🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 30 (from laksa078)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa030.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical, ml_categories_json AS ml_categories_json, ml_types_json AS ml_types_json, ml_intent_types_json AS ml_intent_types_json, meta_language AS meta_language, attrs_author AS attrs_author, ifNull(toUnixTimestamp(attrs_publish_time), 0) AS attrs_publish_time, ifNull(toUnixTimestamp(attrs_original_publish_time), 0) AS attrs_original_publish_time, ifNull(attrs_is_republished, 0) AS attrs_is_republished, ifNull(attrs_nr_words, 0) AS attrs_nr_words, ifNull(attrs_boilerpipe_nr_words, 0) AS attrs_boilerpipe_nr_words, ifNull(body_ext_links_number, 0) AS body_ext_links_number, ifNull(body_int_links_number, 0) AS body_int_links_number, ifNull(meta_nofollow, 0) AS meta_nofollow, ifNull(meta_noarchive, 0) AS meta_noarchive, ifNull(props_was_rendered, 0) AS props_was_rendered, ifNull(src_redirect, \'\') AS src_redirect, ifNull(download_time_msec, 0) AS download_time_msec, ifNull(download_ttfb_msec, 0) AS download_ttfb_msec, ifNull(download_size, 0) AS download_size FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://spinetogether.com/all-posts/back-pain-standing-or-walking\')), getAhrefsUnparsedNoserviceFromURL(\'https://spinetogether.com/all-posts/back-pain-standing-or-walking\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/spinetogether.com\/all-posts\/back-pain-standing-or-walking","crawl_time":1775820685,"first_indexed_time":1711822211,"http_code":200,"src_unparsed":"com,spinetogether!\/all-posts\/back-pain-standing-or-walking s443","src_root_hash":"9786161912160548030","history_drop_reason":null,"meta_title":"Back Pain While Standing or Walking — Spine Together","meta_descriptions":["Back pain can affect your daily life when standing or walking. Learn the causes and treatments of walking back pain."],"attrs_boilerpipe_text":"Presentation\n70-80%\nof individuals will experience\nlower back pain\nin their lifetime. [1-3] Back pain can be acute or chronic, and is often associated with\ndecreased motion\nand\nstiffness\n. [4] Some individuals may experience radiation of pain down the legs, or numbness, weakness, or tingling caused by the compression of nerves. [4] There are several factors that may put you at greater risk for back pain. These include\nosteoporosis\n,\nsmoking\n, and\ndiabetes\n. [5] Additionally,\npoor posture, lack of regular exercise, or extra body weight\nmay increase your likelihood of lower back pain. [5] While there are many different etiologies that cause back pain. This article focuses on the\nmost common causes\nof back pain that result from and\/or are exacerbated by\nwalking or standing\n.\nCauses\n•\nMuscle strain\/sprain\n: Muscle strain refers to the\npulling or tearing of muscle fibers\nand  muscle sprain refers to\noverstretched ligaments\n. Muscle strains and sprains generally present as  acute, shooting pain. They are often worse when transitioning from a sitting to standing position  and with increasing activity. [3,4,6] \n•\nMuscle fatigue\/mechanical issues\n: If muscles are fatigued, they are unable to  sufficiently hold up your body weight, thereby placing more strain on your spine.\nOverweight  individuals are often at greater risk\n. [7] Additionally, alterations to your mechanics may place  undue strain on your spine. For example, your body must absorb force equivalent to 2-3x your  body weight each time you take a step.\nIf you have poor foot mobility, this force is transferred to the spine, causing pain over time\n. [8]\nPoor hip mobility can cause inflammation of the back\nover  time and compress nearby nerves. [8]\n•\nLumbar spinal stenosis\n: Lumbar spinal stenosis describes a\nnarrowing of the spine that  places pressure on the spinal cord\n, causing pain when walking or standing, weakness and  tingling, and in severe cases, bowel dysfunction. Spinal stenosis generally presents in\npersons  older than 50\n, as spinal stenosis is usually a result of aging. [7,9] \n•\nSpondylothesis\n: Spondylolisthesis refers to instances when one of\nthe vertebrae slips  out of place\n. Pain is generally worse in the leg as compared to the back and is exacerbated by  standing and walking. [10,11]\n•\nSpondylosis\n: Spongylosis refers to the\ndegeneration of the facet joint that can cause leg  and back pain\n. Usually, your back pain is worse in the morning and gradually diminishes  throughout the day. This pain is\naggravated by standing and walking\n, and spine flexion. [3,11]\n•\nHyperlordosis\n: This condition presents with drastic\narching of the lower spine, more  commonly known as “swayback”\n. This lower back pain is exacerbated by standing and  walking. [12] In children, this may be treated with a corrective back brace. In adults, this condition  is generally managed with OTC pain medications and weight management. Surgery may be  considered in severe cases. [7]\n•\nIrritation of internal organs\n:\n“Flank pain”\n, that is, pain in the region\nbetween your ribs  and your hips\n, can indicate many different conditions, including\nkidney stones, kidney infection,  liver disease or ulcerative colitis\n. [1,4,13] \nTreatments\nBecause the onset of back pain that is made worse with standing and walking can be  caused by numerous conditions, treatment will vary based on your diagnosis. Your physician  may recommend\nphysical therapy, medications including NSAIDs, muscle relaxants, and  anticonvulsants, and rest or activity modifications.\n[1,3,5] There are also several\nlifestyle  modifications\nyou can implement to improve your back pain upon standing and walking.  Supporting\ngood posture\nthroughout the day prevents unnecessary strain on the spine. [5,7]\nAdditionally, extra stomach weight pulls the pelvis forward, contributing to acute back pain  while walking. [1,5,14]\nMaintaining a healthy weight and engaging in regular exercise can also lessen back pain\n. Applying ice or heat on the affected region of the back may also provide temporary  relief and reduce any present swelling. [1,5,14]\nSources\n1.NINDS. Low Back Pain Fact Sheet. National Institute of Health  \nhttps:\/\/www.ninds.nih.gov\/health-information\/patient-caregiver-education\/fact-sheets\/low-backpain-fact-sheet  \n2. McIntosh G, Hall H. Low back pain (acute). BMJ Clin Evid. May 9 2011;2011  3.Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am. Jul  2014;98(4):777-89, xii. doi:10.1016\/j.mcna.2014.03.005  \n4. Bjerke B. What Causes Sharp Lower Back Pain? . Spine Health.  \nhttps:\/\/www.spinehealth.com\/blog\/what-causes-sharp-lower-back-pain  \n5. How do I stop my lower back from hurting when I walk? . The Spine and Rehab Group.  https:\/\/www.thespineandrehabgroup.com\/lower-back-pain-when-walking \n6. Muscle Strains Mayo Clinic  \nhttps:\/\/www.mayoclinic.org\/diseases-conditions\/musclestrains\/symptoms-causes\/syc-20450507 \n7. Causes of Lower Back Pain When Standing or Walking Medical News Today  https:\/\/www.medicalnewstoday.com\/articles\/322369#long-term-treatment \n8. Molen TV. 5 Reasons Why Your Back Hurts When You Walk. Kinetic Edge Physical Therapy.  https:\/\/www.kineticedgept.com\/5-reasons-why-your-back-hurts-when-you-walk\/ \n9. NIAMS. Spinal Stenosis NIH.  \nhttps:\/\/www.niams.nih.gov\/health-topics\/spinalstenosis#tab-risk  \n10. Spondylolisthesis UK National Health Service  \nhttps:\/\/www.nhs.uk\/conditions\/spondylolisthesis\/#:~:text=Spondylolisthesis%20is%20where%2  0one%20of,same%20as%20a%20slipped%20disc \n11. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. Feb 15  2012;85(4):343-50.  \n12. Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. Apr 1  2016;113(13):223-34. doi:10.3238\/arztebl.2016.0223  \n13. Flank Pain. Cleveland Clinic.  \nhttps:\/\/my.clevelandclinic.org\/health\/symptoms\/21541-flankpain  \n14. Frothingham S. What Can I Do About My Lower Back Pain When standing? Healthline  https:\/\/www.healthline.com\/health\/lower-back-pain-when-standing#self--care ","attrs_markdown":"[0](https:\/\/spinetogether.com\/cart)\n\n[Skip to Content](https:\/\/spinetogether.com\/all-posts\/back-pain-standing-or-walking#page)\n\n[![Spine Together](https:\/\/images.squarespace-cdn.com\/content\/v1\/5a3415bfbce1765b74acb0f9\/1543088894651-IV7CJAGNIL079W2LBRAS\/Untitled-1.jpg?format=1500w)](https:\/\/spinetogether.com\/)\n\n[Home](https:\/\/spinetogether.com\/)\n\nAbout\n\n[The BSNI Approach](https:\/\/spinetogether.com\/our-approach)\n\n[Our Locations](https:\/\/spinetogether.com\/locations)\n\n[Testimonials](https:\/\/spinetogether.com\/testimonials)\n\n[Leave us a Review](https:\/\/spinetogether.com\/review)\n\nOur Team\n\n[Providers](https:\/\/spinetogether.com\/providers)\n\n[Staff](https:\/\/spinetogether.com\/staff)\n\n[Contact](https:\/\/spinetogether.com\/contact)\n\n[Community](https:\/\/spinetogether.com\/community)\n\nPatient Resources\n\n[New 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Resources](https:\/\/spinetogether.com\/patient-resources)\n\n[Back](https:\/\/spinetogether.com\/)\n\n[New Patients](https:\/\/spinetogether.com\/new-patients)\n\n[Preparing for Surgery](https:\/\/spinetogether.com\/preparing-surgery)\n\n[Medical Records Request Form](https:\/\/spinetogether.com\/medical-records-request-form)\n\n[Request an Imaging Consult](https:\/\/spinetogether.com\/imaging-consultations)\n\n[Folder: Informational Guides](https:\/\/spinetogether.com\/new-folder)\n\n[Back](https:\/\/spinetogether.com\/)\n\n[Diagnosis Guides](https:\/\/spinetogether.com\/diagnoses)\n\n[Procedure Guides](https:\/\/spinetogether.com\/procedures)\n\n[Physical Therapy Guides](https:\/\/spinetogether.com\/physical-therapy)\n\n[Video Library](https:\/\/spinetogether.com\/video-library)\n\n[Our Blog](https:\/\/spinetogether.com\/blog)\n\n[Request an Appointment](https:\/\/spinetogether.com\/request-an-appointment)\n\n# Back Pain While Standing or Walking\n[Back Pain](https:\/\/spinetogether.com\/all-posts\/category\/Back+Pain)\n\nMar 26\n\nWritten By [Spine Together](https:\/\/spinetogether.com\/all-posts?author=5a3415a95e0ed82d1b0f1961)\n\n### *Presentation*\n**70-80%** of individuals will experience **lower back pain** in their lifetime. \\[1-3\\] Back pain can be acute or chronic, and is often associated with **decreased motion** and **stiffness**. \\[4\\] Some individuals may experience radiation of pain down the legs, or numbness, weakness, or tingling caused by the compression of nerves. \\[4\\] There are several factors that may put you at greater risk for back pain. These include **osteoporosis**, **smoking**, and **diabetes**. \\[5\\] Additionally, **poor posture, lack of regular exercise, or extra body weight** may increase your likelihood of lower back pain. \\[5\\] While there are many different etiologies that cause back pain. This article focuses on the **most common causes** of back pain that result from and\/or are exacerbated by **walking or standing**.\n\n### *Causes*\n• **Muscle strain\/sprain**: Muscle strain refers to the **pulling or tearing of muscle fibers** and muscle sprain refers to **overstretched ligaments**. Muscle strains and sprains generally present as acute, shooting pain. They are often worse when transitioning from a sitting to standing position and with increasing activity. \\[3,4,6\\]\n\n• **Muscle fatigue\/mechanical issues**: If muscles are fatigued, they are unable to sufficiently hold up your body weight, thereby placing more strain on your spine. **Overweight individuals are often at greater risk**. \\[7\\] Additionally, alterations to your mechanics may place undue strain on your spine. For example, your body must absorb force equivalent to 2-3x your body weight each time you take a step. **If you have poor foot mobility, this force is transferred to the spine, causing pain over time**. \\[8\\] **Poor hip mobility can cause inflammation of the back** over time and compress nearby nerves. \\[8\\]\n\n• **Lumbar spinal stenosis**: Lumbar spinal stenosis describes a **narrowing of the spine that places pressure on the spinal cord**, causing pain when walking or standing, weakness and tingling, and in severe cases, bowel dysfunction. Spinal stenosis generally presents in **persons older than 50**, as spinal stenosis is usually a result of aging. \\[7,9\\]\n\n• **Spondylothesis**: Spondylolisthesis refers to instances when one of **the vertebrae slips out of place**. Pain is generally worse in the leg as compared to the back and is exacerbated by standing and walking. \\[10,11\\]\n\n• **Spondylosis**: Spongylosis refers to the **degeneration of the facet joint that can cause leg and back pain**. Usually, your back pain is worse in the morning and gradually diminishes throughout the day. This pain is **aggravated by standing and walking**, and spine flexion. \\[3,11\\]\n\n• **Hyperlordosis**: This condition presents with drastic **arching of the lower spine, more commonly known as “swayback”**. This lower back pain is exacerbated by standing and walking. \\[12\\] In children, this may be treated with a corrective back brace. In adults, this condition is generally managed with OTC pain medications and weight management. Surgery may be considered in severe cases. \\[7\\]\n\n• **Irritation of internal organs**: **“Flank pain”**, that is, pain in the region **between your ribs and your hips**, can indicate many different conditions, including **kidney stones, kidney infection, liver disease or ulcerative colitis**. \\[1,4,13\\]\n\n### *Treatments*\nBecause the onset of back pain that is made worse with standing and walking can be caused by numerous conditions, treatment will vary based on your diagnosis. Your physician may recommend **physical therapy, medications including NSAIDs, muscle relaxants, and anticonvulsants, and rest or activity modifications.** \\[1,3,5\\] There are also several **lifestyle modifications** you can implement to improve your back pain upon standing and walking. Supporting **good posture** throughout the day prevents unnecessary strain on the spine. \\[5,7\\]\n\nAdditionally, extra stomach weight pulls the pelvis forward, contributing to acute back pain while walking. \\[1,5,14\\] **Maintaining a healthy weight and engaging in regular exercise can also lessen back pain**. Applying ice or heat on the affected region of the back may also provide temporary relief and reduce any present swelling. \\[1,5,14\\]\n\n### *Sources*\n1\\.NINDS. Low Back Pain Fact Sheet. National Institute of Health\n\nhttps:\/\/www.ninds.nih.gov\/health-information\/patient-caregiver-education\/fact-sheets\/low-backpain-fact-sheet\n\n2\\. McIntosh G, Hall H. Low back pain (acute). BMJ Clin Evid. May 9 2011;2011 3.Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am. Jul 2014;98(4):777-89, xii. doi:10.1016\/j.mcna.2014.03.005\n\n4\\. Bjerke B. What Causes Sharp Lower Back Pain? . Spine Health.\n\nhttps:\/\/www.spinehealth.com\/blog\/what-causes-sharp-lower-back-pain\n\n5\\. How do I stop my lower back from hurting when I walk? . The Spine and Rehab Group. https:\/\/www.thespineandrehabgroup.com\/lower-back-pain-when-walking\n\n6\\. Muscle Strains Mayo Clinic\n\nhttps:\/\/www.mayoclinic.org\/diseases-conditions\/musclestrains\/symptoms-causes\/syc-20450507\n\n7\\. Causes of Lower Back Pain When Standing or Walking Medical News Today https:\/\/www.medicalnewstoday.com\/articles\/322369\\#long-term-treatment\n\n8\\. Molen TV. 5 Reasons Why Your Back Hurts When You Walk. Kinetic Edge Physical Therapy. https:\/\/www.kineticedgept.com\/5-reasons-why-your-back-hurts-when-you-walk\/\n\n9\\. NIAMS. Spinal Stenosis NIH.\n\nhttps:\/\/www.niams.nih.gov\/health-topics\/spinalstenosis\\#tab-risk\n\n10\\. Spondylolisthesis UK National Health Service\n\nhttps:\/\/www.nhs.uk\/conditions\/spondylolisthesis\/\\#:~:text=Spondylolisthesis%20is%20where%2 0one%20of,same%20as%20a%20slipped%20disc\n\n11\\. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. Feb 15 2012;85(4):343-50.\n\n12\\. Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. Apr 1 2016;113(13):223-34. doi:10.3238\/arztebl.2016.0223\n\n13\\. Flank Pain. Cleveland Clinic.\n\nhttps:\/\/my.clevelandclinic.org\/health\/symptoms\/21541-flankpain\n\n14\\. Frothingham S. What Can I Do About My Lower Back Pain When standing? Healthline https:\/\/www.healthline.com\/health\/lower-back-pain-when-standing\\#self--care\n***\n### By the Brain and Spine Neurosurgical Institute of Rhode Island\n***\n\n### Recent Posts\nFeatured\n\n[![How to Read a Back MRI Report]()](https:\/\/spinetogether.com\/all-posts\/how-to-read-mri-report)\n\nJan 13, 2026\n\n[How to Read a Back MRI Report](https:\/\/spinetogether.com\/all-posts\/how-to-read-mri-report)\n\nJan 13, 2026\n\nJan 13, 2026\n\n[![How Biking to Work Benefits Your Spine (and Your Day)]()](https:\/\/spinetogether.com\/all-posts\/biking-to-work)\n\nMay 19, 2025\n\n[How Biking to Work Benefits Your Spine (and Your Day)](https:\/\/spinetogether.com\/all-posts\/biking-to-work)\n\nMay 19, 2025\n\nMay 19, 2025\n\n[![Why Stretching Before Work Matters for Blue-Collar Workers]()](https:\/\/spinetogether.com\/all-posts\/stretching-before-work)\n\nApr 18, 2025\n\n[Why Stretching Before Work Matters for Blue-Collar Workers](https:\/\/spinetogether.com\/all-posts\/stretching-before-work)\n\nApr 18, 2025\n\nApr 18, 2025\n\n[![Desk Job Survival Guide: Keeping Your Spine Healthy at Work]()](https:\/\/spinetogether.com\/all-posts\/desk-job)\n\nApr 15, 2025\n\n[Desk Job Survival Guide: Keeping Your Spine Healthy at Work](https:\/\/spinetogether.com\/all-posts\/desk-job)\n\nApr 15, 2025\n\nApr 15, 2025\n\n[![How to Modify Your Workout If You Have Back Pain]()](https:\/\/spinetogether.com\/all-posts\/workout-without-pain)\n\nApr 11, 2025\n\n[How to Modify Your Workout If You Have Back Pain](https:\/\/spinetogether.com\/all-posts\/workout-without-pain)\n\nApr 11, 2025\n\nApr 11, 2025\n\n[![What Your Feet Have to Do With Your Back Pain]()](https:\/\/spinetogether.com\/all-posts\/how-your-feet-affect-the-spine)\n\nApr 8, 2025\n\n[What Your Feet Have to Do With Your Back Pain](https:\/\/spinetogether.com\/all-posts\/how-your-feet-affect-the-spine)\n\nApr 8, 2025\n\nApr 8, 2025\n\n[![Can Your Gut Health Affect Your Back Pain?]()](https:\/\/spinetogether.com\/all-posts\/gut-health)\n\nApr 4, 2025\n\n[Can Your Gut Health Affect Your Back Pain?](https:\/\/spinetogether.com\/all-posts\/gut-health)\n\nApr 4, 2025\n\nApr 4, 2025\n\n[![How to Stay Active When You Have Chronic Back Pain]()](https:\/\/spinetogether.com\/all-posts\/staying-active)\n\nMar 28, 2025\n\n[How to Stay Active When You Have Chronic Back Pain](https:\/\/spinetogether.com\/all-posts\/staying-active)\n\nMar 28, 2025\n\nMar 28, 2025\n\n## Book a Consultation With BSNI Today\\!\n[Request Appointment \\>\\>](https:\/\/spinetogether.com\/request-an-appointment)\n\n[Spine Together](https:\/\/spinetogether.com\/all-posts?author=5a3415a95e0ed82d1b0f1961)\n\n[Previous Previous Understanding Chiropractic Care](https:\/\/spinetogether.com\/all-posts\/understanding-chiropractic-care)\n\n[Next Next 6 Types of Medication for Back Pain](https:\/\/spinetogether.com\/all-posts\/2023\/8\/21\/medications-for-back-pain)\n\n### Brain and Spine Neurosurgical Institute\n1526 Atwood Avenue  \nSuite 200  \nJohnston, RI 02919\n\n[**tel:** (401) 404-2975](tel:401-404-2975)\n\n[**fax:** (401) 404-2976](fax:401-404-2976)\n\n### Patient Resources\n[*Request Appointment*](https:\/\/spinetogether.com\/request-an-appointment)[*Request Imaging Consult*](https:\/\/spinetogether.com\/imaging-consultations)[*New Patients*](https:\/\/spinetogether.com\/new-patients)[*Preparing for Surgery*](https:\/\/spinetogether.com\/preparing-surgery)[*Medical Records Request*](https:\/\/spinetogether.com\/medical-records-request-form)[*Diagnosis Guides*](https:\/\/spinetogether.com\/diagnoses)[*Procedure Guides*](https:\/\/spinetogether.com\/procedures)[*Physical Therapy Guides*](https:\/\/spinetogether.com\/physical-therapy)\n\n### About BSNI\n[*The BSNI Approach*](https:\/\/spinetogether.com\/approach) [*Our Locations*](https:\/\/spinetogether.com\/locations)[*Our Providers*](https:\/\/spinetogether.com\/providers)[*Our Staff*](https:\/\/spinetogether.com\/staff)[*Testimonials*](https:\/\/spinetogether.com\/testimonials) [*Contact*](https:\/\/spinetogether.com\/contact)[*Write Us a Review*](https:\/\/spinetogether.com\/review) [*Join Our Newsletter*](https:\/\/spinetogether.com\/join-our-newsletter)\n\n### Locations\n[*Johnston Office*](https:\/\/spinetogether.com\/johnston)[*Cumberland Office*](https:\/\/spinetogether.com\/cumberland)[*North Kingstown Office*](https:\/\/spinetogether.com\/north-kingstown)[*Middletown Office*](https:\/\/spinetogether.com\/middletown)[*East Providence Office*](https:\/\/spinetogether.com\/east-providence)\n\nCopyright © Brain and Spine Neurosurgical Institute. All Rights Reserved","attrs_readable_markdown":"### *Presentation*\n**70-80%** of individuals will experience **lower back pain** in their lifetime. \\[1-3\\] Back pain can be acute or chronic, and is often associated with **decreased motion** and **stiffness**. \\[4\\] Some individuals may experience radiation of pain down the legs, or numbness, weakness, or tingling caused by the compression of nerves. \\[4\\] There are several factors that may put you at greater risk for back pain. These include **osteoporosis**, **smoking**, and **diabetes**. \\[5\\] Additionally, **poor posture, lack of regular exercise, or extra body weight** may increase your likelihood of lower back pain. \\[5\\] While there are many different etiologies that cause back pain. This article focuses on the **most common causes** of back pain that result from and\/or are exacerbated by **walking or standing**.\n\n### *Causes*\n• **Muscle strain\/sprain**: Muscle strain refers to the **pulling or tearing of muscle fibers** and muscle sprain refers to **overstretched ligaments**. Muscle strains and sprains generally present as acute, shooting pain. They are often worse when transitioning from a sitting to standing position and with increasing activity. \\[3,4,6\\]\n\n• **Muscle fatigue\/mechanical issues**: If muscles are fatigued, they are unable to sufficiently hold up your body weight, thereby placing more strain on your spine. **Overweight individuals are often at greater risk**. \\[7\\] Additionally, alterations to your mechanics may place undue strain on your spine. For example, your body must absorb force equivalent to 2-3x your body weight each time you take a step. **If you have poor foot mobility, this force is transferred to the spine, causing pain over time**. \\[8\\] **Poor hip mobility can cause inflammation of the back** over time and compress nearby nerves. \\[8\\]\n\n• **Lumbar spinal stenosis**: Lumbar spinal stenosis describes a **narrowing of the spine that places pressure on the spinal cord**, causing pain when walking or standing, weakness and tingling, and in severe cases, bowel dysfunction. Spinal stenosis generally presents in **persons older than 50**, as spinal stenosis is usually a result of aging. \\[7,9\\]\n\n• **Spondylothesis**: Spondylolisthesis refers to instances when one of **the vertebrae slips out of place**. Pain is generally worse in the leg as compared to the back and is exacerbated by standing and walking. \\[10,11\\]\n\n• **Spondylosis**: Spongylosis refers to the **degeneration of the facet joint that can cause leg and back pain**. Usually, your back pain is worse in the morning and gradually diminishes throughout the day. This pain is **aggravated by standing and walking**, and spine flexion. \\[3,11\\]\n\n• **Hyperlordosis**: This condition presents with drastic **arching of the lower spine, more commonly known as “swayback”**. This lower back pain is exacerbated by standing and walking. \\[12\\] In children, this may be treated with a corrective back brace. In adults, this condition is generally managed with OTC pain medications and weight management. Surgery may be considered in severe cases. \\[7\\]\n\n• **Irritation of internal organs**: **“Flank pain”**, that is, pain in the region **between your ribs and your hips**, can indicate many different conditions, including **kidney stones, kidney infection, liver disease or ulcerative colitis**. \\[1,4,13\\]\n\n### *Treatments*\nBecause the onset of back pain that is made worse with standing and walking can be caused by numerous conditions, treatment will vary based on your diagnosis. Your physician may recommend **physical therapy, medications including NSAIDs, muscle relaxants, and anticonvulsants, and rest or activity modifications.** \\[1,3,5\\] There are also several **lifestyle modifications** you can implement to improve your back pain upon standing and walking. Supporting **good posture** throughout the day prevents unnecessary strain on the spine. \\[5,7\\]\n\nAdditionally, extra stomach weight pulls the pelvis forward, contributing to acute back pain while walking. \\[1,5,14\\] **Maintaining a healthy weight and engaging in regular exercise can also lessen back pain**. Applying ice or heat on the affected region of the back may also provide temporary relief and reduce any present swelling. \\[1,5,14\\]\n\n### *Sources*\n1\\.NINDS. Low Back Pain Fact Sheet. National Institute of Health\n\nhttps:\/\/www.ninds.nih.gov\/health-information\/patient-caregiver-education\/fact-sheets\/low-backpain-fact-sheet\n\n2\\. McIntosh G, Hall H. Low back pain (acute). BMJ Clin Evid. May 9 2011;2011 3.Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am. Jul 2014;98(4):777-89, xii. doi:10.1016\/j.mcna.2014.03.005\n\n4\\. Bjerke B. What Causes Sharp Lower Back Pain? . Spine Health.\n\nhttps:\/\/www.spinehealth.com\/blog\/what-causes-sharp-lower-back-pain\n\n5\\. How do I stop my lower back from hurting when I walk? . The Spine and Rehab Group. https:\/\/www.thespineandrehabgroup.com\/lower-back-pain-when-walking\n\n6\\. Muscle Strains Mayo Clinic\n\nhttps:\/\/www.mayoclinic.org\/diseases-conditions\/musclestrains\/symptoms-causes\/syc-20450507\n\n7\\. Causes of Lower Back Pain When Standing or Walking Medical News Today https:\/\/www.medicalnewstoday.com\/articles\/322369\\#long-term-treatment\n\n8\\. Molen TV. 5 Reasons Why Your Back Hurts When You Walk. Kinetic Edge Physical Therapy. https:\/\/www.kineticedgept.com\/5-reasons-why-your-back-hurts-when-you-walk\/\n\n9\\. NIAMS. Spinal Stenosis NIH.\n\nhttps:\/\/www.niams.nih.gov\/health-topics\/spinalstenosis\\#tab-risk\n\n10\\. Spondylolisthesis UK National Health Service\n\nhttps:\/\/www.nhs.uk\/conditions\/spondylolisthesis\/\\#:~:text=Spondylolisthesis%20is%20where%2 0one%20of,same%20as%20a%20slipped%20disc\n\n11\\. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. Feb 15 2012;85(4):343-50.\n\n12\\. Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. Apr 1 2016;113(13):223-34. doi:10.3238\/arztebl.2016.0223\n\n13\\. Flank Pain. Cleveland Clinic.\n\nhttps:\/\/my.clevelandclinic.org\/health\/symptoms\/21541-flankpain\n\n14\\. Frothingham S. What Can I Do About My Lower Back Pain When standing? 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Boilerpipe Text	Presentation 70-80% of individuals will experience lower back pain in their lifetime. [1-3] Back pain can be acute or chronic, and is often associated with decreased motion and stiffness . [4] Some individuals may experience radiation of pain down the legs, or numbness, weakness, or tingling caused by the compression of nerves. [4] There are several factors that may put you at greater risk for back pain. These include osteoporosis , smoking , and diabetes . [5] Additionally, poor posture, lack of regular exercise, or extra body weight may increase your likelihood of lower back pain. [5] While there are many different etiologies that cause back pain. This article focuses on the most common causes of back pain that result from and/or are exacerbated by walking or standing . Causes • Muscle strain/sprain : Muscle strain refers to the pulling or tearing of muscle fibers and muscle sprain refers to overstretched ligaments . Muscle strains and sprains generally present as acute, shooting pain. They are often worse when transitioning from a sitting to standing position and with increasing activity. [3,4,6] • Muscle fatigue/mechanical issues : If muscles are fatigued, they are unable to sufficiently hold up your body weight, thereby placing more strain on your spine. Overweight individuals are often at greater risk . [7] Additionally, alterations to your mechanics may place undue strain on your spine. For example, your body must absorb force equivalent to 2-3x your body weight each time you take a step. If you have poor foot mobility, this force is transferred to the spine, causing pain over time . [8] Poor hip mobility can cause inflammation of the back over time and compress nearby nerves. [8] • Lumbar spinal stenosis : Lumbar spinal stenosis describes a narrowing of the spine that places pressure on the spinal cord , causing pain when walking or standing, weakness and tingling, and in severe cases, bowel dysfunction. Spinal stenosis generally presents in persons older than 50 , as spinal stenosis is usually a result of aging. [7,9] • Spondylothesis : Spondylolisthesis refers to instances when one of the vertebrae slips out of place . Pain is generally worse in the leg as compared to the back and is exacerbated by standing and walking. [10,11] • Spondylosis : Spongylosis refers to the degeneration of the facet joint that can cause leg and back pain . Usually, your back pain is worse in the morning and gradually diminishes throughout the day. This pain is aggravated by standing and walking , and spine flexion. [3,11] • Hyperlordosis : This condition presents with drastic arching of the lower spine, more commonly known as “swayback” . This lower back pain is exacerbated by standing and walking. [12] In children, this may be treated with a corrective back brace. In adults, this condition is generally managed with OTC pain medications and weight management. Surgery may be considered in severe cases. [7] • Irritation of internal organs : “Flank pain” , that is, pain in the region between your ribs and your hips , can indicate many different conditions, including kidney stones, kidney infection, liver disease or ulcerative colitis . [1,4,13] Treatments Because the onset of back pain that is made worse with standing and walking can be caused by numerous conditions, treatment will vary based on your diagnosis. Your physician may recommend physical therapy, medications including NSAIDs, muscle relaxants, and anticonvulsants, and rest or activity modifications. [1,3,5] There are also several lifestyle modifications you can implement to improve your back pain upon standing and walking. Supporting good posture throughout the day prevents unnecessary strain on the spine. [5,7] Additionally, extra stomach weight pulls the pelvis forward, contributing to acute back pain while walking. [1,5,14] Maintaining a healthy weight and engaging in regular exercise can also lessen back pain . Applying ice or heat on the affected region of the back may also provide temporary relief and reduce any present swelling. [1,5,14] Sources 1.NINDS. Low Back Pain Fact Sheet. National Institute of Health https://www.ninds.nih.gov/health-information/patient-caregiver-education/fact-sheets/low-backpain-fact-sheet 2. McIntosh G, Hall H. Low back pain (acute). BMJ Clin Evid. May 9 2011;2011 3.Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am. Jul 2014;98(4):777-89, xii. doi:10.1016/j.mcna.2014.03.005 4. Bjerke B. What Causes Sharp Lower Back Pain? . Spine Health. https://www.spinehealth.com/blog/what-causes-sharp-lower-back-pain 5. How do I stop my lower back from hurting when I walk? . The Spine and Rehab Group. https://www.thespineandrehabgroup.com/lower-back-pain-when-walking 6. Muscle Strains Mayo Clinic https://www.mayoclinic.org/diseases-conditions/musclestrains/symptoms-causes/syc-20450507 7. Causes of Lower Back Pain When Standing or Walking Medical News Today https://www.medicalnewstoday.com/articles/322369#long-term-treatment 8. Molen TV. 5 Reasons Why Your Back Hurts When You Walk. Kinetic Edge Physical Therapy. https://www.kineticedgept.com/5-reasons-why-your-back-hurts-when-you-walk/ 9. NIAMS. Spinal Stenosis NIH. https://www.niams.nih.gov/health-topics/spinalstenosis#tab-risk 10. Spondylolisthesis UK National Health Service https://www.nhs.uk/conditions/spondylolisthesis/#:~:text=Spondylolisthesis%20is%20where%2 0one%20of,same%20as%20a%20slipped%20disc 11. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. Feb 15 2012;85(4):343-50. 12. Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. Apr 1 2016;113(13):223-34. doi:10.3238/arztebl.2016.0223 13. Flank Pain. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/21541-flankpain 14. Frothingham S. What Can I Do About My Lower Back Pain When standing? Healthline https://www.healthline.com/health/lower-back-pain-when-standing#self--care
Markdown	[0](https://spinetogether.com/cart) [Skip to Content](https://spinetogether.com/all-posts/back-pain-standing-or-walking#page) [![Spine Together](https://images.squarespace-cdn.com/content/v1/5a3415bfbce1765b74acb0f9/1543088894651-IV7CJAGNIL079W2LBRAS/Untitled-1.jpg?format=1500w)](https://spinetogether.com/) [Home](https://spinetogether.com/) About [The BSNI Approach](https://spinetogether.com/our-approach) [Our Locations](https://spinetogether.com/locations) [Testimonials](https://spinetogether.com/testimonials) [Leave us a Review](https://spinetogether.com/review) Our Team [Providers](https://spinetogether.com/providers) [Staff](https://spinetogether.com/staff) [Contact](https://spinetogether.com/contact) [Community](https://spinetogether.com/community) Patient Resources [New Patients](https://spinetogether.com/new-patients) [Preparing for Surgery](https://spinetogether.com/preparing-surgery) [Medical Records Request Form](https://spinetogether.com/medical-records-request-form) [Request an Imaging Consult](https://spinetogether.com/imaging-consultations) Informational Guides [Diagnosis Guides](https://spinetogether.com/diagnoses) [Procedure Guides](https://spinetogether.com/procedures) [Physical Therapy Guides](https://spinetogether.com/physical-therapy) [Video Library](https://spinetogether.com/video-library) [Our Blog](https://spinetogether.com/blog) [Request an Appointment](https://spinetogether.com/request-an-appointment) Open Menu Close Menu [![Spine Together](https://images.squarespace-cdn.com/content/v1/5a3415bfbce1765b74acb0f9/1543088894651-IV7CJAGNIL079W2LBRAS/Untitled-1.jpg?format=1500w)](https://spinetogether.com/) [Home](https://spinetogether.com/) About [The BSNI Approach](https://spinetogether.com/our-approach) [Our Locations](https://spinetogether.com/locations) [Testimonials](https://spinetogether.com/testimonials) [Leave us a Review](https://spinetogether.com/review) Our Team [Providers](https://spinetogether.com/providers) [Staff](https://spinetogether.com/staff) [Contact](https://spinetogether.com/contact) [Community](https://spinetogether.com/community) Patient Resources [New Patients](https://spinetogether.com/new-patients) [Preparing for Surgery](https://spinetogether.com/preparing-surgery) [Medical Records Request Form](https://spinetogether.com/medical-records-request-form) [Request an Imaging Consult](https://spinetogether.com/imaging-consultations) Informational Guides [Diagnosis Guides](https://spinetogether.com/diagnoses) [Procedure Guides](https://spinetogether.com/procedures) [Physical Therapy Guides](https://spinetogether.com/physical-therapy) [Video Library](https://spinetogether.com/video-library) [Our Blog](https://spinetogether.com/blog) [Request an Appointment](https://spinetogether.com/request-an-appointment) Open Menu Close Menu [Home](https://spinetogether.com/) [Folder: About](https://spinetogether.com/about-1) [Back](https://spinetogether.com/) [The BSNI Approach](https://spinetogether.com/our-approach) [Our Locations](https://spinetogether.com/locations) [Testimonials](https://spinetogether.com/testimonials) [Leave us a Review](https://spinetogether.com/review) [Folder: Our Team](https://spinetogether.com/our-team-1) [Back](https://spinetogether.com/) [Providers](https://spinetogether.com/providers) [Staff](https://spinetogether.com/staff) [Contact](https://spinetogether.com/contact) [Community](https://spinetogether.com/community) [Folder: Patient Resources](https://spinetogether.com/patient-resources) [Back](https://spinetogether.com/) [New Patients](https://spinetogether.com/new-patients) [Preparing for Surgery](https://spinetogether.com/preparing-surgery) [Medical Records Request Form](https://spinetogether.com/medical-records-request-form) [Request an Imaging Consult](https://spinetogether.com/imaging-consultations) [Folder: Informational Guides](https://spinetogether.com/new-folder) [Back](https://spinetogether.com/) [Diagnosis Guides](https://spinetogether.com/diagnoses) [Procedure Guides](https://spinetogether.com/procedures) [Physical Therapy Guides](https://spinetogether.com/physical-therapy) [Video Library](https://spinetogether.com/video-library) [Our Blog](https://spinetogether.com/blog) [Request an Appointment](https://spinetogether.com/request-an-appointment) # Back Pain While Standing or Walking [Back Pain](https://spinetogether.com/all-posts/category/Back+Pain) Mar 26 Written By [Spine Together](https://spinetogether.com/all-posts?author=5a3415a95e0ed82d1b0f1961) ### Presentation 70-80% of individuals will experience lower back pain in their lifetime. \[1-3\] Back pain can be acute or chronic, and is often associated with decreased motion and stiffness. \[4\] Some individuals may experience radiation of pain down the legs, or numbness, weakness, or tingling caused by the compression of nerves. \[4\] There are several factors that may put you at greater risk for back pain. These include osteoporosis, smoking, and diabetes. \[5\] Additionally, poor posture, lack of regular exercise, or extra body weight may increase your likelihood of lower back pain. \[5\] While there are many different etiologies that cause back pain. This article focuses on the most common causes of back pain that result from and/or are exacerbated by walking or standing. ### Causes • Muscle strain/sprain: Muscle strain refers to the pulling or tearing of muscle fibers and muscle sprain refers to overstretched ligaments. Muscle strains and sprains generally present as acute, shooting pain. They are often worse when transitioning from a sitting to standing position and with increasing activity. \[3,4,6\] • Muscle fatigue/mechanical issues: If muscles are fatigued, they are unable to sufficiently hold up your body weight, thereby placing more strain on your spine. Overweight individuals are often at greater risk. \[7\] Additionally, alterations to your mechanics may place undue strain on your spine. For example, your body must absorb force equivalent to 2-3x your body weight each time you take a step. If you have poor foot mobility, this force is transferred to the spine, causing pain over time. \[8\] Poor hip mobility can cause inflammation of the back over time and compress nearby nerves. \[8\] • Lumbar spinal stenosis: Lumbar spinal stenosis describes a narrowing of the spine that places pressure on the spinal cord, causing pain when walking or standing, weakness and tingling, and in severe cases, bowel dysfunction. Spinal stenosis generally presents in persons older than 50, as spinal stenosis is usually a result of aging. \[7,9\] • Spondylothesis: Spondylolisthesis refers to instances when one of the vertebrae slips out of place. Pain is generally worse in the leg as compared to the back and is exacerbated by standing and walking. \[10,11\] • Spondylosis: Spongylosis refers to the degeneration of the facet joint that can cause leg and back pain. Usually, your back pain is worse in the morning and gradually diminishes throughout the day. This pain is aggravated by standing and walking, and spine flexion. \[3,11\] • Hyperlordosis: This condition presents with drastic arching of the lower spine, more commonly known as “swayback”. This lower back pain is exacerbated by standing and walking. \[12\] In children, this may be treated with a corrective back brace. In adults, this condition is generally managed with OTC pain medications and weight management. Surgery may be considered in severe cases. \[7\] • Irritation of internal organs: “Flank pain”, that is, pain in the region between your ribs and your hips, can indicate many different conditions, including kidney stones, kidney infection, liver disease or ulcerative colitis. \[1,4,13\] ### Treatments Because the onset of back pain that is made worse with standing and walking can be caused by numerous conditions, treatment will vary based on your diagnosis. Your physician may recommend physical therapy, medications including NSAIDs, muscle relaxants, and anticonvulsants, and rest or activity modifications. \[1,3,5\] There are also several lifestyle modifications you can implement to improve your back pain upon standing and walking. Supporting good posture throughout the day prevents unnecessary strain on the spine. \[5,7\] Additionally, extra stomach weight pulls the pelvis forward, contributing to acute back pain while walking. \[1,5,14\] Maintaining a healthy weight and engaging in regular exercise can also lessen back pain. Applying ice or heat on the affected region of the back may also provide temporary relief and reduce any present swelling. \[1,5,14\] ### Sources 1\.NINDS. Low Back Pain Fact Sheet. National Institute of Health https://www.ninds.nih.gov/health-information/patient-caregiver-education/fact-sheets/low-backpain-fact-sheet 2\. McIntosh G, Hall H. Low back pain (acute). BMJ Clin Evid. May 9 2011;2011 3.Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am. Jul 2014;98(4):777-89, xii. doi:10.1016/j.mcna.2014.03.005 4\. Bjerke B. What Causes Sharp Lower Back Pain? . Spine Health. https://www.spinehealth.com/blog/what-causes-sharp-lower-back-pain 5\. How do I stop my lower back from hurting when I walk? . The Spine and Rehab Group. https://www.thespineandrehabgroup.com/lower-back-pain-when-walking 6\. Muscle Strains Mayo Clinic https://www.mayoclinic.org/diseases-conditions/musclestrains/symptoms-causes/syc-20450507 7\. Causes of Lower Back Pain When Standing or Walking Medical News Today https://www.medicalnewstoday.com/articles/322369\#long-term-treatment 8\. Molen TV. 5 Reasons Why Your Back Hurts When You Walk. Kinetic Edge Physical Therapy. https://www.kineticedgept.com/5-reasons-why-your-back-hurts-when-you-walk/ 9\. NIAMS. Spinal Stenosis NIH. https://www.niams.nih.gov/health-topics/spinalstenosis\#tab-risk 10\. Spondylolisthesis UK National Health Service https://www.nhs.uk/conditions/spondylolisthesis/\#:~:text=Spondylolisthesis%20is%20where%2 0one%20of,same%20as%20a%20slipped%20disc 11\. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. Feb 15 2012;85(4):343-50. 12\. Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. Apr 1 2016;113(13):223-34. doi:10.3238/arztebl.2016.0223 13\. Flank Pain. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/21541-flankpain 14\. Frothingham S. What Can I Do About My Lower Back Pain When standing? Healthline https://www.healthline.com/health/lower-back-pain-when-standing\#self--care * ### By the Brain and Spine Neurosurgical Institute of Rhode Island * ### Recent Posts Featured [![How to Read a Back MRI Report]()](https://spinetogether.com/all-posts/how-to-read-mri-report) Jan 13, 2026 [How to Read a Back MRI Report](https://spinetogether.com/all-posts/how-to-read-mri-report) Jan 13, 2026 Jan 13, 2026 [![How Biking to Work Benefits Your Spine (and Your Day)]()](https://spinetogether.com/all-posts/biking-to-work) May 19, 2025 [How Biking to Work Benefits Your Spine (and Your Day)](https://spinetogether.com/all-posts/biking-to-work) May 19, 2025 May 19, 2025 [![Why Stretching Before Work Matters for Blue-Collar Workers]()](https://spinetogether.com/all-posts/stretching-before-work) Apr 18, 2025 [Why Stretching Before Work Matters for Blue-Collar Workers](https://spinetogether.com/all-posts/stretching-before-work) Apr 18, 2025 Apr 18, 2025 [![Desk Job Survival Guide: Keeping Your Spine Healthy at Work]()](https://spinetogether.com/all-posts/desk-job) Apr 15, 2025 [Desk Job Survival Guide: Keeping Your Spine Healthy at Work](https://spinetogether.com/all-posts/desk-job) Apr 15, 2025 Apr 15, 2025 [![How to Modify Your Workout If You Have Back Pain]()](https://spinetogether.com/all-posts/workout-without-pain) Apr 11, 2025 [How to Modify Your Workout If You Have Back Pain](https://spinetogether.com/all-posts/workout-without-pain) Apr 11, 2025 Apr 11, 2025 [![What Your Feet Have to Do With Your Back Pain]()](https://spinetogether.com/all-posts/how-your-feet-affect-the-spine) Apr 8, 2025 [What Your Feet Have to Do With Your Back Pain](https://spinetogether.com/all-posts/how-your-feet-affect-the-spine) Apr 8, 2025 Apr 8, 2025 [![Can Your Gut Health Affect Your Back Pain?]()](https://spinetogether.com/all-posts/gut-health) Apr 4, 2025 [Can Your Gut Health Affect Your Back Pain?](https://spinetogether.com/all-posts/gut-health) Apr 4, 2025 Apr 4, 2025 [![How to Stay Active When You Have Chronic Back Pain]()](https://spinetogether.com/all-posts/staying-active) Mar 28, 2025 [How to Stay Active When You Have Chronic Back Pain](https://spinetogether.com/all-posts/staying-active) Mar 28, 2025 Mar 28, 2025 ## Book a Consultation With BSNI Today\! 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Readable Markdown	### Presentation 70-80% of individuals will experience lower back pain in their lifetime. \[1-3\] Back pain can be acute or chronic, and is often associated with decreased motion and stiffness. \[4\] Some individuals may experience radiation of pain down the legs, or numbness, weakness, or tingling caused by the compression of nerves. \[4\] There are several factors that may put you at greater risk for back pain. These include osteoporosis, smoking, and diabetes. \[5\] Additionally, poor posture, lack of regular exercise, or extra body weight may increase your likelihood of lower back pain. \[5\] While there are many different etiologies that cause back pain. This article focuses on the most common causes of back pain that result from and/or are exacerbated by walking or standing. ### Causes • Muscle strain/sprain: Muscle strain refers to the pulling or tearing of muscle fibers and muscle sprain refers to overstretched ligaments. Muscle strains and sprains generally present as acute, shooting pain. They are often worse when transitioning from a sitting to standing position and with increasing activity. \[3,4,6\] • Muscle fatigue/mechanical issues: If muscles are fatigued, they are unable to sufficiently hold up your body weight, thereby placing more strain on your spine. Overweight individuals are often at greater risk. \[7\] Additionally, alterations to your mechanics may place undue strain on your spine. For example, your body must absorb force equivalent to 2-3x your body weight each time you take a step. If you have poor foot mobility, this force is transferred to the spine, causing pain over time. \[8\] Poor hip mobility can cause inflammation of the back over time and compress nearby nerves. \[8\] • Lumbar spinal stenosis: Lumbar spinal stenosis describes a narrowing of the spine that places pressure on the spinal cord, causing pain when walking or standing, weakness and tingling, and in severe cases, bowel dysfunction. Spinal stenosis generally presents in persons older than 50, as spinal stenosis is usually a result of aging. \[7,9\] • Spondylothesis: Spondylolisthesis refers to instances when one of the vertebrae slips out of place. Pain is generally worse in the leg as compared to the back and is exacerbated by standing and walking. \[10,11\] • Spondylosis: Spongylosis refers to the degeneration of the facet joint that can cause leg and back pain. Usually, your back pain is worse in the morning and gradually diminishes throughout the day. This pain is aggravated by standing and walking, and spine flexion. \[3,11\] • Hyperlordosis: This condition presents with drastic arching of the lower spine, more commonly known as “swayback”. This lower back pain is exacerbated by standing and walking. \[12\] In children, this may be treated with a corrective back brace. In adults, this condition is generally managed with OTC pain medications and weight management. Surgery may be considered in severe cases. \[7\] • Irritation of internal organs: “Flank pain”, that is, pain in the region between your ribs and your hips, can indicate many different conditions, including kidney stones, kidney infection, liver disease or ulcerative colitis. \[1,4,13\] ### Treatments Because the onset of back pain that is made worse with standing and walking can be caused by numerous conditions, treatment will vary based on your diagnosis. Your physician may recommend physical therapy, medications including NSAIDs, muscle relaxants, and anticonvulsants, and rest or activity modifications. \[1,3,5\] There are also several lifestyle modifications you can implement to improve your back pain upon standing and walking. Supporting good posture throughout the day prevents unnecessary strain on the spine. \[5,7\] Additionally, extra stomach weight pulls the pelvis forward, contributing to acute back pain while walking. \[1,5,14\] Maintaining a healthy weight and engaging in regular exercise can also lessen back pain. Applying ice or heat on the affected region of the back may also provide temporary relief and reduce any present swelling. \[1,5,14\] ### Sources 1\.NINDS. Low Back Pain Fact Sheet. National Institute of Health https://www.ninds.nih.gov/health-information/patient-caregiver-education/fact-sheets/low-backpain-fact-sheet 2\. McIntosh G, Hall H. Low back pain (acute). BMJ Clin Evid. May 9 2011;2011 3.Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am. Jul 2014;98(4):777-89, xii. doi:10.1016/j.mcna.2014.03.005 4\. Bjerke B. What Causes Sharp Lower Back Pain? . Spine Health. https://www.spinehealth.com/blog/what-causes-sharp-lower-back-pain 5\. How do I stop my lower back from hurting when I walk? . The Spine and Rehab Group. https://www.thespineandrehabgroup.com/lower-back-pain-when-walking 6\. Muscle Strains Mayo Clinic https://www.mayoclinic.org/diseases-conditions/musclestrains/symptoms-causes/syc-20450507 7\. Causes of Lower Back Pain When Standing or Walking Medical News Today https://www.medicalnewstoday.com/articles/322369\#long-term-treatment 8\. Molen TV. 5 Reasons Why Your Back Hurts When You Walk. Kinetic Edge Physical Therapy. https://www.kineticedgept.com/5-reasons-why-your-back-hurts-when-you-walk/ 9\. NIAMS. Spinal Stenosis NIH. https://www.niams.nih.gov/health-topics/spinalstenosis\#tab-risk 10\. Spondylolisthesis UK National Health Service https://www.nhs.uk/conditions/spondylolisthesis/\#:~:text=Spondylolisthesis%20is%20where%2 0one%20of,same%20as%20a%20slipped%20disc 11\. Casazza BA. Diagnosis and treatment of acute low back pain. Am Fam Physician. Feb 15 2012;85(4):343-50. 12\. Casser HR, Seddigh S, Rauschmann M. Acute Lumbar Back Pain. Dtsch Arztebl Int. Apr 1 2016;113(13):223-34. doi:10.3238/arztebl.2016.0223 13\. Flank Pain. Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/21541-flankpain 14\. Frothingham S. What Can I Do About My Lower Back Pain When standing? Healthline https://www.healthline.com/health/lower-back-pain-when-standing\#self--care
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