leg.
Its usually difficult for doctors to say exactly whats causing back pain. This is because there are so many different parts to your back and tissues that surround it. Even tests such as X-rays and magnetic resonance imaging scans arent helpful for most people.
Other Conditions Causing Lower Back Pain
There are many causes of back pain. Overuse injuries are a very common source of lower back pain and stiffness. However this usually goes away after a few days. Others causes of chronic pain include:
- Spondylolisthesis. Normal wear and tear makes it hard for your joints and ligaments to keep your spine in the proper position, especially as we age. When a vertebrae moves more than it should, it can slide forward and on top of another. When this happens, bones can press on the spinal nerves and cause lower back pain.
- Vertebral fractures caused by osteoporosis
- Spinal stenosis. A narrowing of the spine space around the spinal cord can put pressure on nerves. The narrowing is typically caused by bone spurs that have developed as a result of osteoarthritis.
- Scoliosis. An abnormal curvature of the spine can cause back pain.
Less commonly, low back pain can be a sign of a serious medical condition, such as diabetes or a pinched nerve. In the case of a pinched nerve, the pain may be accompanied by symptoms like fever, chills, night sweats, or loss of bladder control.
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Low Back Pain Fact Sheet
If you have had lower back pain, you are not alone. Back pain is one of most common reasons people see a doctor or miss days at work. Even school-age children can have back pain.
Back pain can range in intensity from a dull, constant ache to a sudden, sharp or shooting pain. It can begin suddenly as a result of an accident or by lifting something heavy, or it can develop over time as we age. Getting too little exercise followed by a strenuous workout also can cause back pain.
There are two types of back pain:
- Acute, or short-term back pain lasts a few days to a few weeks. Most low back pain is acute. It tends to resolve on its own within a few days with self-care and there is no residual loss of function. In some cases a few months are required for the symptoms to disappear.
- Chronic back pain is defined as pain that continues for 12 weeks or longer, even after an initial injury or underlying cause of acute low back pain has been treated. About 20 percent of people affected by acute low back pain develop chronic low back pain with persistent symptoms at one year. Even if pain persists, it does not always mean there is a medically serious underlying cause or one that can be easily identified and treated. In some cases, treatment successfully relieves chronic low back pain, but in other cases pain continues despite medical and surgical treatment.
What Can I Do To Prevent Lower Back Pain
Keep a correct posture while you sit or stand.
Bad posture can lead to many aches over the years. Ensure you maintain a good posture whether youre walking, standing, sitting, or even sleeping. If you work at a desk, its also essential to use an adequate desk and chair to ensure an ergonomic and comfortable position.
Use correct technique while lifting objects.
Rather than bending your back to reach for an object, squat and lift from your knees. This simple technique can help prevent many back injuries over the years.
Maintain a healthy weight
Excess weight can put undue stress on all the joints in your body, including those on your lumbar spine. Maintaining a healthy weight, lean muscle mass, and good cardiovascular health can help prevent many injuries down the road.
Dont smoke!
You probably know that smoking is one of the main risk factors for lung conditions and many other types of systemic diseases. But did you know that smoking can also increase your risk of degenerative disc disease? It does, and avoiding tobacco can help you maintain better overall health while also taking care of your lower back.
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Symptoms Of Back Pain
Back pain can range from local pain in a specific spot to generalized pain spreading all over the back. Sometimes the pain radiates away from the back to other areas of your body, such as the buttocks, legs, or abdomen. The intensity of back pain varies for each person. Depending on the type, cause, and location of your back pain, you may experience:
- Increasing pain with lifting and bending.
- Worsening pain when resting, sitting, or standing.
- Back pain that comes and goes.
- Stiffness in the morning when awakening and lessened back pain with activity.
- Pain that radiates away from the back into the buttocks, leg, or hip.
You should see a doctor if your pain does not improve after a few weeks or if any of the following symptoms happen with your back pain:
- Numbness and tingling.
- Severe back pain that does not improve with medication .
- Back pain after a fall or injury.
- Back pain along with:
- Weakness, pain, or numbness in your legs.
When You Should Go To The Er For Back Pain
If your back pain is accompanied by any of the following symptoms, head to your closest emergency room because you could be dealing with a more serious condition or injury:
- Sudden spike in pain, discomfort, weakness or numbness
- Loss of bladder function
- Unexplainable weight loss
- The pain results from a fall or severe blow to your back
If you experience any of these symptoms, its a good idea to talk to your doctor so you can determine next steps for managing pain.
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How To Sit On A Chair
To sit on a chair safely:
To help your back and make sitting more comfortable:
- Try to get up and change position regularly
- Try to sit right back in the chair
- Put a rolled up towel in the small curve at the bottom of your spine
Urgent Advice: Ask For An Urgent Gp Appointment Or Get Help From 111 If:
You have back pain and:
- a high temperature
- you’ve lost weight without trying to
- there’s a lump or swelling in your back or your back has changed shape
- the pain does not improve after resting or is worse at night
- the pain is made worse when sneezing, coughing or pooing
- the pain is coming from the top of your back , rather than your lower back
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What Can I Do For Low Back Pain At Home
If your lower back pain has just started, the best thing you can do is start a log. Record your symptoms, times, dates and which activities trigger the pain or make it worse or better. Take this information to your family physician if the pain doesnt resolve on its own. It will make diagnosing the cause much easier.
Once you know which motion or position causes your lower back pain, try to avoid it and see if you get better. Icing the painful spot can also help. And so can over-the-counter pain relievers that help reduce inflammation. Just remember that pain killers treat only the symptom pain and not its cause.
What Can I Do For My Lower Back Pain
The first step in getting relief from your back pain is to identify its cause. For instance, the treatment for trauma-induced back pain may be something for which you need professional help, while tension-induced pain may be able to be treated at home.
In general, over-the-counter medications, ice, and heat can provide significant relief from run-of-the-mill lower back pain. At the onset of your back pain, apply a cold compress for about 15 minutes, 3 4 times a day. After the first few days, use a heating pad instead. Warm showers or baths may also help loosen your muscles and relieve your pain. In some cases, massage therapy may help alleviate your symptoms. However, make sure that you seek treatment from a qualified, certified, and experienced professional, as improper techniques may result in a worsening of your pain.
For back pain that is caused by more serious conditions, including disk problems or osteoarthritis, professional intervention may be needed. In some cases, surgery may be recommended, but there are many instances when less invasive techniques can be equally or even more beneficial. Dr. Williams is proud to offer the breakthrough Regenexx family of procedures to his patients suffering from chronic pain and other problems. During your initial consultation, Dr. Williams will thoroughly evaluate your case, begin the process of diagnosing your condition, and explain how Regenexx treatment may benefit you.
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Top Causes Of Chronic Low Back Pain
Here are the top causes of low back pain and tips for prevention.
It’s hard to find any part of Elin Laird’s life that hasn’t been touched by pain. “I can’t stand for too long. I can’t sit for too long. Pretty much if I’m at home, I’m lying in bed,” says the 39-year-old single mother. “I can’t be as active in my son’s life. I can’t travel as much. I’ve lost so much of my life.”
Laird describes the pain of her herniated disc as similar to having “an ice pick shoved in the base of my spine.” It’s a pain that no therapy â from steroids to painkillers to surgery â has managed to budge. And she is far from alone in her discomfort.
“Eighty percent of the population of the United States, at some point in their life, is going to have back pain,” says Ronald J. Wisneski, MD, an orthopedic surgeon, specialist in spinal disorders and spine surgery, and associate in the Department of Orthopedic Surgery at Geisinger Medical Center in Danville, Pa. Most of the time, that pain is centered in the lower back and non-specific, meaning there is no primary cause found. About 2% to 10% of people who experience low back pain develop chronic low back pain, which affects daily living for at least 3 months.
What could be triggering your back pain? To get an idea, WebMD talked to two orthopaedic surgeons about the most common causes of chronic lower back pain — and what you can do about it.
Why Can Pain Be Felt In One Part Of The Lower Back Left
It can be a little confusing when you experience pain on just one side of your lower back. The pain you’re feeling may be due to something minor whereby your body can rectify the problem on its own, or it may be an indication of something more serious.
Unilateral or one-sided back pain is a relatively common problem. When you experience pain on either side of your back, left or right, it may stem from issues with the organs in your pelvic, abdominal, or mid-back area. The pain may indicate inflammation, irritation, or infection.
The organs that are typically associated with this type of back pain can include:
-
Abdominal aorta
Many abdominal or pelvic structure problems can occur and lead to one-sided back pain. Below you’ll learn which internal organs can cause you to experience lower back pain whether it’s on the left side or the right side.
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Complementary And Alternative Techniques Include:
- Acupuncture is moderately effective for chronic low back pain. It involves inserting thin needles into precise points throughout the body and stimulating them , which may cause the body to release naturally occurring painkilling chemicals such as endorphins, serotonin, and acetylcholine.
- Behavioral approaches include:
- Biofeedback involves attaching electrodes to the skin and using an electromyography machine that allows people to become aware of and control their breathing, muscle tension, heart rate, and skin temperature people regulate their response to pain by using relaxation techniques
- Cognitive therapy involves using relaxation and coping techniques to ease back pain
Spinal injections include:Trigger point injections can relax knotted muscles that may contribute to back pain. An injection or series of injections of a local anesthetic and often a corticosteroid drug into the trigger point can lessen or relieve pain.
Your Pain Is Worse At Certain Times Or In Certain Positions
If your back pain wakes you up in the middle of the night or appears when you’re in certain positions, such as lying down, then this could be a sign of a more serious problem. It could be a sign of a more systematic problem such as an infection, fracture, severe nerve compression or even cancer.
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Your Pain Extends To Other Body Parts
If you’re experiencing severe back pain that is coupled with pain in other areas such as shooting pain down your leg then you should see a doctor. This could be a sign that you have sciatica, a form of pain that affects the sciatic nerve, which runs from the lower back and through the buttocks before branching down each leg. This condition usually results from a herniated disk. A doctor will be able to offer a variety of ways that you can relieve this pain.
Learn More:Listen to a podcast on herniated disks.
Treatment For Lower Back Pain
Low back pain is a common problem. Fortunately for most of us, recovery occurs with maintaining normal daily activities and stretching the affected segment. The treatment for low back pain can vary greatly depending on what is causing it.
Its imperative to visit your GP so you can get an accurate and timely diagnosis of your lower back pain. Your physician will take a personal history, perform a physical examination, and order any relevant tests to determine the cause of your pain. Depending on your symptoms, they could order tests such as:
- Electromyography
Getting diagnosed quickly can make a massive difference since it will allow you to start treatment and change any habits that could be worsening your condition.
Non-steroidal anti-inflammatory drugs can be used to manage acute pain. Muscle relaxants may also be prescribed if youre suffering from muscle spasms. If your pain is too severe, stronger medications such as opioids could be considered.
Conditions such as a herniated lumbar disc, spondylolisthesis, and spinal stenosis may require surgical treatment. In this case, your medical team will choose the proper technique based on your diagnosis and overall health condition.
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Lower Back Pain: Is It In Your Genes
One of the main reasons a person develops low back pain and another doesn’t may lie in their genes. With disc degeneration, Andersson says, âIf you take twins — one who is doing heavy physical work and one who is doing desk work — and you compare their MRI exams, they are essentially identical. This tells you that genetic factors are very important.â
If you have chronic low back pain, you’ve likely inherited the tendency, and you’re probably hardwired for it. The lower back contains sensitive receptors called nociceptive fibers, which send pain signals to the brain. “Some people have a lot of nociceptive fibers — for example, in their discs — while others have relatively few,” Wisneski tells WebMD. That may be why one person can lift heavy weights many times and never experience low back pain, while another who barely lifts anything is in constant agony.
