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

back pain in the lumbar region

If the lower back hurts in women, the reasons may lie in disruptions in the work of various organs and systems, which, as a rule, are indicated by the nature of the pain sensation, its frequency and other factors. A reliable diagnosis is established only by a competent specialist after an examination, conversation and passing the required list of tests. However, before visiting a doctor and asking him: "If women have lower back pain, what can it be? "- it is worth observing your feelings in order to most reliably describe them in the doctor's office, especially if they are of a prolonged nature.

Types of back pain

With lower back pain in women, the causes begin to be identified by determining the type of pain. They can be both acute periodic and constant aching or "giving away" to other departments.

Pulling-aching pain

Pulling-aching lower back pain in women most often indicates the following diseases:

  • osteochondrosis, intervertebral hernias or other processes in the spine, in which elasticity and the ability of bone tissue to withstand loads during movement are lost;
  • inflammation of the muscles of the lower back or female genital organs, which occurs, for example, with hypothermia;
  • kidney diseases, which include pyelonephritis, glomerulonephritis, urolithiasis, etc.
  • characteristic spinal injuries can lead to the fact that the lower back often aches;
  • in some women, the lower back pulls at the beginning of menstruation or during gestation.

Sharp and sharp pain

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

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


Lumbar girdle pain, as a rule, speaks of ailments of adjacent organs and systems. Exacerbation of pyelonephritis, gallstone disease, pancreatitis, heart or esophageal problems - this is a common cause of back pain in the lumbar region in women at night. This type of pain is an alarming signal and a reason to immediately consult a doctor, self-medication can lead to serious negative consequences for the whole body.

Causes of back pain in women

Features of lower back pain in women are associated with the structure of the female body, in particular, the reproductive system and urinary tract, as well as hormonal "shifts" and other factors.

Diseases of the spinal column

The pathologies of the spinal column, due to which the back hurts in the lumbar region in women, include osteochondrosis and, as a consequence, hernias and pinched nerves. This disease is associated with wearing uncomfortable shoes with heels, a sedentary lifestyle, or, conversely, excessive stress. Pain due to diseases of the spine can affect the lower limbs, coccyx, sacrum and interfere with normal motor activity.


Another reason why lower back pain in women is lack of movement or physical inactivity, leading to muscle atrophy. As a result, the physiological position of the spinal column is disturbed, protrusions and hernias are formed, causing pain in various parts of the back.


The summer period is characterized by back pain associated with muscle inflammation after hypothermia. It is in hot weather, when sweating is increased, that even the slightest draft is dangerous for the lower back. Also, weakness, edema, insomnia can join the pain. The best solution to this problem is bed rest, ointments with a warming effect, warming up.


Low back pain in women during pregnancy can be roughly divided into two categories:

  • pain in the first trimester of pregnancy, which is an alarming symptom of the onset of a miscarriage. They can be accompanied by discharge, temperature, and so on. In this case, immediate medical attention is required;
  • intensive fetal growth, preparation of the pelvis for labor, a change in the center of gravity and redistribution of the load - this is what causes lower back pain in women in late pregnancy.

Reproductive system pathology

The female organs of the small pelvis are located in such a way that pathologies in their structure (ovarian cysts, adnexitis, ectopic pregnancies, endometriosis and others) can manifest themselves with girdle pains in the lower lumbar spine.

A characteristic feature of such pain is the absence of its manifestation during movement, intensification or weakening in accordance with the female cycle. Chronic diseases often cause shooting pains that radiate into the rectum.


During menopause, a woman experiences changes in the hormonal background, they cannot pass without a trace for the bone tissue, which becomes fragile, susceptible to osteochondrosis - which is why women have lower back pain during this period. It is important to monitor your diet and do light exercise to strengthen your muscle corset.


The hormonal background of a woman influences the occurrence of pain during menstruation. The hormone progesterone lowers the pain threshold, which makes even minor contractions of the uterus painful. Also, pain during this period can be associated with irritation of the intestinal walls due to the action of hormones, fluid retention, which expands both organs and tissues that begin to put pressure on the lumbar spine.

Excessive exercise

Along with physical inactivity, the physical overload of a woman's body also leads to lower back pain. Excessive stress for untrained muscles causes spasms and affects the nerve endings located along the spinal column. Typically, this pain goes away quickly and does not require treatment or supervision by a specialist. But if the discomfort persists for a long time, you need to consult a doctor.

Diseases of the kidneys, urinary tract

Lower back pain is often due to diseases of the kidneys or urinary tract. Pyelonephritis, cystitis, urolithiasis, along with pain, provoke an increase 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 the discomfort. Pulls the lower back in women, especially with a lean physique, due to the additional load on the spinal column, which creates a large breast. Using the right underwear or corset can help reduce pain.


Female menopause is associated, first of all, with the cessation of the functioning of the ovaries and changes in the structure of this organ due to hormonal changes, which can cause pain in the lumbar region. Additionally, a woman is worried about such manifestations of menopause as excessive sweating, flushing of the face, and so on. Once menopause is over, the soreness goes away on its own.

Excess weight

The muscular corset of a person performs the task of distributing the load during the work of the musculoskeletal system. Weight gain with weak muscles leads to additional tension, tears and other negative consequences that can provoke the appearance of pain in the lumbar spine. In order to avoid this, a woman needs to monitor her weight and strengthen her muscles.

Diseases of oncology

Low back pain in women can sometimes indicate cancer. Bone cancer affects the cancellous bone tissue, which includes the vertebrae. Pain in the early stages is periodic, then the pain intensifies, motor function is impaired. In this case, a woman needs multifunctional treatment, taking special medications prescribed by a doctor.

High-heeled shoes

Women who abuse the wearing of stiletto heels or high heels have a high risk of spinal diseases due to improperly distributed load on the foot. This is especially true for people with a genetic predisposition to flat feet, scoliosis, etc. Shoes should be as comfortable as possible, it is better to opt for orthopedic models.

Diagnostic methods

After consultation with a specialist, as a rule, the following diagnostic control methods are used:

  • ultrasound examination of the kidneys, pelvic organs and abdominal region;
  • x-ray of the spine for changes in the intervertebral discs;
  • MRI scan, reflecting an extensive picture of the processes occurring in the spine;
  • biochemical analysis of blood, urine, cerebrospinal fluid, etc.