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MusculoskeletalICD-10: M54.5Affects up to 80% of adults at some point in their lives

Back Pain

Also known as: Low Back Pain, Lumbago, Lumbar Pain, Chronic Back Pain

Back pain is one of the most common reasons people seek medical attention and miss work, affecting up to 80% of adults at some point in their lives. It can range from a dull, constant ache to sudden, sharp pain and may result from muscle strains, disc problems, arthritis, or structural issues. Most episodes of acute back pain improve within a few weeks with self-care, but chronic back pain lasting more than 12 weeks may require more comprehensive treatment.

Symptoms

Aching or stiffness along the spine
Sharp, localized pain in the lower, middle, or upper back
Pain that radiates down the leg (sciatica)
Inability to stand up straight without pain
Decreased range of motion and flexibility
Muscle spasms
Pain that worsens with prolonged sitting or standing

Causes

  • Muscle or ligament strain from heavy lifting or sudden movement
  • Herniated or bulging intervertebral discs
  • Degenerative disc disease and spinal stenosis
  • Osteoarthritis of the spine
  • Osteoporosis leading to compression fractures
  • Poor posture and sedentary lifestyle

Risk Factors

  • Age (more common after age 30)
  • Sedentary lifestyle and lack of exercise
  • Excess body weight
  • Occupations requiring heavy lifting or prolonged sitting
  • Psychological conditions (anxiety, depression)
  • Smoking

Diagnosis

  • Physical examination and patient history
  • X-rays to identify fractures or structural abnormalities
  • MRI to evaluate soft tissue, disc, and nerve involvement
  • CT scan for detailed bone imaging
  • Nerve conduction studies if radiculopathy is suspected

Treatment

  • Over-the-counter pain relievers (NSAIDs, acetaminophen)
  • Physical therapy and targeted exercise programs
  • Heat and ice therapy
  • Muscle relaxants for acute spasm
  • Epidural steroid injections for severe radiculopathy
  • Surgery (discectomy, spinal fusion) for refractory cases

Prevention

  • Exercise regularly to strengthen core and back muscles
  • Maintain proper posture while sitting and standing
  • Lift heavy objects with your legs, not your back
  • Maintain a healthy weight
  • Use ergonomic furniture at your workstation

When to See a Doctor

  • Back pain persists for more than a few weeks without improvement
  • Pain radiates down one or both legs, especially below the knee
  • You experience numbness, tingling, or weakness in your legs
  • Back pain follows a fall, injury, or is accompanied by fever

Frequently Asked Questions

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

Content reviewed against peer-reviewed medical literature and clinical guidelines. Read our editorial standards.