Common causes

An unusual activity: Placing patio slabs, shoveling at the first snow, doing a rigorous sport not done for a long time.

Poor posture: Sitting, standing, lifting too heavy a load

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Occupational back pain: Some work requires more effort on the column (electrician, truck driver)

Obesity: The protruding abdomen puts enormous pressure on the back

Muscle stretching: 80% of back pain is muscle stretching.

Lumbar intervertebral disc prolapse: After muscle and ligament stretching, disc prolapse is the most common cause of low back pain.

Facet joint arthritis: Old age, repeated bending and twisting activities lead to facet joint arthritis.

Spinal stenosis: With aging the spine can be compromised

Uncommon causes

  • Congenital causes (4 ‘S’)
    • Scoliosis
    • Spondylolisthesis
    • Spina bifida
    • Spondylolysis Infectious conditions
  • Osteomyelitis
  • Tuberculosis
  • Brucellosis, etc. Traumatic causes
  • Vertebral body injuries, posterior arch fractures
  • Muscle sprain/strain
  • Prolapsed disc Inflammatory causes
  • Rheumatoid arthritis
  • Ankylosing spondylitis and other ASDs
  • Neoplasm Benin: osteoid osteoma
    • Malignant—secondary, multiple, etc. myeloma.
  • Metabolic causes Osteoporosis
  • Osteomalacia Degenerative conditions
  • Osteoarthritis
  • Lumbar spondylosis Referred pain from
    • Gynecological diseases Genito-urinary diseases
  • Gastrointestinal disorders, etc.