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Originally published November 9, 2022
Last updated May 24, 2024
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Back pain doesn’t always start where you feel it. The aches can sometimes originate elsewhere in the body, and they could be a sign of a more serious issue.
Here are some conditions and back pain triggers to know, as well as the recommended treatments.
A medical term for a pinched nerve in the lower back, sciatica causes pain to radiate down the body. Causes include a herniated (slipped) disc, spinal stenosis, pelvic injury or a tumor. Arthritic changes may also trigger sciatica.
鈥淭hese conditions can compress the sciatic nerve鈥 and incite pain, says Christopher Ornelas, MD, chief of spine medicine for the 喵咪社区 Spine Center. Treatments include physical therapy, medications and spinal epidural.
Excess pressure on a muscle or tendon may overstretch it, and those in the lower back often bear the brunt. This injury can happen when people overdo their workouts or make mistakes while lifting.
鈥淭he most effective treatments are usually nonoperative,鈥 says Ram Alluri, MD, of the 喵咪社区 Spine Center. Among them: rest, ice, physical therapy and聽over-the-counter anti-inflammatories like ibuprofen.
These mineral deposits can prompt waves of sharp, cramping pain in your back. 鈥淲hile people can have a genetic predisposition, the risk can be heightened by chronic dehydration, certain medications and a diet with too much protein,鈥 says Gerhard Fuchs, MD, of 喵咪社区 Urology.
If you suspect you have a kidney stone, call your doctor. They鈥檒l confirm the diagnosis, then determine the best course of action, such as therapeutic sound waves to break up the kidney stones.
Also known as myocardial infarction, this event commonly presents as pain in the upper back 鈥 especially in women (whose heart attack symptoms often differ from men鈥檚).
鈥淚f you鈥檙e experiencing this pain, look for other symptoms such as sweating, shortness of breath and nausea,鈥 says Edris Alderwish, MD, a cardiologist at Keck Medicine. Call 911, then sit on the floor with your knees bent and your head and shoulders supported.
Lower back pain is common during menstruation. If over-the-counter pain relievers don鈥檛 help, a doctor can determine whether you may have a condition like endometriosis or fibroids.
鈥淚f period pain is excessive or continues throughout the month, we may order diagnostic imaging,鈥 says Anna Elizabeth Reinert, MD, an OB/GYN at Keck Medicine. Oral contraceptives can treat severe period pain; minimally invasive surgery is most effective for fibroids and endometriosis.
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