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| Meta Title | Lower back pain when standing or walking: Causes and treatment |
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| Boilerpipe Text | Lower back pain when standing or walking may be due to muscle fatigue or injury. It may also be due to conditions such as spinal stenosis, degenerative disc disease, hyperlordosis, and sciatica.
Lower back pain is
common
and may occur due to many factors. This means that determining an underlying cause may often come down to looking at other symptoms and details.
In this article, we look at some potential causes of lower
back pain
that occur when standing or walking. We also cover when to see a doctor and some prevention tips.
Prolonged walking or standing can tire or strain the muscles in the lower back and legs, which
can lead
to aches and pains.
This pain or discomfort usually gets better with sitting or lying down to rest the back.
People who are overweight may be more at risk for muscle
fatigue
when standing or walking.
Treatment
A person can treat muscle fatigue and reduce discomfort in the lower back with:
rest
hot or cold therapy
over-the-counter (OTC) pain relievers, such as ibuprofen and naproxen
gentle exercises to stretch and loosen tight muscles
Maintaining a moderate weight can also help reduce
stress
on the back and legs.
Optum Now is operated by RVO Health. By clicking on this link, we may receive a commission.
Learn more.
Spinal stenosis
is a narrowing of the spine that can place extra pressure on the spinal cord and nerves.
Spinal stenosis often occurs in the lower part of the back, or lumbar spine,
which can lead
to lower back pain. People often find that this pain improves with sitting down or leaning forward.
Other symptoms of lumbar spinal stenosis can include:
weakness in the legs
numbness or tingling in the lower back, buttocks, or legs
sciatica
, or sharp pain that radiates down the leg
Severe spinal stenosis may lead to bowel and bladder problems and sexual dysfunction. It usually occurs due to aging and is most common in people over the age of
50 years
.
However, some people are born with a narrow spinal canal, and spinal stenosis can also develop following a spinal injury.
Treatment
A doctor
may first
recommend nonsurgical treatments for people with spinal stenosis. The options may include:
physical therapy
nonsteroidal anti-inflammatory drugs (
NSAIDs
), such as ibuprofen or naproxen
steroid injections
alternative therapies, such as chiropractic treatment or
acupuncture
If a person’s pain worsens or does not improve, a doctor may recommend a surgical procedure to stabilize the spine or relieve pressure on the spinal nerves.
As a person ages, the protective discs that sit between each vertebra in the spine can gradually wear down and shrink. Degeneration of these discs can lead to the bones in the spine rubbing against one another, which
may cause
back pain and stiffness.
While symptoms of
degenerative disc disease
often improve with walking, the pain may get worse when a person is standing or twisting, bending, or lifting.
Other symptoms of degenerative disc disease may include:
lower back pain that radiates to the buttocks and thighs
weakness in the legs or feet
back pain that varies in severity and duration
Treatment
Treatment options for degenerative disc disease can include:
NSAIDs, such as ibuprofen and naproxen
ice or heat packs
physical therapy
a back brace
If conservative treatments do not improve a person’s symptoms, a doctor may recommend artificial disc replacement or a spinal fusion.
Hyperlordosis
is an excessive inward curvature of the lower spine that causes the buttocks to become more prominent and the stomach to stick out.
When lying on their back, a person with hyperlordosis may have a noticeable c-shaped curve or large gap in their lower back area. People sometimes refer to this exaggerated posture as “swayback.”
Hyperlordosis can sometimes also
cause pain
and discomfort in the lower back, which may affect movement or worsen with prolonged standing.
Hyperlordosis can result from spinal injuries or conditions such as
obesity
,
osteoporosis
, spondylolisthesis, and
rickets
.
Treatment
Treatment options depend on the person’s age and the severity of the curvature and symptoms.
A doctor may recommend that children with hyperlordosis wear a back brace while growing. For adults, a doctor may recommend conservative treatments, such as OTC pain relievers, physical therapy, and weight management.
In rare instances, a doctor may recommend corrective surgery.
Sciatica
is irritation of the sciatic nerve. The sciatic nerve runs from the lower back down to the knee. Compression of the sciatic nerve in the lower back is a common cause of sciatica and
often results
in back pain. This can occur due to a disc slipping or inflammation in the surrounding tissue.
Treatment
Sciatica symptoms typically resolve within
4-6 weeks
without intervention. Practicing proper posture, stretching, and regular light exercise
can reduce
symptoms.
If lifestyle changes do not resolve symptoms, doctors may prescribe NSAIDS, muscle relaxants, and OTC painkillers.
In severe cases, corticosteroid injections, spinal manipulation, and surgery may be necessary.
Lower back pain, when standing or walking, is not always a cause for concern and may get better with home treatment, such as rest, OTC pain relievers, hot and cold therapy, and gentle stretching.
A person should see their doctor if the pain is severe, does not get better, or occurs along with other concerning or debilitating symptoms.
People with lower back pain should seek immediate medical attention if they experience loss of bowel or bladder control or if it affects leg movement.
Some tips to help prevent lower back pain include:
Exercising for at least 30 minutes on most days of the week. Where possible, try doing a mixture of low- and high intensity physical activities exercises, such as bike riding, walking, aerobics classes, swimming, or using an elliptical machine.
Practicing good posture when walking, such as by keeping the back straight and avoiding leaning too far forward or slumping.
Making appropriate adjustments to workstations to improve ergonomics. Examples include placing the computer screen at eye level and using a supportive and properly-adjusted chair.
Using proper lifting techniques, including holding an object as close as possible to the body, maintaining a wide stance, bending from the legs and not the back, and avoiding lifting objects that are too heavy.
Eating a healthful, balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins.
People with specific questions or concerns about keeping their backs healthy and free from pain should talk with their doctor.
Lower back pain, when standing or walking, is often a symptom of muscle fatigue or poor posture. People can usually treat this pain at home with rest, OTC pain relievers, hot or cold therapy, and gentle stretching.
Persistent or recurring lower back pain may indicate an underlying condition. These conditions include spinal stenosis, degenerative disc disease, or hyperlordosis. People should see a doctor for lower back pain that is severe, does not get better, or occurs along with other concerning or debilitating symptoms. |
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# Causes of lower back pain when standing or walking

[Medically reviewed]() by [Gregory Minnis, DPT]() — Written by [Rachel Nall, MSN, CRNA]() — [Updated on October 10, 2023]()
- [Muscle damage](https://www.medicalnewstoday.com/articles/325434#muscle-damage)
- [Lumbar spinal stenosis](https://www.medicalnewstoday.com/articles/325434#lumbar-spinal-stenosis)
- [Degenerative disk disease](https://www.medicalnewstoday.com/articles/325434#degenerative-disk-disease)
- [Hyperlordosis](https://www.medicalnewstoday.com/articles/325434#hyperlordosis)
- [Sciatica](https://www.medicalnewstoday.com/articles/325434#sciatica)
- [Seeking help](https://www.medicalnewstoday.com/articles/325434#seeking-help)
- [Prevention tips](https://www.medicalnewstoday.com/articles/325434#prevention-tips)
- [Summary](https://www.medicalnewstoday.com/articles/325434#summary)
Lower back pain when standing or walking may be due to muscle fatigue or injury. It may also be due to conditions such as spinal stenosis, degenerative disc disease, hyperlordosis, and sciatica.
Lower back pain is [common](https://www.ninds.nih.gov/low-back-pain-fact-sheet) and may occur due to many factors. This means that determining an underlying cause may often come down to looking at other symptoms and details.
In this article, we look at some potential causes of lower [back pain](https://www.medicalnewstoday.com/articles/172943.php "What is causing this pain in my back?") that occur when standing or walking. We also cover when to see a doctor and some prevention tips.
## [Muscle sprains, strains, or fatigue]()

[Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F325434&media=https%3A%2F%2Fpost.medicalnewstoday.com%2Fwp-content%2Fuploads%2Fsites%2F3%2F2022%2F12%2Flower_back_GettyImages492387992_Header-1-1024x575.jpg&description=Lower%20back%20pain%20when%20standing%20or%20walking%3A%20Causes%20and%20treatment "Share on Pinterest")
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Prolonged walking or standing can tire or strain the muscles in the lower back and legs, which [can lead](https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Low-Back-Strain-and-Sprain) to aches and pains.
This pain or discomfort usually gets better with sitting or lying down to rest the back.
People who are overweight may be more at risk for muscle [fatigue](https://www.medicalnewstoday.com/articles/248002.php "Fatigue: Why am I so tired and what can I do about it?") when standing or walking.
### Treatment
A person can treat muscle fatigue and reduce discomfort in the lower back with:
- rest
- hot or cold therapy
- over-the-counter (OTC) pain relievers, such as ibuprofen and naproxen
- gentle exercises to stretch and loosen tight muscles
Maintaining a moderate weight can also help reduce [stress](https://www.medicalnewstoday.com/articles/145855.php "Why stress happens and how to manage it") on the back and legs.
**»MORE:**[Get an online treatment plan for low back pain in as little as 15 minutes with Optum Now Online Care.](https://now.optum.com/online-care/app/cp_32q_449a_lowbackpain?utm_source=mnt&utm_medium=organic-onlinecare-on&utm_content=linkto-oc-on-ed&utm_campaign=mnt-article-oc-on-backlink)
Optum Now is operated by RVO Health. By clicking on this link, we may receive a commission. [Learn more.](https://www.medicalnewstoday.com/about/brand-and-product-vetting)
## [Lumbar spinal stenosis]()
[Spinal stenosis](https://www.medicalnewstoday.com/articles/325817) is a narrowing of the spine that can place extra pressure on the spinal cord and nerves.
Spinal stenosis often occurs in the lower part of the back, or lumbar spine, [which can lead](https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis) to lower back pain. People often find that this pain improves with sitting down or leaning forward.
Other symptoms of lumbar spinal stenosis can include:
- weakness in the legs
- numbness or tingling in the lower back, buttocks, or legs
- [sciatica](https://www.medicalnewstoday.com/articles/7619.php "Sciatica: What you need to know"), or sharp pain that radiates down the leg
Severe spinal stenosis may lead to bowel and bladder problems and sexual dysfunction. It usually occurs due to aging and is most common in people over the age of [50 years](https://www.niams.nih.gov/health-topics/spinal-stenosis/advanced#tab-risk).
However, some people are born with a narrow spinal canal, and spinal stenosis can also develop following a spinal injury.
### Treatment
A doctor [may first](https://orthoinfo.aaos.org/en/diseases--conditions/lumbar-spinal-stenosis/) recommend nonsurgical treatments for people with spinal stenosis. The options may include:
- [physical therapy](https://www.medicalnewstoday.com/articles/160645.php "How can physical therapy help?")
- nonsteroidal anti-inflammatory drugs ([NSAIDs](https://www.medicalnewstoday.com/articles/179211.php "Everything you need to know about NSAIDs")), such as ibuprofen or naproxen
- steroid injections
- alternative therapies, such as chiropractic treatment or [acupuncture](https://www.medicalnewstoday.com/articles/156488.php "How does acupuncture work?")
If a person’s pain worsens or does not improve, a doctor may recommend a surgical procedure to stabilize the spine or relieve pressure on the spinal nerves.
## [Degenerative disc disease]()
As a person ages, the protective discs that sit between each vertebra in the spine can gradually wear down and shrink. Degeneration of these discs can lead to the bones in the spine rubbing against one another, which [may cause](https://www.arthritis.org/diseases/degenerative-disc-disease) back pain and stiffness.
While symptoms of [degenerative disc disease](https://www.medicalnewstoday.com/articles/266630.php) often improve with walking, the pain may get worse when a person is standing or twisting, bending, or lifting.
Other symptoms of degenerative disc disease may include:
- lower back pain that radiates to the buttocks and thighs
- weakness in the legs or feet
- back pain that varies in severity and duration
### Treatment
Treatment options for degenerative disc disease can include:
- NSAIDs, such as ibuprofen and naproxen
- ice or heat packs
- physical therapy
- a back brace
If conservative treatments do not improve a person’s symptoms, a doctor may recommend artificial disc replacement or a spinal fusion.
## [Hyperlordosis]()
[Hyperlordosis](https://www.medicalnewstoday.com/articles/321959.php) is an excessive inward curvature of the lower spine that causes the buttocks to become more prominent and the stomach to stick out.
When lying on their back, a person with hyperlordosis may have a noticeable c-shaped curve or large gap in their lower back area. People sometimes refer to this exaggerated posture as “swayback.”
Hyperlordosis can sometimes also [cause pain](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469524/) and discomfort in the lower back, which may affect movement or worsen with prolonged standing.
Hyperlordosis can result from spinal injuries or conditions such as [obesity](https://www.medicalnewstoday.com/articles/323446), [osteoporosis](https://www.medicalnewstoday.com/articles/155646.php "What to know about osteoporosis"), spondylolisthesis, and [rickets](https://www.medicalnewstoday.com/articles/176941.php "Everything you need to know about rickets").
### Treatment
Treatment options depend on the person’s age and the severity of the curvature and symptoms.
A doctor may recommend that children with hyperlordosis wear a back brace while growing. For adults, a doctor may recommend conservative treatments, such as OTC pain relievers, physical therapy, and weight management.
In rare instances, a doctor may recommend corrective surgery.
## [Sciatica]()
[Sciatica](https://www.medicalnewstoday.com/articles/7619) is irritation of the sciatic nerve. The sciatic nerve runs from the lower back down to the knee. Compression of the sciatic nerve in the lower back is a common cause of sciatica and [often results](https://www.nhs.uk/conditions/back-pain/) in back pain. This can occur due to a disc slipping or inflammation in the surrounding tissue.
### Treatment
Sciatica symptoms typically resolve within [4-6 weeks](https://www.nhs.uk/conditions/sciatica/) without intervention. Practicing proper posture, stretching, and regular light exercise [can reduce](https://www.ncbi.nlm.nih.gov/books/NBK507908/) symptoms.
If lifestyle changes do not resolve symptoms, doctors may prescribe NSAIDS, muscle relaxants, and OTC painkillers.
In severe cases, corticosteroid injections, spinal manipulation, and surgery may be necessary.
## [When to contact a doctor]()
Lower back pain, when standing or walking, is not always a cause for concern and may get better with home treatment, such as rest, OTC pain relievers, hot and cold therapy, and gentle stretching.
A person should see their doctor if the pain is severe, does not get better, or occurs along with other concerning or debilitating symptoms.
People with lower back pain should seek immediate medical attention if they experience loss of bowel or bladder control or if it affects leg movement.
## [Prevention tips]()
Some tips to help prevent lower back pain include:
- Exercising for at least 30 minutes on most days of the week. Where possible, try doing a mixture of low- and high intensity physical activities exercises, such as bike riding, walking, aerobics classes, swimming, or using an elliptical machine.
- Practicing good posture when walking, such as by keeping the back straight and avoiding leaning too far forward or slumping.
- Making appropriate adjustments to workstations to improve ergonomics. Examples include placing the computer screen at eye level and using a supportive and properly-adjusted chair.
- Using proper lifting techniques, including holding an object as close as possible to the body, maintaining a wide stance, bending from the legs and not the back, and avoiding lifting objects that are too heavy.
- Eating a healthful, balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins.
People with specific questions or concerns about keeping their backs healthy and free from pain should talk with their doctor.
## [Summary]()
Lower back pain, when standing or walking, is often a symptom of muscle fatigue or poor posture. People can usually treat this pain at home with rest, OTC pain relievers, hot or cold therapy, and gentle stretching.
Persistent or recurring lower back pain may indicate an underlying condition. These conditions include spinal stenosis, degenerative disc disease, or hyperlordosis. People should see a doctor for lower back pain that is severe, does not get better, or occurs along with other concerning or debilitating symptoms.
- [Back Pain](https://www.medicalnewstoday.com/categories/back-pain)
- [Rehabilitation / Physical Therapy](https://www.medicalnewstoday.com/categories/rehabilitation)
- [Sports Medicine / Fitness](https://www.medicalnewstoday.com/categories/sports_medicine)
### How we reviewed this article:
Sources
Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.medicalnewstoday.com/articles/process).
- Back pain. (2022).
<https://www.nhs.uk/conditions/back-pain/>
- Degenerative disc disease. (n.d.).
<https://www.arthritis.org/about-arthritis/types/degenerative-disc-disease/>
- Low back pain fact sheet. (2022).
<https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Low-Back-Pain-Fact-Sheet>
- Low back strain and sprain. (n.d.).
<https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Low-Back-Strain-and-Sprain>
- Lumbar spinal stenosis. (2021).
<https://orthoinfo.aaos.org/en/diseases--conditions/lumbar-spinal-stenosis/>
- Sciatica. (2020).
<https://www.nhs.uk/conditions/sciatica/>
- Davis, D., *et al*. (2022). Sciatica.
<https://www.ncbi.nlm.nih.gov/books/NBK507908/>
- Sorensen, C. J., *et al*. (2015). Is lumbar lordosis related to low back pain development during prolonged standing?
<https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469524/>
- Spinal stenosis. (2020).
<https://www.niams.nih.gov/health-topics/spinal-stenosis/advanced#tab-overview>
- Spinal stenosis. (2021).
<https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis>
Share this article

[Medically reviewed]() by [Gregory Minnis, DPT]() — Written by [Rachel Nall, MSN, CRNA]() — [Updated on October 10, 2023]()
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[Back pain is a widespread and potentially debilitating problem. Learn which home remedies can relieve back pain quickly and help prevent it in the…](https://www.medicalnewstoday.com/articles/322582?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/322582?utm_source=ReadNext)
- [What to know about hyperlordosis](https://www.medicalnewstoday.com/articles/321959?utm_source=ReadNext)
Medically reviewed by [Gregory Minnis, DPT](https://www.medicalnewstoday.com/reviewers)
[Hyperlordosis refers to an excessive curvature of the lower spine just above the buttocks, resulting in a C-shaped spine. It can cause pain and muscle…](https://www.medicalnewstoday.com/articles/321959?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/321959?utm_source=ReadNext)
- [Do posture correctors work and when to see a doctor](https://www.medicalnewstoday.com/articles/do-posture-correctors-work?utm_source=ReadNext)
Medically reviewed by [Gregory Minnis, DPT](https://www.medicalnewstoday.com/reviewers)
[Posture correctors may help fix a slouching posture and reduce pain, but research on their effectiveness is mixed. Learn more.](https://www.medicalnewstoday.com/articles/do-posture-correctors-work?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/do-posture-correctors-work?utm_source=ReadNext)
- [Walking 100 minutes per day may help lower risk of chronic back pain](https://www.medicalnewstoday.com/articles/walking-100-minutes-per-day-may-help-lower-risk-chronic-back-pain?utm_source=ReadNext)
[Participants who walked for more than 100 minutes per day had a 23% lower risk of chronic low back pain, compared to those who walked less than 78…](https://www.medicalnewstoday.com/articles/walking-100-minutes-per-day-may-help-lower-risk-chronic-back-pain?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/walking-100-minutes-per-day-may-help-lower-risk-chronic-back-pain?utm_source=ReadNext)
- [What to know about lower back problems when running](https://www.medicalnewstoday.com/articles/lower-back-problems-when-running?utm_source=ReadNext)
Medically reviewed by [Angela M. Bell, MD, FACP](https://www.medicalnewstoday.com/reviewers)
[Lower back pain when running could be due to improper form, inadequate shoes, overuse, and other factors. Read about common causes and prevention.](https://www.medicalnewstoday.com/articles/lower-back-problems-when-running?utm_source=ReadNext)
[READ MORE](https://www.medicalnewstoday.com/articles/lower-back-problems-when-running?utm_source=ReadNext)
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| Readable Markdown | Lower back pain when standing or walking may be due to muscle fatigue or injury. It may also be due to conditions such as spinal stenosis, degenerative disc disease, hyperlordosis, and sciatica.
Lower back pain is [common](https://www.ninds.nih.gov/low-back-pain-fact-sheet) and may occur due to many factors. This means that determining an underlying cause may often come down to looking at other symptoms and details.
In this article, we look at some potential causes of lower [back pain](https://www.medicalnewstoday.com/articles/172943.php "What is causing this pain in my back?") that occur when standing or walking. We also cover when to see a doctor and some prevention tips.
Prolonged walking or standing can tire or strain the muscles in the lower back and legs, which [can lead](https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Low-Back-Strain-and-Sprain) to aches and pains.
This pain or discomfort usually gets better with sitting or lying down to rest the back.
People who are overweight may be more at risk for muscle [fatigue](https://www.medicalnewstoday.com/articles/248002.php "Fatigue: Why am I so tired and what can I do about it?") when standing or walking.
Treatment
A person can treat muscle fatigue and reduce discomfort in the lower back with:
- rest
- hot or cold therapy
- over-the-counter (OTC) pain relievers, such as ibuprofen and naproxen
- gentle exercises to stretch and loosen tight muscles
Maintaining a moderate weight can also help reduce [stress](https://www.medicalnewstoday.com/articles/145855.php "Why stress happens and how to manage it") on the back and legs.
Optum Now is operated by RVO Health. By clicking on this link, we may receive a commission. [Learn more.](https://www.medicalnewstoday.com/about/brand-and-product-vetting)
[Spinal stenosis](https://www.medicalnewstoday.com/articles/325817) is a narrowing of the spine that can place extra pressure on the spinal cord and nerves.
Spinal stenosis often occurs in the lower part of the back, or lumbar spine, [which can lead](https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Spinal-Stenosis) to lower back pain. People often find that this pain improves with sitting down or leaning forward.
Other symptoms of lumbar spinal stenosis can include:
- weakness in the legs
- numbness or tingling in the lower back, buttocks, or legs
- [sciatica](https://www.medicalnewstoday.com/articles/7619.php "Sciatica: What you need to know"), or sharp pain that radiates down the leg
Severe spinal stenosis may lead to bowel and bladder problems and sexual dysfunction. It usually occurs due to aging and is most common in people over the age of [50 years](https://www.niams.nih.gov/health-topics/spinal-stenosis/advanced#tab-risk).
However, some people are born with a narrow spinal canal, and spinal stenosis can also develop following a spinal injury.
Treatment
A doctor [may first](https://orthoinfo.aaos.org/en/diseases--conditions/lumbar-spinal-stenosis/) recommend nonsurgical treatments for people with spinal stenosis. The options may include:
- [physical therapy](https://www.medicalnewstoday.com/articles/160645.php "How can physical therapy help?")
- nonsteroidal anti-inflammatory drugs ([NSAIDs](https://www.medicalnewstoday.com/articles/179211.php "Everything you need to know about NSAIDs")), such as ibuprofen or naproxen
- steroid injections
- alternative therapies, such as chiropractic treatment or [acupuncture](https://www.medicalnewstoday.com/articles/156488.php "How does acupuncture work?")
If a person’s pain worsens or does not improve, a doctor may recommend a surgical procedure to stabilize the spine or relieve pressure on the spinal nerves.
As a person ages, the protective discs that sit between each vertebra in the spine can gradually wear down and shrink. Degeneration of these discs can lead to the bones in the spine rubbing against one another, which [may cause](https://www.arthritis.org/diseases/degenerative-disc-disease) back pain and stiffness.
While symptoms of [degenerative disc disease](https://www.medicalnewstoday.com/articles/266630.php) often improve with walking, the pain may get worse when a person is standing or twisting, bending, or lifting.
Other symptoms of degenerative disc disease may include:
- lower back pain that radiates to the buttocks and thighs
- weakness in the legs or feet
- back pain that varies in severity and duration
Treatment
Treatment options for degenerative disc disease can include:
- NSAIDs, such as ibuprofen and naproxen
- ice or heat packs
- physical therapy
- a back brace
If conservative treatments do not improve a person’s symptoms, a doctor may recommend artificial disc replacement or a spinal fusion.
[Hyperlordosis](https://www.medicalnewstoday.com/articles/321959.php) is an excessive inward curvature of the lower spine that causes the buttocks to become more prominent and the stomach to stick out.
When lying on their back, a person with hyperlordosis may have a noticeable c-shaped curve or large gap in their lower back area. People sometimes refer to this exaggerated posture as “swayback.”
Hyperlordosis can sometimes also [cause pain](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469524/) and discomfort in the lower back, which may affect movement or worsen with prolonged standing.
Hyperlordosis can result from spinal injuries or conditions such as [obesity](https://www.medicalnewstoday.com/articles/323446), [osteoporosis](https://www.medicalnewstoday.com/articles/155646.php "What to know about osteoporosis"), spondylolisthesis, and [rickets](https://www.medicalnewstoday.com/articles/176941.php "Everything you need to know about rickets").
Treatment
Treatment options depend on the person’s age and the severity of the curvature and symptoms.
A doctor may recommend that children with hyperlordosis wear a back brace while growing. For adults, a doctor may recommend conservative treatments, such as OTC pain relievers, physical therapy, and weight management.
In rare instances, a doctor may recommend corrective surgery.
[Sciatica](https://www.medicalnewstoday.com/articles/7619) is irritation of the sciatic nerve. The sciatic nerve runs from the lower back down to the knee. Compression of the sciatic nerve in the lower back is a common cause of sciatica and [often results](https://www.nhs.uk/conditions/back-pain/) in back pain. This can occur due to a disc slipping or inflammation in the surrounding tissue.
Treatment
Sciatica symptoms typically resolve within [4-6 weeks](https://www.nhs.uk/conditions/sciatica/) without intervention. Practicing proper posture, stretching, and regular light exercise [can reduce](https://www.ncbi.nlm.nih.gov/books/NBK507908/) symptoms.
If lifestyle changes do not resolve symptoms, doctors may prescribe NSAIDS, muscle relaxants, and OTC painkillers.
In severe cases, corticosteroid injections, spinal manipulation, and surgery may be necessary.
Lower back pain, when standing or walking, is not always a cause for concern and may get better with home treatment, such as rest, OTC pain relievers, hot and cold therapy, and gentle stretching.
A person should see their doctor if the pain is severe, does not get better, or occurs along with other concerning or debilitating symptoms.
People with lower back pain should seek immediate medical attention if they experience loss of bowel or bladder control or if it affects leg movement.
Some tips to help prevent lower back pain include:
- Exercising for at least 30 minutes on most days of the week. Where possible, try doing a mixture of low- and high intensity physical activities exercises, such as bike riding, walking, aerobics classes, swimming, or using an elliptical machine.
- Practicing good posture when walking, such as by keeping the back straight and avoiding leaning too far forward or slumping.
- Making appropriate adjustments to workstations to improve ergonomics. Examples include placing the computer screen at eye level and using a supportive and properly-adjusted chair.
- Using proper lifting techniques, including holding an object as close as possible to the body, maintaining a wide stance, bending from the legs and not the back, and avoiding lifting objects that are too heavy.
- Eating a healthful, balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins.
People with specific questions or concerns about keeping their backs healthy and free from pain should talk with their doctor.
Lower back pain, when standing or walking, is often a symptom of muscle fatigue or poor posture. People can usually treat this pain at home with rest, OTC pain relievers, hot or cold therapy, and gentle stretching.
Persistent or recurring lower back pain may indicate an underlying condition. These conditions include spinal stenosis, degenerative disc disease, or hyperlordosis. People should see a doctor for lower back pain that is severe, does not get better, or occurs along with other concerning or debilitating symptoms. |
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