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Pain in Lower Right Back: Causes and Treatments

Pain In Lower Right Back: Causes And Treatments

In this article, BestLifeTips discusses some of the potential causes of lower right backache and their treatment options. Join us now!

Sometimes you have backache only on one side. So what are the causes and how to treat it? BestLifeTips will give you the answer for lower right backache in this post.

Lower right backache

Source: Healthspectra

Is lower right backache serious?

Most cases of lower right backache are not medical emergencies. However, you should get immediate medical help if you experience any of the following:

  • Pain so intense it’s disrupting your daily life
  • Sudden, severe pain
  • Intense pain accompanied by other symptoms, such as incontinence, fever, nausea, or vomiting

If you ignore them, the situation may get worse.

Causes of lower right backache

Lower right backache in female

endometriosis can cause pain in the lower back or pelvis

Source: MedicalNewsToday

Lower right backache in women has many potential causes. Some are related to conditions specific to women.

Lower right backache before period

Premenstrual syndrome (PMS) is a condition many women get before their periods. It has many potential symptoms, and you likely won’t have all of them. Symptoms include:

Physical symptoms:

  • Lower right backache
  • Headache
  • Fatigue
  • Bloating

Emotional and behavioral symptoms:

  • Mood swings
  • Food cravings
  • Anxiety
  • Trouble concentrating

Lower right backache during period

Low back pain during menstruation is typically muscular and thought to be caused by hormone changes.

An excess of prostaglandins (hormones released during a menstrual cycle to promote uterine contraction to shed the uterine lining) causes dysmenorrhea or painful menstruation. Heavy contractions can lead to low back pain, as the pain can radiate from the lower abdomen into the low back.

Women with endometriosis may also experience low back pain during the menstrual cycle.

Lower right backache during pregnancy

Backache is common during pregnancy. It happens as you gain weight, and your hormones relax your ligaments to prepare for birth.

Backache usually happens between the fifth and seventh months of pregnancy, but it can start much earlier for some pregnant women. You’re more likely to have back pain during pregnancy if you already have lower back issues.

The most common place to have pain is right below your waist and across your tailbone. You may also have pain in the center of your back, around your waistline. This pain may radiate into your legs.

Lower right backache when walking

why do i get lower back pain when walking or standing for long periods

Source: Dfwback

Your lower back provides support and stability to your body when you’re in an upright position. Each vertebra is separated by a jelly-filled disc that serves as a cushion.

These discs can become inflamed when standing for long periods of time. They can also experience wear and tear with age.

Standing or walking for extended periods of time may aggravate this inflammation, resulting in pain.

Lower right backache when running

lower back pain runners

Source: Shape

Here are some causes of lower right backache while running:

  • Facet Joint Irritation:

The spine is made up of building blocks called vertebrae.

These vertebrae are connected to each other by discs at the front and by joints at the back. If you have a rather large hollow in your lower back and have weak abdominal muscles for example, these joints can become irritated and inflamed, and be painful during running.

  • Sacroiliac joint dysfunction

The sacroiliac joints are two joints which sit either side of the lowest part of the back above your buttocks.

If we land on one foot harder and much more than the other while running, excessive pressure can be put through one of the sacroiliac joints, and make it inflamed and painful.

  • Myofascial trigger points in the lower back muscles

Weak muscles tend to do two things in response to stress on them.

Either they cramp up completely, or small parts of the muscles cramp up, resulting in little knots of very tight muscle which we call trigger points. The result is that we develop a moderate-to-severe pain while running.

Lower right backache when lying

Pain in the lower back while lying down can make it difficult to get a good night’s sleep, and may affect the way the lumbar muscles, ligaments, vertebrae, and nerves work together to provide control and strength for daily movements and activities.

Some of the most common reasons for having lower right backache pain while lying down include:

  • Strain or sprain: Lumbar strains and sprains are the most common causes of low back pain, happen when muscles or ligaments are stretched too far.
  • Ankylosing spondylitis (AS): This rare form of arthritis characterized by chronic inflammation in the back and neck improves with exercise and worsen at night.
  • Degenerative disc disease (DDD): Gradual deterioration of the spinal discs and vertebrae due to aging can lead to painful, restless nights.
  • Spine osteoarthritis: Pain from wear and tear on the joints of the spine may intensify at night due to inactivity.
  • Sciatica: The vertebrae in the lower back can further irritate the sciatic nerve in certain sleeping positions, leading to radiating pain in the lower body.
  • Spinal tumor: This is a rare cause. Pain from a tumor or growth on the spine can worsen when lying down due to direct pressure on the area.

Other causes of lower back pain while lying down include conditions like scoliosis, a curvature of the spine, and spinal stenosis, a narrowing of the spinal column.

Lower right backache when sitting

4612 Old man with back pain 732x549 thumbnail

Source: Healthline

There are many causes for this kind of pain.

  • Sciatica

Sciatica refers to pain in the sciatic nerve, which runs down the base of the spine into the back of your legs. It can be caused by various conditions, including a bone spur on the spine.

The pain can be anything from a dull aching sensation to what feels like an electric shock. Sitting for long periods can make it worse, but you’ll usually only have it on one side.

  • Herniated disc

Pain in your lower back is one of the first things you’ll experience if you have a herniated disc.

Older people often get a herniated disc as a natural part of the aging process. It can also happen as the result of a fall, lifting something the wrong way, or a repetitive motion injury.

  • Muscle strain

If you have a muscle strain, you may experience pain that extends down into your buttocks but not your legs. A strain will also make your back stiff and hard to move.

While most people recover from a strain within one month, it can also become an ongoing problem if it’s due to poor sitting posture and you don’t take steps to correct it.

  • Degenerative disc disease

Although some people who have degenerative disc disease don’t have symptoms at all, the pain can be quite severe in the lower back, buttocks, and thighs, and it may get worse when you bend or sit.

  • Posture

Bad posture while either sitting or standing can contribute to lower back pain. Slouching forward too much or leaning too far back can create problems. Even if your back pain isn’t caused by poor posture, it can be made worse by it.

Lower right backache when bending

Some causes of lower left backache when bending include:

  • Lower back strain

Lower back strain is a common cause of back pain when bending over. The position can significantly pressure the lower back, causing the muscles and ligaments to stretch excessively.

  • Spondylolysis

Spondylolysis is a stress fracture in a spinal vertebra. A person with spondylolysis may have difficulty maintaining a straight, upright posture.

It also includes sciatica and herniated disc same as lower right backache when sitting.

Lower right backache treatment

Home treatment

Self-care methods are helpful for the first 72 hours after the pain begins. If the pain doesn’t improve after 72 hours of home treatment, you should call your doctor.

Stop your normal physical activities for a couple of days and apply ice to your lower back. Doctors recommend using ice for the first 48 to 72 hours, then switching to heat.

If lying on your back causes more discomfort, try to lie on your side with your knees bent and a pillow between your legs. If you can lie comfortably on your back, place a pillow or rolled-up towel beneath your thighs to reduce the pressure on the lower back.

Physical therapy

You can take one of the following physical therapy:

  • Massage
  • Stretching
  • Strengthening exercises
  • Back and spinal manipulation


There are several medications including:

  • Muscle relaxants
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Narcotic drugs such as codeine for pain relief
  • Steroids to reduce inflammation
  • Corticosteroid injections

If your condition is extremely bad, you may have to take surgery depending on the cause of your lower right backache.

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