Lower back pain is also known as lumbago. This is a frustrating and debilitating experience. Because it may affect your daily activities and quality of life. Most of us are affected by this pain at some point. However, women are more likely to suffer from lower back pain than men because of women’s menstrual cycles. The best way to treat the problem is by understanding what causes it. In this article, you will learn 14 common causes of lower right back pain with treatments. This information will help you relieve back pain effectively.
14 Common Causes of Lower Right Back Pain
1. Muscle Strain
One of the most common causes of lower right back pain is muscle strain. This occurs when the muscles in your lower back are stretched or torn, often due to sudden movements, heavy lifting, or poor posture.
Symptoms typically include:
- A localized pain in the lower right back
- Stiffness and difficulty moving
- Muscle spasms
- Pain that worsens with movement
Treatment for muscle strains usually includes:
- Rest to allow the muscles to heal
- Ice or heat therapy to reduce inflammation and promote blood flow
- Over-the-counter pain relievers to manage discomfort
- Gentle stretching exercises once the acute pain subsides
- Gradual return to normal activities
In most cases, symptoms improve within a few days to weeks with proper care. However, it’s essential to gradually return to normal activities to prevent re-injury. If you’re prone to muscle strains, consider incorporating regular stretching and strengthening exercises into your routine to improve flexibility and support your back muscles.
2. Ligament Sprain
Similar to muscle strains, ligament sprains can cause lower right back pain. Ligaments are tough, fibrous tissues that connect bones and provide stability to joints. When these ligaments are overstretched or torn, it can result in pain and discomfort.
Symptoms of a ligament sprain include:
- Sharp pain when moving
- Swelling in the affected area
- Bruising in severe cases
- Instability in the affected joint
- Reduced range of motion
Treatment for ligament sprains is similar to muscle strains, focusing on:
- Rest to allow the ligaments to heal
- Pain management through over-the-counter medications
- Ice therapy to reduce swelling
- Gradual return to normal activities
- Physical therapy to strengthen surrounding muscles and improve flexibility
- In severe cases, bracing or supportive devices may be recommended
Recovery time for ligament sprains can vary depending on the severity of the injury, but most people see improvement within a few weeks to a couple of months.
It’s important to follow your healthcare provider’s recommendations and avoid pushing yourself too hard during recovery to prevent re-injury.
3. Herniated Disc
A herniated disc occurs when the soft inner core of a spinal disc pushes through the tougher outer layer, potentially irritating nearby nerves. This can cause pain in the lower right back, especially if the herniation occurs on the right side of the spine.
Symptoms may include:
- Sharp, shooting pain that may radiate down the leg
- Numbness or tingling in the leg or foot
- Muscle weakness
- Pain that worsens with certain movements or positions
- In severe cases, loss of bladder or bowel control
Treatment for a herniated disc can range from conservative measures to more invasive options:
- Physical therapy to strengthen core muscles and improve flexibility
- Pain medication to manage discomfort
- Epidural steroid injections to reduce inflammation
- Lifestyle modifications, such as ergonomic adjustments and weight management
- Alternative therapies like acupuncture or chiropractic care
- In severe cases, surgery may be necessary to remove the herniated portion of the disc
Many people with herniated discs recover within a few months with conservative treatment, but some may require more aggressive interventions. It’s important to work closely with your healthcare provider to develop a treatment plan.
4. Sciatica
Sciatica is a condition characterized by pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips and buttocks and down each leg. When the sciatic nerve is compressed or irritated on the right side, it can cause pain in the lower right back.
Symptoms often include:
- Sharp, burning pain extending from the lower back to the leg
- Numbness or tingling in the leg or foot
- Weakness in the affected leg
- Pain that worsens with prolonged sitting or standing
- Difficulty moving the affected leg or foot
Treatment for sciatica typically includes a combination of:
- Pain management through medications or injections
- Physical therapy to strengthen core muscles and improve flexibility
- Addressing the underlying cause of nerve compression (e.g., herniated disc, spinal stenosis)
- Stretching exercises to relieve pressure on the sciatic nerve
- Alternative therapies like acupuncture or chiropractic care
- In severe cases, surgical intervention may be necessary
Most people with sciatica recover within a few weeks to months, but chronic cases may require ongoing management. It’s important to address the underlying cause of sciatica to prevent recurrence and achieve long-term relief.
5. Spinal Stenosis
Spinal stenosis is a narrowing of the spinal canal, which can put pressure on the nerves that travel through the spine. This condition can cause pain in the lower right back, especially if the narrowing is more pronounced on the right side.
Common symptoms include:
- Pain or cramping in the back and legs
- Numbness or weakness in the legs
- Difficulty walking for long distances
- Pain that improves with sitting or leaning forward
- In severe cases, problems with bladder or bowel function
Treatment for spinal stenosis may include:
- Physical therapy to improve strength and flexibility
- Pain management through medications or injections
- Lifestyle modifications to reduce pressure on the spine
- Assistive devices like a cane or walker to improve mobility
- Alternative therapies such as massage or acupuncture
- In severe cases, surgery to create more space for the nerves
Spinal stenosis is often a progressive condition, but many people can manage their symptoms effectively with conservative treatments. Regular exercise, maintaining a healthy weight, and practicing good posture can help slow the progression of the condition and manage symptoms.
6. Kidney Stones
While not directly related to the musculoskeletal system, kidney stones can cause intense pain in the lower right back. This pain often comes in waves and may be accompanied by other symptoms.
Common symptoms include:
- Nausea and vomiting
- Frequent urination
- Blood in the urine
- Cloudy or smelly urine
- Fever and chills if an infection is present
Treatment for kidney stones depends on their size and location but may include:
- Pain management through medications
- Increased fluid intake to help flush out smaller stones
- Medical procedures to remove or break up larger stones
- Dietary changes to prevent future stone formation
- Medications to help pass stones or prevent new ones from forming
Most kidney stones pass on their own within a few days to weeks, but larger stones may require medical intervention. It’s important to stay well-hydrated and follow your healthcare provider’s recommendations to prevent future kidney stones.
7. Appendicitis
Appendicitis, an inflammation of the appendix, can sometimes cause pain that starts in the lower right abdomen and radiates to the lower right back.
Other symptoms may include:
- Fever
- Nausea and vomiting
- Loss of appetite
- Abdominal swelling
- Constipation or diarrhea
Appendicitis is a medical emergency that typically requires:
- Immediate medical evaluation
- Surgical removal of the appendix
- Antibiotics to prevent infection
- Pain management during recovery
- Follow-up care to ensure proper healing
Early diagnosis and treatment of appendicitis are crucial to prevent complications like perforation of the appendix. If you suspect appendicitis, seek medical attention immediately, as prompt treatment can prevent serious complications.
8. Endometriosis
In women, endometriosis can cause lower right back pain, especially during menstruation. This condition occurs when tissue similar to the lining of the uterus grows outside the uterus.
Symptoms may include:
- Severe menstrual cramps
- Pain during intercourse
- Abnormal bleeding
- Fatigue
- Digestive problems
- Infertility in some cases
Treatment for endometriosis may include:
- Hormonal therapies to regulate menstrual cycles and reduce pain
- Pain management through medications
- In some cases, surgery to remove endometrial tissue
- Lifestyle modifications to manage symptoms
- Alternative therapies like acupuncture or dietary changes
- Fertility treatments for those trying to conceive
Endometriosis is a chronic condition, but many women can effectively manage their symptoms with appropriate treatment. It’s important to work closely with a gynecologist or endometriosis specialist to develop a comprehensive treatment plan.
9. Sacroiliac Joint Dysfunction
The sacroiliac (SI) joints connect the spine to the pelvis. When these joints become inflamed or don’t move properly, it can cause pain in the lower back, often on one side.
Symptoms of SI joint dysfunction include:
- Pain in the lower back and buttocks
- Stiffness and reduced range of motion
- Pain that worsens with prolonged sitting or standing
- Discomfort when climbing stairs or getting up from a seated position
- A feeling of instability in the pelvis or lower back
Treatment typically includes:
- Physical therapy to improve joint mobility and strengthen supporting muscles
- Pain management through medications or injections
- Chiropractic adjustments to improve joint alignment
- Use of a sacroiliac belt for support
- In some cases, minimally invasive procedures to stabilize the joint
- Lifestyle modifications to reduce stress on the SI joints
Many people with SI joint dysfunction see improvement with conservative treatments, but some may require ongoing management. Maintaining good posture, regular exercise, and avoiding activities that exacerbate symptoms can help manage the condition long-term.
10. Osteoarthritis
Osteoarthritis is a degenerative joint disease that can affect the spine, causing pain and stiffness in the lower back. When it affects the right side more prominently, it can lead to lower right back pain.
Symptoms include:
- Pain that worsens with activity and improves with rest
- Stiffness, especially in the morning
- Reduced flexibility in the spine
- A grating sensation when moving the affected joint
- Bone spurs that can be felt through the skin
Treatment for osteoarthritis typically includes a combination of:
- Pain management through medications
- Physical therapy to maintain strength and flexibility
- Lifestyle modifications to reduce stress on the joints
- Weight management to reduce pressure on the spine
- Use of assistive devices to support daily activities
- In severe cases, surgical interventions may be considered
While osteoarthritis is a progressive condition, many people can effectively manage their symptoms and maintain a good quality of life with appropriate treatment. Regular low-impact exercise, maintaining a healthy weight, and practicing good posture can help slow the progression of the disease.
11. Ankylosing Spondylitis
Ankylosing spondylitis is a type of inflammatory arthritis that primarily affects the spine. It can cause chronic pain and stiffness in the lower back, which may be more pronounced on one side.
Other symptoms include:
- Pain and stiffness that improve with activity
- Fatigue
- In severe cases, fusion of the spine
- Eye inflammation (uveitis)
- Reduced chest expansion due to involvement of the rib cage
Treatment for ankylosing spondylitis typically includes:
- Medications to reduce inflammation and pain
- Physical therapy to maintain flexibility and posture
- Regular exercise to maintain joint mobility
- In some cases, biologics or other advanced therapies
- Lifestyle modifications to manage symptoms
- Surgery in severe cases to correct deformities
Early diagnosis and treatment of ankylosing spondylitis are crucial to prevent long-term complications and maintain quality of life. Working with a rheumatologist can help ensure you receive appropriate care and management for this chronic condition.
12. Fibromyalgia
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, which can include the lower right back.
Other symptoms may include:
- Fatigue
- Sleep disturbances
- Cognitive difficulties (often referred to as “fibro fog”)
- Mood changes, including anxiety and depression
- Headaches
- Digestive problems
Treatment for fibromyalgia typically includes a multidisciplinary approach:
- Medications to manage pain and improve sleep
- Exercise to reduce pain and improve overall health
- Cognitive-behavioral therapy to develop coping strategies
- Lifestyle modifications to manage stress and improve sleep quality
- Alternative therapies like acupuncture or massage
- Nutrition counseling to address any dietary triggers
While fibromyalgia is a chronic condition, many people can effectively manage their symptoms and improve their quality of life with appropriate treatment. It’s important to work with a healthcare team experienced in treating fibromyalgia to develop a comprehensive management plan.
13. Spinal Tumor
Although rare, tumors in the spine can cause lower right back pain, especially if they’re located on the right side of the spine.
Symptoms may include:
- Persistent pain that doesn’t improve with rest
- Pain that worsens at night
- Neurological symptoms like weakness or numbness
- Difficulty walking
- Loss of bladder or bowel control in severe cases
Treatment for spinal tumors depends on the type and location of the tumor but may include:
- Surgery to remove the tumor
- Radiation therapy to shrink the tumor
- Chemotherapy for certain types of tumors
- Pain management through medications or procedures
- Physical therapy to maintain strength and mobility
- Regular monitoring to track tumor growth or recurrence
Early diagnosis and treatment of spinal tumors are crucial for the best possible outcomes. If you experience persistent, unexplained back pain, especially if accompanied by neurological symptoms, it’s important to seek medical evaluation promptly.
14. Referred Pain from Internal Organs
Sometimes, problems with internal organs can cause pain that’s felt in the lower right back. This is known as referred pain.
Conditions that may cause this include:
- Gallbladder disease
- Liver problems
- Gynecological issues in women
- Gastrointestinal disorders
- Pancreatic problems
Symptoms and treatment will vary depending on the underlying condition. Accurate diagnosis is crucial for effective treatment. This may require a combination of physical examination, imaging studies, and laboratory tests to identify the source of the pain.
When to See a Doctor for Low Right Back Pain?
While many causes of lower right back pain can be managed at home, it’s important to seek medical attention if you experience:
- Severe pain that doesn’t improve with rest
- Pain accompanied by fever, unexplained weight loss, or changes in bowel or bladder function
- Weakness, numbness, or tingling in the legs
- Pain following a traumatic injury
- Pain that interferes with sleep or daily activities
- Persistent pain lasting more than a few weeks
Remember, early diagnosis and treatment can often lead to better outcomes and prevent chronic pain from developing. Your healthcare provider can perform a thorough evaluation, order appropriate tests, and develop a treatment plan tailored to your specific condition and needs.
