What could cause pressure in the lower back and pelvic area?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Pressure in the lower back and pelvic area is often caused by muscle strain, pregnancy-related changes, or pelvic floor dysfunction. Other possible causes include urinary tract infections, endometriosis, fibroids, ovarian cysts, or prostate issues. The exact cause depends on your symptoms, medical history, and lifestyle factors.

Because pelvic and lower back pressure can stem from so many different conditions—some minor, others requiring medical attention—identifying the likely cause early is key to getting the right care. A free, instant, online symptom check can help you understand what may be behind your discomfort and guide your next steps, whether that's home care, seeing a specialist, or seeking urgent evaluation.

Reviewed for medical accuracy: 07/15/2026

Important Next Steps

Learn likely causes of lower back pressure Discover if your pelvic pain needs care See if lower back pressure is serious Find OTC relief for lower back pain Find a doctor for pelvic pain Understand home remedies for lower back pressure Find if back pressure needs urgent care

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Explanation

Pressure in the lower back and pelvic area can be caused by several factors. One common cause is related to muscle problems. The muscles in the lower back and pelvis can develop tight spots, known as myofascial trigger points, which can lead to pain and pressure.

Another cause can be related to the pelvic floor, which is a group of muscles that support the pelvic organs. Problems with these muscles can contribute to pain in the lumbopelvic region.

Additionally, during pregnancy, many women experience low back and pelvic girdle pain. This happens because of changes in the body, such as weight gain and hormonal changes, which can affect the muscles and joints in the pelvic area.

Understanding these causes can help in finding ways to relieve the pressure and discomfort. If you're experiencing persistent symptoms, you can check your symptoms with a free AI-powered assessment to better understand what might be causing your discomfort.

(References)

Dufour S, Vandyken B, Forget MJ, & Vandyken C. (2018). Association between lumbopelvic pain and pelvic floor .... Musculoskeletal science & practice, 29268147.
Simons DG, & Travell JG. (1983). Myofascial origins of low back pain. 3. Pelvic and lower .... Postgraduate medicine, 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.

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