Don’t Ignore That Back Pain

Low back pain is something most people experience at least once in their lives. In fact, around 80% of the global population is estimated to deal with back pain at some point. For people under the age of 45, it’s the second most common health complaint after the common cold, and among Canadians aged 12 to 44, it ranks as one of the most frequent medical issues.

The lower back is made up of five lumbar vertebrae, the intervertebral discs between them (which act as cushions), ligaments, muscles, and nerves. When any of these structures are damaged or weakened, pain can occur. Contributing factors include trauma, poor posture, lack of exercise, weight gain, smoking, and stress. Common Causes of Low Back Pain

• Muscle or Ligament Strain

Lifting heavy objects with poor posture, sitting with crossed legs, or sitting in a slouched position for long periods can strain the muscles and ligaments in the lower back. Over time, such habits lead to fatigue and chronic pain.

• Herniated Disc

When the soft inner core of a spinal disc pushes out and compresses nearby nerves, it can cause buttock pain, numbness, and tingling in the legs. In severe cases, it may lead to loss of bladder/bowel control or even paralysis, requiring immediate medical attention.

• Spondylolisthesis

This occurs when a vertebra slips out of alignment, potentially compressing spinal nerves and causing back pain and leg discomfort, especially after prolonged standing or walking.

• Spinal Stenosis

A narrowing of the spinal canal can lead to nerve compression. Pain often appears in the hips, thighs, or calves, worsening when bending backward, and easing when leaning forward.

• Spinal Fracture

While fractures can result from serious accidents, older adults with osteoporosis are especially at risk for compression fractures caused by minor falls. Could It Be Something More Serious?

Although most back pain originates from the spine or surrounding muscles, it can also be a referred pain from internal organs. In such cases, ignoring the symptoms could delay the diagnosis of a more serious underlying condition.

•  Kidney Issues

  Kidney stones or infections can cause intense pain in the back or sides, often accompanied by blood in the urine or fever.

• Pancreatic Disorders

  Pancreatitis causes pain that begins in the upper abdomen and radiates to the back, often with vomiting and fever. Advanced pancreatic cancer can press against spinal nerves, causing back pain, along with weight loss, jaundice, and digestive issues.

• Appendicitis

  While lower right abdominal pain is classic, low back pain may also occur in some cases.

• Uterine Conditions

  In women, menstrual cramps, fibroids, or endometriosis may cause pelvic and lower back pain, especially in sync with the menstrual cycle.

•  Intestinal Inflammation

  Ulcerative colitis, a chronic inflammatory condition of the colon, can cause abdominal cramps, diarrhea, fever, weight loss, and back pain.

• Abdominal Aortic Aneurysm

  This potentially life-threatening condition occurs when the main abdominal artery enlarges. Symptoms include a pulsating feeling in the abdomen, bloating, and severe back pain. It’s most common in men over 60 with a history of smoking, obesity, or high-fat diets, and requires urgent medical care if suspected.

  
  

Most cases of back pain are mild and temporary, but if left unmanaged, they can develop into chronic pain that affects quality of life. If pain persists, or is accompanied by symptoms like leg numbness, bladder or bowel issues, or decreased sensation, seek medical evaluation promptly. To maintain back health, adopt good posture, strengthen core muscles, and manage body weight. Back pain may be common, but that doesn't mean it should be ignored.

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