The Cause of Lower Back Pain and Symptoms
There are many types of problems that can be the cause of lower back pain symptoms. Most are not serious and usually the symptoms get better with time and non-surgical treatment. Several trustworthy groups (2,3,4) have developed guidelines that help us decide what is the cause of lower back pain, they recommend that lower back pain is grouped into three main categories:
- Non-specific low back pain (simple low back pain)
- Nerve root irritation
- Specific ( more serious) pathology.
Each of these groups of back pain has different sub categories within it. The following table gives an overview. Click on the links to get a fuller description of each of the different things that are the cause of lower back pain.
| Group | Subcategory |
|---|---|
Non specific back pain
|
There are lots of terms used to describe the same thing in this category. They include: Changes of age - degenerative disc disease and spinal degeneration. |
Nerve root irritation or "pinched nerve"Less than 5% of people have true nerve root irritation (4). It is usually caused by bulging discs or disc prolapses. This is sometimes called lumbar radiculopathy. |
|
Specific pathologiesThis is the more serious end of things although luckily only a tiny percentage of people have these problems.
|
Cancer
|
| Health professionals use a series of special questions to decide if a back problem is serious, positive responses to these questions are known as Red Flags and require further investigation. Check this page for Red Flag information. | |
To help you understand more about the cause of lower back pain it might help to check this human spine anatomy section.
References
(1) Waddell, G. (2004) The back pain revolution. 2nd edn. London: Churchill Livingstone.
(2) National Institute for Clinical Excellence.
Referral advice. A guide to appropriate referral from general to specialist services.2001.
(3) Royal College of General Practitioners. Clinical Guidelines for the Management of Acute Low Back Pain.1999.
(4)Prodigy Guidelines
This is a nice resource by a friend of mine who has osteoporosis,it's about osteoporosis vitamins and dietary treatment choices.
Lower Back Pain Toolkit Home Page
02-Aug-2010
