Lower back pain is common—but it has many possible causes
Lower back pain may follow muscle strain, prolonged sitting, poor lifting technique, or age-related spinal changes. In women, pain may also be associated with menstruation, urinary or pelvic conditions, and pregnancy. Whether it is “normal” depends on its onset, severity, duration, and accompanying symptoms.
When is back pain likely muscular?
Musculoskeletal pain often begins after exertion, lifting, an awkward movement, or remaining in one position. It may worsen with movement and improve with rest. Gentle activity, posture changes, careful stretching, and brief heat or cold may help mild symptoms. Prolonged bed rest is rarely the best solution.
Arrange medical assessment if pain persists, repeatedly returns, or limits normal activity. Medication should be selected according to your health conditions and pregnancy status.
Lower back pain during pregnancy
As the uterus grows, the centre of gravity changes, abdominal muscles stretch, and pelvic ligaments become more flexible. Mild or moderate backache is therefore common, especially later in pregnancy. Supportive footwear, correct sitting and lifting, side sleeping with a pillow between the knees, and clinician-approved activity may help.
Do not begin a medication, heat treatment, or new exercise programme during pregnancy without checking that it is suitable for you.
Could the kidneys or urinary tract be responsible?
Back or flank pain with fever, chills, painful or frequent urination, blood in the urine, nausea, or vomiting can suggest infection or a stone. Your clinician may request urine tests and a urinary tract ultrasound.
Which warning signs need urgent care?
- New leg weakness, significant numbness, or difficulty walking;
- New loss of bladder or bowel control or inability to pass urine;
- Numbness around the saddle/perineal area;
- Severe pain after trauma;
- High fever, unexplained weight loss, or severe night pain;
- During pregnancy: bleeding, suspected fluid leakage, regular contractions, fever, or burning urination.
How is the cause diagnosed?
Assessment begins with the history and physical examination. Not every episode requires imaging. Ultrasound is useful for kidneys, bladder, abdominal and pelvic organs; spinal nerves and discs may require a different imaging method. The test must match the suspected cause.
When should you book with Lana Ezieshvili?
If your clinician suspects that back pain may come from the kidneys, urinary tract, abdomen, or pelvic organs, a targeted ultrasound can be an important part of the assessment. Radiologist Lana Ezieshvili performs the scan according to your symptoms and referral and carefully documents the findings.
If pain persists or is accompanied by other symptoms, do not postpone evaluation. You can book an ultrasound with Lana Ezieshvili; if warning signs are present, seek urgent medical care first.