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Low back pain
Pain in the lower back worsens when standing up
Low back pain aggravated when sitting
Pain in the spine
Pain in the lower back with slouching
Low back pain aggravated by sneezing
I have back pain
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What is Low Back Pain?
Low back pain is very common, affecting more than 80% of people at least once in their lifetime. It is usually not serious and often resolves on its own. Risk factors include smoking, obesity, older age, female sex, physically strenuous or sedentary work, stress, and mental health issues. Causes range from muscular pains to menstrual problems, injury, slipped disc, nerve disease, spine disease, or inflammatory conditions.
Treatment of Low Back Pain
Low back pain typically resolves with rest, over-the-counter medication, and sometimes physical therapy. If the pain is severe, radiates down the leg, or doesn't improve with rest or home treatment, medical attention is required to rule out serious causes. The doctor may use advanced imaging such as CT or MRI to identify and treat the cause of the back pain.
Reviewed By:
Kent C Doan, MD (Orthopedics)
Dr Doan Graduated from the University of Missouri Kansas City School of Medicine and completed residency training in Orthopedic Surgery at the University of Colorado. He completed additional fellowship training in Orthopedic Sports Medicine at the prestigious Steadman Clinic and Steadman Philippon Research Institute in Vail, Colorado. He is a practicing Orthopedic Surgeon who specializes in complex and revision knee and shoulder surgery at the Kansas City Orthopedic Institute. He also holds an assistant professorship at the University of Kansas City.
Tomohiro Hamahata, MD (Orthopedics)
Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Diseases Related to Low Back Pain
FAQs
Q.
Can slouching lead to lower back pain?
A.
Slouching can strain the muscles and tissues in your back, which might lead to lower back pain, but there's no clear agreement on whether it definitely causes pain.
References:
Snijders CJ, Hermans PF, Niesing R, Jan Kleinrensink G, & Pool-Goudzwaard A. (2008). Effects of slouching and muscle contraction on the strain .... Manual therapy, 17553728.
https://pubmed.ncbi.nlm.nih.gov/17553728/
Swain CTV, Pan F, Owen PJ, Schmidt H, & Belavy DL. (2020). No consensus on causality of spine postures or physical .... Journal of biomechanics, 31451200.
https://pubmed.ncbi.nlm.nih.gov/31451200/
O'Sullivan PB, Mitchell T, Bulich P, Waller R, & Holte J. (2006). The relationship beween posture and back muscle .... Manual therapy, 15953751.
Q.
Can sneezing cause back pain, and why?
A.
Sneezing can cause back pain because it puts a lot of pressure on the back muscles and spine.
References:
Hasegawa T, Katsuhira J, Matsudaira K, Iwakiri K, & Maruyama H. (2014). Biomechanical analysis of low back load when sneezing. Gait & posture, 25149901.
https://pubmed.ncbi.nlm.nih.gov/25149901/
Štětkářová I, Jelínková L, Janík V, & Peisker T. (2014). Spontaneous spinal epidural hematoma after abrupt .... The American journal of emergency medicine, 24857250.
https://pubmed.ncbi.nlm.nih.gov/24857250/
Setzen S, & Platt M. (2019). The Dangers of Sneezing: A Review of Injuries. American journal of rhinology & allergy, 30616365.
Q.
How can I address nagging lower back pain?
A.
Addressing lower back pain can involve understanding its causes and seeking appropriate treatment, especially if it's persistent.
References:
Usman S, Badar F, Collado C, Weber A, & Kaell A. (2023). Septic Shock From Pan-Spinal Epidural Abscess Attributed .... Cureus, 37292108.
https://pubmed.ncbi.nlm.nih.gov/37292108/
van Weel C, Lagro-Janssen AL, Lagro HA, & van den Bosch WJ. (1998). [Clinical diagnosis and decision in practice. A young .... Nederlands tijdschrift voor geneeskunde, 10028325.
https://pubmed.ncbi.nlm.nih.gov/10028325/
Leavitt F, Katz RS, Golden HE, Glickman PB, & Layfer LF. (1986). Comparison of pain properties in fibromyalgia patients and .... Arthritis and rheumatism, 3487324.
Q.
How can I alleviate pain caused by slouching?
A.
To alleviate pain caused by slouching, try improving your posture and using posture feedback training to help maintain better alignment.
References:
Snijders CJ, Hermans PF, Niesing R, Jan Kleinrensink G, & Pool-Goudzwaard A. (2008). Effects of slouching and muscle contraction on the strain .... Manual therapy, 17553728.
https://pubmed.ncbi.nlm.nih.gov/17553728/
Slater D, Korakakis V, O'Sullivan P, Nolan D, & O'Sullivan K. (2019). "Sit Up Straight": Time to Re-evaluate. The Journal of orthopaedic and sports physical therapy, 31366294.
https://pubmed.ncbi.nlm.nih.gov/31366294/
Harvey RH, Peper E, Mason L, & Joy M. (2020). Effect of Posture Feedback Training on Health. Applied psychophysiology and biofeedback, 32232605.
Q.
How can I manage lower back pain that makes it hard to stand up straight?
A.
Managing lower back pain that makes standing difficult can involve understanding the cause, such as issues from spinal fusion or prolonged standing. Treatment may include physical therapy or other interventions tailored to your specific situation.
References:
Lagrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, & Ogilvie JW. (1988). Treatment of symptomatic flatback after spinal fusion. The Journal of bone and joint surgery. American volume, 3356724.
https://pubmed.ncbi.nlm.nih.gov/3356724/
Marshall PW, Romero R, & Brooks C. (2014). Pain reported during prolonged standing is associated with .... Experimental brain research, 25059911.
https://pubmed.ncbi.nlm.nih.gov/25059911/
Hicks GE, Fritz JM, Delitto A, & McGill SM. (2005). Preliminary development of a clinical prediction rule for .... Archives of physical medicine and rehabilitation, 16181938.
Q.
How can I manage severe lower back pain during pregnancy?
A.
To manage severe lower back pain during pregnancy, consider gentle exercises and physical therapy, which can help relieve pain and improve mobility.
References:
Liddle SD, & Pennick V. (2015). Interventions for preventing and treating low-back and .... The Cochrane database of systematic reviews, 26422811.
https://pubmed.ncbi.nlm.nih.gov/26422811/
Davenport MH, Marchand AA, Mottola MF, Poitras VJ, Gray CE, Jaramillo Garcia A, et al. (2019). Exercise for the prevention and treatment of low back, .... British journal of sports medicine, 30337344.
https://pubmed.ncbi.nlm.nih.gov/30337344/
Bhardwaj A, & Nagandla K. (2014). Musculoskeletal symptoms and orthopaedic complications .... Postgraduate medical journal, 24904047.
Q.
How can I prevent lower back pain from becoming a chronic issue?
A.
To prevent lower back pain from becoming chronic, stay active, maintain good posture, and avoid heavy lifting.
References:
Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, & Cohen SP. (2021). Low back pain. Lancet (London, England), 34115979.
https://pubmed.ncbi.nlm.nih.gov/34115979/
Krismer M, van Tulder M, & Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project. (2007). Strategies for prevention and management of .... Best practice & research. Clinical rheumatology, 17350545.
https://pubmed.ncbi.nlm.nih.gov/17350545/
Maharty DC, Hines SC, & Brown RB. (2024). Chronic Low Back Pain in Adults: Evaluation and .... American family physician, 38574213.
Q.
How can I safely exercise with lower back pain?
A.
To exercise safely with lower back pain, focus on gentle activities like walking and stretching, and gradually increase intensity as tolerated.
References:
Hayden JA, Ellis J, Ogilvie R, Malmivaara A, & van Tulder MW. (2021). Exercise therapy for chronic low back pain. The Cochrane database of systematic reviews, 34580864.
https://pubmed.ncbi.nlm.nih.gov/34580864/
Fernández-Rodríguez R, Álvarez-Bueno C, Cavero-Redondo I, Torres-Costoso A, Pozuelo-Carrascosa DP, Reina-Gutiérrez S, et al. (2022). Best Exercise Options for Reducing Pain and Disability in .... The Journal of orthopaedic and sports physical therapy, 35722759.
https://pubmed.ncbi.nlm.nih.gov/35722759/
Macedo LG, Hodges PW, Bostick G, Hancock M, Laberge M, Hanna S, et al. (2021). Which Exercise for Low Back Pain? (WELBack) trial .... BMJ open, 33472786.
Q.
How can I tell which lower back muscle I might have strained?
A.
To identify which lower back muscle you might have strained, notice where the pain is located and how it feels when you move. Different muscles can cause different types of pain.
References:
Ingber RS. (1989). a treatable cause of "failed" low back syndrome. Archives of physical medicine and rehabilitation, 2524183.
https://pubmed.ncbi.nlm.nih.gov/2524183/
Ross R, Han J, & Slover J. (2023). Chronic Lower Back Pain in Weight Lifters. JBJS reviews, 37315158.
https://pubmed.ncbi.nlm.nih.gov/37315158/
Noonan AM, & Brown SHM. (2021). Paraspinal muscle pathophysiology associated with low .... JOR spine, 34611593.
Q.
How is chronic lower back pain diagnosed and treated?
A.
Chronic lower back pain is diagnosed through a physical exam and medical history, and treated with lifestyle changes, medications, and sometimes physical therapy or surgery.
References:
Farley T, Stokke J, Goyal K, & DeMicco R. (2024). Chronic Low Back Pain: History, Symptoms .... Life (Basel, Switzerland), 39063567.
https://pubmed.ncbi.nlm.nih.gov/39063567/
Maharty DC, Hines SC, & Brown RB. (2024). Chronic Low Back Pain in Adults: Evaluation and .... American family physician, 38574213.
https://pubmed.ncbi.nlm.nih.gov/38574213/
Nicol V, Verdaguer C, Daste C, Bisseriex H, Lapeyre É, Lefèvre-Colau MM, et al. (2023). Chronic Low Back Pain: A Narrative Review of Recent .... Journal of clinical medicine, 36836220.
Q.
How long does lower back pain typically last?
A.
Lower back pain can last from a few weeks to months, depending on whether it is acute or chronic.
References:
Borenstein DG. (1996). Chronic low back pain. Rheumatic diseases clinics of North America, 8844907.
https://pubmed.ncbi.nlm.nih.gov/8844907/
Hayden JA, Dunn KM, van der Windt DA, & Shaw WS. (2010). What is the prognosis of back pain?. Best practice & research. Clinical rheumatology, 20227639.
https://pubmed.ncbi.nlm.nih.gov/20227639/
Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, et al. (2008). Prognosis in patients with recent onset low back pain .... BMJ (Clinical research ed.), 18614473.
Q.
How many chiropractic adjustments are usually needed for lower back pain?
A.
The number of chiropractic adjustments needed for lower back pain can vary, but some studies suggest that a series of sessions over a few weeks may be beneficial.
References:
Haas M, Groupp E, & Kraemer DF. (2004). Dose-response for chiropractic care of chronic low back pain. The spine journal : official journal of the North American Spine Society, 15363431.
https://pubmed.ncbi.nlm.nih.gov/15363431/
Coulter ID, Crawford C, Hurwitz EL, Vernon H, Khorsan R, Suttorp Booth M, & Herman PM. (2018). Manipulation and mobilization for treating chronic low back .... The spine journal : official journal of the North American Spine Society, 29371112.
https://pubmed.ncbi.nlm.nih.gov/29371112/
Cherkin DC, Deyo RA, Battié M, Street J, & Barlow W. (1998). A comparison of physical therapy, chiropractic .... The New England journal of medicine, 9761803.
Q.
How much back pain is considered normal and when should I be concerned?
A.
Some back pain is common, but if it lasts a long time or is very strong, you should talk to a doctor.
References:
Oliveira CB, Maher CG, Pinto RZ, Traeger AC, Lin CC, Chenot JF, et al. (2018). Clinical practice guidelines for the management of non .... European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 29971708.
https://pubmed.ncbi.nlm.nih.gov/29971708/
O'Sullivan P. (2005). Diagnosis and classification of chronic low back pain .... Manual therapy, 16154380.
https://pubmed.ncbi.nlm.nih.gov/16154380/
Chien JJ, & Bajwa ZH. (2008). What is mechanical back pain and how best to treat it?. Current pain and headache reports, 18973732.
Q.
Is it common for lower back pain to get worse before it gets better?
A.
Yes, it is possible for lower back pain to get worse before improving, as various factors can influence its progression.
References:
Klyne DM, Hall LM, Nicholas MK, & Hodges PW. (2022). Risk factors for low back pain outcome: Does it matter .... European journal of pain (London, England), 35090067.
https://pubmed.ncbi.nlm.nih.gov/35090067/
Kasai Y, Takegami K, & Uchida A. (2002). Change of barometric pressure influences low back pain in .... Journal of spinal disorders & techniques, 12177544.
https://pubmed.ncbi.nlm.nih.gov/12177544/
Costa N, Smits EJ, Kasza J, Salomoni SE, Ferreira M, & Hodges PW. (2021). Low Back Pain Flares: How do They Differ From an .... The Clinical journal of pain, 33830090.
Q.
Is it normal to have severe lower back pain before my period?
A.
Yes, it is normal to have severe lower back pain before your period, and it may be related to menstrual disorders or increased sensitivity to pain.
References:
Akgun B, Kaplan M, Arici L, Pusat S, & Erol FS. (2010). Low back pain and sciatica related with the premenstrual .... Turkish neurosurgery, 20963691.
https://pubmed.ncbi.nlm.nih.gov/20963691/
Iacovides S, Baker FC, Avidon I, & Bentley A. (2013). Women with dysmenorrhea are hypersensitive to .... The journal of pain, 23769507.
https://pubmed.ncbi.nlm.nih.gov/23769507/
Smith DR, Mihashi M, Adachi Y, Shouyama Y, Mouri F, Ishibashi N, & Ishitake T. (2009). Menstrual disorders and their influence on low back pain .... Industrial health, 19531916.
Q.
What are effective stretches for relieving lower back pain?
A.
Stretching exercises can help relieve lower back pain by improving flexibility and reducing muscle tension.
References:
Turci AM, Nogueira CG, Nogueira Carrer HC, & Chaves TC. (2023). Self-administered stretching exercises are as effective as .... Journal of physiotherapy, 36958977.
https://pubmed.ncbi.nlm.nih.gov/36958977/
Khalil TM, Asfour SS, Martinez LM, Waly SM, Rosomoff RS, & Rosomoff HL. (1992). Stretching in the rehabilitation of low-back pain patients. Spine, 1533060.
https://pubmed.ncbi.nlm.nih.gov/1533060/
Chen HM, Wang HH, Chen CH, & Hu HM. (2014). Effectiveness of a stretching exercise program on low back .... Pain management nursing : official journal of the American Society of Pain Management Nurses, 23266331.
Q.
What are some effective methods to relieve severe lower back pain?
A.
To relieve severe lower back pain, exercise and medication can be helpful. Non-surgical methods are often recommended for managing both acute and chronic pain.
References:
Hayden JA, Ellis J, Ogilvie R, Malmivaara A, & van Tulder MW. (2021). Exercise therapy for chronic low back pain. The Cochrane database of systematic reviews, 34580864.
https://pubmed.ncbi.nlm.nih.gov/34580864/
Shen FH, Samartzis D, & Andersson GB. (2006). Nonsurgical management of acute and chronic low back pain. The Journal of the American Academy of Orthopaedic Surgeons, 16885479.
https://pubmed.ncbi.nlm.nih.gov/16885479/
Cashin AG, Wand BM, O'Connell NE, Lee H, Rizzo RR, Bagg MK, et al. (2023). Pharmacological treatments for low back pain in adults. The Cochrane database of systematic reviews, 37014979.
Q.
What are some evidence-based exercises for low back pain relief?
A.
Exercises like stretching, strengthening, and aerobic activities can help relieve low back pain, according to research.
References:
Hayden JA, Ellis J, Ogilvie R, Malmivaara A, & van Tulder MW. (2021). Exercise therapy for chronic low back pain. The Cochrane database of systematic reviews, 34580864.
https://pubmed.ncbi.nlm.nih.gov/34580864/
Malfliet A, Ickmans K, Huysmans E, Coppieters I, Willaert W, Bogaert WV, et al. (2019). Best Evidence Rehabilitation for Chronic Pain Part 3: Low .... Journal of clinical medicine, 31331087.
https://pubmed.ncbi.nlm.nih.gov/31331087/
Liddle SD, Baxter GD, & Gracey JH. (2004). Exercise and chronic low back pain: what works?. Pain, 14715404.
Q.
What are the four types of back pain and how do they differ?
A.
Back pain can be classified into four main types: mechanical, inflammatory, neuropathic, and referred pain. Each type has different causes and characteristics.
References:
Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, & Cohen SP. (2021). Low back pain. Lancet (London, England), 34115979.
https://pubmed.ncbi.nlm.nih.gov/34115979/
Chien JJ, & Bajwa ZH. (2008). What is mechanical back pain and how best to treat it?. Current pain and headache reports, 18973732.
https://pubmed.ncbi.nlm.nih.gov/18973732/
Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, et al. (2019). Low Back Pain, a Comprehensive Review. Current pain and headache reports, 30854609.
Q.
What are the specific causes of lower back pain in females?
A.
Lower back pain in females can be caused by hormonal changes, reproductive factors, endometriosis, and pregnancy-related issues.
References:
Wijnhoven HA, de Vet HC, Smit HA, & Picavet HS. (2006). Hormonal and reproductive factors are associated with .... Spine, 16741461.
https://pubmed.ncbi.nlm.nih.gov/16741461/
Troyer MR. (2007). Differential diagnosis of endometriosis in a young adult .... Physical therapy, 17442838.
https://pubmed.ncbi.nlm.nih.gov/17442838/
Svensson HO, Andersson GB, Hagstad A, & Jansson PO. (1990). The relationship of low-back pain to pregnancy and .... Spine, 2141952.
Q.
What are the typical causes of lower back pain?
A.
Lower back pain is often caused by muscle or ligament strain, disc problems, or arthritis.
References:
Farley T, Stokke J, Goyal K, & DeMicco R. (2024). Chronic Low Back Pain: History, Symptoms .... Life (Basel, Switzerland), 39063567.
https://pubmed.ncbi.nlm.nih.gov/39063567/
Bartleson JD. (2001). Low Back Pain. Current treatment options in neurology, 11180753.
https://pubmed.ncbi.nlm.nih.gov/11180753/
Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, & Cohen SP. (2021). Low back pain. Lancet (London, England), 34115979.
Q.
What can cause lower back pain when standing straight?
A.
Lower back pain when standing straight can be caused by standing for too long without moving, which can strain the muscles and joints.
References:
Gregory DE, & Callaghan JP. (2008). Prolonged standing as a precursor for the development .... Gait & posture, 18053722.
https://pubmed.ncbi.nlm.nih.gov/18053722/
Gallagher KM, Payne M, Daniels B, Caldwell AR, & Ganio MS. (2019). Walking breaks can reduce prolonged standing induced .... Human movement science, 30913414.
https://pubmed.ncbi.nlm.nih.gov/30913414/
Marshall PW, Romero R, & Brooks C. (2014). Pain reported during prolonged standing is associated with .... Experimental brain research, 25059911.
Q.
What can cause simultaneous hip and lower back pain?
A.
Hip and lower back pain can happen at the same time because the hip and spine are closely connected. Problems in one area can affect the other, making it important to understand both when diagnosing pain.
References:
Prather H, & van Dillen L. (2019). Links between the Hip and the Lumbar Spine .... PM & R : the journal of injury, function, and rehabilitation, 31074168.
https://pubmed.ncbi.nlm.nih.gov/31074168/
Prather H, Cheng A, Steger-May K, Maheshwari V, & Van Dillen L. (2017). Hip and Lumbar Spine Physical Examination Findings in .... The Journal of orthopaedic and sports physical therapy, 28158964.
https://pubmed.ncbi.nlm.nih.gov/28158964/
Buckland AJ, Miyamoto R, Patel RD, Slover J, & Razi AE. (2017). Differentiating Hip Pathology From Lumbar Spine .... The Journal of the American Academy of Orthopaedic Surgeons, 28045713.
Q.
What can I do if my lower back pain is aggravated by sitting?
A.
To help with lower back pain from sitting, try using a chair with good support and practice sitting in a neutral position.
References:
O'Keeffe M, Dankaerts W, O'Sullivan P, O'Sullivan L, & O'Sullivan K. (2013). Specific flexion-related low back pain and sitting. Ergonomics, 23438303.
https://pubmed.ncbi.nlm.nih.gov/23438303/
O'Sullivan K, McCarthy R, White A, O'Sullivan L, & Dankaerts W. (2012). Can we reduce the effort of maintaining a neutral sitting .... Manual therapy, 22738884.
https://pubmed.ncbi.nlm.nih.gov/22738884/
De Carvalho DE, & Callaghan JP. (2023). Effect of office chair design features on lumbar spine .... Ergonomics, 36437777.
Q.
What can I do to prevent lower back pain when sneezing?
A.
To prevent lower back pain when sneezing, try to maintain a good posture and support your back.
References:
Hasegawa T, Katsuhira J, Matsudaira K, Iwakiri K, & Maruyama H. (2014). Biomechanical analysis of low back load when sneezing. Gait & posture, 25149901.
https://pubmed.ncbi.nlm.nih.gov/25149901/
Walker BF, & Williamson OD. (2009). Mechanical or inflammatory low back pain. What are the .... Manual therapy, 18555728.
https://pubmed.ncbi.nlm.nih.gov/18555728/
Albahlal JM, Alhandi AA, Aldihan KA, Alsultan OH, Alhusain FA, Alqahtani HM, & Aleissa SI. (2018). Primary healthcare physicians' adherence to acute lower .... Saudi medical journal, 30106424.
Q.
What causes lower back pain that moves from side to side?
A.
Lower back pain that shifts from side to side can be linked to spine vibration or Lyme disease, which affects the muscles and joints.
References:
Pope MH, & Hansson TH. (1992). Vibration of the spine and low back pain. Clinical orthopaedics and related research, 1534724.
https://pubmed.ncbi.nlm.nih.gov/1534724/
Steere AC. (1995). Musculoskeletal manifestations of Lyme disease. The American journal of medicine, 7726191.
https://pubmed.ncbi.nlm.nih.gov/7726191/
Doubleday KL, Kulig K, & Landel R. (2003). Treatment of testicular pain using conservative .... Archives of physical medicine and rehabilitation, 14669201.
Q.
What causes lower back pain when standing up from bending over?
A.
Lower back pain when standing up from bending over can be caused by mechanical issues or muscle strain. It might also be related to fear of movement in people with chronic pain.
References:
Walker BF, & Williamson OD. (2009). Mechanical or inflammatory low back pain. What are the .... Manual therapy, 18555728.
https://pubmed.ncbi.nlm.nih.gov/18555728/
Massé-Alarie H, Beaulieu LD, Preuss R, & Schneider C. (2016). Influence of chronic low back pain and fear of movement .... Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 26938677.
https://pubmed.ncbi.nlm.nih.gov/26938677/
van Wingerden JP, Vleeming A, & Ronchetti I. (2008). Differences in standing and forward bending in women .... Spine, 18469680.
Q.
What causes pain in my lower back when I look down?
A.
Lower back pain when looking down can be related to problems with the discs in your spine or how you move your back and hips.
References:
Luoma K, Riihimäki H, Luukkonen R, Raininko R, Viikari-Juntura E, & Lamminen A. (2000). Low back pain in relation to lumbar disc degeneration. Spine, 10707396.
https://pubmed.ncbi.nlm.nih.gov/10707396/
Esola MA, McClure PW, Fitzgerald GK, & Siegler S. (1996). Analysis of lumbar spine and hip motion during forward .... Spine, 9122766.
https://pubmed.ncbi.nlm.nih.gov/9122766/
Bontrup C, Taylor WR, Fliesser M, Visscher R, Green T, Wippert PM, & Zemp R. (2019). Low back pain and its relationship with sitting behaviour .... Applied ergonomics, 31422243.
Q.
What causes pain in my lower back when standing for too long?
A.
Pain in your lower back when standing too long can happen because your muscles get tired, and your body has to work harder to stay upright.
References:
Gregory DE, & Callaghan JP. (2008). Prolonged standing as a precursor for the development .... Gait & posture, 18053722.
https://pubmed.ncbi.nlm.nih.gov/18053722/
Coenen P, Parry S, Willenberg L, Shi JW, Romero L, Blackwood DM, et al. (2017). Associations of prolonged standing with musculoskeletal .... Gait & posture, 28863296.
https://pubmed.ncbi.nlm.nih.gov/28863296/
Marshall PW, Romero R, & Brooks C. (2014). Pain reported during prolonged standing is associated with .... Experimental brain research, 25059911.
Q.
What could be the reason for having pain in my lower right back?
A.
Pain in your lower right back might be due to a problem with a nerve in your spine or even a stomach ulcer.
References:
Meli R, Hussein M, Czyz M, Henderson R, Vaiyapuri S, Pohl U, et al. (2025). Increasing lower back pain with right L4 radiculopathy. Skeletal radiology, 39225756.
https://pubmed.ncbi.nlm.nih.gov/39225756/
Meli R, Hussein M, Czyz M, Henderson R, Vaiyapuri S, Pohl U, et al. (2025). increasing lower back pain with right L4 radiculopathy. Skeletal radiology, 39215836.
https://pubmed.ncbi.nlm.nih.gov/39215836/
Weiss DJ, Conliffe T, & Tata N. (1998). Low back pain caused by a duodenal ulcer. Archives of physical medicine and rehabilitation, 9749698.
Q.
What could cause extreme lower back pain when sitting?
A.
Extreme lower back pain when sitting can be caused by poor sitting habits, vibrations affecting the spine, or conditions like piriformis syndrome.
References:
Bontrup C, Taylor WR, Fliesser M, Visscher R, Green T, Wippert PM, & Zemp R. (2019). Low back pain and its relationship with sitting behaviour .... Applied ergonomics, 31422243.
https://pubmed.ncbi.nlm.nih.gov/31422243/
Wilder DG. (1993). The biomechanics of vibration and low back pain. American journal of industrial medicine, 8480767.
https://pubmed.ncbi.nlm.nih.gov/8480767/
Papadopoulos EC, & Khan SN. (2004). Piriformis syndrome and low back pain. The Orthopedic clinics of North America, 15062719.
Q.
What could cause lower back pain that makes you feel like you have to poop?
A.
Lower back pain that feels like you need to poop can be caused by issues in the lower spine affecting nerves, or conditions like irritable bowel syndrome.
References:
Haddad R, Hentzen C, Le Breton F, Sheikh Ismael S, & Amarenco G. (2019). Lumbosacral radicular pain during micturition, defecation .... European journal of pain (London, England), 30697909.
https://pubmed.ncbi.nlm.nih.gov/30697909/
Watanabe K, Sekiguchi M, Yonemoto K, Nikaido T, Kato K, Otani K, et al. (2017). Bowel/bladder dysfunction and numbness in the sole of .... Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 28551282.
https://pubmed.ncbi.nlm.nih.gov/28551282/
Misery L, Duboc H, Coffin B, Brenaut E, Huet F, & Taieb C. (2019). Irritable bowel and sensitive skin syndromes. European journal of pain (London, England), 30076662.
Q.
What could cause lower back pain when standing in one place?
A.
Lower back pain when standing can be due to how much you move and the way you stand. Using a footrest can help reduce discomfort.
References:
Hasegawa T, Katsuhira J, Oka H, Fujii T, & Matsudaira K. (2018). Association of low back load with low back pain during .... PloS one, 30562374.
https://pubmed.ncbi.nlm.nih.gov/30562374/
Lee JY, Baker R, Coenen P, & Straker L. (2018). Use of a footrest to reduce low back discomfort .... Applied ergonomics, 29122193.
https://pubmed.ncbi.nlm.nih.gov/29122193/
Abbasi S, Minoonejad H, Abbasi H, & Mousavi SH. (2025). The impact of different standing positions on gluteus .... PloS one, 39932988.
Q.
What could cause pressure in the lower back and pelvic area?
A.
Pressure in the lower back and pelvic area can be caused by issues with muscles, especially during pregnancy, or from problems with the pelvic floor.
References:
Dufour S, Vandyken B, Forget MJ, & Vandyken C. (2018). Association between lumbopelvic pain and pelvic floor .... Musculoskeletal science & practice, 29268147.
https://pubmed.ncbi.nlm.nih.gov/29268147/
Simons DG, & Travell JG. (1983). Myofascial origins of low back pain. 3. Pelvic and lower .... Postgraduate medicine, 6823467.
https://pubmed.ncbi.nlm.nih.gov/6823467/
Casagrande D, Gugala Z, Clark SM, & Lindsey RW. (2015). Low Back Pain and Pelvic Girdle Pain in Pregnancy. The Journal of the American Academy of Orthopaedic Surgeons, 26271756.
Q.
What could cause severe lower back pain when bending over?
A.
Severe lower back pain when bending over can be caused by issues like spine vibration, disc degeneration, or even a duodenal ulcer.
References:
Pope MH, & Hansson TH. (1992). Vibration of the spine and low back pain. Clinical orthopaedics and related research, 1534724.
https://pubmed.ncbi.nlm.nih.gov/1534724/
Kauppila LI, McAlindon T, Evans S, Wilson PW, Kiel D, & Felson DT. (1997). Disc degeneration/back pain and calcification of the .... Spine, 9253101.
https://pubmed.ncbi.nlm.nih.gov/9253101/
Weiss DJ, Conliffe T, & Tata N. (1998). Low back pain caused by a duodenal ulcer. Archives of physical medicine and rehabilitation, 9749698.
Q.
What exercises are suitable for managing low back pain in the elderly?
A.
For managing low back pain in the elderly, exercises like strengthening routines and Pilates can be helpful.
References:
Garcia WJ, Johnson A, Keldermans D, & Tang B. (2019). Exercise and Low Back Pain in the Older Adult. Journal of allied health, 31800662.
https://pubmed.ncbi.nlm.nih.gov/31800662/
Ishak NA, Zahari Z, & Justine M. (2016). Effectiveness of Strengthening Exercises for the Elderly .... Scientifica, 27293970.
https://pubmed.ncbi.nlm.nih.gov/27293970/
de Oliveira NTB, Ricci NA, Dos Santos Franco YR, Salvador EMES, Almeida ICB, & Cabral CMN. (2019). Effectiveness of the Pilates method versus aerobic .... BMC musculoskeletal disorders, 31122227.
Q.
What is considered the best exercise for alleviating low back pain?
A.
Exercises like walking, stretching, and strengthening the core muscles are good for easing low back pain.
References:
Fernández-Rodríguez R, Álvarez-Bueno C, Cavero-Redondo I, Torres-Costoso A, Pozuelo-Carrascosa DP, Reina-Gutiérrez S, et al. (2022). Best Exercise Options for Reducing Pain and Disability in .... The Journal of orthopaedic and sports physical therapy, 35722759.
https://pubmed.ncbi.nlm.nih.gov/35722759/
Owen PJ, Miller CT, Mundell NL, Verswijveren SJJM, Tagliaferri SD, Brisby H, et al. (2020). Which specific modes of exercise training are most .... British journal of sports medicine, 31666220.
https://pubmed.ncbi.nlm.nih.gov/31666220/
Macedo LG, Hodges PW, Bostick G, Hancock M, Laberge M, Hanna S, et al. (2021). Which Exercise for Low Back Pain? (WELBack) trial .... BMJ open, 33472786.
Q.
What is vertebrogenic low back pain and how is it treated?
A.
Vertebrogenic low back pain is caused by issues with the bones in the spine and can be treated with a procedure called basivertebral nerve ablation.
References:
Sayed D, Naidu RK, Patel KV, Strand NH, Mehta P, Lam CM, et al. (2022). Best Practice Guidelines on the Diagnosis and Treatment .... Journal of pain research, 36128549.
https://pubmed.ncbi.nlm.nih.gov/36128549/
Mahendram S, & Christo PJ. (2025). Advances in Basivertebral Nerve Ablation for Chronic Low .... Journal of personalized medicine, 40137435.
https://pubmed.ncbi.nlm.nih.gov/40137435/
Lee E, Kim J, Rahman S, Daksla N, Caldwell W, & Bergese S. (2024). Basivertebral Nerve Ablation for Treatment of Lower Back .... Biomedicines, 39335559.
Q.
What should I do if I experience severe lower back pain when standing up from a sitting position?
A.
If you have severe lower back pain when standing up, it might be related to posture or spinal issues. Consider consulting a healthcare professional for a proper assessment.
References:
Wernli K, O'Sullivan P, Smith A, Campbell A, & Kent P. (2020). Movement, posture and low back pain. How do they relate? .... European journal of pain (London, England), 32621351.
https://pubmed.ncbi.nlm.nih.gov/32621351/
Goldman SM, Funk JD, & Christensen VM. (1997). Spinal stenosis. A common cause of podiatric symptoms. Journal of the American Podiatric Medical Association, 9086718.
https://pubmed.ncbi.nlm.nih.gov/9086718/
Nelson-Wong E, Gallagher K, Johnson E, Antonioli C, Ferguson A, Harris S, et al. (2020). Increasing standing tolerance in office workers with .... Ergonomics, 32330093.
Q.
What should I do if lower back pain makes it hard to walk?
A.
If lower back pain makes walking difficult, it could be due to spinal issues like stenosis. It's important to understand the cause and explore treatment options with a healthcare provider.
References:
Goldman SM, Funk JD, & Christensen VM. (1997). Spinal stenosis. A common cause of podiatric symptoms. Journal of the American Podiatric Medical Association, 9086718.
https://pubmed.ncbi.nlm.nih.gov/9086718/
Taylor NF, Evans OM, & Goldie PA. (2003). The effect of walking faster on people with acute low back .... European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 12709854.
https://pubmed.ncbi.nlm.nih.gov/12709854/
Bridwell KH. (1994). Lumbar spinal stenosis. Diagnosis, management, and .... Clinics in geriatric medicine, 7850697.
Q.
What should I do if lower back pain prevents me from sitting or standing?
A.
If lower back pain makes it hard for you to sit or stand, it might be due to how your body moves or sits. Consider how your body moves and sits, and talk to a healthcare provider for advice.
References:
Galli M, Crivellini M, Sibella F, Montesano A, Bertocco P, & Parisio C. (2000). Sit-to-stand movement analysis in obese subjects. International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 11126346.
https://pubmed.ncbi.nlm.nih.gov/11126346/
Vallejo MC, Mariano DJ, Kaul B, Sah N, & Ramanathan S. (2004). Piriformis syndrome in a patient after cesarean section .... Regional anesthesia and pain medicine, 15305258.
https://pubmed.ncbi.nlm.nih.gov/15305258/
Lustig M, Levy A, Kopplin K, Ovadia-Blechman Z, & Gefen A. (2018). The risk for a deep tissue injury during toilet sitting. Journal of tissue viability, 28446371.
Q.
What should I do if my back hurts every time I sneeze?
A.
If your back hurts when you sneeze, it could be due to strain or a more serious issue. It's important to talk to a doctor to find out what's happening.
References:
Setzen S, & Platt M. (2019). The Dangers of Sneezing: A Review of Injuries. American journal of rhinology & allergy, 30616365.
https://pubmed.ncbi.nlm.nih.gov/30616365/
Štětkářová I, Jelínková L, Janík V, & Peisker T. (2014). Spontaneous spinal epidural hematoma after abrupt .... The American journal of emergency medicine, 24857250.
https://pubmed.ncbi.nlm.nih.gov/24857250/
Reinhold GW, Melonakos TK, & Lyman DT. (2017). A Near Fatal Sneeze Spontaneous Splenic Rupture. Clinical practice and cases in emergency medicine, 29849293.
Q.
What should I do if my lower back pain prevents me from standing up straight?
A.
If your lower back pain is stopping you from standing up straight, it might be due to issues like flatback syndrome or a disc problem. It's important to talk to a healthcare provider for the right diagnosis and treatment.
References:
Lagrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, & Ogilvie JW. (1988). Treatment of symptomatic flatback after spinal fusion. The Journal of bone and joint surgery. American volume, 3356724.
https://pubmed.ncbi.nlm.nih.gov/3356724/
Quek JMT, Tan J, Toh I, Chen JL, Yeo W, Chia R, et al. (2022). Factors Associated with Pain Intensity and Walking .... Spine, 35066535.
https://pubmed.ncbi.nlm.nih.gov/35066535/
Yukawa Y, Kato F, Kajino G, Nakamura S, & Nitta H. (1997). Groin pain associated with lower lumbar disc herniation. Spine, 9259784.
Q.
What treatments are available for chronic lower back pain?
A.
Chronic lower back pain can be treated with a mix of exercises, medications, and sometimes therapies like acupuncture or cognitive-behavioral therapy.
References:
Maharty DC, Hines SC, & Brown RB. (2024). Chronic Low Back Pain in Adults: Evaluation and .... American family physician, 38574213.
https://pubmed.ncbi.nlm.nih.gov/38574213/
Mauck MC, Aylward AF, Barton CE, Birckhead B, Carey T, Dalton DM, et al. (2022). Evidence-based interventions to treat chronic low back pain. Pain reports, 36203645.
https://pubmed.ncbi.nlm.nih.gov/36203645/
Shen FH, Samartzis D, & Andersson GB. (2006). Nonsurgical management of acute and chronic low back pain. The Journal of the American Academy of Orthopaedic Surgeons, 16885479.
Q.
When should I consider lower back pain to be serious and seek medical attention?
A.
You should seek medical attention for lower back pain if it is severe, lasts more than a few weeks, or is accompanied by symptoms like numbness, weakness, or fever.
References:
Bartleson JD. (2001). Low Back Pain. Current treatment options in neurology, 11180753.
https://pubmed.ncbi.nlm.nih.gov/11180753/
DePalma MG. (2020). Red flags of low back pain. JAAPA : official journal of the American Academy of Physician Assistants, 32740106.
https://pubmed.ncbi.nlm.nih.gov/32740106/
Casazza BA. (2012). Diagnosis and treatment of acute low back pain. American family physician, 22335313.
Q.
Which exercises are recommended for managing low back pain?
A.
Exercises like stretching, strengthening, and aerobic activities can help manage low back pain.
References:
Hayden JA, Ellis J, Ogilvie R, Malmivaara A, & van Tulder MW. (2021). Exercise therapy for chronic low back pain. The Cochrane database of systematic reviews, 34580864.
https://pubmed.ncbi.nlm.nih.gov/34580864/
Fernández-Rodríguez R, Álvarez-Bueno C, Cavero-Redondo I, Torres-Costoso A, Pozuelo-Carrascosa DP, Reina-Gutiérrez S, et al. (2022). Best Exercise Options for Reducing Pain and Disability in .... The Journal of orthopaedic and sports physical therapy, 35722759.
https://pubmed.ncbi.nlm.nih.gov/35722759/
Hayden JA, Ellis J, Ogilvie R, Stewart SA, Bagg MK, Stanojevic S, et al. (2021). Some types of exercise are more effective than others in .... Journal of physiotherapy, 34538747.
Q.
Which exercises should I avoid if I have lower back pain?
A.
If you have lower back pain, avoid exercises that involve heavy lifting and bending forward, as they can worsen the pain.
References:
Saraceni N, Kent P, Ng L, Campbell A, Straker L, & O'Sullivan P. (2020). To Flex or Not to Flex? Is There a Relationship Between .... The Journal of orthopaedic and sports physical therapy, 31775556.
https://pubmed.ncbi.nlm.nih.gov/31775556/
Ross R, Han J, & Slover J. (2023). Chronic Lower Back Pain in Weight Lifters. JBJS reviews, 37315158.
https://pubmed.ncbi.nlm.nih.gov/37315158/
Berglund L, Aasa B, Hellqvist J, Michaelson P, & Aasa U. (2015). Which Patients With Low Back Pain Benefit From Deadlift .... Journal of strength and conditioning research, 25559899.
Q.
Why do I experience low back pain when exercising?
A.
Low back pain during exercise can happen due to improper techniques, overuse, or weak muscles. It's common among athletes and weight lifters.
References:
Ross R, Han J, & Slover J. (2023). Chronic Lower Back Pain in Weight Lifters. JBJS reviews, 37315158.
https://pubmed.ncbi.nlm.nih.gov/37315158/
Bono CM. (2004). Low-back pain in athletes. The Journal of bone and joint surgery. American volume, 14960688.
https://pubmed.ncbi.nlm.nih.gov/14960688/
Wilson F, Ardern CL, Hartvigsen J, Dane K, Trompeter K, Trease L, et al. (2020). Prevalence and risk factors for back pain in sports. British journal of sports medicine, 33077481.
Q.
Why do I experience lower back pain when sitting up from a lying down position?
A.
Lower back pain when sitting up can be caused by stiffness in the back muscles or increased pressure in the spine.
References:
Biering-Sørensen F. (1983). A prospective study of low back pain in a general .... Scandinavian journal of rehabilitation medicine, 6223366.
https://pubmed.ncbi.nlm.nih.gov/6223366/
Bastos de Oliveira V, Albuquerque Brandão MC, Coelho de Albuquerque Pereira W, & Fernandes de Oliveira L. (2024). Lumbar multifidus layers stiffness at L5-S1 level in prone .... Journal of back and musculoskeletal rehabilitation, 38820010.
https://pubmed.ncbi.nlm.nih.gov/38820010/
Songcharoen P, Chotigavanich C, & Thanapipatsiri S. (1994). Lumbar paraspinal compartment pressure in back muscle .... Journal of spinal disorders, 8186589.
Q.
Why do I experience lower back pain when standing up after sitting?
A.
Lower back pain when standing up after sitting can be due to changes in the spine's curve and muscle activity problems.
References:
Lord MJ, Small JM, Dinsay JM, & Watkins RG. (1997). Lumbar lordosis. Effects of sitting and standing. Spine, 9383867.
https://pubmed.ncbi.nlm.nih.gov/9383867/
Roman-Liu D, Kamińska J, & Tokarski T. (2023). Differences in lumbar spine intradiscal pressure between .... PeerJ, 37872945.
https://pubmed.ncbi.nlm.nih.gov/37872945/
Orakifar N, Shaterzadeh-Yazdi MJ, Salehi R, Mehravar M, & Namnik N. (2019). Muscle Activity Pattern Dysfunction During Sit to Stand and .... Archives of physical medicine and rehabilitation, 30315764.
Q.
Why do I experience pain in my lower back when standing or walking?
A.
Pain in your lower back when standing or walking might be due to lumbar spinal stenosis, which is when the spaces in your spine get narrow and put pressure on the nerves.
References:
Chiba Y, Isu T, Kim K, Iwamoto N, Morimoto D, Yamazaki K, et al. (2016). Association between intermittent low-back pain and .... Journal of neurosurgery. Spine, 26460754.
https://pubmed.ncbi.nlm.nih.gov/26460754/
Webb CW, Aguirre K, & Seidenberg PH. (2024). Lumbar Spinal Stenosis: Diagnosis and Management. American family physician, 38648834.
https://pubmed.ncbi.nlm.nih.gov/38648834/
Lurie J, & Tomkins-Lane C. (2016). Management of lumbar spinal stenosis. BMJ (Clinical research ed.), 26727925.
Q.
Why does my lower back hurt after bending over?
A.
Bending over can hurt your lower back because it puts stress on your spine and muscles. This can lead to pain, especially if done repeatedly or with poor posture.
References:
Adams MA, May S, Freeman BJ, Morrison HP, & Dolan P. (2000). Effects of backward bending on lumbar intervertebral discs. .... Spine, 10707387.
https://pubmed.ncbi.nlm.nih.gov/10707387/
Villumsen M, Samani A, Jørgensen MB, Gupta N, Madeleine P, & Holtermann A. (2015). Are forward bending of the trunk and low back pain .... Ergonomics, 25374330.
https://pubmed.ncbi.nlm.nih.gov/25374330/
Chang R, Smith A, Kent P, O'Sullivan P, Hancock M, & Campbell A. (2024). How Movement Is Assessed Matters. Changes in Forward .... The Journal of orthopaedic and sports physical therapy, 38113376.
Q.
Why does my lower back hurt after sitting for a while?
A.
Lower back pain after sitting for a long time can be due to muscle strain or poor posture, and adjusting your seating position might help.
References:
Papadopoulos EC, & Khan SN. (2004). Piriformis syndrome and low back pain. The Orthopedic clinics of North America, 15062719.
https://pubmed.ncbi.nlm.nih.gov/15062719/
Sy O, & Phillips ML. (2016). Musculoskeletal symptoms and associated risk factors .... Journal of occupational and environmental hygiene, 26771155.
https://pubmed.ncbi.nlm.nih.gov/26771155/
Udo H, Fujimura M, & Yoshinaga F. (1999). The effect of a tilting seat on back, lower back and legs .... Industrial health, 10547952.
Q.
Why does my lower back hurt when bending over and sitting?
A.
Lower back pain when bending over and sitting can be due to mechanical strain on the spine and fear of movement, which may worsen the pain.
References:
Massé-Alarie H, Beaulieu LD, Preuss R, & Schneider C. (2016). Influence of chronic low back pain and fear of movement .... Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology, 26938677.
https://pubmed.ncbi.nlm.nih.gov/26938677/
Boissonnault W, & Fabio RP. (1996). Pain profile of patients with low back pain referred to .... The Journal of orthopaedic and sports physical therapy, 8892134.
https://pubmed.ncbi.nlm.nih.gov/8892134/
Adams MA, & Hutton WC. (1982). Mechanical factors in the etiology of low back pain. Orthopedics, 24822997.
Q.
Why does my lower back hurt when I bend over?
A.
Lower back pain when bending over can be due to spine issues like vibration effects or disc problems, which can affect how you move.
References:
Pope MH, & Hansson TH. (1992). Vibration of the spine and low back pain. Clinical orthopaedics and related research, 1534724.
https://pubmed.ncbi.nlm.nih.gov/1534724/
Kauppila LI, McAlindon T, Evans S, Wilson PW, Kiel D, & Felson DT. (1997). Disc degeneration/back pain and calcification of the .... Spine, 9253101.
https://pubmed.ncbi.nlm.nih.gov/9253101/
Chang R, Smith A, Kent P, O'Sullivan P, Hancock M, & Campbell A. (2024). How Movement Is Assessed Matters. Changes in Forward .... The Journal of orthopaedic and sports physical therapy, 38113376.
Q.
Why does my lower back hurt when I get up from sitting?
A.
Lower back pain when getting up from sitting can be linked to how you sit or conditions like piriformis syndrome, which affects muscles near the hip.
References:
Papadopoulos EC, & Khan SN. (2004). Piriformis syndrome and low back pain. The Orthopedic clinics of North America, 15062719.
https://pubmed.ncbi.nlm.nih.gov/15062719/
Bontrup C, Taylor WR, Fliesser M, Visscher R, Green T, Wippert PM, & Zemp R. (2019). Low back pain and its relationship with sitting behaviour .... Applied ergonomics, 31422243.
https://pubmed.ncbi.nlm.nih.gov/31422243/
Cranfield KA, Buist RJ, Nandi PR, & Baranowski AP. (1997). The twelfth rib syndrome. Journal of pain and symptom management, 9114637.
Q.
Why does my lower back hurt when I sit down and bend over?
A.
Lower back pain when sitting or bending over might be related to how the spine reacts to positions and movements like bending and vibration.
References:
Pope MH, & Hansson TH. (1992). Vibration of the spine and low back pain. Clinical orthopaedics and related research, 1534724.
https://pubmed.ncbi.nlm.nih.gov/1534724/
Adams MA, May S, Freeman BJ, Morrison HP, & Dolan P. (2000). Effects of backward bending on lumbar intervertebral discs. .... Spine, 10707387.
Q.
Why does my lower back hurt when I slouch?
A.
Slouching can cause your lower back to hurt because it puts extra pressure on your spine and muscles.
References:
Jung KS, Jung JH, In TS, & Cho HY. (2020). Effects of Prolonged Sitting with Slumped Posture on Trunk .... Medicina, 7822118.
https://pmc.ncbi.nlm.nih.gov/articles/PMC7822118/
Jung KS, Jung JH, & In TS. (2020). The Effects of Cross-Legged Sitting on the Trunk and .... International Journal of Environmental Research and Public Health, 7370107.
https://pmc.ncbi.nlm.nih.gov/articles/PMC7370107/
Mahmoud NA, Abu Raddaha AH, & Zaghamir DE. (2022). Impact of Digital Device Use on Neck and Low Back Pain .... Healthcare, 9777961.
Q.
Why does my lower back hurt when I sneeze?
A.
Sneezing can cause lower back pain due to the sudden movement and pressure it creates, which might affect sensitive nerves in the back.
References:
Undem BJ, & Taylor-Clark T. (2014). Mechanisms underlying the neuronal-based symptoms .... The Journal of allergy and clinical immunology, 6483074.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6483074/
Wegner I, Widyahening IS, van Tulder MW, Blomberg SE, de Vet HC, Brønfort G, et al. (2013). Traction for low‐back pain with or without sciatica - PMC. The Cochrane Database of Systematic Reviews, 6823219.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6823219/
PECOVA T, KOCAN I, VYSEHRADSKY R, & PECOVA R. (2020). Itch and Cough – Similar Role of Sensory Nerves in Their .... Physiological Research, 8604060.
Q.
Why does my lower back hurt when I stand for long periods?
A.
Lower back pain when standing for a long time can be due to how the spine reacts to pressure or because of conditions like spinal stenosis.
References:
Pope MH, & Hansson TH. (1992). Vibration of the spine and low back pain. Clinical orthopaedics and related research, 1534724.
https://pubmed.ncbi.nlm.nih.gov/1534724/
Marshall PW, Romero R, & Brooks C. (2014). Pain reported during prolonged standing is associated with .... Experimental brain research, 25059911.
https://pubmed.ncbi.nlm.nih.gov/25059911/
Goldman SM, Funk JD, & Christensen VM. (1997). Spinal stenosis. A common cause of podiatric symptoms. Journal of the American Podiatric Medical Association, 9086718.
Q.
Why does my lower back hurt when sitting but not when standing?
A.
Your lower back might hurt when sitting because sitting can put extra pressure on certain parts of your back, which doesn't happen as much when standing.
References:
Maigne JY, Lapeyre E, Morvan G, & Chatellier G. (2003). Pain immediately upon sitting down and relieved by .... Spine, 12811279.
https://pubmed.ncbi.nlm.nih.gov/12811279/
O'Sullivan PB, Mitchell T, Bulich P, Waller R, & Holte J. (2006). The relationship beween posture and back muscle .... Manual therapy, 15953751.
https://pubmed.ncbi.nlm.nih.gov/15953751/
O'Keeffe M, Dankaerts W, O'Sullivan P, O'Sullivan L, & O'Sullivan K. (2013). Specific flexion-related low back pain and sitting. Ergonomics, 23438303.
Q.
Why does my lower back hurt when sitting for too long?
A.
Sitting for a long time can make your lower back hurt because it puts pressure on your spine and muscles.
References:
Park JH, & Srinivasan D. (2021). The effects of prolonged sitting, standing, and an .... Ergonomics, 33565921.
https://pubmed.ncbi.nlm.nih.gov/33565921/
De Carvalho D, Greene R, Swab M, & Godwin M. (2020). Does objectively measured prolonged standing for desk .... Work (Reading, Mass.), 33074206.
https://pubmed.ncbi.nlm.nih.gov/33074206/
Baker R, Coenen P, Howie E, Williamson A, & Straker L. (2018). The Short Term Musculoskeletal and Cognitive Effects .... International journal of environmental research and public health, 30087262.
Q.
Why does my lower back pain get worse when standing?
A.
Lower back pain can get worse when standing for a long time because it puts strain on your back muscles and joints. Sometimes, rare conditions like a cyst near the spine can also cause pain.
References:
Gregory DE, & Callaghan JP. (2008). Prolonged standing as a precursor for the development .... Gait & posture, 18053722.
https://pubmed.ncbi.nlm.nih.gov/18053722/
Muthukumar N. (2002). Sacral extradural arachnoid cyst: a rare cause of low back .... European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 11956924.
https://pubmed.ncbi.nlm.nih.gov/11956924/
Marshall PW, Romero R, & Brooks C. (2014). Pain reported during prolonged standing is associated with .... Experimental brain research, 25059911.
Q.
Why does my lower back pain go away when sitting?
A.
Lower back pain may go away when sitting because this position can reduce pressure on certain parts of the spine, especially in conditions like spinal stenosis.
References:
Maigne JY, Lapeyre E, Morvan G, & Chatellier G. (2003). Pain immediately upon sitting down and relieved by .... Spine, 12811279.
https://pubmed.ncbi.nlm.nih.gov/12811279/
Goldman SM, Funk JD, & Christensen VM. (1997). Spinal stenosis. A common cause of podiatric symptoms. Journal of the American Podiatric Medical Association, 9086718.
https://pubmed.ncbi.nlm.nih.gov/9086718/
Mayer HM. (2001). Discogenic low back pain and degenerative lumbar spinal .... Schmerz (Berlin, Germany), 11793155.
Q.
Why does my lower back pain worsen when standing up straight?
A.
Lower back pain can get worse when standing up straight due to how your body moves and holds itself, or because of changes in the spine after surgery.
References:
Marshall PW, Romero R, & Brooks C. (2014). Pain reported during prolonged standing is associated with .... Experimental brain research, 25059911.
https://pubmed.ncbi.nlm.nih.gov/25059911/
Wernli K, O'Sullivan P, Smith A, Campbell A, & Kent P. (2020). Movement, posture and low back pain. How do they relate? .... European journal of pain (London, England), 32621351.
https://pubmed.ncbi.nlm.nih.gov/32621351/
Lagrone MO, Bradford DS, Moe JH, Lonstein JE, Winter RB, & Ogilvie JW. (1988). Treatment of symptomatic flatback after spinal fusion. The Journal of bone and joint surgery. American volume, 3356724.
Q.
Why does my lower right back hurt when I bend over?
A.
Your lower right back might hurt when you bend over due to issues like spine vibrations or even a stomach ulcer.
References:
Pope MH, & Hansson TH. (1992). Vibration of the spine and low back pain. Clinical orthopaedics and related research, 1534724.
https://pubmed.ncbi.nlm.nih.gov/1534724/
Weiss DJ, Conliffe T, & Tata N. (1998). Low back pain caused by a duodenal ulcer. Archives of physical medicine and rehabilitation, 9749698.
https://pubmed.ncbi.nlm.nih.gov/9749698/
Ahuja V, Yencha MW, & Lassen LF. (1999). Head and neck manifestations of gastroesophageal reflux .... American family physician, 10498113.
Q.
Why does sitting make my lower back hurt?
A.
Sitting for a long time can make your lower back hurt because it puts pressure on your spine and muscles.
References:
Bontrup C, Taylor WR, Fliesser M, Visscher R, Green T, Wippert PM, & Zemp R. (2019). Low back pain and its relationship with sitting behaviour .... Applied ergonomics, 31422243.
https://pubmed.ncbi.nlm.nih.gov/31422243/
Greene RD, Frey M, Attarsharghi S, Snow JC, Barrett M, & De Carvalho D. (2019). Transient perceived back pain induced by prolonged sitting .... Ergonomics, 31478466.
https://pubmed.ncbi.nlm.nih.gov/31478466/
Lis AM, Black KM, Korn H, & Nordin M. (2007). Association between sitting and occupational LBP. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 16736200.
Q.
Why might I experience pain specifically in my lower left back?
A.
Pain in the lower left back can have several causes, including muscle strain, unusual medical conditions, or specific physical activities. Understanding the cause can help in managing the pain effectively.
References:
Nithyanandam S, Smoot K, Schleich K, & Slayman T. (2020). Sharp lower back pain • left-side paraspinal tenderness. The Journal of family practice, 32289129.
https://pubmed.ncbi.nlm.nih.gov/32289129/
Beirão T, Reis J, Cochicho J, Costa F, Malheiro L, Videira T, & Pimenta J. (2022). A Rare Cause of Low Back Pain: A Challenging Diagnosis. Cureus, 35959179.
https://pubmed.ncbi.nlm.nih.gov/35959179/
Boyle KL. (2011). Managing a female patient with left low back pain and .... Physiotherapy Canada. Physiotherapie Canada, 22379254.
Q.
Should I see a primary care provider for severe back pain?
A.
If you are experiencing severe back pain, it is advisable to see a primary care provider. Severe back pain can be a sign of a serious underlying condition, and timely evaluation is important for proper diagnosis and treatment.
References:
Casiano VE, Sarwan G, Dydyk AM, Varacallo M. Back Pain. 2023 Dec 11. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30844200.
Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. 2012 Feb 15;85(4):343-50. PMID: 22335313.
Kolber MR, Ton J, Thomas B, Kirkwood J, Moe S, Dugré N, Chan K, Lindblad AJ, McCormack J, Garrison S, Allan GM, Korownyk CS, Craig R, Sept L, Rouble AN, Perry D. PEER systematic review of randomized controlled trials: Management of chronic low back pain in primary care. Can Fam Physician. 2021 Jan;67(1):e20-e30. doi: 10.46747/cfp.6701e20. PMID: 33483410; PMCID: PMC7822613.
Q.
Why does my lower back hurt when I have a fever?
A.
It is not uncommon for the lower back to hurt during a fever due to the body’s inflammatory response to infection and sometimes due to infection in the back itself.
References:
Medappil N, Adiga P. A 31-year-old female with fever and back pain. J Emerg Trauma Shock. 2011 Jul;4(3):385-8. doi: 10.4103/0974-2700.83869. PMID: 21887031; PMCID: PMC3162710.
Cameron CR, Burgess CD. Recurrent back pain and fevers. Med J Aust. 2007 Feb 19;186(4):208-9. doi: 10.5694/j.1326-5377.2007.tb00864.x. PMID: 17309425.
Bernheim HA, Block LH, Atkins E. Fever: pathogenesis, pathophysiology, and purpose. Ann Intern Med. 1979 Aug;91(2):261-70. doi: 10.7326/0003-4819-91-2-261. PMID: 223485.
Q.
Can a herniated disc cause low back pain?
A.
Absolutely. The classic symptoms of a herniated disc include low back pain that extends down the buttocks and into the legs.
References:
Al Qaraghli MI, De Jesus O. Lumbar Disc Herniation. 2023 Aug 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 32809713.
Q.
Is it common to get low back pain before or during my period?
A.
Yes. Prior studies suggest up to 40-50% of women experience low back pain (LBP) during a period.
References:
Smith DR, Mihashi M, Adachi Y, Shouyama Y, Mouri F, Ishibashi N, Ishitake T. Menstrual disorders and their influence on low back pain among Japanese nurses. Ind Health. 2009 Jul;47(3):301-12. doi: 10.2486/indhealth.47.301. PMID: 19531916.
Shakeri H, Fathollahi Z, Karimi N, Arab AM. Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial. J Chiropr Med. 2013 Sep;12(3):160-7. doi: 10.1016/j.jcm.2013.08.005. PMID: 24396316; PMCID: PMC3838710.
Q.
What are the causes of low back pain?
A.
Low back pain may arise from an issue with the spine itself or may less commonly be a symptom of other underlying diseases.
References:
Knezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, Cohen SP. Low back pain. Lancet. 2021 Jul 3;398(10294):78-92. doi: 10.1016/S0140-6736(21)00733-9. Epub 2021 Jun 8. PMID: 34115979.
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Will JS, Bury DC, Miller JA. Mechanical Low Back Pain. Am Fam Physician. 2018 Oct 1;98(7):421-428. PMID: 30252425.
https://www.aafp.org/pubs/afp/issues/2018/1001/p421.htmlKnezevic NN, Candido KD, Vlaeyen JWS, Van Zundert J, Cohen SP. Low back pain. Lancet. 2021 Jul 3;398(10294):78-92. doi: 10.1016/S0140-6736(21)00733-9. Epub 2021 Jun 8. PMID: 34115979.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00733-9/fulltextMaher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet. 2017 Feb 18;389(10070):736-747. doi: 10.1016/S0140-6736(16)30970-9. Epub 2016 Oct 11. PMID: 27745712.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)30970-9/fulltextChenot JF, Greitemann B, Kladny B, Petzke F, Pfingsten M, Schorr SG. Non-Specific Low Back Pain. Dtsch Arztebl Int. 2017 Dec 25;114(51-52):883-890. doi: 10.3238/arztebl.2017.0883. PMID: 29321099; PMCID: PMC5769319.
https://www.aerzteblatt.de/int/archive/article/195482Balagué F, Mannion AF, Pellisé F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6. PMID: 21982256.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)60610-7/fulltext