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5 Common Causes of Back Pain (and How to Treat Them)

Maria Todorov by Maria Todorov
December 5, 2022
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Back pain is an all-too-common complaint among many people. In fact, it’s estimated that up to 80% of adults in the United States will experience back pain at some point in their lives. While the causes of back pain can range from minor muscle strains to serious medical conditions, there are five common causes that contribute to the majority of back pain cases. In this blog post, we’ll explore the five most common causes of back pain, as well as the available back pain treatment options.

Article Content
 [hide]
  • 1. Poor Posture
  • 2. Strained Muscles
  • 3. Bulging or Ruptured Discs
  • 4. Arthritis
  • 5. Sciatica
What causes Back Pain?
Verywell / Alexandra Gordon

1. Poor Posture


Poor posture can be a major cause of back pain, especially if your job requires you to be sitting for long periods of time. Poor posture means that the muscles, tendons and ligaments in the spine and shoulders are being strained, which can lead to pain. To avoid this, it’s important to practice good posture when sitting or standing. When you’re sitting, make sure to keep your feet flat on the floor, your thighs parallel to the floor and your lower back supported. When you’re standing, keep your feet hip-width apart and use your core muscles to keep your spine in a neutral position. If you’re not sure what good posture looks like, take a look at some diagrams online or ask your doctor or physical therapist for help. To help reduce back pain caused by poor posture, it’s important to engage in regular exercise to strengthen your core muscles and improve your overall posture. Regular stretching can also help relax tight muscles and relieve tension in your back. If you are experiencing back pain, it’s best to speak to your doctor about treatment options that may work for you.

2. Strained Muscles


Back pain is a common issue that affects many people. In many cases, it can be caused by strained or overworked muscles. When you put your body through too much activity, your muscles may become tense, weak, and sore. This can lead to severe pain in your back and shoulders.

If you’ve been suffering from back pain due to strained muscles, there are several things you can do to help relieve the pain. First, it’s important to take some time to rest and give your body time to heal. Try to keep your activity levels low and find a comfortable position that won’t strain your muscles.

Next, you can use cold and hot treatments. Alternating between a hot and cold compress can help reduce inflammation and ease the tension in your muscles. You can also take over-the-counter pain medications to help with the pain. If needed, you can also see your doctor for prescription strength medications or physical therapy treatments.

Finally, you can try stretching exercises to help improve flexibility and decrease pain. Make sure to stretch gently and not overdo it. Yoga and Pilates classes can be great ways to learn how to perform stretches safely and effectively.

By following these steps, you can help alleviate the pain from strained muscles and get back on track.

3. Bulging or Ruptured Discs


One of the most common causes of back pain is bulging or ruptured discs. Discs are soft, gel-filled cushions between your vertebrae that act as shock absorbers when you move. When these discs become damaged, they can bulge out of place and press on nearby nerves, causing pain in your back.

Treatment for a bulging or ruptured disc may include physical therapy, medications, and lifestyle changes such as avoiding heavy lifting and smoking cessation. Your doctor may also recommend surgery if the other treatments do not work.

Physical therapy is often the first step in treatment, as it can help to strengthen your core muscles and relieve some of the pressure on your spine. Your physical therapist will teach you specific exercises to target the affected areas and provide pain relief.

Medications may be prescribed to reduce inflammation, reduce nerve pain, or relax muscles. Common medications include nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and corticosteroids. If your doctor recommends it, they may also suggest taking over-the-counter pain medications such as ibuprofen or acetaminophen.

Lifestyle changes can also make a big difference in managing your back pain. Activities such as lifting heavy objects or smoking can cause additional damage to your spine and should be avoided. Additionally, regular exercise can help to improve your overall posture and flexibility, which can help alleviate back pain.
If the above treatments do not provide relief, your doctor may suggest surgery to repair the damaged discs. Surgery is usually only recommended when the pain is severe and other treatments have been unsuccessful.
Whether you’re dealing with a bulging or ruptured disc, it’s important to talk to your doctor about the best treatment options for you. With the right combination of treatment options, you can manage your back pain and get back to living your life without discomfort.

4. Arthritis


Arthritis is one of the most common causes of back pain. Osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis are all forms of arthritis that can affect the spine. Osteoarthritis, also known as wear-and-tear arthritis, is a degenerative joint condition that can cause pain, stiffness, and swelling in the joints of the spine. Rheumatoid arthritis is an autoimmune disease that can lead to inflammation of the spine. Ankylosing spondylitis is a form of arthritis that affects the spine and other joints.

Treatment for arthritis-related back pain typically includes a combination of medications, physical therapy, and lifestyle modifications. Pain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and steroid injections may be used to reduce pain and inflammation. Physical therapy can help strengthen the muscles around the affected joints, improving posture and mobility. Modifying activities to reduce stress on the spine, using lumbar supports, and engaging in regular exercise can also help relieve symptoms.

5. Sciatica


Sciatica is one of the most common causes of back pain. It is a set of symptoms that is usually caused by compression of the sciatic nerve, which runs from the lower back through the buttocks and down the leg. The compression can be caused by irritation in the pelvis or piriformis muscle.

Sciatica treatments vary depending on the cause and severity of the condition. Sometimes over-the-counter medications are all that’s needed for relief; these include NSAIDs, acetaminophen, or topical numbing cream. Other times, surgery may be necessary to remove an object causing pressure on the nerve or to release a tight muscle in your hip or buttock area. If you suspect you have sciatica, visit your doctor as soon as possible.

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