Why the back hurts in the lumbar region: we study the causes of the pain

back pain in the lumbar region

If the lower back hurts in women, the reasons lie in the disruption of the work of various organs and systems, which is usually indicated by the nature, frequency, and other factors of the sensation of pain. A reliable diagnosis can only be made by a competent professional after the examination, discussion, and delivery of the necessary test lists. However, before you visit a doctor and ask her, "If women have back pain, what could it be? " - it’s worth observing your feelings in order to describe them most reliably in the doctor’s office, especially if they are protracted in nature.

Types of back pain

In women with lower back pain, the causes begin to be identified by determining the type of pain. Both can be acute, intermittent, and permanent pain or "devotion" to other departments.

Pulling-sore pain

Painful low back pain in women most often indicates the following diseases:

  • osteochondrosis, intervertebral hernias, or other processes in the spine in which the elasticity and ability of the bone tissue to withstand the load during movement;
  • inflammation of the lower back or female genitals, such as hypothermia;
  • kidney diseases including pyelonephritis, glomerulonephritis, urolithiasis, etc.
  • characteristic injuries of the spine can lead to frequent lower back pain;
  • in some women, the lower back stretches at the beginning of menstruation or during pregnancy.

Sharp and sharp pain

Often, women’s sharp back pain "spreads" to the lower extremities and makes it difficult to move. Acute pain can result from:

  • inflammation or stinging of the sacral plexus nerve for a variety of reasons;
  • infectious diseases, tumors;
  • muscle spasms of piriformis;
  • spinal cord injury or bone strength problems, etc.


Lumbar girdle pain usually speaks of diseases of neighboring organs and systems. Pyelonephritis, gallstone disease, inflammation of the pancreas, and worsening of heart or esophageal problems are common causes of nocturnal back pain in women in the lumbar region. This type of pain is an alarming sign and a reason to see a doctor right away, self-healing can have serious negative consequences for the whole body.

Causes of back pain in women

The characteristics of lower back pain in women are related to the structure of the female body, especially the reproductive system and urinary tract, as well as hormonal "shifts" and other factors.

Diseases of the spine

Spinal pathologies that cause back pain in the lumbar region in women include osteochondrosis, resulting in hernias and compressed nerves. Such an illness is associated with wearing the heels of uncomfortable shoes, a sedentary lifestyle or, on the contrary, an excessive load. Pain due to spinal diseases can affect the lower limbs, tailbone, sacrum, and interfere with normal motor activity.


Another reason why women have back pain is lack of exercise or physical inactivity, which leads to muscle atrophy. As a result, the physiological position of the spine is disturbed, protrusions and hernias are formed, causing pain in different parts of the back.


The summer period is characterized by back pain associated with post-hypothermic myositis. In hot weather, when there is increased sweating, even the slightest draft is dangerous for the lower back. The pain may be accompanied by weakness, swelling, insomnia. The best solution to this problem is bed rest, warming ointments, warm-up.


Low back pain in pregnant women can be broadly divided into two categories:

  • pain in the first trimester of pregnancy, which is an alarming symptom of the onset of miscarriage. They may be accompanied by discharge, temperature, etc. In this case, immediate medical attention is required;
  • intense growth of the fetus, preparation of the pelvis for labor, a change in center of gravity, and redistribution of load — this causes low back pain in late pregnancy.

Pathology of the reproductive system

The female organs of the pelvis are positioned so that pathologies in their structure (ovarian cysts, adnexitis, ectopic pregnancies, endometriosis, and others) can occur with belt pain in the lower lumbar spine.

A characteristic feature of such pain is that, according to the female cycle, it does not appear during movement, increased or weakened. Chronic diseases often cause shooting pains that radiate to the rectum.

Age of change

During menopause, a woman changes her hormonal background, these cannot pass without a trace to the bone tissue that becomes fragile, prone to osteochondrosis - which is why women have lower back pain during this period. It is important to monitor your diet and perform light exercise to strengthen your muscle band.


A woman’s hormonal background influences the occurrence of pain during menstruation. The hormone progesterone lowers the pain threshold, making even minor contractions of the uterus painful. In addition, pain during this period may be associated with irritation of the intestinal walls due to the effects of hormones, fluid retention that extends to both organs and tissues that put pressure on the lumbar spine.

Excessive exercise

In addition to physical inactivity, physical overload of the female body also leads to back pain. Excessive stress causes seizures due to untrained muscles and affects nerve endings along the spine. Usually, this pain goes away quickly and does not require treatment or professional supervision. But if the discomfort persists for a long time, you should see a doctor.

Kidney, urinary tract diseases

Lower back pain is often caused by diseases of the kidneys or urinary tract. Pyelonephritis, cystitis, urolithiasis, along with pain, trigger a rise in temperature, the appearance of blood or pus in the urine, sweating and other symptoms.

Breast size

The size of the mammary glands can also affect discomfort. It pulls on the lower back of women, especially skinny ones, due to the additional load on the spine that creates a large breast. Using the right underwear or corset can reduce the pain.


Female menopause is primarily associated with loss of ovarian function and changes in organ structure due to hormonal changes, which can cause pain in the lumbar region. In addition, a woman is worried about manifestations of menopause such as excessive sweating, flushing of the face, and so on. Once the menopause is over, the pain alone goes away.


A person’s muscle corset performs load distribution during the work of the musculoskeletal system. Weight gain with weak muscles leads to additional tension, tears, and other negative consequences that can provoke pain in the lumbar spine. To avoid this, the woman should pay attention to her weight and strengthen her muscles.

Diseases of oncology

Women’s low back pain can sometimes indicate cancer. Bone cancer affects cancerous bone tissue, which includes the vertebrae. In the early stages, the pain is periodic and then the pain increases, motor function is impaired. In this case, a woman needs multifunctional treatment, taking special medications prescribed by a doctor.

High heels

Women who abuse wearing stiletto heels or high heels have a high risk of spinal diseases due to improperly distributed leg loads. This is especially true for people who have a genetic predisposition to flat feet, scoliosis, and so on. The shoes should be as comfortable as possible, it is better to choose orthopedic models.

Diagnostic methods

After consultation with an expert, the following diagnostic screening methods are generally used:

  • ultrasound examination of the kidneys, pelvic organs and abdominal region;
  • X-ray of the spine for changes in intervertebral discs;
  • MRI examination, which reflects a comprehensive picture of the processes occurring in the spine;
  • biochemical analysis of blood, urine, cerebrospinal fluid, etc.