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Why Do I Have Severe Lower Back Pain

Other Conditions Causing Lower Back Pain

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.

Causes Of Chronic Lower Back Pain

Pain is considered chronic once it lasts for more than three months and exceeds the bodys natural healing process. Chronic pain in the low back often involves a disc problem, a joint problem, and/or an irritated nerve root. Common causes include:

Lumbar herniated disc. The jelly-like center of a lumbar disc can break through the tough outer layer and irritate a nearby nerve root. The herniated portion of the disc is full of proteins that cause inflammation when they reach a nerve root, and inflammation, as well as nerve compression, cause nerve root pain. The disc wall is also richly supplied by nerve fibers, and a tear through the wall can cause severe pain.

Degenerative disc disease. At birth, intervertebral discs are full of water and at their healthiest. As people age over time, discs lose hydration and wear down. As the disc loses hydration, it cannot resist forces as well, and transfers force to the disc wall that may develop tears and cause pain or weakening that can lead to a herniation. The disc can also collapse and contribute to stenosis.

See Lumbar Degenerative Disc Disease

Facet joint dysfunction. There are two facet joints behind each disc at each motion segment in the lumbar spine. These joints have cartilage between the bones and are surrounded by a capsular ligament, which is richly innervated by nerves. These joints can be painful by themselves, or in conjunction with disc pain.

See Lumbar Spinal Stenosis

Youve Been In Pain For Over A Week

Most back pain will subside after a few days, but if youâve been experiencing pain for over a week, then itâs time to call a doctor. Your doctor will perform any examinations or tests required to help get to the bottom of your pain before it could become a bigger problem. As is the case with many health conditions, prevention and addressing problems early is key.

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You’re Having Problems With Your Bowels Or Urination

If your back pain is paired with a loss of control over your bowels or urination, then it’s time to seek help immediately at a local emergency room. These symptoms point to cauda equina syndrome, where the nerves in the lower spine have become paralyzed. While rare, this syndrome can be permanently damaging to the nerves if left untreated. If you experience these symptoms, especially accompanied by numbness in the legs, then you may need surgery to decompress the nerves and preserve their overall function.

What Causes Lumbar Strain

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Injury can damage the tendons and muscles in the lower back. Pushing and pulling sports, such as weight lifting or football, can lead to a lumbar strain. In addition, sports that require sudden twisting of the lower back, such as in tennis, basketball, baseball, and golf, can lead to this injury.

Certain risk factors can increase the risk for this injury. The risk factors are:

  • Severe lower back curvature
  • Weak back or belly muscles
  • Tight hamstrings

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Can Sciatica Cause Period Like Cramps

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Pelvic pain, as well as sciatic pain, are two symptoms of the condition. Periods that appear to be irregular. Dizziness during your period is one of the most common causes.

As a result of the inflammation that causes sciatica, adopting a healthy lifestyle can reduce pain and improve your quality of life. You will be able to reduce stress and improve your sleep if you follow good dietary habits, exercise regularly, and have a positive attitude. It is common for sciatica patients to experience a return of pain after certain movements, such as bending over or rising from a seated position. It is caused by a pinched or compressed sciatic nerve in the lower back. By becoming aware of these common triggers, you will be able to reduce sciatica pain more effectively. If you have sciatica, your doctor may prescribe medication to help you deal with the pain. Despite this, some of these medications can cause side effects, which may not be effective in all cases. It is critical that you discuss the risks and benefits of medication with your doctor. If you have sciatica pain and want to get relief, you must adopt a healthy lifestyle first. Its critical to eat a healthy diet, exercise, and get plenty of rest. If you notice that medications are helping to relieve your pain, you should consult with your doctor to determine whether there are any risks and benefits.

Chronic Or Acute Pain

  • Acute pain starts suddenly and lasts for up to 6 weeks.
  • Chronic or long-term pain develops over a longer period, lasts for over 3 months, and causes ongoing problems.

If a person has both occasional bouts of more intense pain and fairly continuous mild back pain, it can be hard for a doctor to determine whether they have acute or chronic back pain.

Back pain usually resolves with rest and home remedies, but sometimes medical treatment is necessary.

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When Are Diagnostic Tests For Lower Back Pain Necessary

Many patients do not need X-rays in the first few weeks of pain because their pain will end up resolving. Many more do not need CT scans or MRI imaging, which are overly sensitive and often reveal abnormalities not related to the patients pain. These forms of imaging can be extremely useful, however, if a person has chronic or severe pain, and/or neurological symptoms. Blood tests may be ordered if an infection or tumor is suspected.

Living With Lumbar Strain

How To Fix Chronic Low Back Pain || Simple Lower Back Stretches

Cold reduces swelling. Both cold and heat can reduce pain. Protect your skin by placing a towel between your body and the ice or heat source.

  • For the first few days, apply an ice pack for 15 to 20 minutes.
  • After the first few days, try heat for 15 minutes at a time to ease pain. Never sleep on a heating pad.
  • Over-the-counter medicines can help control pain and swelling. Try aspirin or ibuprofen.

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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.

Mechanical Low Back Pain Without Sciatica

About 80 percent of people will experience mechanical back pain. Mechanical means that the pain comes from the spine or its supporting structures. Sometimes, people experience sciatica with their low back pain. Sciatica is a general term to describe pain that travels from the back into the leg. Most of the time, it is unclear to doctors what exactly causes the episode of low back pain. However, it is most often due to a muscle strain, or an injured tendon or ligament. A slipped or herniated disc is also a possible cause. Fortunately, in any of these cases, initial treatment is the same. Pain usually goes away within 4-6 weeks, often sooner.

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Age And Gender Issues

Age and gender are important factors to consider when diagnosing low back pain. In a young patient, a benign tumor of the spine called an osteoid osteoma may be the culprit. Inflammatory bowel disease in young people can be connected with spondylitis and sacroiliitis . Low back pain from disc disease or spinal degeneration is more likely to occur as people get older. Conditions such as abdominal aneurysm or multiple myeloma are also considered in older individuals.

Osteoporosis and fibromyalgia are much more common triggers of back pain in women than in men. Osteoporosis is a progressive decrease in bone density that leaves the bones brittle, porous and prone to fracture. Fibromyalgia is a chronic disorder that causes widespread musculoskeletal pain, fatigue, and multiple tender points in the neck, spine, shoulders, and hips.

Inflammatory Lower Back Pain

The Top Causes of Low Back Pain

Although comparatively few patients have low back pain due to a systemic inflammatory condition, the problem can be life long and can impair function significantly. The good news is that treatments can help essentially all patients, and can lead to major improvements.

Seronegative are a group of inflammatory diseases that begin at a young age, with gradual onset. Like other inflammatory joint diseases, they are associated with morning stiffness that gets better with exercise. Sometimes fusion of vertebrae in the cervical or lumbar regions of the spine occurs. Drugs called TNF-alpha blocking agents, which are used for rheumatoid arthritis, are also used to treat the stiffness, pain, and swelling of spondyloarthropathy, when the cases are severe and not responsive to traditional medications

People who have spondyloarthropathy have stiffness that is generally worst in the morning, and have decreased motion of the spine. They also can have decreased ability to take a deep breath due to loss of motion of the chest wall. Its important for the physician to look for problems with chest wall expansion in patients with spondyloarthropathy.

syndrome is one of the forms of spondyloarthropathy. It is a form of arthritis that occurs in reaction to an infection somewhere in the body, and it carries its own set of signs and symptoms. The doctor will look for:

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Prevention Of Lower Back Pain

Looking after your back can help to reduce your risk of getting back pain. It can help to do the following.

  • Get plenty of exercise. Keeping active with regular exercise can help to prevent back pain coming back, or reduce your risk of getting it in the first place.
  • Take care with lifting and carrying heavy items. Dont lift or carry more than you can manage, and make sure youre using the right technique. This means slightly bending your back, knees and hips when lifting, rather than stooping from your back.
  • Keep a good posture. If you work at a desk, make sure your chair, desk and computer screen are set up correctly. Your employer should be able to assess your workstation.
  • Move regularly dont sit in the same position for long periods of time.

Chronic Low Back Pain

Chronic low back pain is a common condition. It is defined by low back pain lasting more than six weeks. Unfortunately, a clear cause can only be found in twenty percent of cases. The rest of the time, it is believed to be due to strain on the bones and muscles of the back from heavy lifting, prolonged sitting, or bad posture.

For back pain persisting longer than six weeks, it is recommended to make an appointment with a physician. Treatments may include a program of back exercises, as well as pain medicine such as ibuprofen and acetaminophen . It is also recommended to stay active and carry on with the things you usually do as much as possible, to help you recover faster. Sitting or lying still for long periods can actually make the pain worse. Your joints may become stiff which will make it harder and more painful to move your back.

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Can Further Bouts Of Back Pain Be Prevented

Evidence suggests that the best way to prevent bouts of low back pain is simply to keep active and to exercise regularly. This means general fitness exercise such as walking, running, swimming, etc. There is no firm evidence to say that any particular back strengthening exercises are more useful to prevent back pain than simply keeping fit and active. It is also sensible to be back-aware. For example, do not lift objects when you are in an awkward twisting posture.

Muscle Deconditioning And Poor Posture

Low back pain- The most common causes of lower back pain

People can condition their muscles over time to be stronger or more enduring through exercises and weight training.

The reverse is also true. Humans may decondition their muscles over time by not using them correctly.

In some muscles, including back muscles, deconditioning is as easy as sitting at a desk with incorrect posture for too long. A person may do this while at work.

Slouching in a chair over a desk may cause a loss of strength in the muscles. Over time, the weakening of muscles may lead to pain in the area as they experience strains or irritation.

When a person slouches, pressure from gravity and the body itself pushes on the spine, neck, discs, and ligaments. Over time, this pressure can lead to pain and other complications.

It is possible to condition the muscles to be stronger and more durable in most cases. This process starts with correcting the posture while sitting, and taking regular breaks from the desk to move around and stretch.

Exercises may also improve strength in the back, and using a standing desk can help, too.

Conditioning the muscle requires patience, however, and anyone with chronic upper back pain from weak muscles might benefit from seeing a physical therapist to find an exercise routine for their specific needs.

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Less Common Causes Of Low Back Pain

While considerably less common, low back pain may also be caused by:

Infection. Also called osteomyelitis, a spinal infection is rare but can cause severe pain and is life threatening if untreated. It can be caused by surgical procedures, injections, or spread through the blood stream. Patients with a compromised immune system are more susceptible to developing an infection in the spine.

Tumor. Most spinal tumors start in another part of the body and metastasize to the spine. The most common tumors that spread to the spine start from cancer in the breast, prostate, kidney, thyroid, or lung. Any new symptoms of back pain in a patient with a known diagnosis of cancer should be evaluated for possible spinal metastasis.

Autoimmune disease. Back pain is a possible symptom associated with autoimmune conditions, such as ankylosing spondylitis, rheumatoid arthritis, lupus, crohns disease, fibromyalgia, and others.

This list includes the more common causes of back pain, but there are many more. Finding the optimal treatment for low back pain usually depends on obtaining a correct clinical diagnosis that identifies the underlying cause of the patients symptoms.

What Cause Lower Back Pain In Females

Posture. Another common cause of lower back pain in women is poor posture. Poor posture puts unnecessary strain on the spine and muscles in the back, which can lead to pain and discomfort. Women are especially susceptible to poor posture due to factors such as wearing high heels or carrying heavy purses.

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Ready To Address Your Back Pain

The University of Maryland Spine Network can help you put your pain behind you. With convenient locations throughout the state, the UM Spine Network is home to the region’s leading spine surgeons and specialists that can help you identify the source of your pain and put an end to it for good.

Put an end to your back pain. Find a spine specialist near you.

In This Section:

Signs That Its Time To Call A Doctor For Your Back Pain

The Top Causes of Low Back Pain

Most people have experienced back pain at some point in their lives. It’s actually the leading cause of disability worldwide and the most common reason people call out of work. Back pain can come in many different forms, ranging from a dull ache that lasts only a few days to severe pain that lasts for weeks.

Depending on the intensity of the pain, there are many treatments you can try at home to help. But how do you know when it’s time to stop home remedies and see a physician?

If any of the following applies to your back pain, then it’s time to make an appointment with a doctor as soon as possible.

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