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Lower Back Pain: 8 Silent Reasons Behind It!

REVIEWED BY DR. Sunil Duhan (MBBS, D-Ortho) on 27th FEBRUARY 2025.

You wake up in bed, stretch your arms, and then—Ooch!, you feel that nagging pain in your lower back once again. It can be dull, or it can just hit you like a knife, but one thing is sure: Lower back pain is something that millions of people go through every day. Do you know what is causing it?

Most people assume that lower back pain comes with age or from heavy lifting; however, the truth is several silent culprits could be at work, triggering the discomfort. Knowing these hidden culprits could allow better spinal care, mobility improvements, and possibly get rid of chronic pain.

Let us take a closer look at surprising causes of lower back pain—and even more importantly, what you can do to feel better.

Why Is Lower Back Pain So Common?

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Lower back pain is among the chronic disability conditions faced by most people worldwide. The reason behind its high prevalence?

The lower part of the back (the lumbar spine) serves an essential function in supporting the body, where its responsibilities include carrying one’s weight, shock absorption, and providing the range of motion. Unfortunately, this fact tends to render the lumbar spine grossly susceptible to injury, strain, and general wear and tear.

Some causes of back pain are obvious, while others are much more subtle and can go unnoticed for years. Here are eight unsuspected causes of lower back pain and suggestions on how to treat them.

8 Possible Reasons for Lower Back Pain (and How to Fix Them!)

1. Muscle Strain or Sprain

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Were you lifting something heavy with a technique that was not exactly right? Or perhaps you performed a sudden, awkward movement? Poor lifting techniques or sudden heavy lifting can be the most common causes of lower back pain.

Symptoms:

  • Sudden or gradual onset lower back pain
  • Muscle stiffness or spasms
  • Difficulty standing in an upright position

How to Fix It:

Move, but do not lie around too much

Ice treatment for the first 48 hours, followed by heat

Gentle exercises with assisted movement increase the recovery possibility

When to Seek Help: If pain continues for more than a couple of weeks or worsens over time, consult a doctor.

2. Poor Posture

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Do you slouch while sitting? Hunch over your phone for hours? Poor posture puts excess pressure on your spine, leading to pain over time.

Symptoms:

  • Dull ache in the lower back
  • Pain that worsens after prolonged sitting or standing
  • Shoulder and neck discomfort

How to Fix It:

  • Keep your shoulders back and your spine aligned while sitting
  • Use an ergonomic chair with good lumbar support
  • Adjust your screen to eye level to avoid hunching over

Fun fact: Sitting for long periods is as bad as smoking when it comes to your spinal health! Get up and stretch every 30–60 minutes.

3. Herniated or Slipped Disc

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Your spinal discs are flexible cushions that lie between the vertebrae. If they bulge or slip out of position, they can push onto the nerve(s) nearby, causing shooting pain.

Symptoms:

  • Electrical sensations shooting down through the lower back
  • Numbness or tingling in the legs
  • Weakness in the affected area

How To Fix It:

Try to avoid heavy lifting or sudden twists. Physical therapy is enrolling to strengthen the back or create relief from the pressure. Some nonsteroidal anti-inflammatory medicines might provide some relief of pain.

When to Seek Help: Immediate attention is required if there is leg pain that spreads down toward it or gets worse.

4. Degenerative Disc Disease

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Patients with degenerative disc disease usually notice a gradual loss of cushion around their spinal discs; thus, discomfort along the spine.

Symptoms:

  • Chronic pain, mild or intense that gets better and worsens with time
  • Pain aggravated by sitting or bending down
  • Lower back stiffness

Prevent It from Spreading:

  • Keep active exercise that strengthens the spine
  • Keep weight levels at a normal level to reduce the load on the spine
  • Engage in exercises that strengthen the core muscles to stabilize the lower back

Can it be Cured?

No, it won’t go away, but a healthy lifestyle can help give daily relief from it and slow down its progression.

5. Spinal Stenosis

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This is a condition when the spinal canal narrows, thus placing pressure on the nerves. This is often seen at an advanced age amongst most patients.

Risk Factors:

  • Aging.
  • Arthritis.
  • Previous spinal injuries.

Home Remedies vs. Medical Treatments:

Home RemediesMedical Treatments
Stretching exercisesPhysical therapy
Warm/cold therapyAnti-inflammatory medication
Good postureSurgery-not many survive severe cases.

When to Seek Help: You should contact a physician when numbness, tingling, or difficulty walking seems to be an issue.

6. Arthritis and Inflammatory Conditions

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Conditions like osteoarthritis and rheumatoid arthritis cause inflammation, stiffness, and pain in the lower back.

Why Early Diagnosis Matters:

  • Helps prevent worsening damage
  • Allows better pain management
  • Slows disease progression

Osteoarthritis vs. Rheumatoid Arthritis:

OsteoarthritisRheumatoid Arthritis
Caused by wear-and-tearAutoimmune condition
Develops slowlyDevelops quickly
Affects one side moreAffects both sides equally

How to Manage It: Anti-inflammatory diets, physical therapy, and medications can help.

7. Kidney Issues

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Did you know kidney infections or kidney stones can mimic lower back pain?

Symptoms:

  • Pain on one side of the back
  • Fever, chills, or nausea
  • Frequent or painful urination

When to Seek Help: If you have severe pain, blood in your urine, or vomiting, seek medical care immediately.

8. Infections, Tumors, and Other Serious Causes

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Although rare, spinal infections, tumors, or cancers can cause unexplained back pain.

Symptoms:

  • Unexplained weight loss
  • Fever along with pain
  • Weakness in the legs

When to Seek Help: If you experience sudden loss of bladder control, severe weakness, or numbness in the legs, go to a hospital immediately.

When Should You Worry About Lower Back Pain?

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Prevention Tips for Lower Back Pain:

  • Maintain a healthy weight
  • Exercise regularly (focus on core strength)
  • Avoid prolonged sitting
  • Lift heavy objects correctly
  • Sleep on a firm mattress
  • Stay hydrated—your spinal discs need water!

Conclusion:

Chronic lower back pain is more than just an annoyance; when left untreated, it can affect your day-to-day life. Know the causes of your pain and simple lifestyle changes to keep you mobile and comfortable.

Struggling with same?

Book Your Appointment With Our Expert Doctors

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Do not let back pain slide! Early diagnosis and proper treatment could mean the difference between walking into the hospital or being carried in on a stretcher.

If you need specialized assistance, Raja Hospital should be your destination; let the specialists there help you find a pain-free life!

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