Lower back pain is not an independent disease but is a symptom instead. There are many issues that can cause lower back pain. Even most of the causes we already know, but there is still a small number of causes which are not yet clear. Common causes can be summarized into four categories:
1. Caused by the spine and soft tissue of bone and joint disorders. Things like contusions, sprains caused by partial injured, hemorrhage, edema, adhesions and muscle spasms.
2. Caused by the spinal cord and spinal nerve disorders such as spinal cord tumors or inflammation.
3. Caused by the internal organs disorders such as uterine and its annexes infection. The tumor can cause lumbosacral pain, such patients are often accompanied by the corresponding gynecological symptoms.
4. Caused due to mental factors. Such as hysteria in patients with lumbar disease may also be the main issue, but no objective signs, and subjective or objective examination can’t be described in physiological and pathological anatomy knowledge to explain the disease, such lower back pain causes often a manifestation of hysteria.
Other causes of lower back pain would be the soft tissue lesions caused by lumbar intervertebral disc lesions, lumbar arthritis, lumbar spine bone, and internal organs pathological changes.
Symptoms of Lower Back Pain
The back pain symptom also could be categorized depend on how the pain distributed throughout human body. The common categories are radicular (sciatica), axial (simple back pain), and referred pain.
You can know if you are having a lower back pain by sensing whether your lumbar disc herniation is relaxing without pain. If it is pain with sciatica, then you need to focus on the symptom before it getting worse. Some other symptoms are numbness or pain on lower extremity of the thigh or leg; muscle paralysis, such as foot drop, foot dorsiflexion, weakness foot thumb; cauda equina syndrome, such as perineal numbness, and sexual dysfunction. Most patients will have increasingly pain when they are coughing or sneezing.
Lumbar spinal stenosis with spondylolisthesis is associated with intermittent claudication and lower extremity numbness and cold. In addition, it also associated with lower limb muscle paralysis, numbness lateral thigh and calf. There is also the lumbar spine tuberculosis, the disease is caused by the TB bacterium erosion, so that patients with lower back pain also experience waist stiffness, where he/she can’t bend over to pick up something. For more severe back pain patients, they will have fever, night sweats, fatigue, weight loss, loss of appetite and etc.