Why the back hurts 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 disturbances in the work of various organs and systems, which, as a rule, are indicated by the nature of the sensation of pain, its frequency and other factors. A reliable diagnosis is made only by a competent specialist after examination, conversation and passing the required list of tests. However, before seeing a doctor and asking, "If women have lower back pain, what can it be? "- it is worth observing your feelings in order to describe them as reliably as possible 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 or "giving" to other departments.

Painful tugging

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

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

Sharp, sharp pain

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

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


As a rule, pain in the lumbar belt speaks of diseases of the adjacent organs and systems. Exacerbation of pyelonephritis, gallstones, 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 seek immediate medical attention, self-medication can lead to serious negative consequences for the whole body.

Causes of back pain in women

The characteristics of low 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 "changes" and other factors.

Spine diseases

Pathologies of the spine, due to which the back hurts in the lumbar region in women, include osteochondrosis and, as a result, hernias and pinched nerves. Such a disease is associated with wearing shoes with uncomfortable heels, a sedentary lifestyle or, on the contrary, excessive loads. Pain from diseases of the spine can affect the lower extremities, tailbone, sacrum and interfere with normal motor activity.


Another reason for lower back pain in women is lack of movement or physical inactivity, resulting in muscle wasting. As a result, the physiological position of the spine 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 the slightest draft is dangerous for the lower back. Also, weakness, swelling, sleeplessness can join the pain. The best solution to this problem is bed rest, ointments with a warming effect, warming up.


Lower 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 miscarriage. They can be accompanied by discharge, temperature, etc. In this case, immediate medical attention is required;
  • intensive growth of the fetus, preparation of the pelvis for labor, change of 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 pregnancy, endometriosis and others) can manifest as pain in the girdle 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 leaving a trace for the bone tissue, which becomes fragile, prone to osteochondrosis - this is why women have lower back pain during thisperiod. It is important to watch your diet and do light exercises to strengthen your muscle corset.


The hormonal background of a woman influences the appearance 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 dilates both organs and tissues that begin to put pressure on thelumbar spine.

Excessive exercise

Along with physical inactivity, the physical overload of a woman's body also leads to lower back pain. Excessive stress on untrained muscles causes spasms and affects nerve endings located along the spine. Usually, 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 see a doctor.

Kidney and urinary tract diseases

Lower back pain is often caused by diseases of the kidneys or urinary tract. Pyelonephritis, cystitis, urolithiasis, as well as pain, cause an increase in temperature, the appearance of blood or pus in the urine, sweating and other symptoms.

Chest size

The size of the mammary glands can also affect discomfort. Pulls the lower back in women, especially with a lean physique, due to the extra load on the spine, which creates a voluminous chest. Using the right underwear or corsets can help reduce pain.


Female menopause is associated, first of all, with the stopping 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. In addition, a woman is worried about the manifestations of menopause such as excessive sweating, flushing of the face, etc. Once menopause is over, the pain goes away on its own.


The muscle corset of a person performs the task of distributing the load during the work of the musculoskeletal system. Gaining weight with weak muscles leads to additional strains, tears and other negative consequences that can provoke the appearance of pain in the lumbar spine. To avoid this, a woman needs to watch her weight and strengthen her muscles.

Diseases of oncology

Low back pain in women can sometimes indicate cancer. Bone cancer affects the spongy 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 therapy, taking special drugs prescribed by a doctor.

High heel shoes

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

Diagnostic methods

After an appointment 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, reflecting a complete picture of the processes occurring in the spine;
  • biochemical analysis of blood, urine, cerebrospinal fluid, etc.