Back pain can be a debilitating condition, and understanding the factors that aggravate the pain is crucial for effective treatment and management. As a physiotherapist, I often encounter patients who are seeking relief from back pain that worsens with movement. In this article, we will explore some common causes of back pain that tend to worsen with movement.
- Muscle Strain: Back pain resulting from muscle strain is a common occurrence. When muscles in the back are stretched or torn due to sudden movements, improper lifting techniques, or overexertion, it can lead to pain that intensifies with movement. Activities such as bending, twisting, or lifting heavy objects can exacerbate the pain.
- Disc Herniation: A herniated disc occurs when the soft inner core of a spinal disc pushes through the tough outer layer, placing pressure on nearby nerves. When a herniated disc affects the lumbar spine (lower back), movement-related pain can arise. Certain movements that involve bending, lifting, or twisting may cause the herniated disc to compress the nerves, resulting in sharp or shooting pain.
- Spinal Stenosis: Spinal stenosis refers to the narrowing of the spinal canal, often due to age-related changes or degenerative conditions. When the spinal canal narrows, it can put pressure on the spinal cord or nerves, leading to pain that worsens with movement. Walking or standing for prolonged periods, which increase the load on the spine, can exacerbate the pain associated with spinal stenosis.
- Facet Joint Dysfunction: The facet joints in the spine facilitate movement and provide stability. If these joints become inflamed, irritated, or injured, it can cause pain that intensifies with movement. Activities such as bending backward or twisting the spine may exacerbate the pain associated with facet joint dysfunction.
- Spondylolisthesis: Spondylolisthesis occurs when one vertebra slips forward over the one below it, typically in the lumbar spine. This condition can result in pain that worsens with movement, particularly with activities that involve extending the spine. Walking, running, or standing upright for prolonged periods can trigger or exacerbate the pain associated with spondylolisthesis.
- Sacroiliac Joint Dysfunction: The sacroiliac (SI) joints connect the sacrum (the triangular bone at the base of the spine) to the pelvis. Dysfunction or inflammation in these joints can cause pain that worsens with movement, especially with activities involving standing, walking, or transitioning from sitting to standing.
It is important to note that this article provides a general overview of common causes of back pain that worsen with movement and does not replace a proper medical assessment. If you are experiencing back pain that worsens with movement, it is recommended to consult with a healthcare professional, such as a physiotherapist or orthopedic specialist, for a comprehensive evaluation and accurate diagnosis.
Treatment options for back pain will vary depending on the underlying cause and may include physiotherapy interventions, pain management strategies, exercises to improve strength and flexibility, postural correction, and lifestyle modifications. The goal is to reduce pain, improve back function, and enhance overall quality of life.
Note: This article was written with the help of AI technology and therefore may include incorrect information and discrepancies.