Lower
Back Pain Causes:
8
Reasons for Sudden & Chronic Pain
Sometimes, you know exactly why your back
is hurting. Maybe you lifted something awkwardly and felt the pain right away.
Or maybe your doctor has been warning you for years that your bad posture would
lead to lower back pain.
But
other times, the source of back pain can feel like a mystery.
"Your
lumbar spine, located in your lower back, plays a crucial role in supporting
the weight of your upper body. It's also responsible for everyday movements,
such as bending, twisting and coordinating the muscles in your hips, pelvis
legs and feet," says Dr. Kenneth Palmer, orthopedic surgeon specializing
in spine surgery at Houston Methodist. "Due to heavy use, the bones,
muscles, ligaments, disks and nerves found in your lumbar spine are quite
susceptible to both injury and wear and tear over time — causing pain in the
lower back."
Lower
back pain symptoms include:
·
Dull ache in your hips and/or pelvis
·
Muscle spasms or tightness
·
Sharp, tingling pain that starts in your lower back and travels
down one leg (also known as sciatica)
·
Pain that worsens with sitting and quickly improves while walking
·
Pain that is noticeably worse in the morning
"Typically,
a person experiences some combination of these symptoms, which can develop
suddenly or over time. In some cases, lower back pain can feel like it comes
and goes — flaring up now and then, but generally getting progressively worse
over time," explains Dr. Palmer.
In
addition, Dr. Palmer points out that lower back pain symptoms can vary by
person, as well as the underlying cause of the pain.
Speaking
of the various causes of lower back pain...
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.
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 (the most common type of arthritis) and degenerative
disk disease (the natural wear and tear of spinal disks) 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.
Herniated disk
"An
adult's thoracic and lumbar spine is made up of about 17 bones (vertebrae)
stacked on top of one another. Between each set of vertebrae lies a cushiony
disk, which helps absorb the pressure placed on these bones," explains Dr.
Palmer.
Each
disk is made up of an outer rind and an inner gel.
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A
herniated lumbar disk occurs when the inner gel of one of the five disks in
your lumbar spine slips or squishes beyond the outer rind, allowing this inner
gel to press on surrounding nerves — causing pain. This slippage can be due to
trauma or gradual, age-related wear and tear.
Facet
joint damage
The
joints connecting the five vertebrae that make up your lower back, called the
facet joints, experience large loads of compressive force and stress. Over
time, breakdown of the cartilage in your facet joints can lead to lower back
pain.
"Whether
due to poor posture or repeated overuse, facet joint damage is often caused by
osteoarthritis and can lead to inflammation, stiffness, muscle spasming and
pain," explains Dr. Palmer. "In addition, when damage to a facet
joint impinges a nearby nerve, it can lead to sciatica."
Compression
fracture
"A
spinal compression fracture occurs when a vertebra in your lumbar spine
essentially collapses in on itself. This is often due to osteoporosis, but can
also be the result of trauma," says Dr. Palmer.
This
collapse can cause severe pain, and individuals suffering a lumbar compression
fracture often experience sudden pain and limited spinal mobility.
Spinal
stenosis
Lumbar
spinal stenosis occurs when the spinal canal in your lower back narrows,
placing pressure on nearby nerve roots. It can be caused by the formation of
bone spurs, thickening of a nearby ligament or degeneration of a lumbar disk or
joint.
"When
nerve roots become compressed, it can be very painful," says Dr. Palmer.
"And spinal stenosis doesn't just cause lower back pain, it can result in
sciatica, pain that radiates down the lower extremities."
Spondylolisthesis
If
a lumbar vertebra slips forward — over the top of the vertebra below — it
places a lot of compressive force on the lumbar disk that is separating the two
vertebrae. As the lumbar disk deteriorates, it can cause lower back pain.
Additionally, if the lumbar disk flattens from this force, it can lead to nerve
compression and sciatica.
"One
of the more common type of spondylolisthesis, isthmic spondylolisthesis, is
caused by a fracture in the small piece of bone, called the pars
interarticularis, found adjacent to the facet joint. The fracturing event often
happens when a person is young, although the pain isn't felt until later in
life," says Dr. Palmer. "Spondylolisthesis can also result from
degenerative or congenital causes."
Scoliosis
Your
spine has a natural curvature, which takes the shape of an 'S' when viewed from
the side — with your upper back curving backward and lower back curving
forward. If your spine curves sideways when viewed from behind, however, it's
called scoliosis — a spinal deformity that can lead to back pain.
"When
the spine takes an improper curvature, it makes degeneration of the lumbar
joints and disks more likely," warns Dr. Palmer. "In the majority of
cases, scoliosis doesn't require treatment, but severe curvature can place
significant stress on the lower back and lead to pain."
When to see a specialist for lower back pain
If
you're experiencing lower back pain that's not responding to rest and
self-care, it's time to consider seeing a spine specialist.
"A
spine specialist will likely perform a physical exam as well as one or more
imaging scans to diagnose the root cause of your lower back pain. Depending on
your diagnosis, he or she will then design a treatment plan aimed at
alleviating your pain and preventing it from disrupting the everyday activities
you enjoy," says Dr. Palmer.
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| Lower Back Pain Causes: |
