Lower back pain is a prevalent issue that can significantly impact daily activities and quality of life. While both men and women experience lower back pain, certain causes are unique to females due to their anatomical and physiological differences.

Understanding the underlying causes and when to seek medical attention is crucial for effective back pain management. This blog delves into the common causes of lower back pain in females, offering insights into associated health concerns, potential treatments, and answers to frequently asked questions.

Common Causes of Lower Back Pain in Females

1. Muscle Strain and Ligament Sprain

One of the most common causes of lower back pain in females is muscle strain or ligament sprain. This typically results from heavy lifting, sudden movements, or poor posture, leading to overstretched or torn muscles and ligaments in the back. Symptoms include sharp pain, muscle spasms, and stiffness.

Relief Tips: Rest, apply ice or heat, and engage in gentle stretching exercises to alleviate discomfort. Over-the-counter pain relievers can also be beneficial.

lower back pain in females

2. Degenerative Disc Disease

As women age, the intervertebral discs in the spine can degenerate, leading to pain, particularly in the lower back. This condition may cause persistent discomfort, especially during physical activities.

Relief Tips: Physical therapy, core-strengthening exercises, and maintaining a healthy weight can help manage symptoms. In severe cases, medical intervention may be required.

3. Osteoporosis

Osteoporosis, characterized by weakened bones, is more common in postmenopausal women due to decreased estrogen levels. This condition can lead to fractures in the vertebrae, causing significant lower back pain.

Relief Tips: Calcium and vitamin D supplementation, weight-bearing exercises, and medications to strengthen bones can help manage osteoporosis and reduce pain.

4. Endometriosis

Endometriosis is a condition where the tissue similar to the lining of the uterus grows outside the uterine cavity. This tissue can attach to the lower back, causing chronic pain that worsens during menstruation. Lower back pain due to endometriosis is often associated with chronic pelvic pain, heavy menstrual bleeding, and infertility.

Relief Tips: Hormonal therapies, pain management strategies, and in some cases, surgery, may be necessary to alleviate symptoms.

5. Sciatica

Sciatica occurs when the sciatic nerve, which runs from the lower back down the legs, is compressed or irritated. This can cause sharp, shooting pain in the lower back, buttocks, and legs.

Relief Tips: Stretching exercises targeting the piriformis muscle, anti-inflammatory medications, and physical therapy can provide relief. Maintaining good posture is also essential.

6. Pregnancy

Lower back pain is common during pregnancy due to the additional weight and pressure on the spine. The growing uterus also shifts the center of gravity, which can strain the lower back muscles. Hormonal changes that relax ligaments and joints in preparation for childbirth can also contribute to discomfort.

Relief Tips: Prenatal yoga, wearing supportive footwear, using a maternity belt, and practicing proper posture can help alleviate discomfort during pregnancy.

7. Urinary Tract Infections (UTIs)

A UTI can sometimes cause referred pain to the lower back. This type of pain is often accompanied by urinary symptoms such as burning, urgency, and frequency.

Relief Tips: Antibiotic treatment prescribed by a healthcare provider is essential for managing UTIs and relieving associated back pain.

8. Polycystic Ovary Syndrome (PCOS)

PCOS is a hormonal disorder that can cause irregular menstrual cycles, weight gain, and lower back pain due to ovarian cysts.

Relief Tips: Lifestyle changes, such as weight management and exercise, along with hormonal treatments, can help manage symptoms and reduce pain.

9. Pelvic Inflammatory Disease (PID)

PID is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. This condition can cause severe lower abdominal and back pain.

Relief Tips: Antibiotic therapy is crucial to treating PID and preventing complications. Pain relief can be supported with anti-inflammatory medications and rest.

10. Fibromyalgia

Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, including the lower back. This condition is more common in women and can be associated with fatigue, sleep disturbances, and mood issues.

Relief Tips: A multidisciplinary approach, including medication, physical therapy, exercise, and stress management, is often necessary to manage fibromyalgia symptoms.

cks or thighs.

When Should You Worry About Lower Back Pain?

While lower back pain is often benign and self-limiting, certain red flags warrant immediate medical attention:

  • Pain that persists for more than a few weeks despite rest and home treatment.
  • Severe pain that disrupts daily activities or sleep.
  • Radiating pain down the legs, particularly if accompanied by numbness or weakness, may indicate nerve involvement, such as sciatica.
  • Unexplained weight loss, fever, or chills alongside back pain could signal an underlying infection or malignancy.
  • Loss of bladder or bowel control could be a sign of cauda equina syndrome, a medical emergency requiring urgent care.

Also Read: 6 Signs Your Sudden Lower Back Pain Is Serious

What Are 3 Causes of Lower Back Pain in Females?

  • Menstruation: Hormonal fluctuations and uterine contractions during menstruation can cause lower back pain. This is a common issue many women experience as part of premenstrual syndrome (PMS) or dysmenorrhea.
  • Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus, endometriosis can cause severe lower back pain, particularly during menstruation, due to inflammation and adhesions.
  • Pregnancy: As the pregnancy progresses, the growing uterus shifts the body’s center of gravity and loosens ligaments in the pelvic area, placing additional strain on the lower back and leading to discomfort.
woman with lower back pain

What Organ is Related to Lower Back Pain?

The kidneys are the most commonly related organs to lower back pain. Kidney-related back pain is usually felt on one side of the back and may be accompanied by symptoms such as fever, nausea, and changes in urination. 

Conditions like kidney infections or kidney stones can cause significant discomfort in the lower back region.

What Diseases Start with Lower Back Pain?

Several conditions affecting females may present with lower back pain as an early symptom. These include:

  • Endometriosis: This condition is characterized by the growth of tissue similar to the uterine lining outside the uterus. Women with endometriosis often experience severe lower back pain, especially during menstruation, as the misplaced tissue responds to hormonal changes.
  • Pelvic Inflammatory Disease (PID): PID is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. It can lead to lower abdominal and back pain, fever, and abnormal vaginal discharge. If left untreated, PID can cause serious complications, including infertility.
  • Ovarian Cysts: Fluid-filled sacs on the ovaries, known as ovarian cysts, can cause lower back pain when they grow large or rupture. This pain is typically localized to one side of the lower abdomen or back and may be accompanied by bloating and pelvic discomfort.

These conditions underscore the importance of considering reproductive health when evaluating lower back pain in females. Early detection and treatment are crucial for managing symptoms and preventing complications.

Tips for Relieving Lower Back Pain

Lower back pain in women often requires specific strategies due to factors like pregnancy, hormonal changes, and gynecological conditions. Here are some tailored tips for relief:

  1. Maintain a Healthy Weight: Managing weight, especially after pregnancy or during menopause, can reduce strain on the spine.
  2. Core Strengthening: Exercises like yoga, Pilates, and pelvic floor strengthening help support the lower back, especially during and after pregnancy.
  3. Hormonal Management: Track symptoms related to hormonal changes and consult a doctor for potential treatments, especially for conditions like endometriosis or PCOS.
  4. Use Supportive Footwear: Proper shoes and lumbar supports can improve posture and reduce back pain, particularly during pregnancy.
  5. Heat and Cold Therapy: Use heat to ease muscle tension from menstrual or gynecological pain and cold for injuries or inflammation.
  6. Low-Impact Exercise: Activities like walking, swimming, and cycling help maintain flexibility and spinal health without overloading the back.
  7. Physical Therapy: Personalized therapy can assist with recovery from childbirth or chronic conditions like sciatica.
  8. Reduce Stress: Techniques like mindfulness and yoga can alleviate stress-related back pain, particularly in women with chronic pain conditions.

Back Pain Procedures at VISP

If the pain persists or worsens, consult a healthcare professional for a thorough evaluation and treatment plan. 

At VISP, advanced diagnostic tools like discography can identify the source of severe back pain. We also offer treatments such as injections to reduce inflammation and relieve nerve pain, as well as minimally invasive procedures for stabilizing fractures in the vertebrae. These specialized options provide targeted relief when self-care isn’t enough.

Managing Lower Back Pain: Take the Next Step

Lower back pain in females can have a range of causes, from muscular strain to more serious medical conditions. If you are experiencing persistent or worsening pain, it’s essential to seek expert guidance for a thorough evaluation and personalized treatment plan. 

At Vascular & Interventional Specialists of Prescott (VISP), our Vein Doctors are dedicated to providing comprehensive care for individuals suffering from back pain. Don’t let discomfort disrupt your life—schedule a consultation with VISP today to take the first step toward relief and improved quality of life.