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Lower Back Pain:
Understanding The Causes
And Symptoms of Lumbago:
The Most Common
Chronic Pain Syndrome

Where is Chronic Lower Back Pain located?

Lower Back Pain affects millions of people all over the world. Also known as “Lumbago”, it affects millions of people daily. Billions of dollars is spent each year searching for a Lumbago cure. Lumbago is chronic back pain that is perceived or located in the area of the lower back. The Lumbar Spine is part of the lower back structure. There are five Lumbar Vertebrae (Spinal column bone segments) in the Lumbar Spine from L1 thru L5. The Lumbar Spine is located below the twelve vertebrae of the Thoracic Spine (T1-T12), and above the Sacrum. The Sacrum is the central part of the Pelvis (Hip) that is connected to the left Pelvic Bone (Left Ilium or Left Hip) and the right Pelvic Bone (Right Ilium or Right Hip). The Left Ilium is connected to the left leg, and the Right Ilium is connected to the right leg.

Back Pain

What are the causes of lower back pain?

The numerous causes of chronic lower back pain are linked to:
  • Osteoporosis-Bone disease that reduces bone mineral density resulting in bone porosity that increases the chance of fractures within bone structures
  • Lumbar Spinal Injury from L1 thru L5
  • Pelvic Injury or Trauma
  • Differences in Leg Length – One leg is shorter or longer than the other leg
  • Anterior or Posterior Hip Rotation
  • Upward or downward Hip Displacement – Pelvic Upslip or Downslip
  • Bad Posture contributing to forward Hip Rotation
  • Muscular Imbalance-Hypertonic Lower Back Musculature and Hypertonic Hip Flexor Musculature combined with weak and inhibited glutes, hamstrings and abdominal musculature
  • lower back pain
  • Repetitive Stress- Constant Compressive lower back musculature and structural vertebral loading
  • Trigger Points – Knots in taut bands of tissue that cause referred pain, Myofascial pain and Myofascial pain syndrome
  • Abnormal Spinal Curvature such as Lordosis, also known as Hyperlordosis – excessive low back curvature or Hypolordosis – lack of low back curvature or Scoliosis-abnormal lateral spinal curvature
  • Gastrointestinal Problems
  • Diabetes or Blood Sugar Imbalance
  • Heart Conditions
  • Pregnancy causes dietary, hormonal, postural, and systemic imbalances
  • Obesity has an affect on posture and causes structural and soft tissue stress
  • Herniated Disc or ruptured disc in the Lumbar spine
  • Degenerative Disc Disease in the Lumbar spine
  • Pinched nerve in the Lumbar spine
  • Sciatic Nerve Impingement
  • Hypertonic Muscles, Muscle Spasms or Muscle Knots in the Lower Back, Glutes or Hamstrings – Quadratus Lumborum, Erector Spinae, Multifidus, Rotatores, Piriformis, Biceps Femoris, Semitendinosus, Semimembranosus
  • Lumbar Spinal Stenosis-Narrowing of the spinal canal that results in Spinal Cord and/or Nerve Compression
  • Lumbar Spondylosis - Lumbar Vertebrae Degenerative Arthritis
  • Spondylolysis - Lumbar Vertebrae Stress Fracture
  • Spondylolisthesis - Lumbar Vertebrae Anterior Displacement
  • Facet Syndrome or Facet Arthritis or Facet Joint Pain in the Lumbar Spine
  • Referred pain – SI Joint Pain or Sacroiliac Joint Pain from a misaligned, arthritic or injured Sacroiliac Joint also know as Sacroiliac Joint Dysfunction
  • Cauda Equina Syndrome
  • Bone disease
  • Spinal Tumors
  • Spinal cord disease
  • Fibromyalgia

What are some Lower Back Pain Symptoms?

Some symptoms of lower back pain causes are:
  • Sciatica – Sciatica is group of sciatic nerve pain symptoms that include Radiculopathy, Radiculitis, Neuropathic Pain, Radicular Pain
  • Piriformis Syndrome – this is actually a Sciatica symptom
  • Muscle Spasms
  • Muscle Cramps
  • Muscle knots
  • Muscle or other sensations of weakness
  • Lumbago
  • Back Muscle Pain
  • Lower left back pain
  • Lower right back pain
  • Foot Pain
  • Upper and/or lower leg Pain
  • Pain upon movement
  • Buttocks Pain
  • Pelvic or Hip Pain
  • Bone Pain
  • Myofascial Pain and Trigger Points in the lower back or glutes
  • Referred Pain, from one area of the lower back into other areas of the body, sometimes as far upwards into the head, or downwards into the or legs or groin area from the lower back.
  • Numbness and/or Tingling in the lower back or legs or feet
  • Electrical like sensations in the lower back localized or radiating to other parts of the body
  • Restless Leg Syndrome
  • Uncontrolled leg movements
  • Difficulty standing for long periods of time
  • Reduced Stamina – cannot walk or run or jump for long distances or periods of time
  • Walking with a limp
  • Uneven weight bearing
  • Bad Posture
  • Bipedal instability – difficulty standing – needs support of a Walker or Cane
  • Movements initially perceived as clumsiness
  • Decreased lower body range of motion in the waist or lower back or hips or legs or knees or ankles or feet
  • Stiffness, movement difficulty, and/or increased pain upon twisting or the back or torso
  • Incontinence
  • Urinary Retention
  • Deceased Reflexes
  • Reproductive dysfunction
  • Sensitivity to heat or cold

Do the right thing next - the important step before treatment

The Pain Assessment for the lower back is an important preparatory step if we are to have a measurable degree of treatment success with an effective Treatment Plan. A highly skilled and trained Physician or Clinical Massage Therapist or Chiropractor can conduct tests to get a better idea of what may be the cause of your lower back pain.



Lower Back Pain Assessment – A step by step precursor to Effective Back Pain Treatment
Lower Back Pain Treatment – Helping the Lower back move with minimal pain and maximum functionality again
Return to Home - Chronic Pain Management for a Higher Quality of Life

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