The Three Main Causes of Lower Back Pain

Introduction

Lower back pain can be debilitating. It can make it hard to sit, stand, or even walk. Many things can cause pain, but there are three common causes of lower back pain, including acute back pain and chronic back pain. Not everyone’s condition will fall into one of these three causes however, most lower back pain can be categorized into three main areas.

The three areas are:

  • Muscular imbalances and weakness

  • Degenerative conditions

  • Herniated discs

Lower back pain has other causes, but these three are the most common. Let’s take a closer look at each one.

Stick figures balancing on wooden plank

Muscular Imbalances and Weakness

The lower back is composed of several muscles that work together to support the spine. When these muscles are out of balance, it can lead to lower back pain. Muscle imbalances can be caused by several things, including:

  •  Poor posture

  •  Muscle weakness

  •  Inactivity

  •  Obesity

  • Physiotherapy is often recommended as a treatment option for muscular imbalances.

A senior woman with low back pain

Degenerative Conditions

Degenerative conditions are those that occur over time, such as arthritis or degenerative disc disease. These conditions can cause lower back pain by:

  •  Wearing down the cartilage between the vertebrae

  •  Narrowing the space between the vertebrae

  •  Inflammation

  • Herniated discs

    The narrowing of the spinal canal and pressure on the spinal cord can also contribute to these symptoms.

    Herniated discs are a common cause of lower back pain. The discs act as cushions between the vertebrae, and when they become herniated or ruptured, they can cause pain. Herniated discs can be caused by:

    • A sudden injury

    • Lifting something heavy

    • Repetitive motions

    Spinal stenosis, another degenerative condition, causes pain due to the narrowing of the spinal canal, leading to pressure on nearby nerve roots.

    These are the three main causes of lower back pain. If you’re experiencing lower back pain, one of these is likely the cause.

    How to Know if You Suffer from One of These Three Major Causes

    It’s never a great idea to self-diagnose a serious medical condition alone. However, each condition does have symptoms that are unique to that condition. If you’re experiencing lower back pain, here are some things to look for that could indicate which of the three main causes is to blame:

    Muscular Imbalances and Weakness

    • Pain that gets worse when you move around

    • Pain that improves when you rest

    • Muscle spasms or cramping

    • Trouble moving your legs or feet

    Degenerative Conditions

    • Gradual onset of pain

    • Pain that gets worse with activity

    • Stiffness in the morning or after sitting for long periods

    • Numbness or weakness in the legs

    Herniated Discs

    • Sharp, Shooting pain

    • Pain that radiates down your leg or into your arm

    • Numbness or weakness in your leg or arm

A woman in pain from a herniated disc

Lower back pain can be painful and debilitating, but there are treatments available. If you think you may be suffering from one of the three main causes of lower back pain, talk to your physiotherapist or health care practitioner.

Additional Resources

The Mayo Clinic has an article on the causes and symptoms of lower back pain.

The Cleveland Clinic article on lower back pain.

About the Author

Juliana Bergin PT is a certified physiotherapist and one of the owners of Bergin Motion. Bergin Motion is a family-run Barrie Physiotherapy Clinic located in Barrie’s Southend. Juliana specializes in orthopedic injuries. Juliana works with high-end athletes as well as weekend warriors. Juliana is part of a team at Bergin Motion in Barrie, Ontario that works with all kinds of conditions.

Bergin Motion

Is a family owned physiotherapy company built by the Bergin family. Our family has served as physiotherapists in the Barrie area for over 30 years, spanning two generations. We are passionate about this community and helping people achieve their highest potential. Book with us now!

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