Causes of back pain in the lumbar region

Back pain in the lumbar region is very common pain syndrome, which occurs in different diseases, such as the spine and internal organs, or systemic diseases.


This could be above the waist, below, to be more in 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, nausea, you should call an ambulance.

While not severe pain without fever, in order to understand the reasons for its creation, should be addressed to the therapist, who on the basis of anamnesis, complaints of the patient will be directed to the experts, such as 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 for pain in the lower back is lumbago and sciatica, which is caused by an injury of the lumbar spine, degenerative disc disease, as well as in more serious disease in the spine or intervertebral protrusions herniarum. Such a pain can occur when the nerve irritation of the spine, a pinch nerve roots, irritation of the ligaments and muscles, with their swelling, as well as diseases of the internal organs 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. In all age groups susceptible to violations from the side of the spine, but in most cases of this disease bother patients, aged 30-60 years. In 66% of cases of low back pain caused by degenerative disc disease, is affected, when one of the roots of 1. sacral, 4, 5 lumbar vertebrae is called monoarticular syndrome. If the impact is to the right of the spine 2 what happens in 33% of patients 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 you to understand, or the pain of the spine, or signs of other diseases, cystitis, pyelonephritis, urolithiasis, inflammation of the uterus, prostate disease, problems with the intestines or in the lungs. This tests for lumbosacral degenerative disc disease, they are labelled with the names of the doctors who suggested their use as a preliminary diagnostic:

  • Symptom of Dejerine — with the voltage of the abdominals, if you listen in the lower back, the pain increases, and therefore, a high probability of their occurrence of lower back pain.
  • Symptom Neri — if with a sharp tilt of the head forward, touch the breast you feel the pain — this may also be because of the spine.
  • A symptom is a symptom — if, after you alternately raise first one leg, then the other, lying on his back, he grabbed her by the waist and pain irradiáta in the leg along the sciatic nerve, is also a problem of the spine.
  • Symptom Larrea — if the pain will occur at the time of the sciatic nerve, then when you are in lying position on your back, try to lift the torso forward without bending the knees, then to sit with legs extended, is also derived from degenerative disk disease.

Back pain is so non-specific symptom that can be due to various reasons. From this, how intense a painful back in the lumbar region, this is a permanent or recurrent, primary or secondary, may be the reasons, that cause:

Acute pain
  • Protrusion of the intervertebral discs in the lumbar region
  • Osteochondrosis of the spine
  • Acute disk herniation
  • Spondylitis
  • Pathology of the hip joint
  • Epiduritis spine
  • Acute tension, fractures of the vertebrae
  • Lumbago, sciatica
  • Acute disorders of the spine blood circulation — stroke
  • Intestinal obstruction, atypical for acute appendicitis
  • Urolithiasis
  • Acute pyelonephritis
Chronic pain
  • Ankylosing Spondylitis
  • Spondylosis deformans
  • Osteomyelitis
  • Metabolic bone disease — osteomalacia, osteoporosis
  • The primary tumor and metastatic tumors of the spine, vertebral, retroperitoneal spaces.
  • Growing pains — scoliosis
  • Infectious lesions of the intervertebral discs and vertebral (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
Radiate pain in some diseases of internal organs
  • Diseases of the stomach, the pancreas, the duodenum, the gallbladder
  • Diseases of the pelvic organs. In women — inflammatory processes in the uterine appendages, endometriosis, uterine cancer, ovarian cancer, sexually transmitted diseases (chlamydia, ureaplasmosis, gonorrhoea, trichomoniasis, etc) men — prostatitis, prostate cancer,
  • Kidney disease — kidney colic, kidney stones
  • Intestinal disease — inflammation of the diverticulum, ulcerative colitis, intestinal tumors
  • Uncomfortable aortic aneurysm

Pain above the waist


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

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

Why back pain lower lumbar

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

Lower back pain right or left

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

  • Diseases of the spine

For acquired diseases, which include, tumors, degenerative pathology, such as spondylosis, spondylosis, inflammation, osteomyelitis, spondylitis, and traumatic injury, herniated disc, lumbago, sciatica. Among the congenital diseases of the grant sacralization, spondylosis, lucido, spondylolisthesis.

  • Diseases of the internal organs

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

  • Diseases of the nervous system in the lumbosacral

When the root compression, neural jobs in a variety of neurological diseases, hysteria, neurasthenia, neuritis, neuralgias, sciatica, in contrast to the metabolism, gout, diabetes, malfunction of the nervous system.

Pain when pinching the sciatic nerve and lumbago

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

There is a theory, why is such a difference, the pattern of inflammation of the sciatic nerve in both men and women about this you need to know in our article, the symptoms of a pinched sciatic nerve. Such a pain in the buttocks or the back surface of the one leg is usually worse when changing body position, particularly sensitive spot behind the knee and in the area of the bony protrusions at the bottom of the buttocks, 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 don't know, for rumors. This sudden cross that appears in the background of physical activity with hypothermia, working in a draught or in a prolonged awkward position, with a sharp movement.

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