The causes of back pain in the lumbar region

Back pain in the lumbar region is a very common pain syndrome, which occurs in various pathologies, as of the spine and internal organs, or systemic diseases.


It could be above the waist, below, to be more to the right or left, and often such pain happens in pregnancy, how late, and in the early stages. If the pain is very acute, accompanied by fever, weakness, you should call an ambulance.

While not intense pain without fever in order to understand the reasons for its occurrence, should be addressed to the therapist, who on the basis of anamnesis, complaints of the patient will be directed to professionals such as an osteopath, neurologist, urologist, gynecologist, gastroenterologist, cardiologist, surgeon or pulmonologist. The final diagnosis is by doctors on the basis of MRI, ultrasound, and other tests and diagnostic methods.

The main reasons for lower back pain

The most obvious cause of pain in the lower back is lumbago and sciatica that is caused by a lesion of the lumbar spine, degenerative disc disease, as well as more serious pathologies in the spine or intervertebral protrusions herniarum. Such pain can occur when nerve irritation of the spine, the pinched nerve roots, irritation of the ligaments and muscles, with their swelling, as well as diseases of the internal organs the pain may radiate to the lower back.

In clinical practice from 60-30% of the urban population in developed countries arise periodically recurring back pain, among them 80% of the time people complain that back pain in the lower back. All age groups susceptible to violations from the side of the spine, but in most cases, these ailments bother patients aged 30-60 years. In 66% of cases of lower back pain caused by degenerative disc disease, is affected when one of the roots of the 1st sacral, 4, 5 lumbar vertebra is called monoarticular syndrome. If affects the right of the spine 2 what happens in 33% of patients is viridicornis syndrome if 3, then triadically syndrome, which is much rarer.

Because the causes of back pain is not always pain, it is possible to spend several serious provocation tests, which will help to understand whether the pain with the spine, or signs of other diseases, cystitis, pyelonephritis, urolithiasis, inflammation of the uterus, prostate disease, problems with the intestines or the lungs. It tests lumbosacral degenerative disc disease that are called by the names of the doctors who suggested their use as a preliminary diagnostic:

  • Symptom Dejerine — with the voltage of the abdominals, if you listen to the lower back, the pain increases, and therefore, a high probability of their occurrence is low back pain.
  • Symptom Neri — if with a sharp tilt of the head forward to touch your chest you feel the pain — it could also be because of the spine.
  • The symptom's symptom — if after you alternately raise first one leg, then the second, lying on his back, grabbed the waist and pain irradiáta in the leg along the sciatic nerve, it is also a problem of the spine.
  • Symptom Larrea — if the pain will appear in the course of the sciatic nerve after you from lying position on the back, try to lift the torso forward without bending the knees, then have to sit with the legs extended, is also derived from the degenerative disc disease.

Back pain is such a nonspecific symptom that can be caused by many different reasons. From how intensely sore back in the lumbar region, it is permanent or recurrent, primary or secondary, may be the reasons causing it:

Acute pain
  • Protrusion of the intervertebral discs in the lumbar region
  • Osteochondrosis of the spine
  • Acute disc herniation
  • Spondylitis
  • Pathology of the hip joint
  • Epiduritis spinal
  • Acute tension, vertebral fractures
  • Lumbago, sciatica
  • Acute disturbances of the spinal blood circulation — stroke
  • Intestinal obstruction, atypical for acute appendicitis
  • Urolithiasis
  • Acute pyelonephritis
Chronic pain
  • Ankylosing Spondylitis
  • Spondylosis deformans
  • Osteomyelitis
  • Metabolic bone disease — osteomalacia, osteoporosis
  • Primary tumor and metastatic spinal tumors, vertebral, retroperitoneal spaces.
  • Growing pains — scoliosis
  • Infectious lesions of the intervertebral discs and the vertebrae (epidural abscess, spinal tuberculosis, brucellosis)
  • Noninfectious inflammatory diseases — rheumatoid arthritis, Reiter's syndrome, ankylosing spondylitis
  • Kidney tumors
  • Atherosclerosis of the abdominal aorta and its branches
Radiating pain in some diseases of internal organs
  • Diseases of the stomach, pancreas, duodenum, gall bladder
  • Diseases of the pelvic organs. In women — inflammatory processes in the uterine appendages, endometriosis, uterine cancer, ovarian cancer, STDs (chlamydia, ureaplasmosis, gonorrhoea, trichomoniasis, etc.) men — prostatitis, prostate cancer
  • Kidney disease — renal colic, kidney stones
  • Bowel disease — inflammation of the diverticulum, ulcerative colitis, intestinal tumors
  • Frustrating aortic aneurysm

Pain above the waist


If back pain right above the waist - so may radiate to the liver pain under any pathological changes in the liver, hepatitis, hepatic failure, administration of toxic drugs. The pain is most often localized in the right hypochondrium. If the pain is felt on the right or left just above the waist, it is very possible that the reason lies in the acute kidney disease. A chronic kidney disease such as polycystic, malignant neoplasm of kidney, chronic pyelonephritis accompanied low symptoms, since the renal capsule is stretched gradually.

Edema during acute pyelonephritis, and also with blocking of the ureter the pain is more intense, but dull, aching in nature. And the pain is constant, sometimes radiating to the navel area, lower abdomen, and pain in the left upper quadrant or the right, depending on the patient's kidneys. Also in chronic kidney disease, certain medication that contributes to such pain. Increased load on the kidneys, as a filter on, when toxic action of certain medications can cause pain, which disappear after discontinuation of the drug.

Why back pain lower lumbar

When back pain below the waist, except for the obvious diseases of the spine (sciatica, lumbago, herniated disc, ankylosing spondylitis, etc.), potential causes include recurrent pain during menstruation in women, diseases of the female genital organs such as inflammation of the uterine appendages - oophoritis, oophoritis (adnexitis) and diseases of the pelvic peritoneum, bowel, inflammation of the Appendix (the Appendix of the blind intestine), in men - prostate disease, bladder.

Lower back pain right or left

If the pain appear simultaneously and right and left lower back this can also be symptoms of pyelonephritis, hepatitis, cholecystitis, inflammation of the uterus or prostate, pneumonia or pleurisy. When radiating pain in the flanks may be due to bowel obstruction, atypical course of appendicitis. Lower back pain on the right or left are for the following diseases:

  • Diseases of the spine

To the acquired diseases include, tumors, degenerative pathology, such as spondylosis, spondylosis, inflammation - osteomyelitis, spondylitis, and traumatic injury, herniated disc, lumbago, sciatica. Among congenital pathologies allocate sacralization, spondylosis, lucido, spondylolisthesis.

  • Diseases of the internal organs

In inflammatory diseases of the pelvic organs - parametral tissue, bladder, prostate, uterus and its appendages. In pathological processes in the abdominal organs, intestines, kidneys.

  • Diseases of the nervous system in the lumbosacral

When root compression, nervous posts in various neurological diseases, hysteria, neurasthenia, neuritis, neuralgias, sciatica, in violation of metabolism, gout, diabetes, in malformations of the nervous system.

Pain when pinching the sciatic nerve and lumbago

When inflammation or pinching of the sciatic nerve in sciatica back pain in the lower back can be very diverse. It is like a burning sensation, backache, tingling, with numbness or tingling may be mild, or long or short. The sciatic nerve is the most powerful, longest nerve in the human body and manifests itself only in one side of the body, as a rule, women right, men left.

There is a theory why there is such difference, the pattern of inflammation of the sciatic nerve in males and women about this you have to know in our article, the symptoms of a pinched sciatic nerve. Such pain in the buttocks or the back surface of one leg is usually worse when changing body position, particularly sensitive spot behind the knee and in the area of bony protrusions at the bottom of the buttocks, also people can find themselves on the muscles of the calf or posterior surface of the femur painful nodules that when touched particularly sensitive.

Lumbago is a disease which is popularly called sciatica, a pain on this I know not by hearsay. This sudden cross that appears on the background of physical activity with hypothermia, working in a draught or in a prolonged awkward position, with a sharp movement.

Paroxysmal pain of the lower back causes a person to take a forced situation in which the pain softens this pain syndrome is delayed for at least a week, painkillers, tepidus tools and massage usually help to cope with the illness. Even after such a simultaneous attack of the disease should consult a doctor as it is a warning of the presence of pathological changes in the lumbosacral spine.