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 disruptions 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 established only by a competent specialist after examination, conversation and passing the required test list. However, before you visit a doctor and ask him: "If women have back pain, what can it be? " - it is worth observing your feelings to more 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.

Pain that pulls and hurts

Lower back pain that pulls and hurts in women most often indicates the following diseases:

  • osteochondrosis, intervertebral hernias or other processes in the spine, in which the elasticity and ability of the bone tissue to withstand loads during movement is lost;
  • inflammation of the muscles of the lower back or female genital organs, 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 often hurts;
  • in some women, the lower back pulls at the beginning of menstruation or during gestation.

Sharp and sharp pain

Often, severe pain in the lower back in women "spreads" to the lower limbs and makes it difficult to move. 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.


Pain in the lumbar girdle, as a rule, speaks of ailments of 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 sign 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

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 with hormonal "shifts" and other factors.

Diseases of the spine

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 the use of uncomfortable shoes with heels, a sedentary lifestyle or, conversely, with excessive loads. Pain due to spinal diseases can affect the lower limbs, coccyx, sacrum and interfere with normal motor activity.


Another reason for lower back pain in women is a lack of movement or physical inactivity, which leads to muscle atrophy. As a result, the physiological position of the spine is disturbed, protrusions and hernias are formed, which cause pain in various parts of the back.


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


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 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 back pain in women at the end of pregnancy.

Pathology of the reproductive system

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 feature of such pain is the absence of its manifestation during movement, intensification or weakening according to the female cycle. Chronic diseases often cause excruciating pain that radiates into the rectum.


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


A woman's hormonal background affects the onset of pain during menstruation. The hormone progesterone lowers the pain threshold, which makes even small 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 on untrained muscles causes spasms and affects the nerve endings located along the spine. Usually, this pain goes away quickly and does not require specialist care or supervision. But if the discomfort persists for a long time, it is necessary to consult a doctor.

Diseases of the kidneys, urinary tract

Lower back pain is often due to kidney or urinary tract disease. 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. Pull the lower back in women, especially with a lean physique, due to the additional load on the spine, which creates large breasts. 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. Also, a woman is worried about such manifestations of menopause as excessive sweating, redness of the face, and so on. Once menopause is over, the pain goes away on its own.

Excess weight

A person's muscular corset 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. 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 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 treatment, taking special medications prescribed by a doctor.

High-heeled shoes

Women who abuse wearing 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 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 scan, which reflects a large picture of the processes occurring in the spine;
  • biochemical analysis of blood, urine, cerebrospinal fluid, etc.