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.
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.
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
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.
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