There are many different causes of back pain, and if you have symptoms, the only way to be confident of your diagnosis is to consult a back pain expert.
Fortunately, most back pain is due to overuse, poor posture or lifestyle factors. These are often termed to be ‘musculoskeletal’ in origin. This would very rarely require surgery or other interventions.
Treatment usually consists of changing the factors that lead to the back pain in the first place, coupled with physiotherapy exercises to strengthen the back and rehabilitate damaged tissue.
There are a number of other causes of back pain:
Congenital causes
These are issues that you are born with. They can involve differences in the shape of the spine, for example:
- Scoliosis: an abnormal curve to the spine
- Lordosis: the spine curves backwards
- Kyphosis: the spine curves forwards
Other congenital causes of back pain can include differences in how the spine forms in the womb, such as spina bifida.
Injuries to the back
Injuries to the back can occur in all manner of situations, from sporting mishaps to significant car accidents. Some injuries are mild, such as sprains, and will resolve themselves with reduced activity, painkillers and perhaps physiotherapy.
More significant injuries such as fractures might require interventions such as surgery to correct.
Any injury to your back that does not resolve quickly, or that causes new nerve symptoms (such as in the ‘red flags’ section above) should prompt you to see an expert urgently.
Degenerative changes
Over time, particularly with an active lifestyle, wear and tear can accumulate in the spine. Pain from these changes tends to come on gradually, and people may well have dealt with their discomfort for some time before seeking help.
Elements of the spine that can have degenerative changes include:
- Intervertebral discs, which can lose their height, flexibility and shock-absorbing ability
- Facet joints at the back of the spin, which can have arthritis leading to pain and stiffness
Nerve and spinal cord issues
The spinal cord itself is well-protected within the spine, but some conditions can compress the cord leading to nerve symptoms.
These can include growths in the spine, fractures to vertebrae, herniated discs and a narrowing of the canal that the cord sits in.
Many of these conditions come on slowly, but a sudden onset of nerve symptoms means that you should seek expert help urgently.
Nerves can also be compressed as they exit the spine leading to pain and sometimes loss of function.
Causes of back pain not from the spine
There are a number of causes of pain which may feel like it is from your spine, but which may actually relate to general medical conditions or diseases inside the abdomen. These can include:
- Kidney stones: solid lumps that form within the kidneys and can then be passed down the tubes to the bladder. The pain can often be felt in the back
- Endometriosis: where tissue from the womb is found in other locations, most commonly throughout the abdomen
- Fibromyalgia: a condition that can lead to generalised pain and fatigue
- Pregnancy: the hormonal changes can relax ligaments, leading to back pain