Back Pain

Low Back Pain / Lumbago

Moderate severity85% reported by patientsICD-10: M54.50

Summary

Pain in the lower, middle, or upper back that is one of the leading causes of disability and missed work globally.

What is it?

Back pain affects approximately 80% of people at some point in their lives and is a leading cause of disability worldwide. Most acute low back pain resolves within 4–6 weeks with conservative care. Chronic back pain — lasting more than 12 weeks — requires more comprehensive evaluation. Causes range from muscle strain and disc herniation to osteoarthritis and, rarely, serious structural problems. The lumbar (lower) spine bears the most load and is the most common site of pain.

Common causes

Musculoskeletal

  • Muscle or ligament strain
  • Herniated disc
  • Degenerative disc disease
  • Spinal stenosis

Arthritic

  • Osteoarthritis
  • Ankylosing spondylitis
  • Facet joint arthritis

Nerve-Related

  • Sciatica (L4–S1 nerve compression)
  • Radiculopathy
  • Piriformis syndrome

Lifestyle Factors

  • Prolonged sitting or poor posture
  • Obesity
  • Weak core muscles
  • Heavy lifting

Serious Causes

  • Spinal fracture
  • Infection (discitis)
  • Kidney stones
  • Abdominal aortic aneurysm

When to see a doctor

  • 1Back pain after a fall, accident, or trauma
  • 2Pain radiating down one or both legs, especially below the knee
  • 3Numbness, tingling, or weakness in the legs or feet
  • 4Loss of bladder or bowel control (seek emergency care immediately)
  • 5Back pain with unexplained fever, weight loss, or night sweats
  • 6Pain that is constant, severe, and does not improve with rest

What you can do

  • Stay active — bed rest beyond 1–2 days worsens most back pain
  • Apply ice for the first 48–72 hours, then switch to heat for muscle relaxation
  • Gentle stretching: knee-to-chest, cat-cow, and piriformis stretches
  • Strengthen your core with low-impact exercises like walking or swimming
  • Check your workstation ergonomics — monitor height, lumbar support, and seat position
  • Maintain a healthy weight to reduce load on the lumbar spine

Frequently asked questions

This page is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your doctor or a qualified health provider with questions about your symptoms or medical conditions.

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