Causes of back pain in the lumbar region

Update: December 2018

Back pain in the lumbar region – a very frequent pain syndrome,
which happens in various pathologies, like the spine, and
internal organs or in systemic diseases.

It may be higher than the waist, lower, more to the right or
on the left, and also often such pain happens during pregnancy as
late and in the early stages. If the pain is very sharp,
accompanied by fever, weakness, should cause
�”Help soon.”

When not intense pain without temperature, to understand
the reasons for its occurrence should be addressed to the therapist who
on the basis of anamnesis, the patient’s complaints will be sent to specialists,
such as osteopath, neurologist, urologist, gynecologist, gastroenterologist,
cardiologist, surgeon or pulmonologist. Final diagnosis
established by doctors on the basis of MRI, ultrasound, and other tests and
diagnostic methods.

The main causes of lower back pain

The most obvious cause of pain in the lower back is
this is lumbago and sciatica, which is caused by a lumbar lesion
spine, osteochondrosis, as well as more serious pathologies
in the spinal column, by protrusions or intervertebral hernias. Such
pain may occur when irritating the nerves of the spine,
pinching of the nerve roots, with irritation of the ligaments and muscles, with their
edema, as well as diseases of internal organs, pain can
radiating to the lower back.

In clinical practice, 60-30% of urban residents in developed countries
recurrent back pains occur periodically, among them in 80%
cases a person complains that his back hurts in the lower back.
All age categories of the population are subject to violations by
spine, but in most cases such ailments
concern patients aged 30-60 years. In 66% of cases of pain in
lower back occur due to osteochondrosis, when one is affected
from the roots of the 1st sacral, 4, 5 lumbar vertebra is
called monoradicular syndrome. If 2 are affected immediately
spine, which happens in 33% of patients – is biradicular syndrome,
if 3 is a triradicular syndrome that occurs much
less often.

Since the causes of back pain are not always
is osteochondrosis, you can spend a few not complicated
provocative tests that will help determine whether
pains with the spine, or are signs of others
diseases – cystitis, pyelonephritis, urolithiasis,
inflammation of the uterus, prostate pathology,
intestinal or lung problems. it тесты пояснично-крестцового
osteochondrosis, which are named after doctors,
proposed to use them as a preliminary

  • Symptom Dejerine – when the tension of the abdominals, if
    listen to the lower back, the pain intensifies, hence the big
    the probability of their occurrence is osteochondrosis.
  • Symptom Neri – if with a sharp tilt of the head forward to
    touching your chest you feel lower back pain – this is also
    maybe because of the spine.
  • Symptom Lasaga – if after you alternately lift
    first one leg, then the second one, lying on its back, will break the lower back and
    pain irradiated to the leg along the sciatic nerve, these are also problems
  • Symptom Lerrey – if the pain appears along the sciatic nerve
    after lying down on your back, try
    lift the torso forward without bending at the knees, that is, sit down with
    stretched legs – it also comes from osteochondrosis.

Back pain is so non-specific symptom that
may be caused by a variety of reasons. On how much
интенсивно, сильно болит спина в области поясницы, постоянна
or periodic, primary or secondary, there may be
the reasons for it are:

Acute pain
  • Intervertebral disc protrusion in the lumbar region
  • Osteocondritis of the spine
  • Acute intervertebral hernia
  • Spondyloarthritis
  • Pathology of the hip joint
  • Epiduritis spinal
  • Acute sprain, vertebral fractures
  • Lyumbago, sciatica
  • Acute Disorders of Spinal Circulation – Stroke
  • Intestinal obstruction, atypical acute
  • Urolithiasis disease
  • Acute pyelonephritis
Chronic pain
  • Ankylosing spondylitis
  • Spondylosis deformans
  • Osteomyelitis
  • Метаболические заболевания костей  — остеомаляция,
  • Primary tumors and metastatic tumors of the spinal cord,
    vertebrae, retroperitoneal space.
  • Growth Disease – Scoliosis
  • Infectious lesions of intervertebral discs and vertebrae
    (epidural abscess, spinal tuberculosis, brucellosis)
  • Non-infectious inflammatory diseases – rheumatoid
    arthritis, Reiter’s syndrome, ankylosing spondylitis
  • Kidney tumors
  • Atherosclerosis of the abdominal aorta and its branches
Irradiating pain in some diseases of the internal
  • Diseases of the stomach, pancreas, duodenal ulcer
    intestine, gallbladder
  • Заболевания bodies малого таза. Women – inflammatory
    processes in the uterus, endometriosis, cancer of the uterus, ovarian cancer,
    STDs (chlamydia, ureaplasmosis, gonorrhea, trichomoniasis, etc.) in men
    – prostatitis, prostate cancer
  • Kidney disease – renal colic, kidney stones
  • Bowel disease – inflammation of the diverticulum, non-specific
    ulcerative colitis, intestinal tumors
  • Frustrating Aortic Aneurysm

Pain above loins

If the back hurts on the right above the lower back – it may irradiate
hepatic pain with any pathological changes in the liver
– hepatitis, liver failure, toxic intake
medicines. The pain is often localized in
right hypochondrium. If pain is felt to the right or left just above
lumbar, it is very possible that the reason lies in acute diseases
the kidneys. Many chronic kidney diseases, such as polycystic
malignant neoplasms of the kidneys, chronic pyelonephritis
accompanied by small symptoms since the renal capsule
stretched gradually.


With edema during acute pyelonephritis, as well as with
blocking ureter pains are more intense, but dull,
nagging character. In this case, the pain is constant, sometimes
radiating to the navel, lower abdomen, as well as pain in
left hypochondrium or right, depending on the diseased kidney. Also
in chronic kidney disease, taking certain drugs
funds contributes to the occurrence of such pain. Increased load
on the kidneys, as a filtering organ, with the toxic effect of some
medication causes pain that pass after cancellation

Why does the back hurt below the waist

When the back hurts below the waist, except for obvious diseases
spine (sciatica, lumbago, intervertebral hernia, disease
Bekhtereva, etc.), possible causes are intermittent pain
during menstruation in women, diseases of the female genital organs,
such as inflammation of the uterus – oophoritis, salpingoophoritis
(adnexitis), as well as diseases of the pelvic peritoneum, intestines,
appendix inflammation (appendix appendix, see symptoms
appendicitis in adults), in men – prostate disease
gland, bladder.

Lower back pain right or left

If such pains appear simultaneously to the right and to the left in
lower back can also be symptoms of pyelonephritis, hepatitis,
cholecystitis, inflammation of the uterus or prostate gland,
pneumonia or pleurisy. When the radiating pain in the sides causes
there can be intestinal obstruction, atypical course
appendicitis. Lower back pain right or left бывают при следующих

  • Spinal disorders

Acquired diseases include: tumors,
degenerative pathologies such as spondylarthrosis, spondylosis,
inflammatory processes – osteomyelitis, spondylitis, and
traumatic injuries, intervertebral hernia, lumbago, sciatica.
Среди врожденных патологий выделяют сакрализацию, спондилез,
lubalization, spondylolisthesis.

  • Diseases of internal organs

In inflammatory diseases of the pelvic organs –
parametric fiber, bladder, prostate gland,
uterus and its appendages. With pathological processes in organs
брюшной полости — кишечника, the kidneys.

  • Diseases of the nervous system in the lumbosacral

When squeezing the roots, nerve pillars, with different
неврологических заболеваниях  — истерии, неврастении, неврите,
neuromialgia, radiculitis, metabolic disorders,
gout, diabetes mellitus, with developmental defects of the nervous

Pain when pinching sciatic nerve and lumbago

With inflammation or pinching of the sciatic nerve, with
lumbosacral radiculitis back pain in the lower back can be
very diverse. It happens as a burning sensation, shot through,
tingling, with elements of numbness or goosebumps, can be either
moderate and incurable, long-term or short-term.
The sciatic nerve is the most powerful, long nerve in the body.
human and manifests only in one side of the body, as a rule,
women on the right, men on the left.

There is a certain theory why this is the case.
distinction, pattern of inflammation of the sciatic nerve in men and
women – you can know about this in our article symptoms of pinching
sciatic nerve. Such shooting pains in the buttock or
the back of one leg is usually reinforced when changing
body position, especially painful place under the knee and in the area
bone protrusion on the bottom of the buttocks
in the muscles of the leg or back of the thigh painful
nodules that are especially sensitive when touched.

Lumbago disease, which is popularly called
radiculitis, many people know about this pain not by hearsay. it
sudden backache that appears on the background of physical exertion
with supercooling, draft or in certain
prolonged uncomfortable position, with sudden movement.

Hot pain penetrating the lower back makes
person to take a forced position in which the pain
softens, such pain syndrome is delayed at least by
week, painkillers, warming up and massage
usually help to cope with the disease. Even after such
one-time attack of the disease should consult a doctor
because it is a bell of the presence of pathological changes in
lumbo-sacral spine.

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