6 Reasons For Lower Back Pain | El Paso Manual Physical Therapy

Are you dealing with a back problem, and wondering what the heck is going on in my back? Why is it hurting?

I'm going to cover with you today the top six reasons for lower back pain.

#1 Herniated Discs
This is commonly talked about by people. It's found on MRI’s. Some people think that lower disc height, on an X-Ray could be a herniated disc as well. And it's true this is a possible reason for a back problem for lower back pain.

#2 Arthritis - Osteoarthritis
There are all kinds of different types of arthritis. People say arthritis, which just means arthritis related to the bones. Now in the spine, in the lower back, you have three joints at every single level. Arthritis typically occurs in the joints called the sets, you have a pair of these at every level of the low back. And these four sets, they have a smooth surface that rub on each other, whenever you bend forward, backwards, or move in any direction.

#3 Stenosis - Lumbar Stenosis
There are different types of stenosis. What that word means is that there is a hole, which is naturally occurring, something passes through there like a nerve or a blood vessel. This hole is closing which is what stenosis means - that the hole is closing.

#4 Muscle Spasms.
Of course, the lower back is covered in muscles that run up and down the back, and frequently those back muscles will seize up. A muscle spasm is just simply a muscle that is contracting, squeezing tight without you meaning to do so. It's involuntary.

#5 Degenerative Changes
We hear of two different types. There is degenerative disc disease, and degenerative joint disease. The reason why there are two different types is because, obviously the disc disease version affects the disc. What people will find on an X-ray or an MRI, is that the disc isn't necessarily herniated, but it looks degenerated. It looks like it lost it’s height. It doesn't have the same quality as other discs around it.

#6 Hip Problems
This is not what people always think about, but I see it commonly happen here in the clinic, with people that come in for back problems. They tend to have a hip problem that hasn't been diagnosed, or looked at properly, or isn't even really bothering them that much. But once we get somebody here in the clinic, the hip is one of the first things we look at when they are dealing with the back problems.

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