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1. Shard Calculation

Query:

Response:

Calculated Shard: 50 (from laksa115)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa050.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 FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183","crawl_time":1776343588,"first_indexed_time":1528680057,"http_code":200,"src_unparsed":"com,verywellhealth!www,\/what-causes-lower-right-back-pain-4125183 s443","src_root_hash":"5681562863987870850","history_drop_reason":null,"meta_title":"What's Causing My Lower Right Back Pain?","meta_descriptions":["Uncover causes and treatments for lower right back pain, from muscles and bone to organ disease. Learn when it's serious and requires professional care."],"attrs_boilerpipe_text":"Key Takeaways\nLower right back pain can be caused by muscle or ligament injuries or conditions affecting the spine and joints. \nIf your back pain is severe or lasts a long time, it is important to see a healthcare provider for an exam.\nLower right back pain is often caused by muscle or ligament injuries, structural bone and spinal problems, or inflammatory conditions. From a simple back strain to more serious issues like kidney infections, identifying the source of your pain is crucial to determining the right treatment, from home remedies and drugs to medical procedures and surgery.\nStock Photos Art \/ iStock\nIs Your Lower Right Back Pain Muscular?\nMost lower right back pain arises from muscle or ligament injuries. These injuries can occur suddenly—like during a car accident or while lifting heavy objects—or gradually from\npoor posture\n.\nMuscle Strain\nMuscle strains commonly cause\nlower back pain\nbecause the lower back plays a role in many movements like bending and twisting. Overuse or sudden injury can lead to pain.\nPain from lower back muscle strains typically does not radiate to your legs. Other symptoms can include:\nReduced range of motion\nStiffness and muscle spasm\nDifficulty standing or sitting up straight\nTreatment:\nPain from a muscle strain can be relieved with\nnon-steroidal anti-inflammatory medications\n(NSAIDs) and cold packs applied for 15 minutes at a time. Though rest was once recommended, it's now considered important to keep the muscles moving.\nLigament Injuries\nA ligament injury in the lower back is called a lower back\nsprain\n. Sprains happen when you stretch or tear a ligament, one of the thick bands of tissue that connect bones to other bones, muscles, cartilage, and tendons. People often injure back ligaments during falls, sporting accidents, or car accidents. Poor posture can also damage your ligaments over time. \nSymptoms of a lower back ligament injury are similar to those of a muscle strain.\nTreatment:\nSimilar to a muscle strain, NSAIDs and ice can help relieve pain and swelling. Ligament injuries may also benefit from\nphysical therapy\n.\nAre Spinal or Joint Issues Causing Your Discomfort?\nSpinal and joint conditions can also cause lower back pain. These include:\nSpinal Stenosis\nSpinal stenosis\noccurs when spaces between the spinal vertebrae narrow, putting pressure on the spinal cord and nerve roots. In the lumbar spine, this can cause lower back pain on one or both sides.\nPain from spinal stenosis often feels like a burning ache and may radiate to the buttocks and legs. It typically worsens when standing or walking and improves when leaning forward. Symptoms may include numbness, tingling, weakness, or cramping in the feet and legs.\nTreatment: A surgical procedure called a\nlaminectomy\ntreats spinal stenosis by removing bony spurs to open the spinal column.\nSacroiliac Joint Disorders\nThe\nsacroiliac (SI) joint\nlinks the pelvis to the sacrum, the triangular bone between the lower spine and tailbone. Abnormal movement or trauma to these joints can cause back pain or pain that spreads to other areas.\nSacroiliac pain can also result from\nankylosing spondylitis\n, a type of arthritis. This progressive inflammatory condition can fuse parts of the spine, causing stiffness, pain, and immobility.\nTreatment:\nWhile there's no cure for ankylosing spondylitis, options like physical therapy and pain relievers can help manage daily symptoms.\nHerniated Disc\nA\nherniated disc\nhappens when the cushion between two vertebrae bulges or ruptures. Often, the soft, liquid-like substance inside the disc leaks out.\nShould the substance come into contact with a nerve root, it can \"short circuit\" electrical signals and trigger symptoms of a type of nerve pain called\nradiculopathy\n(typically on one side of the body).\nSymptoms of radiculopathy include pain, weakness, numbness, or a pins-and-needles sensation that runs down one leg. There may also be cramping and discomfort while walking.\nTreatment:\nFor about 90% of herniated discs, the pain goes away on its own within six months.\nPhysical therapy is often prescribed for disc herniations, and a six-week course of therapy is typical. If conservative strategies aren't effective, surgery may be suggested.\nScoliosis\nScoliosis\nis an abnormal spine curvature, causing an \"S\" or \"C\" shape. This may lead to tight or overstretched muscles in some areas and compression in others.\nLow back pain is common in adults with scoliosis and is often unilateral (occurring on only one side). Sciatica and\nmuscle spasms\nare also common.\nTreatment:\nTypically, the severity of the curvature guides the treatment plan. Some instances may simply be observed over time. Using a brace can slow or stop the curvature of the spine. More severe cases may require surgery.\nSpinal Cysts and Tumors\nTwo potentially serious causes of back pain are spinal cysts and tumors. Cysts arise from degenerative spinal changes, while tumors develop from cell changes.\nA spinal cyst can press on a nerve root that goes to a different area of the body. This pressure can cause\nradiculopathy\n.\nSymptoms include back pain that spreads (known as\nreferred pain\n), muscle weakness, difficulty walking, decreased sensitivity to pain, and bowel or bladder incontinence.\nTreatment:\nThere are several treatment options, including physical therapy, pain-relieving injections, or surgical removal. In cancerous tumors, the cancer may also be treated with surgery, chemotherapy, or radiation.\nCauda Equina Syndrome\nCauda equina syndrome\nis a rare but serious condition that occurs when nerve roots in the lumbar spine are compressed, disrupting bladder, bowel, and leg function. It can be caused by spinal trauma, tumors, infection, or spinal birth defects.\nSymptoms of cauda equina syndrome may include severe low back pain,\nsciatica\n, leg numbness, an inability to urinate, bowel incontinence, sexual dysfunction, and the loss of reflexes in the legs.\nTreatment:\nImmediate surgery is generally advised.\nUnderstanding Bone-Related Causes of Lower Back Pain\nThe bones themselves can also cause pain in the lower back. You might be experiencing this kind of pain because of a condition like bone spurs or because of a fracture.\nBone Spurs\nFacet joints\nare interconnecting joints along the spine that provide stability by limiting movement. Each spinal level has a right and a left.\nBone spurs\noften develop at facet joints. These abnormal bone growths may be triggered by arthritis, previous trauma, or other causes.\nWhen spurs develop on a right facet joint, they cause right-sided pain. Other symptoms include leg weakness, numbness, tingling, and electrical sensations that shoot down one leg.\nTreatment:\nBone spurs can be removed surgically if necessary. This relieves pressure on the nerves.\nSpinal Fractures\nA\nspinal fracture\ncan occur from an accident, like a fall or car crash, often requiring emergency medical care. If your lumbar spine is fractured, symptoms may include:\nModerate to severe pain that worsens with movement \nNumbness, tingling, and weakness in the limbs \nChanges in posture \nWalking difficulties \nBowel and bladder issues\nTreatment:\nCompression fractures may not require treatment. However, other types of spinal fractures often require surgical intervention.\nAnkylosing Spondylitis\nA form of arthritis called\nankylosing spondylitis\nis the main inflammatory condition that directly affects the lower back. This progressive condition can cause parts of the spine to fuse, resulting in spinal stiffness, pain, and immobility.\nTreatment:\nAlthough there is no cure for ankylosing spondylitis, treatment options like physical therapy and pain relievers can help manage symptoms day to day.\nWhat Other Medical Conditions Can Cause Back Pain?\nConditions affecting internal organs, such as the kidneys and appendix, can sometimes cause pain that radiates to the lower back.\nKidney Issues\nLower right back pain can be related to the kidneys. A kidney infection (also known as\npyelonephritis\n) and kidney stones, can cause pain on either side of the lower back. If a kidney infection is the cause of your lower back pain, you will likely have additional symptoms such as a fever, chills, and pain or frequency with peeing.\nKidney stones\nare another common kidney-related cause of non-spine-related back pain. Even a tiny kidney stone can be painful as it passes through the urinary tract.\nDue to the location of the kidneys, pain from kidney stones may be felt deep within the left or right side of the back, depending on which kidney is involved. The pain will typically be sharp. There may also be lower abdominal pain, pain with urination, and nausea or vomiting.\nTreatment:\nA kidney infection requires antibiotics. If you believe you have a kidney infection, seek medical care, as the infection can spread and become serious quickly.\nKidney stones are often managed through pain relief and waiting for the stone to pass. If a kidney stone is too large to pass, it can be broken up into smaller fragments using a procedure called shock wave lithotripsy. Surgery may also be an option.\nGallstones\nGallstones\ncan also cause right-sided back pain due to the location of the gall bladder just under the liver on the right side of the body.\nIn addition, gallstones can cause sudden and intense pain in the upper abdomen, beneath the breastbone, between the shoulder blades, and in the right shoulder. Nausea or vomiting is also common.\nTreatment:\nMost gallstones are treated by\nremoving the gallbladder\n. Non-surgical management, like medication or an endoscopy procedure, is usually less effective since it needs to be repeated during subsequent episodes.\nAppendicitis\nAppendicitis can sometimes cause back pain. The pain from an\ninflamed appendix\ntypically begins near the belly button and then moves to the lower right side of the abdomen. It can occasionally also radiate to the right side of the back. \nTreatment:\nSurgery to remove the appendix is required to prevent potentially life-threatening complications like infection.\nIrritable Bowel Disease\nWhile\nirritable bowel disease (IBD)\nprimarily affects the bowels, one symptom of the condition is lower back pain. Some individuals with IBD develop a condition called\nsacroiliitis\n, which is inflammation of the sacroiliac joints.\nThe sacroiliac joints connect the pelvis to the lower spine, and pain can be felt on one or both sides.\nTreatment:\nTreatment for\nsacroiliitis\noverlaps with therapy for IBD and may include a type of medication known as biologics. In some cases, surgery may be necessary, and joint fusions may help relieve some of the pain.\nAbdominal Aortic Aneurysm\nAbdominal aortic aneurysms are often asymptomatic. However, one of their symptoms is low back and hip pain. Typically, there are other risk factors, such as\nhigh blood pressure\n, heart disease, or being a male 65 years and older.\nTreatment:\nAbdominal aortic aneurysms\nrequire surgical intervention for treatment. If they rupture, they are a medical emergency.\nPelvic Inflammatory Disease (PID)\nPelvic inflammatory disease\noccurs when the female reproductive organs become infected, usually by a sexually transmitted bacterium, like gonorrhea or chlamydia. PID can cause pain in the lower abdomen that radiates to your lower back, buttocks, and thighs. \nTreatment:\nAntibiotics are the most common treatment for PID.\nEndometriosis\nEndometriosis occurs when the tissue that usually lines the uterus grows outside of the uterus. When it grows near the lower back, it can cause pain. \nEndometrial tissue in the lower back can compress nerves and cause inflammation. If you have\nendometriosis\n, you may also experience symptoms such as:\nPainful menstruation\nBleeding between periods\nChronic abdominal pain\nPainful bowel movements\nPain during and\/or after sexual intercourse\nGastrointestinal symptoms such as diarrhea and bloating\nInfertility\nTreatment:\nPain-relieving agents like NSAIDs,\nhormonal treatments like birth control\n, and sometimes surgery are all used to alleviate pain caused by endometriosis.\nUterine Fibroids\nA uterine fibroid is a benign (non-cancerous) growth that occurs on or inside the uterus. Fibroids most often cause pelvic discomfort, but when they press on the muscles and nerves in the lower back, they can also lead to back pain. \nPain from fibroids\ncan be treated with over-the-counter medications. Fibroids that cause other problems like severe pain or heavy menstrual bleeding might require treatment with\nuterine fibroid embolization\n(UFE), a procedure that cuts off the blood supply to the fibroid, causing it to shrink.\nTreatment:\nMyomectomy (the removal of a fibroid) or hysterectomy (the removal of the uterus) are surgical options to treat fibroids.\nMenstrual Disorders\nHormone-like substances your body releases during your menstrual cycle can affect the muscles in your lower back. This can lead to lower back pain during menstruation.\nMenstrual disorders such as\npremenstrual syndrome\n(PMS) and premenstrual dysphoric disorder (PMDD) are also associated with lower back pain in females. \nTreatment:\nPainful periods can be treated with over-the-counter medications. Hormonal birth control can also help manage painful periods.\nOvarian Tumors or Cysts\nPain from an\novarian cyst\nor tumor will likely cause abdominal or pelvic pain. However, the pain may also be felt in the lower back.\nIf the tumor or cyst is on the right ovary, the pain may be felt in the lower right back.\nTreatment:\nLow back pain caused by an ovarian tumor or cyst depends on the underlying cause. If the pain is due to a cyst, your provider may choose to watch the cyst for some time or remove it.\nIf the pain is due to an\novarian tumor\n, treatment will depend on several factors and may include surgical removal and cancer therapies such as chemotherapy and radiation.\nPregnancy\nBack pain is common during pregnancy. This kind of pain occurs due to certain changes that happen to your body when you're pregnant.\nFor example, hormones can cause your muscles to relax and your ligaments to loosen. As your\npregnancy progresses\n, your center of gravity changes, causing your lower spine to move forward. This can put a strain on your back muscles, especially if you find yourself leaning backward to compensate. \nTreatment:\nBack pain from pregnancy usually resolves after delivery. Pain can often be managed with Tylenol (acetaminophen). Discuss safe medication use with your healthcare provider if you are pregnant.\nTesticular Torsion\nTesticular torsion\nhappens when a testicle twists abnormally, blocking the blood supply. This condition causes sudden, severe pain in the groin that can radiate to the lower back. You may also experience:\nSwelling in the scrotum\nNausea and vomiting\nTreatment:\nTesticular torsion is an emergency. If you have any of these symptoms, seek medical care right away. Surgery can usually repair testicular torsion if it is caught quickly enough. In severe cases, testicular torsion results in surgical removal of the affected testicle.\nDiagnosis\nDiagnosing lower right back pain involves a physical exam and a review of your medical history. This may include a\nneurological exam\nto see if your reflexes are normal or to check for weaknesses or sensations that point to a nerve injury.\nBased on the findings, your doctor may order imaging studies to look for abnormalities throughout your body. This may involve an X-ray of the spine or\na computed tomography (CT)\n scan, in which multiple X-ray images are combined into a 3-D image. \nMagnetic resonance imaging (MRI)\n is another \ntest\n that can better detect soft tissue damage.\nA\nnerve conduction study\n, or\nelectromyography,\nmay also be ordered. This can show your doctor how well electrical signals are traveling through nerves.\nDepending on your symptoms, additional bloodwork, imaging, or referral to a specialist may be necessary.\nTreatment\nRight-sided low back pain treatment differs depending on the underlying cause. If the cause is related to a systemic illness, efforts will be focused on resolving the underlying condition first.\nOptions for the treatment of lower back pain itself may include:\nNonsteroidal anti-inflammatory drugs (NSAIDs)\n \nPrescription opioid drugs\nPhysical therapy\nChiropractic\nor\nosteopathic manipulation\nEpidural steroid injections\nSurgery\nWhen to See a Healthcare Provider\nThere are several red flags for lower right back pain, including, but not limited to:\nPain that is sudden and severe\nPain associated with a significant injury (e.g., a fall or motor vehicle accident)\nPain that does not go away\nPain that wakes you up at night or keeps you awake\nDifficulty walking or standing\nLoss of bladder or bowel control\nLoss of consciousness\nNumbness or tingling in your pelvis or down your legs\nFever\nThese signs and symptoms point to the potential for more serious causes that require urgent treatment, such as cauda equina syndrome, appendicitis, or a kidney infection.","attrs_markdown":"[Skip to content](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#skip-to-content)\n\nMenu\n\n- [Health A-Z](https:\/\/www.verywellhealth.com\/health-a-z-4014770)\n  - 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[View All](https:\/\/www.verywellhealth.com\/health-care-4014769)\n- [News](https:\/\/www.verywellhealth.com\/news-4846412)\n  - [Health News](https:\/\/www.verywellhealth.com\/health-news-4844929)\n  - [Studies & Guidelines](https:\/\/www.verywellhealth.com\/studies-and-guidelines-11869035)\n  - [View All](https:\/\/www.verywellhealth.com\/news-4846412)\n\n[More in Back & Neck Pain](https:\/\/www.verywellhealth.com\/back-and-neck-pain-overview-4581999)\n\n- [Causes & Risk Factors](https:\/\/www.verywellhealth.com\/back-and-neck-pain-causes-4158506)\n- [Symptoms](https:\/\/www.verywellhealth.com\/back-and-neck-pain-symptoms-4158507)\n- [Diagnosis](https:\/\/www.verywellhealth.com\/back-and-neck-pain-diagnosis-4014209)\n- [Treatment](https:\/\/www.verywellhealth.com\/back-and-neck-pain-treatment-4014210)\n- [Living With](https:\/\/www.verywellhealth.com\/back-and-neck-pain-living-with-4158505)\n- [Prevention](https:\/\/www.verywellhealth.com\/back-and-neck-pain-prevention-4012682)\n- [Exercise](https:\/\/www.verywellhealth.com\/back-and-neck-exercise-4013471)\n- [Spinal Conditions](https:\/\/www.verywellhealth.com\/spinal-conditions-4013780)\n\n[View More](https:\/\/www.verywellhealth.com\/back-and-neck-pain-overview-4581999)\n\nTools & Resources\n\n- [Thyroid Test Analyzer](https:\/\/www.verywellhealth.com\/thyroid-test-analyzer-8647820)\n- [Doctor Discussion Guides](https:\/\/www.verywellhealth.com\/doctor-discussion-guides-4179090)\n- [Hemoglobin A1c Test Analyzer](https:\/\/www.verywellhealth.com\/a1c-test-analyzer-8647852)\n- [Lipid Test Analyzer](https:\/\/www.verywellhealth.com\/lipid-test-analyzer-8647856)\n- [Complete Blood Count (CBC) Analyzer](https:\/\/www.verywellhealth.com\/complete-blood-count-cbc-analyzer-8647862)\n\n- [About Us](https:\/\/www.verywellhealth.com\/about-us-5180305)\n- [Editorial Process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042)\n- [Medical Review Board](https:\/\/www.verywellhealth.com\/meet-our-medical-expert-board-11762003)\n\nVerywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\n# What's Causing My Lower Right Back Pain?\nBy [Anne Asher, CPT](https:\/\/www.verywellhealth.com\/anne-asher-296158)\n\nUpdated on October 11, 2025\n\nMedically reviewed by  [Stuart Hershman, MD](https:\/\/www.verywellhealth.com\/stuart-hershman-md-4775569)\n\nTable of Contents\n\nView All\n\nTable of Contents\n\n- [Muscular Problems](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#toc-is-your-lower-right-back-pain-muscular)\n- [Spinal or Joint Pain](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#toc-are-spinal-or-joint-issues-causing-your-discomfort)\n- [Bone-Related Issues](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#toc-understanding-bone-related-causes-of-lower-back-pain)\n- [Other Causes](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#toc-what-other-medical-conditions-can-cause-back-pain)\n- [Diagnosis](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#toc-diagnosis)\n- [Treatment](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#toc-treatment)\n- [When to See a Provider](https:\/\/www.verywellhealth.com\/what-causes-lower-right-back-pain-4125183#toc-when-to-see-a-healthcare-provider)\n\n### Key Takeaways\n- Lower right back pain can be caused by muscle or ligament injuries or conditions affecting the spine and joints.\n- If your back pain is severe or lasts a long time, it is important to see a healthcare provider for an exam.\n\nLower right back pain is often caused by muscle or ligament injuries, structural bone and spinal problems, or inflammatory conditions. From a simple back strain to more serious issues like kidney infections, identifying the source of your pain is crucial to determining the right treatment, from home remedies and drugs to medical procedures and surgery.\n\n![A woman holding her back in pain at the beach]()\n\n![A woman holding her back in pain at the beach](https:\/\/www.verywellhealth.com\/thmb\/PG-OyGC1TTCwov7CMoVu7AgQCUg=\/1500x0\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/iStock-619375976-58969b415f9b5874ee9edf7e.jpg)\n\nStock Photos Art \/ iStock\n## Is Your Lower Right Back Pain Muscular?\nMost lower right back pain arises from muscle or ligament injuries. These injuries can occur suddenly—like during a car accident or while lifting heavy objects—or gradually from [poor posture](https:\/\/www.verywellhealth.com\/how-to-improve-posture-8789782).\n\n### Muscle Strain\nMuscle strains commonly cause [lower back pain](https:\/\/www.verywellhealth.com\/common-symptoms-of-low-back-pain-2696186) because the lower back plays a role in many movements like bending and twisting. Overuse or sudden injury can lead to pain.\n\nPain from lower back muscle strains typically does not radiate to your legs. Other symptoms can include:\n\n- Reduced range of motion\n- Stiffness and muscle spasm\n- Difficulty standing or sitting up straight\n\n**Treatment:** Pain from a muscle strain can be relieved with [non-steroidal anti-inflammatory medications](https:\/\/www.verywellhealth.com\/best-anti-inflammatory-medication-2548734) (NSAIDs) and cold packs applied for 15 minutes at a time. Though rest was once recommended, it's now considered important to keep the muscles moving.\n\n### Ligament Injuries\nA ligament injury in the lower back is called a lower back [sprain](https:\/\/www.verywellhealth.com\/sprains-and-strains-2548839). Sprains happen when you stretch or tear a ligament, one of the thick bands of tissue that connect bones to other bones, muscles, cartilage, and tendons. People often injure back ligaments during falls, sporting accidents, or car accidents. Poor posture can also damage your ligaments over time.\n\nSymptoms of a lower back ligament injury are similar to those of a muscle strain.\n\n**Treatment:** Similar to a muscle strain, NSAIDs and ice can help relieve pain and swelling. Ligament injuries may also benefit from [physical therapy](https:\/\/www.verywellhealth.com\/physical-therapy-4014670).\n\n## Are Spinal or Joint Issues Causing Your Discomfort?\nSpinal and joint conditions can also cause lower back pain. These include:\n\n### Spinal Stenosis\n[Spinal stenosis](https:\/\/www.verywellhealth.com\/what-is-spinal-stenosis-2552316) occurs when spaces between the spinal vertebrae narrow, putting pressure on the spinal cord and nerve roots. In the lumbar spine, this can cause lower back pain on one or both sides.\n\nPain from spinal stenosis often feels like a burning ache and may radiate to the buttocks and legs. It typically worsens when standing or walking and improves when leaning forward. Symptoms may include numbness, tingling, weakness, or cramping in the feet and legs.\n\nTreatment: A surgical procedure called a [laminectomy](https:\/\/www.verywellhealth.com\/beginning-rehab-after-low-back-surgery-2696215) treats spinal stenosis by removing bony spurs to open the spinal column.\n\n### Sacroiliac Joint Disorders\nThe [sacroiliac (SI) joint](https:\/\/www.verywellhealth.com\/sacroiliac-joint-pain-189250) links the pelvis to the sacrum, the triangular bone between the lower spine and tailbone. Abnormal movement or trauma to these joints can cause back pain or pain that spreads to other areas.\n\nSacroiliac pain can also result from [ankylosing spondylitis](https:\/\/www.verywellhealth.com\/ankylosing-spondylitis-7108841), a type of arthritis. This progressive inflammatory condition can fuse parts of the spine, causing stiffness, pain, and immobility.\n\n**Treatment:** While there's no cure for ankylosing spondylitis, options like physical therapy and pain relievers can help manage daily symptoms.\n\n### Herniated Disc\nA [herniated disc](https:\/\/www.verywellhealth.com\/what-are-herniated-disc-symptoms-296740) happens when the cushion between two vertebrae bulges or ruptures. Often, the soft, liquid-like substance inside the disc leaks out.\n\nShould the substance come into contact with a nerve root, it can \"short circuit\" electrical signals and trigger symptoms of a type of nerve pain called [radiculopathy](https:\/\/www.verywellhealth.com\/what-is-radiculopathy-296634) (typically on one side of the body).\n\nSymptoms of radiculopathy include pain, weakness, numbness, or a pins-and-needles sensation that runs down one leg. There may also be cramping and discomfort while walking.\n\n**Treatment:** For about 90% of herniated discs, the pain goes away on its own within six months. Physical therapy is often prescribed for disc herniations, and a six-week course of therapy is typical. If conservative strategies aren't effective, surgery may be suggested.\n\n### Scoliosis\n[Scoliosis](https:\/\/www.verywellhealth.com\/scoliosis-lateral-curve-of-the-spine-2548780) is an abnormal spine curvature, causing an \"S\" or \"C\" shape. This may lead to tight or overstretched muscles in some areas and compression in others.\n\nLow back pain is common in adults with scoliosis and is often unilateral (occurring on only one side). Sciatica and [muscle spasms](https:\/\/www.verywellhealth.com\/back-muscle-spasm-how-to-get-relief-297161) are also common.\n\n**Treatment:** Typically, the severity of the curvature guides the treatment plan. Some instances may simply be observed over time. Using a brace can slow or stop the curvature of the spine. More severe cases may require surgery.\n\n### Spinal Cysts and Tumors\nTwo potentially serious causes of back pain are spinal cysts and tumors. Cysts arise from degenerative spinal changes, while tumors develop from cell changes.\n\nA spinal cyst can press on a nerve root that goes to a different area of the body. This pressure can cause radiculopathy.\n\nSymptoms include back pain that spreads (known as [referred pain](https:\/\/www.verywellhealth.com\/causes-of-referred-back-pain-296729)), muscle weakness, difficulty walking, decreased sensitivity to pain, and bowel or bladder incontinence.\n\n**Treatment:** There are several treatment options, including physical therapy, pain-relieving injections, or surgical removal. In cancerous tumors, the cancer may also be treated with surgery, chemotherapy, or radiation.\n\n### Cauda Equina Syndrome\n[Cauda equina syndrome](https:\/\/www.verywellhealth.com\/cauda-equina-syndrome-symptoms-and-causes-296590) is a rare but serious condition that occurs when nerve roots in the lumbar spine are compressed, disrupting bladder, bowel, and leg function. It can be caused by spinal trauma, tumors, infection, or spinal birth defects.\n\nSymptoms of cauda equina syndrome may include severe low back pain, [sciatica](https:\/\/www.verywellhealth.com\/sciatic-nerve-pain-7090365), leg numbness, an inability to urinate, bowel incontinence, sexual dysfunction, and the loss of reflexes in the legs.\n\n**Treatment:** Immediate surgery is generally advised.\n\n## Understanding Bone-Related Causes of Lower Back Pain\nThe bones themselves can also cause pain in the lower back. You might be experiencing this kind of pain because of a condition like bone spurs or because of a fracture.\n\n### Bone Spurs\n[Facet joints](https:\/\/www.verywellhealth.com\/facet-joint-disorders-7971158) are interconnecting joints along the spine that provide stability by limiting movement. Each spinal level has a right and a left.\n\n[Bone spurs](https:\/\/www.verywellhealth.com\/what-are-osteophytes-bone-spurs-189347) often develop at facet joints. These abnormal bone growths may be triggered by arthritis, previous trauma, or other causes.\n\nWhen spurs develop on a right facet joint, they cause right-sided pain. Other symptoms include leg weakness, numbness, tingling, and electrical sensations that shoot down one leg.\n\n**Treatment:** Bone spurs can be removed surgically if necessary. This relieves pressure on the nerves.\n\n### Spinal Fractures\nA [spinal fracture](https:\/\/www.verywellhealth.com\/myelopathy-overview-4797145) can occur from an accident, like a fall or car crash, often requiring emergency medical care. If your lumbar spine is fractured, symptoms may include:\n\n- Moderate to severe pain that worsens with movement\n- Numbness, tingling, and weakness in the limbs\n- Changes in posture\n- Walking difficulties\n- Bowel and bladder issues\n\n**Treatment:** Compression fractures may not require treatment. However, other types of spinal fractures often require surgical intervention.\n\n### Ankylosing Spondylitis\nA form of arthritis called [ankylosing spondylitis](https:\/\/www.verywellhealth.com\/ankylosing-spondylitis-7108841) is the main inflammatory condition that directly affects the lower back. This progressive condition can cause parts of the spine to fuse, resulting in spinal stiffness, pain, and immobility.\n\n**Treatment:** Although there is no cure for ankylosing spondylitis, treatment options like physical therapy and pain relievers can help manage symptoms day to day.\n\n## What Other Medical Conditions Can Cause Back Pain?\nConditions affecting internal organs, such as the kidneys and appendix, can sometimes cause pain that radiates to the lower back.\n\n### Kidney Issues\nLower right back pain can be related to the kidneys. A kidney infection (also known as [pyelonephritis](https:\/\/www.verywellhealth.com\/kidney-infection-when-to-go-to-the-hospital-7511488)) and kidney stones, can cause pain on either side of the lower back. If a kidney infection is the cause of your lower back pain, you will likely have additional symptoms such as a fever, chills, and pain or frequency with peeing.\n\n[Kidney stones](https:\/\/www.verywellhealth.com\/nephrectomy-5212837) are another common kidney-related cause of non-spine-related back pain. Even a tiny kidney stone can be painful as it passes through the urinary tract.\n\nDue to the location of the kidneys, pain from kidney stones may be felt deep within the left or right side of the back, depending on which kidney is involved. The pain will typically be sharp. There may also be lower abdominal pain, pain with urination, and nausea or vomiting.\n\n**Treatment:** A kidney infection requires antibiotics. If you believe you have a kidney infection, seek medical care, as the infection can spread and become serious quickly.\n\nKidney stones are often managed through pain relief and waiting for the stone to pass. If a kidney stone is too large to pass, it can be broken up into smaller fragments using a procedure called shock wave lithotripsy. Surgery may also be an option.\n\n### Gallstones\n[Gallstones](https:\/\/www.verywellhealth.com\/what-are-gallstones-1742784) can also cause right-sided back pain due to the location of the gall bladder just under the liver on the right side of the body.\n\nIn addition, gallstones can cause sudden and intense pain in the upper abdomen, beneath the breastbone, between the shoulder blades, and in the right shoulder. Nausea or vomiting is also common.\n\n**Treatment:** Most gallstones are treated by [removing the gallbladder](https:\/\/www.verywellhealth.com\/gallbladder-surgery-3157274). Non-surgical management, like medication or an endoscopy procedure, is usually less effective since it needs to be repeated during subsequent episodes.\n\n### Appendicitis\nAppendicitis can sometimes cause back pain. The pain from an [inflamed appendix](https:\/\/www.verywellhealth.com\/what-is-appendicitis-7093376) typically begins near the belly button and then moves to the lower right side of the abdomen. It can occasionally also radiate to the right side of the back.\n\n**Treatment:** Surgery to remove the appendix is required to prevent potentially life-threatening complications like infection.\n\n### Irritable Bowel Disease\nWhile [irritable bowel disease (IBD)](https:\/\/www.verywellhealth.com\/inflammatory-bowel-disease-8426339) primarily affects the bowels, one symptom of the condition is lower back pain. Some individuals with IBD develop a condition called sacroiliitis, which is inflammation of the sacroiliac joints.\n\nThe sacroiliac joints connect the pelvis to the lower spine, and pain can be felt on one or both sides.\n\n**Treatment:** Treatment for [sacroiliitis](https:\/\/www.verywellhealth.com\/what-is-sacroiliitis-296629) overlaps with therapy for IBD and may include a type of medication known as biologics. In some cases, surgery may be necessary, and joint fusions may help relieve some of the pain.\n\n### Abdominal Aortic Aneurysm\nAbdominal aortic aneurysms are often asymptomatic. However, one of their symptoms is low back and hip pain. Typically, there are other risk factors, such as [high blood pressure](https:\/\/www.verywellhealth.com\/why-does-high-blood-pressure-make-you-tired-5203914), heart disease, or being a male 65 years and older.\n\n**Treatment:** [Abdominal aortic aneurysms](https:\/\/www.verywellhealth.com\/aortic-aneurysm-8358332) require surgical intervention for treatment. If they rupture, they are a medical emergency.\n\n### Pelvic Inflammatory Disease (PID)\n[Pelvic inflammatory disease](https:\/\/www.verywellhealth.com\/pelvic-inflammatory-disease-pid-3133135) occurs when the female reproductive organs become infected, usually by a sexually transmitted bacterium, like gonorrhea or chlamydia. PID can cause pain in the lower abdomen that radiates to your lower back, buttocks, and thighs.\n\n**Treatment:** Antibiotics are the most common treatment for PID.\n\n### Endometriosis\nEndometriosis occurs when the tissue that usually lines the uterus grows outside of the uterus. When it grows near the lower back, it can cause pain.\n\nEndometrial tissue in the lower back can compress nerves and cause inflammation. If you have [endometriosis](https:\/\/www.verywellhealth.com\/endometriosis-biopsy-7111732), you may also experience symptoms such as:\n\n- Painful menstruation\n- Bleeding between periods\n- Chronic abdominal pain\n- Painful bowel movements\n- Pain during and\/or after sexual intercourse\n- Gastrointestinal symptoms such as diarrhea and bloating\n- Infertility\n\n**Treatment:** Pain-relieving agents like NSAIDs, [hormonal treatments like birth control](https:\/\/www.verywellhealth.com\/top-causes-of-heavy-menstrual-bleeding-3522223), and sometimes surgery are all used to alleviate pain caused by endometriosis.\n\n### Uterine Fibroids\nA uterine fibroid is a benign (non-cancerous) growth that occurs on or inside the uterus. Fibroids most often cause pelvic discomfort, but when they press on the muscles and nerves in the lower back, they can also lead to back pain.\n\n[Pain from fibroids](https:\/\/www.verywellhealth.com\/how-fibroid-pain-is-treated-5190953) can be treated with over-the-counter medications. Fibroids that cause other problems like severe pain or heavy menstrual bleeding might require treatment with [uterine fibroid embolization](https:\/\/www.verywellhealth.com\/how-to-shrink-fibroids-5190410) (UFE), a procedure that cuts off the blood supply to the fibroid, causing it to shrink.\n\n**Treatment:** Myomectomy (the removal of a fibroid) or hysterectomy (the removal of the uterus) are surgical options to treat fibroids.\n\n### Menstrual Disorders\nHormone-like substances your body releases during your menstrual cycle can affect the muscles in your lower back. This can lead to lower back pain during menstruation.\n\nMenstrual disorders such as [premenstrual syndrome](https:\/\/www.verywellhealth.com\/do-i-have-pms-3522569) (PMS) and premenstrual dysphoric disorder (PMDD) are also associated with lower back pain in females.\n\n**Treatment:** Painful periods can be treated with over-the-counter medications. Hormonal birth control can also help manage painful periods.\n\n### Ovarian Tumors or Cysts\nPain from an [ovarian cyst](https:\/\/www.verywellhealth.com\/what-are-ovarian-cysts-3520952) or tumor will likely cause abdominal or pelvic pain. However, the pain may also be felt in the lower back. If the tumor or cyst is on the right ovary, the pain may be felt in the lower right back.\n\n**Treatment:** Low back pain caused by an ovarian tumor or cyst depends on the underlying cause. If the pain is due to a cyst, your provider may choose to watch the cyst for some time or remove it.\n\nIf the pain is due to an [ovarian tumor](https:\/\/www.verywellhealth.com\/ovarian-cancer-7368536), treatment will depend on several factors and may include surgical removal and cancer therapies such as chemotherapy and radiation.\n\n### Pregnancy\nBack pain is common during pregnancy. This kind of pain occurs due to certain changes that happen to your body when you're pregnant.\n\nFor example, hormones can cause your muscles to relax and your ligaments to loosen. As your [pregnancy progresses](https:\/\/www.verywellhealth.com\/pregnancy-facts-and-statistics-5324188), your center of gravity changes, causing your lower spine to move forward. This can put a strain on your back muscles, especially if you find yourself leaning backward to compensate.\n\n**Treatment:** Back pain from pregnancy usually resolves after delivery. Pain can often be managed with Tylenol (acetaminophen). Discuss safe medication use with your healthcare provider if you are pregnant.\n\n### Testicular Torsion\n[Testicular torsion](https:\/\/www.verywellhealth.com\/testicular-torsion-4580081) happens when a testicle twists abnormally, blocking the blood supply. This condition causes sudden, severe pain in the groin that can radiate to the lower back. You may also experience:\n\n- Swelling in the scrotum\n- Nausea and vomiting\n\n**Treatment:** Testicular torsion is an emergency. If you have any of these symptoms, seek medical care right away. Surgery can usually repair testicular torsion if it is caught quickly enough. In severe cases, testicular torsion results in surgical removal of the affected testicle.\n\n## Diagnosis\nDiagnosing lower right back pain involves a physical exam and a review of your medical history. This may include a [neurological exam](https:\/\/www.verywellhealth.com\/nih-stroke-scale-evaluation-3146092) to see if your reflexes are normal or to check for weaknesses or sensations that point to a nerve injury.\n\nBased on the findings, your doctor may order imaging studies to look for abnormalities throughout your body. This may involve an X-ray of the spine or [a computed tomography (CT)](https:\/\/www.verywellhealth.com\/what-is-a-cat-scan-189603) scan, in which multiple X-ray images are combined into a 3-D image. [Magnetic resonance imaging (MRI)](https:\/\/www.verywellhealth.com\/what-is-an-mri-and-what-does-it-do-3157069) is another [test](https:\/\/www.verywellhealth.com\/blood-tests-for-diagnosing-back-pain-296717) that can better detect soft tissue damage.\n\nA [nerve conduction study](https:\/\/www.verywellhealth.com\/understanding-emg-and-ncs-results-2488642), or electromyography, may also be ordered. This can show your doctor how well electrical signals are traveling through nerves.\n\nDepending on your symptoms, additional bloodwork, imaging, or referral to a specialist may be necessary.\n\n## Treatment\nRight-sided low back pain treatment differs depending on the underlying cause. If the cause is related to a systemic illness, efforts will be focused on resolving the underlying condition first.\n\nOptions for the treatment of lower back pain itself may include:\n\n- [Nonsteroidal anti-inflammatory drugs (NSAIDs)](https:\/\/www.verywellhealth.com\/best-anti-inflammatory-medication-2548734)\n- [Prescription opioid drugs](https:\/\/www.verywellhealth.com\/types-of-opioids-chronic-pain-medications-2564496)\n- [Physical therapy](https:\/\/www.verywellhealth.com\/physical-therapy-4014670)\n- [Chiropractic](https:\/\/www.verywellhealth.com\/spinal-manipulation-5213994) or [osteopathic manipulation](https:\/\/www.verywellhealth.com\/do-doctors-vs-md-doctors-whats-the-difference-3157310)\n- [Epidural steroid injections](https:\/\/www.verywellhealth.com\/steroid-injections-chronic-back-pain-11687990)\n- [Surgery](https:\/\/www.verywellhealth.com\/beginning-rehab-after-low-back-surgery-2696215)\n## When to See a Healthcare Provider\nThere are several red flags for lower right back pain, including, but not limited to:\n\n- Pain that is sudden and severe\n- Pain associated with a significant injury (e.g., a fall or motor vehicle accident)\n- Pain that does not go away\n- Pain that wakes you up at night or keeps you awake\n- Difficulty walking or standing\n- Loss of bladder or bowel control\n- [Loss of consciousness](https:\/\/www.verywellhealth.com\/level-of-consciousness-1132154)\n- Numbness or tingling in your pelvis or down your legs\n- Fever\n\nThese signs and symptoms point to the potential for more serious causes that require urgent treatment, such as cauda equina syndrome, appendicitis, or a kidney infection.\n\nRead more:\n\n- [Health A-Z](https:\/\/www.verywellhealth.com\/health-a-z-4014770)\n- [Back & Neck Pain](https:\/\/www.verywellhealth.com\/back-and-neck-pain-overview-4581999)\n- [Causes & Risk Factors](https:\/\/www.verywellhealth.com\/back-and-neck-pain-causes-4158506)\n\n12 Sources\n\nVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.\n\n1. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Back pain: Diagnosis, treatment, and steps to take](https:\/\/www.niams.nih.gov\/health-topics\/back-pain\/diagnosis-treatment-and-steps-to-take). National Institutes of Health.\n2. NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Spinal stenosis](https:\/\/www.niams.nih.gov\/health-topics\/spinal-stenosis).\n3. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Ankylosing Spondylitis](https:\/\/www.niams.nih.gov\/health-topics\/ankylosing-spondylitis). National Institutes of Health.\n4. Harvard Health Publishing. [Will my herniated disc heal on its own?](https:\/\/www.health.harvard.edu\/pain\/will-my-herniated-disc-heal-on-its-own)\n5. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Scoliosis in Children and Teens: Diagnosis, Treatment, and Steps to Take](https:\/\/www.niams.nih.gov\/health-topics\/scoliosis\/diagnosis-treatment-and-steps-to-take). National Institutes of Health.\n6. Genev IK, Tobin MK, Zaidi SP, Khan SR, Amirouche FML, Mehta AI. [Spinal compression fracture management](https:\/\/doi.org\/10.1055%2Fs-0036-1583288). *Global Spine J*. 2017;7(1):71-82. doi:10.1055\/s-0036-1583288\n7. National Institute of Diabetes and Digestive and Kidney Diseases. [Kidney stones](https:\/\/www.niddk.nih.gov\/health-information\/urologic-diseases\/kidney-stones). National Institutes of Health.\n8. National Institute of Diabetes and Digestive and Kidney Diseases. [Treatment for gallstones](https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/gallstones\/treatment). National Institutes of Health.\n9. Malik F, Weisman MH. [Sacroiliitis in inflammatory bowel disease.](https:\/\/pubmed.ncbi.nlm.nih.gov\/38687285\/) *Curr Opin Rheumatol*. 2024;36(4):274-281.\n10. Blake S, Casey C, Diana, H. [S2419 Crohn's induced sacroiliitis and cauda equina syndrome.](https:\/\/journals.lww.com\/ajg\/fulltext\/2021\/10001\/s2419_crohn_s_induced_sacroiliitis_and_cauda.2423.aspx) *The American Journal of Gastroenterology.* 2021; 116. doi:10.14309\/01.ajg.0000783208.54225.53\n11. Marcel A, Jovan J, Myrick K. [Abdominal aortic aneurysm presenting to the orthopedic clinic as posterior hip and low back pain.](https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10279937\/) *Clin Case Rep*. 2023;11(6):e7443.\n12. MedlinePlus. [Low back pain - acute.](https:\/\/medlineplus.gov\/ency\/article\/007425.htm)\n\nBy [Anne Asher, CPT](https:\/\/www.verywellhealth.com\/anne-asher-296158)   \n Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert.\n\n[See Our Editorial Process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042)\n\n[Meet Our Medical Expert Board](https:\/\/www.verywellhealth.com\/meet-our-medical-expert-board-11762003)\n\nShare Feedback\n\nWas this page helpful?\n\nThanks for your feedback\\!\n\nWhat is your feedback?\n\nHelpful\n\nReport an Error\n\nOther\n\nRelated Articles\n\n[![A person standing by a running track feels low back and hip pain]() ![A person standing by a running track feels low back and hip 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bed, feeling back of neck]() ![Adult sitting on bed, feeling back of neck](https:\/\/www.verywellhealth.com\/thmb\/1vnGSwo0ncpv5EwgKt3EX0YQxRg=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/neck-pain-GettyImages-1300865392-dc7244ad0676404d86f475227bca0d74.jpg) Why Your Neck Hurts When You Wake Up and How to Fix It](https:\/\/www.verywellhealth.com\/why-does-my-neck-hurt-when-i-wake-up-7557815)\n\n[![Woman with chest pain at home]() ![Woman with chest pain at home](https:\/\/www.verywellhealth.com\/thmb\/B0OrFuoTf4WIjG5zX1lc4TwyGd8=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1471855662-f31354d502ee485bb33c2952159e60a3.jpg) Causes of Chest and Back Pain Based on Location](https:\/\/www.verywellhealth.com\/chest-and-back-pain-8387247)\n\n[![Posterior pelvic tilt shown with a line ]() ![Posterior pelvic tilt shown with a line ](https:\/\/www.verywellhealth.com\/thmb\/RUK0W7qAmSIoEjKPEz7aztOtWbA=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/VWH-JessicaOlah-PosteriorPelvicTilt-Recirc-a564c9cd3e6842e89bfaa15e1adfab48.jpg) What Is Posterior Pelvic Tilt and How Can You Fix It?](https:\/\/www.verywellhealth.com\/posterior-pelvic-tilt-297132)\n\n[![A person feels neck pain and other symptoms of neural foraminal stenosis]() ![A person feels neck pain and other symptoms of neural foraminal stenosis](https:\/\/www.verywellhealth.com\/thmb\/EYMDtcg2zEjZ4pC1cxZ5_n9bSXM=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/pinched-nerve-GettyImages-1605098107-ff0ed4c8b14541faaf469614a29efaf8.jpg) How Neural Foraminal Stenosis Affects the Spine and Treatment Options](https:\/\/www.verywellhealth.com\/neural-foraminal-stenosis-11691957)\n\n[![Woman texting and holding neck in pain]() ![Woman texting and holding neck in pain](https:\/\/www.verywellhealth.com\/thmb\/70arqtuu2XjEw0plx9xm3TZZeZk=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/neck-pain-GettyImages-478168659-572bc6cd3df78c038e462f89.jpg) What Not to Do If You Have Neck Pain](https:\/\/www.verywellhealth.com\/things-to-stop-doing-if-you-have-neck-pain-2696093)\n\n[![Woman using a foam roller]() ![Woman using a foam roller](https:\/\/www.verywellhealth.com\/thmb\/qsiXqLIr1U7GgHr-HiKl-1CSaPs=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/foamrollingbackpaingetty-59c07b67c4124400100bfc68.jpg) Self-Myofascial Release Techniques for Neck and Shoulders](https:\/\/www.verywellhealth.com\/self-myofascial-release-techniques-4154550)\n\n[![Man on sofa changing TV channel]() ![Man on sofa changing TV channel](https:\/\/www.verywellhealth.com\/thmb\/G7g025nMnNna9BGJsMdUlc1L4VE=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-1408055319-95a9f0d8efcb464fb831d047a10f96ef.jpg) How to Relieve Bulging Disc Pain](https:\/\/www.verywellhealth.com\/bulging-disc-7510046)\n\n[![Lower back pain felt by a person seated in chair]() ![Lower back pain felt by a person seated in chair](https:\/\/www.verywellhealth.com\/thmb\/kw7U9v-PBckk9R_zfh8nzsTIWQg=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/back-pain-GettyImages-1843360301-74701d75cfa54219be065d0bbc5ac752.jpg) What Causes Lower Back Pain in Females?](https:\/\/www.verywellhealth.com\/lower-back-pain-female-8582009)\n\n[![A chiropractor adjusts a woman's back.]() ![A chiropractor adjusts a woman's back.](https:\/\/www.verywellhealth.com\/thmb\/dxvX-2pq9_8OGoTjVteMZNftYIA=\/400x250\/filters:no_upscale\\(\\):max_bytes\\(150000\\):strip_icc\\(\\)\/GettyImages-161143564-56a0606e5f9b58eba4b02840.jpg) Lumbar Traction: Uses, Procedure, Side Effects, and More](https:\/\/www.verywellhealth.com\/lumbar-traction-offers-no-benefit-for-back-pain-3999170)\n\n- [Health A-Z](https:\/\/www.verywellhealth.com\/health-a-z-4014770)\n- [Prevention & Treatment](https:\/\/www.verywellhealth.com\/prevention-and-treatment-4158390)\n- [Health Care](https:\/\/www.verywellhealth.com\/health-care-4014769)\n- [News](https:\/\/www.verywellhealth.com\/news-4846412)\n\n- [Meet Our Review Board](https:\/\/www.verywellhealth.com\/meet-our-medical-expert-board-11762003)\n- [About Us](https:\/\/www.verywellhealth.com\/about-us-5180305)\n- [Editorial Process](https:\/\/www.verywellhealth.com\/verywell-editorial-process-4777042)\n- [Privacy Policy](https:\/\/www.people.inc\/brands-privacy)\n- [In the 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Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.\n\nⒸ 2026 People Inc. — All rights reserved\n\nVerywell Health is part of the [People Inc.](https:\/\/www.people.inc\/) publishing family.","attrs_readable_markdown":"### Key Takeaways\n- Lower right back pain can be caused by muscle or ligament injuries or conditions affecting the spine and joints.\n- If your back pain is severe or lasts a long time, it is important to see a healthcare provider for an exam.\n\nLower right back pain is often caused by muscle or ligament injuries, structural bone and spinal problems, or inflammatory conditions. From a simple back strain to more serious issues like kidney infections, identifying the source of your pain is crucial to determining the right treatment, from home remedies and drugs to medical procedures and surgery.\n\nStock Photos Art \/ iStock\n\n## Is Your Lower Right Back Pain Muscular?\nMost lower right back pain arises from muscle or ligament injuries. These injuries can occur suddenly—like during a car accident or while lifting heavy objects—or gradually from [poor posture](https:\/\/www.verywellhealth.com\/how-to-improve-posture-8789782).\n\n### Muscle Strain\nMuscle strains commonly cause [lower back pain](https:\/\/www.verywellhealth.com\/common-symptoms-of-low-back-pain-2696186) because the lower back plays a role in many movements like bending and twisting. Overuse or sudden injury can lead to pain.\n\nPain from lower back muscle strains typically does not radiate to your legs. Other symptoms can include:\n\n- Reduced range of motion\n- Stiffness and muscle spasm\n- Difficulty standing or sitting up straight\n\n**Treatment:** Pain from a muscle strain can be relieved with [non-steroidal anti-inflammatory medications](https:\/\/www.verywellhealth.com\/best-anti-inflammatory-medication-2548734) (NSAIDs) and cold packs applied for 15 minutes at a time. Though rest was once recommended, it's now considered important to keep the muscles moving.\n\n### Ligament Injuries\nA ligament injury in the lower back is called a lower back [sprain](https:\/\/www.verywellhealth.com\/sprains-and-strains-2548839). Sprains happen when you stretch or tear a ligament, one of the thick bands of tissue that connect bones to other bones, muscles, cartilage, and tendons. People often injure back ligaments during falls, sporting accidents, or car accidents. Poor posture can also damage your ligaments over time.\n\nSymptoms of a lower back ligament injury are similar to those of a muscle strain.\n\n**Treatment:** Similar to a muscle strain, NSAIDs and ice can help relieve pain and swelling. Ligament injuries may also benefit from [physical therapy](https:\/\/www.verywellhealth.com\/physical-therapy-4014670).\n\n## Are Spinal or Joint Issues Causing Your Discomfort?\nSpinal and joint conditions can also cause lower back pain. These include:\n\n### Spinal Stenosis\n[Spinal stenosis](https:\/\/www.verywellhealth.com\/what-is-spinal-stenosis-2552316) occurs when spaces between the spinal vertebrae narrow, putting pressure on the spinal cord and nerve roots. In the lumbar spine, this can cause lower back pain on one or both sides.\n\nPain from spinal stenosis often feels like a burning ache and may radiate to the buttocks and legs. It typically worsens when standing or walking and improves when leaning forward. Symptoms may include numbness, tingling, weakness, or cramping in the feet and legs.\n\nTreatment: A surgical procedure called a [laminectomy](https:\/\/www.verywellhealth.com\/beginning-rehab-after-low-back-surgery-2696215) treats spinal stenosis by removing bony spurs to open the spinal column.\n\n### Sacroiliac Joint Disorders\nThe [sacroiliac (SI) joint](https:\/\/www.verywellhealth.com\/sacroiliac-joint-pain-189250) links the pelvis to the sacrum, the triangular bone between the lower spine and tailbone. Abnormal movement or trauma to these joints can cause back pain or pain that spreads to other areas.\n\nSacroiliac pain can also result from [ankylosing spondylitis](https:\/\/www.verywellhealth.com\/ankylosing-spondylitis-7108841), a type of arthritis. This progressive inflammatory condition can fuse parts of the spine, causing stiffness, pain, and immobility.\n\n**Treatment:** While there's no cure for ankylosing spondylitis, options like physical therapy and pain relievers can help manage daily symptoms.\n\n### Herniated Disc\nA [herniated disc](https:\/\/www.verywellhealth.com\/what-are-herniated-disc-symptoms-296740) happens when the cushion between two vertebrae bulges or ruptures. Often, the soft, liquid-like substance inside the disc leaks out.\n\nShould the substance come into contact with a nerve root, it can \"short circuit\" electrical signals and trigger symptoms of a type of nerve pain called [radiculopathy](https:\/\/www.verywellhealth.com\/what-is-radiculopathy-296634) (typically on one side of the body).\n\nSymptoms of radiculopathy include pain, weakness, numbness, or a pins-and-needles sensation that runs down one leg. There may also be cramping and discomfort while walking.\n\n**Treatment:** For about 90% of herniated discs, the pain goes away on its own within six months. Physical therapy is often prescribed for disc herniations, and a six-week course of therapy is typical. If conservative strategies aren't effective, surgery may be suggested.\n\n### Scoliosis\n[Scoliosis](https:\/\/www.verywellhealth.com\/scoliosis-lateral-curve-of-the-spine-2548780) is an abnormal spine curvature, causing an \"S\" or \"C\" shape. This may lead to tight or overstretched muscles in some areas and compression in others.\n\nLow back pain is common in adults with scoliosis and is often unilateral (occurring on only one side). Sciatica and [muscle spasms](https:\/\/www.verywellhealth.com\/back-muscle-spasm-how-to-get-relief-297161) are also common.\n\n**Treatment:** Typically, the severity of the curvature guides the treatment plan. Some instances may simply be observed over time. Using a brace can slow or stop the curvature of the spine. More severe cases may require surgery.\n\n### Spinal Cysts and Tumors\nTwo potentially serious causes of back pain are spinal cysts and tumors. Cysts arise from degenerative spinal changes, while tumors develop from cell changes.\n\nA spinal cyst can press on a nerve root that goes to a different area of the body. This pressure can cause radiculopathy.\n\nSymptoms include back pain that spreads (known as [referred pain](https:\/\/www.verywellhealth.com\/causes-of-referred-back-pain-296729)), muscle weakness, difficulty walking, decreased sensitivity to pain, and bowel or bladder incontinence.\n\n**Treatment:** There are several treatment options, including physical therapy, pain-relieving injections, or surgical removal. In cancerous tumors, the cancer may also be treated with surgery, chemotherapy, or radiation.\n\n### Cauda Equina Syndrome\n[Cauda equina syndrome](https:\/\/www.verywellhealth.com\/cauda-equina-syndrome-symptoms-and-causes-296590) is a rare but serious condition that occurs when nerve roots in the lumbar spine are compressed, disrupting bladder, bowel, and leg function. It can be caused by spinal trauma, tumors, infection, or spinal birth defects.\n\nSymptoms of cauda equina syndrome may include severe low back pain, [sciatica](https:\/\/www.verywellhealth.com\/sciatic-nerve-pain-7090365), leg numbness, an inability to urinate, bowel incontinence, sexual dysfunction, and the loss of reflexes in the legs.\n\n**Treatment:** Immediate surgery is generally advised.\n\n## Understanding Bone-Related Causes of Lower Back Pain\nThe bones themselves can also cause pain in the lower back. You might be experiencing this kind of pain because of a condition like bone spurs or because of a fracture.\n\n### Bone Spurs\n[Facet joints](https:\/\/www.verywellhealth.com\/facet-joint-disorders-7971158) are interconnecting joints along the spine that provide stability by limiting movement. Each spinal level has a right and a left.\n\n[Bone spurs](https:\/\/www.verywellhealth.com\/what-are-osteophytes-bone-spurs-189347) often develop at facet joints. These abnormal bone growths may be triggered by arthritis, previous trauma, or other causes.\n\nWhen spurs develop on a right facet joint, they cause right-sided pain. Other symptoms include leg weakness, numbness, tingling, and electrical sensations that shoot down one leg.\n\n**Treatment:** Bone spurs can be removed surgically if necessary. This relieves pressure on the nerves.\n\n### Spinal Fractures\nA [spinal fracture](https:\/\/www.verywellhealth.com\/myelopathy-overview-4797145) can occur from an accident, like a fall or car crash, often requiring emergency medical care. If your lumbar spine is fractured, symptoms may include:\n\n- Moderate to severe pain that worsens with movement\n- Numbness, tingling, and weakness in the limbs\n- Changes in posture\n- Walking difficulties\n- Bowel and bladder issues\n\n**Treatment:** Compression fractures may not require treatment. However, other types of spinal fractures often require surgical intervention.\n\n### Ankylosing Spondylitis\nA form of arthritis called [ankylosing spondylitis](https:\/\/www.verywellhealth.com\/ankylosing-spondylitis-7108841) is the main inflammatory condition that directly affects the lower back. This progressive condition can cause parts of the spine to fuse, resulting in spinal stiffness, pain, and immobility.\n\n**Treatment:** Although there is no cure for ankylosing spondylitis, treatment options like physical therapy and pain relievers can help manage symptoms day to day.\n\n## What Other Medical Conditions Can Cause Back Pain?\nConditions affecting internal organs, such as the kidneys and appendix, can sometimes cause pain that radiates to the lower back.\n\n### Kidney Issues\nLower right back pain can be related to the kidneys. A kidney infection (also known as [pyelonephritis](https:\/\/www.verywellhealth.com\/kidney-infection-when-to-go-to-the-hospital-7511488)) and kidney stones, can cause pain on either side of the lower back. If a kidney infection is the cause of your lower back pain, you will likely have additional symptoms such as a fever, chills, and pain or frequency with peeing.\n\n[Kidney stones](https:\/\/www.verywellhealth.com\/nephrectomy-5212837) are another common kidney-related cause of non-spine-related back pain. Even a tiny kidney stone can be painful as it passes through the urinary tract.\n\nDue to the location of the kidneys, pain from kidney stones may be felt deep within the left or right side of the back, depending on which kidney is involved. The pain will typically be sharp. There may also be lower abdominal pain, pain with urination, and nausea or vomiting.\n\n**Treatment:** A kidney infection requires antibiotics. If you believe you have a kidney infection, seek medical care, as the infection can spread and become serious quickly.\n\nKidney stones are often managed through pain relief and waiting for the stone to pass. If a kidney stone is too large to pass, it can be broken up into smaller fragments using a procedure called shock wave lithotripsy. Surgery may also be an option.\n\n### Gallstones\n[Gallstones](https:\/\/www.verywellhealth.com\/what-are-gallstones-1742784) can also cause right-sided back pain due to the location of the gall bladder just under the liver on the right side of the body.\n\nIn addition, gallstones can cause sudden and intense pain in the upper abdomen, beneath the breastbone, between the shoulder blades, and in the right shoulder. Nausea or vomiting is also common.\n\n**Treatment:** Most gallstones are treated by [removing the gallbladder](https:\/\/www.verywellhealth.com\/gallbladder-surgery-3157274). Non-surgical management, like medication or an endoscopy procedure, is usually less effective since it needs to be repeated during subsequent episodes.\n\n### Appendicitis\nAppendicitis can sometimes cause back pain. The pain from an [inflamed appendix](https:\/\/www.verywellhealth.com\/what-is-appendicitis-7093376) typically begins near the belly button and then moves to the lower right side of the abdomen. It can occasionally also radiate to the right side of the back.\n\n**Treatment:** Surgery to remove the appendix is required to prevent potentially life-threatening complications like infection.\n\n### Irritable Bowel Disease\nWhile [irritable bowel disease (IBD)](https:\/\/www.verywellhealth.com\/inflammatory-bowel-disease-8426339) primarily affects the bowels, one symptom of the condition is lower back pain. Some individuals with IBD develop a condition called sacroiliitis, which is inflammation of the sacroiliac joints.\n\nThe sacroiliac joints connect the pelvis to the lower spine, and pain can be felt on one or both sides.\n\n**Treatment:** Treatment for [sacroiliitis](https:\/\/www.verywellhealth.com\/what-is-sacroiliitis-296629) overlaps with therapy for IBD and may include a type of medication known as biologics. In some cases, surgery may be necessary, and joint fusions may help relieve some of the pain.\n\n### Abdominal Aortic Aneurysm\nAbdominal aortic aneurysms are often asymptomatic. However, one of their symptoms is low back and hip pain. Typically, there are other risk factors, such as [high blood pressure](https:\/\/www.verywellhealth.com\/why-does-high-blood-pressure-make-you-tired-5203914), heart disease, or being a male 65 years and older.\n\n**Treatment:** [Abdominal aortic aneurysms](https:\/\/www.verywellhealth.com\/aortic-aneurysm-8358332) require surgical intervention for treatment. If they rupture, they are a medical emergency.\n\n### Pelvic Inflammatory Disease (PID)\n[Pelvic inflammatory disease](https:\/\/www.verywellhealth.com\/pelvic-inflammatory-disease-pid-3133135) occurs when the female reproductive organs become infected, usually by a sexually transmitted bacterium, like gonorrhea or chlamydia. PID can cause pain in the lower abdomen that radiates to your lower back, buttocks, and thighs.\n\n**Treatment:** Antibiotics are the most common treatment for PID.\n\n### Endometriosis\nEndometriosis occurs when the tissue that usually lines the uterus grows outside of the uterus. When it grows near the lower back, it can cause pain.\n\nEndometrial tissue in the lower back can compress nerves and cause inflammation. If you have [endometriosis](https:\/\/www.verywellhealth.com\/endometriosis-biopsy-7111732), you may also experience symptoms such as:\n\n- Painful menstruation\n- Bleeding between periods\n- Chronic abdominal pain\n- Painful bowel movements\n- Pain during and\/or after sexual intercourse\n- Gastrointestinal symptoms such as diarrhea and bloating\n- Infertility\n\n**Treatment:** Pain-relieving agents like NSAIDs, [hormonal treatments like birth control](https:\/\/www.verywellhealth.com\/top-causes-of-heavy-menstrual-bleeding-3522223), and sometimes surgery are all used to alleviate pain caused by endometriosis.\n\n### Uterine Fibroids\nA uterine fibroid is a benign (non-cancerous) growth that occurs on or inside the uterus. Fibroids most often cause pelvic discomfort, but when they press on the muscles and nerves in the lower back, they can also lead to back pain.\n\n[Pain from fibroids](https:\/\/www.verywellhealth.com\/how-fibroid-pain-is-treated-5190953) can be treated with over-the-counter medications. Fibroids that cause other problems like severe pain or heavy menstrual bleeding might require treatment with [uterine fibroid embolization](https:\/\/www.verywellhealth.com\/how-to-shrink-fibroids-5190410) (UFE), a procedure that cuts off the blood supply to the fibroid, causing it to shrink.\n\n**Treatment:** Myomectomy (the removal of a fibroid) or hysterectomy (the removal of the uterus) are surgical options to treat fibroids.\n\n### Menstrual Disorders\nHormone-like substances your body releases during your menstrual cycle can affect the muscles in your lower back. This can lead to lower back pain during menstruation.\n\nMenstrual disorders such as [premenstrual syndrome](https:\/\/www.verywellhealth.com\/do-i-have-pms-3522569) (PMS) and premenstrual dysphoric disorder (PMDD) are also associated with lower back pain in females.\n\n**Treatment:** Painful periods can be treated with over-the-counter medications. Hormonal birth control can also help manage painful periods.\n\n### Ovarian Tumors or Cysts\nPain from an [ovarian cyst](https:\/\/www.verywellhealth.com\/what-are-ovarian-cysts-3520952) or tumor will likely cause abdominal or pelvic pain. However, the pain may also be felt in the lower back. If the tumor or cyst is on the right ovary, the pain may be felt in the lower right back.\n\n**Treatment:** Low back pain caused by an ovarian tumor or cyst depends on the underlying cause. If the pain is due to a cyst, your provider may choose to watch the cyst for some time or remove it.\n\nIf the pain is due to an [ovarian tumor](https:\/\/www.verywellhealth.com\/ovarian-cancer-7368536), treatment will depend on several factors and may include surgical removal and cancer therapies such as chemotherapy and radiation.\n\n### Pregnancy\nBack pain is common during pregnancy. This kind of pain occurs due to certain changes that happen to your body when you're pregnant.\n\nFor example, hormones can cause your muscles to relax and your ligaments to loosen. As your [pregnancy progresses](https:\/\/www.verywellhealth.com\/pregnancy-facts-and-statistics-5324188), your center of gravity changes, causing your lower spine to move forward. This can put a strain on your back muscles, especially if you find yourself leaning backward to compensate.\n\n**Treatment:** Back pain from pregnancy usually resolves after delivery. Pain can often be managed with Tylenol (acetaminophen). Discuss safe medication use with your healthcare provider if you are pregnant.\n\n### Testicular Torsion\n[Testicular torsion](https:\/\/www.verywellhealth.com\/testicular-torsion-4580081) happens when a testicle twists abnormally, blocking the blood supply. This condition causes sudden, severe pain in the groin that can radiate to the lower back. You may also experience:\n\n- Swelling in the scrotum\n- Nausea and vomiting\n\n**Treatment:** Testicular torsion is an emergency. If you have any of these symptoms, seek medical care right away. Surgery can usually repair testicular torsion if it is caught quickly enough. In severe cases, testicular torsion results in surgical removal of the affected testicle.\n\n## Diagnosis\nDiagnosing lower right back pain involves a physical exam and a review of your medical history. This may include a [neurological exam](https:\/\/www.verywellhealth.com\/nih-stroke-scale-evaluation-3146092) to see if your reflexes are normal or to check for weaknesses or sensations that point to a nerve injury.\n\nBased on the findings, your doctor may order imaging studies to look for abnormalities throughout your body. This may involve an X-ray of the spine or [a computed tomography (CT)](https:\/\/www.verywellhealth.com\/what-is-a-cat-scan-189603) scan, in which multiple X-ray images are combined into a 3-D image. [Magnetic resonance imaging (MRI)](https:\/\/www.verywellhealth.com\/what-is-an-mri-and-what-does-it-do-3157069) is another [test](https:\/\/www.verywellhealth.com\/blood-tests-for-diagnosing-back-pain-296717) that can better detect soft tissue damage.\n\nA [nerve conduction study](https:\/\/www.verywellhealth.com\/understanding-emg-and-ncs-results-2488642), or electromyography, may also be ordered. This can show your doctor how well electrical signals are traveling through nerves.\n\nDepending on your symptoms, additional bloodwork, imaging, or referral to a specialist may be necessary.\n\n## Treatment\nRight-sided low back pain treatment differs depending on the underlying cause. If the cause is related to a systemic illness, efforts will be focused on resolving the underlying condition first.\n\nOptions for the treatment of lower back pain itself may include:\n\n- [Nonsteroidal anti-inflammatory drugs (NSAIDs)](https:\/\/www.verywellhealth.com\/best-anti-inflammatory-medication-2548734)\n- [Prescription opioid drugs](https:\/\/www.verywellhealth.com\/types-of-opioids-chronic-pain-medications-2564496)\n- [Physical therapy](https:\/\/www.verywellhealth.com\/physical-therapy-4014670)\n- [Chiropractic](https:\/\/www.verywellhealth.com\/spinal-manipulation-5213994) or [osteopathic manipulation](https:\/\/www.verywellhealth.com\/do-doctors-vs-md-doctors-whats-the-difference-3157310)\n- [Epidural steroid injections](https:\/\/www.verywellhealth.com\/steroid-injections-chronic-back-pain-11687990)\n- [Surgery](https:\/\/www.verywellhealth.com\/beginning-rehab-after-low-back-surgery-2696215)\n## When to See a Healthcare Provider\nThere are several red flags for lower right back pain, including, but not limited to:\n\n- Pain that is sudden and severe\n- Pain associated with a significant injury (e.g., a fall or motor vehicle accident)\n- Pain that does not go away\n- Pain that wakes you up at night or keeps you awake\n- Difficulty walking or standing\n- Loss of bladder or bowel control\n- [Loss of consciousness](https:\/\/www.verywellhealth.com\/level-of-consciousness-1132154)\n- Numbness or tingling in your pelvis or down your legs\n- Fever\n\nThese signs and symptoms point to the potential for more serious causes that require urgent treatment, such as cauda equina syndrome, appendicitis, or a kidney infection.","meta_canonical":null}

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Boilerpipe Text	Key Takeaways Lower right back pain can be caused by muscle or ligament injuries or conditions affecting the spine and joints. If your back pain is severe or lasts a long time, it is important to see a healthcare provider for an exam. Lower right back pain is often caused by muscle or ligament injuries, structural bone and spinal problems, or inflammatory conditions. From a simple back strain to more serious issues like kidney infections, identifying the source of your pain is crucial to determining the right treatment, from home remedies and drugs to medical procedures and surgery. Stock Photos Art / iStock Is Your Lower Right Back Pain Muscular? Most lower right back pain arises from muscle or ligament injuries. These injuries can occur suddenly—like during a car accident or while lifting heavy objects—or gradually from poor posture . Muscle Strain Muscle strains commonly cause lower back pain because the lower back plays a role in many movements like bending and twisting. Overuse or sudden injury can lead to pain. Pain from lower back muscle strains typically does not radiate to your legs. Other symptoms can include: Reduced range of motion Stiffness and muscle spasm Difficulty standing or sitting up straight Treatment: Pain from a muscle strain can be relieved with non-steroidal anti-inflammatory medications (NSAIDs) and cold packs applied for 15 minutes at a time. Though rest was once recommended, it's now considered important to keep the muscles moving. Ligament Injuries A ligament injury in the lower back is called a lower back sprain . Sprains happen when you stretch or tear a ligament, one of the thick bands of tissue that connect bones to other bones, muscles, cartilage, and tendons. People often injure back ligaments during falls, sporting accidents, or car accidents. Poor posture can also damage your ligaments over time. Symptoms of a lower back ligament injury are similar to those of a muscle strain. Treatment: Similar to a muscle strain, NSAIDs and ice can help relieve pain and swelling. Ligament injuries may also benefit from physical therapy . Are Spinal or Joint Issues Causing Your Discomfort? Spinal and joint conditions can also cause lower back pain. These include: Spinal Stenosis Spinal stenosis occurs when spaces between the spinal vertebrae narrow, putting pressure on the spinal cord and nerve roots. In the lumbar spine, this can cause lower back pain on one or both sides. Pain from spinal stenosis often feels like a burning ache and may radiate to the buttocks and legs. It typically worsens when standing or walking and improves when leaning forward. Symptoms may include numbness, tingling, weakness, or cramping in the feet and legs. Treatment: A surgical procedure called a laminectomy treats spinal stenosis by removing bony spurs to open the spinal column. Sacroiliac Joint Disorders The sacroiliac (SI) joint links the pelvis to the sacrum, the triangular bone between the lower spine and tailbone. Abnormal movement or trauma to these joints can cause back pain or pain that spreads to other areas. Sacroiliac pain can also result from ankylosing spondylitis , a type of arthritis. This progressive inflammatory condition can fuse parts of the spine, causing stiffness, pain, and immobility. Treatment: While there's no cure for ankylosing spondylitis, options like physical therapy and pain relievers can help manage daily symptoms. Herniated Disc A herniated disc happens when the cushion between two vertebrae bulges or ruptures. Often, the soft, liquid-like substance inside the disc leaks out. Should the substance come into contact with a nerve root, it can "short circuit" electrical signals and trigger symptoms of a type of nerve pain called radiculopathy (typically on one side of the body). Symptoms of radiculopathy include pain, weakness, numbness, or a pins-and-needles sensation that runs down one leg. There may also be cramping and discomfort while walking. Treatment: For about 90% of herniated discs, the pain goes away on its own within six months. Physical therapy is often prescribed for disc herniations, and a six-week course of therapy is typical. If conservative strategies aren't effective, surgery may be suggested. Scoliosis Scoliosis is an abnormal spine curvature, causing an "S" or "C" shape. This may lead to tight or overstretched muscles in some areas and compression in others. Low back pain is common in adults with scoliosis and is often unilateral (occurring on only one side). Sciatica and muscle spasms are also common. Treatment: Typically, the severity of the curvature guides the treatment plan. Some instances may simply be observed over time. Using a brace can slow or stop the curvature of the spine. More severe cases may require surgery. Spinal Cysts and Tumors Two potentially serious causes of back pain are spinal cysts and tumors. Cysts arise from degenerative spinal changes, while tumors develop from cell changes. A spinal cyst can press on a nerve root that goes to a different area of the body. This pressure can cause radiculopathy . Symptoms include back pain that spreads (known as referred pain ), muscle weakness, difficulty walking, decreased sensitivity to pain, and bowel or bladder incontinence. Treatment: There are several treatment options, including physical therapy, pain-relieving injections, or surgical removal. In cancerous tumors, the cancer may also be treated with surgery, chemotherapy, or radiation. Cauda Equina Syndrome Cauda equina syndrome is a rare but serious condition that occurs when nerve roots in the lumbar spine are compressed, disrupting bladder, bowel, and leg function. It can be caused by spinal trauma, tumors, infection, or spinal birth defects. Symptoms of cauda equina syndrome may include severe low back pain, sciatica , leg numbness, an inability to urinate, bowel incontinence, sexual dysfunction, and the loss of reflexes in the legs. Treatment: Immediate surgery is generally advised. Understanding Bone-Related Causes of Lower Back Pain The bones themselves can also cause pain in the lower back. You might be experiencing this kind of pain because of a condition like bone spurs or because of a fracture. Bone Spurs Facet joints are interconnecting joints along the spine that provide stability by limiting movement. Each spinal level has a right and a left. Bone spurs often develop at facet joints. These abnormal bone growths may be triggered by arthritis, previous trauma, or other causes. When spurs develop on a right facet joint, they cause right-sided pain. Other symptoms include leg weakness, numbness, tingling, and electrical sensations that shoot down one leg. Treatment: Bone spurs can be removed surgically if necessary. This relieves pressure on the nerves. Spinal Fractures A spinal fracture can occur from an accident, like a fall or car crash, often requiring emergency medical care. If your lumbar spine is fractured, symptoms may include: Moderate to severe pain that worsens with movement Numbness, tingling, and weakness in the limbs Changes in posture Walking difficulties Bowel and bladder issues Treatment: Compression fractures may not require treatment. However, other types of spinal fractures often require surgical intervention. Ankylosing Spondylitis A form of arthritis called ankylosing spondylitis is the main inflammatory condition that directly affects the lower back. This progressive condition can cause parts of the spine to fuse, resulting in spinal stiffness, pain, and immobility. Treatment: Although there is no cure for ankylosing spondylitis, treatment options like physical therapy and pain relievers can help manage symptoms day to day. What Other Medical Conditions Can Cause Back Pain? Conditions affecting internal organs, such as the kidneys and appendix, can sometimes cause pain that radiates to the lower back. Kidney Issues Lower right back pain can be related to the kidneys. A kidney infection (also known as pyelonephritis ) and kidney stones, can cause pain on either side of the lower back. If a kidney infection is the cause of your lower back pain, you will likely have additional symptoms such as a fever, chills, and pain or frequency with peeing. Kidney stones are another common kidney-related cause of non-spine-related back pain. Even a tiny kidney stone can be painful as it passes through the urinary tract. Due to the location of the kidneys, pain from kidney stones may be felt deep within the left or right side of the back, depending on which kidney is involved. The pain will typically be sharp. There may also be lower abdominal pain, pain with urination, and nausea or vomiting. Treatment: A kidney infection requires antibiotics. If you believe you have a kidney infection, seek medical care, as the infection can spread and become serious quickly. Kidney stones are often managed through pain relief and waiting for the stone to pass. If a kidney stone is too large to pass, it can be broken up into smaller fragments using a procedure called shock wave lithotripsy. Surgery may also be an option. Gallstones Gallstones can also cause right-sided back pain due to the location of the gall bladder just under the liver on the right side of the body. In addition, gallstones can cause sudden and intense pain in the upper abdomen, beneath the breastbone, between the shoulder blades, and in the right shoulder. Nausea or vomiting is also common. Treatment: Most gallstones are treated by removing the gallbladder . Non-surgical management, like medication or an endoscopy procedure, is usually less effective since it needs to be repeated during subsequent episodes. Appendicitis Appendicitis can sometimes cause back pain. The pain from an inflamed appendix typically begins near the belly button and then moves to the lower right side of the abdomen. It can occasionally also radiate to the right side of the back. Treatment: Surgery to remove the appendix is required to prevent potentially life-threatening complications like infection. Irritable Bowel Disease While irritable bowel disease (IBD) primarily affects the bowels, one symptom of the condition is lower back pain. Some individuals with IBD develop a condition called sacroiliitis , which is inflammation of the sacroiliac joints. The sacroiliac joints connect the pelvis to the lower spine, and pain can be felt on one or both sides. Treatment: Treatment for sacroiliitis overlaps with therapy for IBD and may include a type of medication known as biologics. In some cases, surgery may be necessary, and joint fusions may help relieve some of the pain. Abdominal Aortic Aneurysm Abdominal aortic aneurysms are often asymptomatic. However, one of their symptoms is low back and hip pain. Typically, there are other risk factors, such as high blood pressure , heart disease, or being a male 65 years and older. Treatment: Abdominal aortic aneurysms require surgical intervention for treatment. If they rupture, they are a medical emergency. Pelvic Inflammatory Disease (PID) Pelvic inflammatory disease occurs when the female reproductive organs become infected, usually by a sexually transmitted bacterium, like gonorrhea or chlamydia. PID can cause pain in the lower abdomen that radiates to your lower back, buttocks, and thighs. Treatment: Antibiotics are the most common treatment for PID. Endometriosis Endometriosis occurs when the tissue that usually lines the uterus grows outside of the uterus. When it grows near the lower back, it can cause pain. Endometrial tissue in the lower back can compress nerves and cause inflammation. If you have endometriosis , you may also experience symptoms such as: Painful menstruation Bleeding between periods Chronic abdominal pain Painful bowel movements Pain during and/or after sexual intercourse Gastrointestinal symptoms such as diarrhea and bloating Infertility Treatment: Pain-relieving agents like NSAIDs, hormonal treatments like birth control , and sometimes surgery are all used to alleviate pain caused by endometriosis. Uterine Fibroids A uterine fibroid is a benign (non-cancerous) growth that occurs on or inside the uterus. Fibroids most often cause pelvic discomfort, but when they press on the muscles and nerves in the lower back, they can also lead to back pain. Pain from fibroids can be treated with over-the-counter medications. Fibroids that cause other problems like severe pain or heavy menstrual bleeding might require treatment with uterine fibroid embolization (UFE), a procedure that cuts off the blood supply to the fibroid, causing it to shrink. Treatment: Myomectomy (the removal of a fibroid) or hysterectomy (the removal of the uterus) are surgical options to treat fibroids. Menstrual Disorders Hormone-like substances your body releases during your menstrual cycle can affect the muscles in your lower back. This can lead to lower back pain during menstruation. Menstrual disorders such as premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) are also associated with lower back pain in females. Treatment: Painful periods can be treated with over-the-counter medications. Hormonal birth control can also help manage painful periods. Ovarian Tumors or Cysts Pain from an ovarian cyst or tumor will likely cause abdominal or pelvic pain. However, the pain may also be felt in the lower back. If the tumor or cyst is on the right ovary, the pain may be felt in the lower right back. Treatment: Low back pain caused by an ovarian tumor or cyst depends on the underlying cause. If the pain is due to a cyst, your provider may choose to watch the cyst for some time or remove it. If the pain is due to an ovarian tumor , treatment will depend on several factors and may include surgical removal and cancer therapies such as chemotherapy and radiation. Pregnancy Back pain is common during pregnancy. This kind of pain occurs due to certain changes that happen to your body when you're pregnant. For example, hormones can cause your muscles to relax and your ligaments to loosen. As your pregnancy progresses , your center of gravity changes, causing your lower spine to move forward. This can put a strain on your back muscles, especially if you find yourself leaning backward to compensate. Treatment: Back pain from pregnancy usually resolves after delivery. Pain can often be managed with Tylenol (acetaminophen). Discuss safe medication use with your healthcare provider if you are pregnant. Testicular Torsion Testicular torsion happens when a testicle twists abnormally, blocking the blood supply. This condition causes sudden, severe pain in the groin that can radiate to the lower back. You may also experience: Swelling in the scrotum Nausea and vomiting Treatment: Testicular torsion is an emergency. If you have any of these symptoms, seek medical care right away. Surgery can usually repair testicular torsion if it is caught quickly enough. In severe cases, testicular torsion results in surgical removal of the affected testicle. Diagnosis Diagnosing lower right back pain involves a physical exam and a review of your medical history. This may include a neurological exam to see if your reflexes are normal or to check for weaknesses or sensations that point to a nerve injury. Based on the findings, your doctor may order imaging studies to look for abnormalities throughout your body. This may involve an X-ray of the spine or a computed tomography (CT) scan, in which multiple X-ray images are combined into a 3-D image. Magnetic resonance imaging (MRI) is another test that can better detect soft tissue damage. A nerve conduction study , or electromyography, may also be ordered. This can show your doctor how well electrical signals are traveling through nerves. Depending on your symptoms, additional bloodwork, imaging, or referral to a specialist may be necessary. Treatment Right-sided low back pain treatment differs depending on the underlying cause. If the cause is related to a systemic illness, efforts will be focused on resolving the underlying condition first. Options for the treatment of lower back pain itself may include: Nonsteroidal anti-inflammatory drugs (NSAIDs) Prescription opioid drugs Physical therapy Chiropractic or osteopathic manipulation Epidural steroid injections Surgery When to See a Healthcare Provider There are several red flags for lower right back pain, including, but not limited to: Pain that is sudden and severe Pain associated with a significant injury (e.g., a fall or motor vehicle accident) Pain that does not go away Pain that wakes you up at night or keeps you awake Difficulty walking or standing Loss of bladder or bowel control Loss of consciousness Numbness or tingling in your pelvis or down your legs Fever These signs and symptoms point to the potential for more serious causes that require urgent treatment, such as cauda equina syndrome, appendicitis, or a kidney infection.
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Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Ⓒ 2026 People Inc. — All rights reserved # What's Causing My Lower Right Back Pain? By [Anne Asher, CPT](https://www.verywellhealth.com/anne-asher-296158) Updated on October 11, 2025 Medically reviewed by [Stuart Hershman, MD](https://www.verywellhealth.com/stuart-hershman-md-4775569) Table of Contents View All Table of Contents - [Muscular Problems](https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183#toc-is-your-lower-right-back-pain-muscular) - [Spinal or Joint Pain](https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183#toc-are-spinal-or-joint-issues-causing-your-discomfort) - [Bone-Related Issues](https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183#toc-understanding-bone-related-causes-of-lower-back-pain) - [Other Causes](https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183#toc-what-other-medical-conditions-can-cause-back-pain) - [Diagnosis](https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183#toc-diagnosis) - [Treatment](https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183#toc-treatment) - [When to See a Provider](https://www.verywellhealth.com/what-causes-lower-right-back-pain-4125183#toc-when-to-see-a-healthcare-provider) ### Key Takeaways - Lower right back pain can be caused by muscle or ligament injuries or conditions affecting the spine and joints. - If your back pain is severe or lasts a long time, it is important to see a healthcare provider for an exam. Lower right back pain is often caused by muscle or ligament injuries, structural bone and spinal problems, or inflammatory conditions. From a simple back strain to more serious issues like kidney infections, identifying the source of your pain is crucial to determining the right treatment, from home remedies and drugs to medical procedures and surgery. ![A woman holding her back in pain at the beach]() ![A woman holding her back in pain at the beach](https://www.verywellhealth.com/thmb/PG-OyGC1TTCwov7CMoVu7AgQCUg=/1500x0/filters:no_upscale\(\):max_bytes\(150000\):strip_icc\(\)/iStock-619375976-58969b415f9b5874ee9edf7e.jpg) Stock Photos Art / iStock ## Is Your Lower Right Back Pain Muscular? Most lower right back pain arises from muscle or ligament injuries. These injuries can occur suddenly—like during a car accident or while lifting heavy objects—or gradually from [poor posture](https://www.verywellhealth.com/how-to-improve-posture-8789782). ### Muscle Strain Muscle strains commonly cause [lower back pain](https://www.verywellhealth.com/common-symptoms-of-low-back-pain-2696186) because the lower back plays a role in many movements like bending and twisting. Overuse or sudden injury can lead to pain. Pain from lower back muscle strains typically does not radiate to your legs. Other symptoms can include: - Reduced range of motion - Stiffness and muscle spasm - Difficulty standing or sitting up straight Treatment: Pain from a muscle strain can be relieved with [non-steroidal anti-inflammatory medications](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734) (NSAIDs) and cold packs applied for 15 minutes at a time. Though rest was once recommended, it's now considered important to keep the muscles moving. ### Ligament Injuries A ligament injury in the lower back is called a lower back [sprain](https://www.verywellhealth.com/sprains-and-strains-2548839). Sprains happen when you stretch or tear a ligament, one of the thick bands of tissue that connect bones to other bones, muscles, cartilage, and tendons. People often injure back ligaments during falls, sporting accidents, or car accidents. Poor posture can also damage your ligaments over time. Symptoms of a lower back ligament injury are similar to those of a muscle strain. Treatment: Similar to a muscle strain, NSAIDs and ice can help relieve pain and swelling. Ligament injuries may also benefit from [physical therapy](https://www.verywellhealth.com/physical-therapy-4014670). ## Are Spinal or Joint Issues Causing Your Discomfort? Spinal and joint conditions can also cause lower back pain. These include: ### Spinal Stenosis [Spinal stenosis](https://www.verywellhealth.com/what-is-spinal-stenosis-2552316) occurs when spaces between the spinal vertebrae narrow, putting pressure on the spinal cord and nerve roots. In the lumbar spine, this can cause lower back pain on one or both sides. Pain from spinal stenosis often feels like a burning ache and may radiate to the buttocks and legs. It typically worsens when standing or walking and improves when leaning forward. Symptoms may include numbness, tingling, weakness, or cramping in the feet and legs. Treatment: A surgical procedure called a [laminectomy](https://www.verywellhealth.com/beginning-rehab-after-low-back-surgery-2696215) treats spinal stenosis by removing bony spurs to open the spinal column. ### Sacroiliac Joint Disorders The [sacroiliac (SI) joint](https://www.verywellhealth.com/sacroiliac-joint-pain-189250) links the pelvis to the sacrum, the triangular bone between the lower spine and tailbone. Abnormal movement or trauma to these joints can cause back pain or pain that spreads to other areas. Sacroiliac pain can also result from [ankylosing spondylitis](https://www.verywellhealth.com/ankylosing-spondylitis-7108841), a type of arthritis. This progressive inflammatory condition can fuse parts of the spine, causing stiffness, pain, and immobility. Treatment: While there's no cure for ankylosing spondylitis, options like physical therapy and pain relievers can help manage daily symptoms. ### Herniated Disc A [herniated disc](https://www.verywellhealth.com/what-are-herniated-disc-symptoms-296740) happens when the cushion between two vertebrae bulges or ruptures. Often, the soft, liquid-like substance inside the disc leaks out. Should the substance come into contact with a nerve root, it can "short circuit" electrical signals and trigger symptoms of a type of nerve pain called [radiculopathy](https://www.verywellhealth.com/what-is-radiculopathy-296634) (typically on one side of the body). Symptoms of radiculopathy include pain, weakness, numbness, or a pins-and-needles sensation that runs down one leg. There may also be cramping and discomfort while walking. Treatment: For about 90% of herniated discs, the pain goes away on its own within six months. Physical therapy is often prescribed for disc herniations, and a six-week course of therapy is typical. If conservative strategies aren't effective, surgery may be suggested. ### Scoliosis [Scoliosis](https://www.verywellhealth.com/scoliosis-lateral-curve-of-the-spine-2548780) is an abnormal spine curvature, causing an "S" or "C" shape. This may lead to tight or overstretched muscles in some areas and compression in others. Low back pain is common in adults with scoliosis and is often unilateral (occurring on only one side). Sciatica and [muscle spasms](https://www.verywellhealth.com/back-muscle-spasm-how-to-get-relief-297161) are also common. Treatment: Typically, the severity of the curvature guides the treatment plan. Some instances may simply be observed over time. Using a brace can slow or stop the curvature of the spine. More severe cases may require surgery. ### Spinal Cysts and Tumors Two potentially serious causes of back pain are spinal cysts and tumors. Cysts arise from degenerative spinal changes, while tumors develop from cell changes. A spinal cyst can press on a nerve root that goes to a different area of the body. This pressure can cause radiculopathy. Symptoms include back pain that spreads (known as [referred pain](https://www.verywellhealth.com/causes-of-referred-back-pain-296729)), muscle weakness, difficulty walking, decreased sensitivity to pain, and bowel or bladder incontinence. Treatment: There are several treatment options, including physical therapy, pain-relieving injections, or surgical removal. In cancerous tumors, the cancer may also be treated with surgery, chemotherapy, or radiation. ### Cauda Equina Syndrome [Cauda equina syndrome](https://www.verywellhealth.com/cauda-equina-syndrome-symptoms-and-causes-296590) is a rare but serious condition that occurs when nerve roots in the lumbar spine are compressed, disrupting bladder, bowel, and leg function. It can be caused by spinal trauma, tumors, infection, or spinal birth defects. Symptoms of cauda equina syndrome may include severe low back pain, [sciatica](https://www.verywellhealth.com/sciatic-nerve-pain-7090365), leg numbness, an inability to urinate, bowel incontinence, sexual dysfunction, and the loss of reflexes in the legs. Treatment: Immediate surgery is generally advised. ## Understanding Bone-Related Causes of Lower Back Pain The bones themselves can also cause pain in the lower back. You might be experiencing this kind of pain because of a condition like bone spurs or because of a fracture. ### Bone Spurs [Facet joints](https://www.verywellhealth.com/facet-joint-disorders-7971158) are interconnecting joints along the spine that provide stability by limiting movement. Each spinal level has a right and a left. [Bone spurs](https://www.verywellhealth.com/what-are-osteophytes-bone-spurs-189347) often develop at facet joints. These abnormal bone growths may be triggered by arthritis, previous trauma, or other causes. When spurs develop on a right facet joint, they cause right-sided pain. Other symptoms include leg weakness, numbness, tingling, and electrical sensations that shoot down one leg. Treatment: Bone spurs can be removed surgically if necessary. This relieves pressure on the nerves. ### Spinal Fractures A [spinal fracture](https://www.verywellhealth.com/myelopathy-overview-4797145) can occur from an accident, like a fall or car crash, often requiring emergency medical care. If your lumbar spine is fractured, symptoms may include: - Moderate to severe pain that worsens with movement - Numbness, tingling, and weakness in the limbs - Changes in posture - Walking difficulties - Bowel and bladder issues Treatment: Compression fractures may not require treatment. However, other types of spinal fractures often require surgical intervention. ### Ankylosing Spondylitis A form of arthritis called [ankylosing spondylitis](https://www.verywellhealth.com/ankylosing-spondylitis-7108841) is the main inflammatory condition that directly affects the lower back. This progressive condition can cause parts of the spine to fuse, resulting in spinal stiffness, pain, and immobility. Treatment: Although there is no cure for ankylosing spondylitis, treatment options like physical therapy and pain relievers can help manage symptoms day to day. ## What Other Medical Conditions Can Cause Back Pain? Conditions affecting internal organs, such as the kidneys and appendix, can sometimes cause pain that radiates to the lower back. ### Kidney Issues Lower right back pain can be related to the kidneys. A kidney infection (also known as [pyelonephritis](https://www.verywellhealth.com/kidney-infection-when-to-go-to-the-hospital-7511488)) and kidney stones, can cause pain on either side of the lower back. If a kidney infection is the cause of your lower back pain, you will likely have additional symptoms such as a fever, chills, and pain or frequency with peeing. [Kidney stones](https://www.verywellhealth.com/nephrectomy-5212837) are another common kidney-related cause of non-spine-related back pain. Even a tiny kidney stone can be painful as it passes through the urinary tract. Due to the location of the kidneys, pain from kidney stones may be felt deep within the left or right side of the back, depending on which kidney is involved. The pain will typically be sharp. There may also be lower abdominal pain, pain with urination, and nausea or vomiting. Treatment: A kidney infection requires antibiotics. If you believe you have a kidney infection, seek medical care, as the infection can spread and become serious quickly. Kidney stones are often managed through pain relief and waiting for the stone to pass. If a kidney stone is too large to pass, it can be broken up into smaller fragments using a procedure called shock wave lithotripsy. Surgery may also be an option. ### Gallstones [Gallstones](https://www.verywellhealth.com/what-are-gallstones-1742784) can also cause right-sided back pain due to the location of the gall bladder just under the liver on the right side of the body. In addition, gallstones can cause sudden and intense pain in the upper abdomen, beneath the breastbone, between the shoulder blades, and in the right shoulder. Nausea or vomiting is also common. Treatment: Most gallstones are treated by [removing the gallbladder](https://www.verywellhealth.com/gallbladder-surgery-3157274). Non-surgical management, like medication or an endoscopy procedure, is usually less effective since it needs to be repeated during subsequent episodes. ### Appendicitis Appendicitis can sometimes cause back pain. The pain from an [inflamed appendix](https://www.verywellhealth.com/what-is-appendicitis-7093376) typically begins near the belly button and then moves to the lower right side of the abdomen. It can occasionally also radiate to the right side of the back. Treatment: Surgery to remove the appendix is required to prevent potentially life-threatening complications like infection. ### Irritable Bowel Disease While [irritable bowel disease (IBD)](https://www.verywellhealth.com/inflammatory-bowel-disease-8426339) primarily affects the bowels, one symptom of the condition is lower back pain. Some individuals with IBD develop a condition called sacroiliitis, which is inflammation of the sacroiliac joints. The sacroiliac joints connect the pelvis to the lower spine, and pain can be felt on one or both sides. Treatment: Treatment for [sacroiliitis](https://www.verywellhealth.com/what-is-sacroiliitis-296629) overlaps with therapy for IBD and may include a type of medication known as biologics. In some cases, surgery may be necessary, and joint fusions may help relieve some of the pain. ### Abdominal Aortic Aneurysm Abdominal aortic aneurysms are often asymptomatic. However, one of their symptoms is low back and hip pain. Typically, there are other risk factors, such as [high blood pressure](https://www.verywellhealth.com/why-does-high-blood-pressure-make-you-tired-5203914), heart disease, or being a male 65 years and older. Treatment: [Abdominal aortic aneurysms](https://www.verywellhealth.com/aortic-aneurysm-8358332) require surgical intervention for treatment. If they rupture, they are a medical emergency. ### Pelvic Inflammatory Disease (PID) [Pelvic inflammatory disease](https://www.verywellhealth.com/pelvic-inflammatory-disease-pid-3133135) occurs when the female reproductive organs become infected, usually by a sexually transmitted bacterium, like gonorrhea or chlamydia. PID can cause pain in the lower abdomen that radiates to your lower back, buttocks, and thighs. Treatment: Antibiotics are the most common treatment for PID. ### Endometriosis Endometriosis occurs when the tissue that usually lines the uterus grows outside of the uterus. When it grows near the lower back, it can cause pain. Endometrial tissue in the lower back can compress nerves and cause inflammation. If you have [endometriosis](https://www.verywellhealth.com/endometriosis-biopsy-7111732), you may also experience symptoms such as: - Painful menstruation - Bleeding between periods - Chronic abdominal pain - Painful bowel movements - Pain during and/or after sexual intercourse - Gastrointestinal symptoms such as diarrhea and bloating - Infertility Treatment: Pain-relieving agents like NSAIDs, [hormonal treatments like birth control](https://www.verywellhealth.com/top-causes-of-heavy-menstrual-bleeding-3522223), and sometimes surgery are all used to alleviate pain caused by endometriosis. ### Uterine Fibroids A uterine fibroid is a benign (non-cancerous) growth that occurs on or inside the uterus. Fibroids most often cause pelvic discomfort, but when they press on the muscles and nerves in the lower back, they can also lead to back pain. [Pain from fibroids](https://www.verywellhealth.com/how-fibroid-pain-is-treated-5190953) can be treated with over-the-counter medications. Fibroids that cause other problems like severe pain or heavy menstrual bleeding might require treatment with [uterine fibroid embolization](https://www.verywellhealth.com/how-to-shrink-fibroids-5190410) (UFE), a procedure that cuts off the blood supply to the fibroid, causing it to shrink. Treatment: Myomectomy (the removal of a fibroid) or hysterectomy (the removal of the uterus) are surgical options to treat fibroids. ### Menstrual Disorders Hormone-like substances your body releases during your menstrual cycle can affect the muscles in your lower back. This can lead to lower back pain during menstruation. Menstrual disorders such as [premenstrual syndrome](https://www.verywellhealth.com/do-i-have-pms-3522569) (PMS) and premenstrual dysphoric disorder (PMDD) are also associated with lower back pain in females. Treatment: Painful periods can be treated with over-the-counter medications. Hormonal birth control can also help manage painful periods. ### Ovarian Tumors or Cysts Pain from an [ovarian cyst](https://www.verywellhealth.com/what-are-ovarian-cysts-3520952) or tumor will likely cause abdominal or pelvic pain. However, the pain may also be felt in the lower back. If the tumor or cyst is on the right ovary, the pain may be felt in the lower right back. Treatment: Low back pain caused by an ovarian tumor or cyst depends on the underlying cause. If the pain is due to a cyst, your provider may choose to watch the cyst for some time or remove it. If the pain is due to an [ovarian tumor](https://www.verywellhealth.com/ovarian-cancer-7368536), treatment will depend on several factors and may include surgical removal and cancer therapies such as chemotherapy and radiation. ### Pregnancy Back pain is common during pregnancy. This kind of pain occurs due to certain changes that happen to your body when you're pregnant. For example, hormones can cause your muscles to relax and your ligaments to loosen. As your [pregnancy progresses](https://www.verywellhealth.com/pregnancy-facts-and-statistics-5324188), your center of gravity changes, causing your lower spine to move forward. This can put a strain on your back muscles, especially if you find yourself leaning backward to compensate. Treatment: Back pain from pregnancy usually resolves after delivery. Pain can often be managed with Tylenol (acetaminophen). Discuss safe medication use with your healthcare provider if you are pregnant. ### Testicular Torsion [Testicular torsion](https://www.verywellhealth.com/testicular-torsion-4580081) happens when a testicle twists abnormally, blocking the blood supply. This condition causes sudden, severe pain in the groin that can radiate to the lower back. You may also experience: - Swelling in the scrotum - Nausea and vomiting Treatment: Testicular torsion is an emergency. If you have any of these symptoms, seek medical care right away. Surgery can usually repair testicular torsion if it is caught quickly enough. In severe cases, testicular torsion results in surgical removal of the affected testicle. ## Diagnosis Diagnosing lower right back pain involves a physical exam and a review of your medical history. This may include a [neurological exam](https://www.verywellhealth.com/nih-stroke-scale-evaluation-3146092) to see if your reflexes are normal or to check for weaknesses or sensations that point to a nerve injury. Based on the findings, your doctor may order imaging studies to look for abnormalities throughout your body. This may involve an X-ray of the spine or [a computed tomography (CT)](https://www.verywellhealth.com/what-is-a-cat-scan-189603) scan, in which multiple X-ray images are combined into a 3-D image. [Magnetic resonance imaging (MRI)](https://www.verywellhealth.com/what-is-an-mri-and-what-does-it-do-3157069) is another [test](https://www.verywellhealth.com/blood-tests-for-diagnosing-back-pain-296717) that can better detect soft tissue damage. A [nerve conduction study](https://www.verywellhealth.com/understanding-emg-and-ncs-results-2488642), or electromyography, may also be ordered. This can show your doctor how well electrical signals are traveling through nerves. Depending on your symptoms, additional bloodwork, imaging, or referral to a specialist may be necessary. ## Treatment Right-sided low back pain treatment differs depending on the underlying cause. If the cause is related to a systemic illness, efforts will be focused on resolving the underlying condition first. Options for the treatment of lower back pain itself may include: - [Nonsteroidal anti-inflammatory drugs (NSAIDs)](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734) - [Prescription opioid drugs](https://www.verywellhealth.com/types-of-opioids-chronic-pain-medications-2564496) - [Physical therapy](https://www.verywellhealth.com/physical-therapy-4014670) - [Chiropractic](https://www.verywellhealth.com/spinal-manipulation-5213994) or [osteopathic manipulation](https://www.verywellhealth.com/do-doctors-vs-md-doctors-whats-the-difference-3157310) - [Epidural steroid injections](https://www.verywellhealth.com/steroid-injections-chronic-back-pain-11687990) - [Surgery](https://www.verywellhealth.com/beginning-rehab-after-low-back-surgery-2696215) ## When to See a Healthcare Provider There are several red flags for lower right back pain, including, but not limited to: - Pain that is sudden and severe - Pain associated with a significant injury (e.g., a fall or motor vehicle accident) - Pain that does not go away - Pain that wakes you up at night or keeps you awake - Difficulty walking or standing - Loss of bladder or bowel control - [Loss of consciousness](https://www.verywellhealth.com/level-of-consciousness-1132154) - Numbness or tingling in your pelvis or down your legs - Fever These signs and symptoms point to the potential for more serious causes that require urgent treatment, such as cauda equina syndrome, appendicitis, or a kidney infection. Read more: - [Health A-Z](https://www.verywellhealth.com/health-a-z-4014770) - [Back & Neck Pain](https://www.verywellhealth.com/back-and-neck-pain-overview-4581999) - [Causes & Risk Factors](https://www.verywellhealth.com/back-and-neck-pain-causes-4158506) 12 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our [editorial process](https://www.verywellhealth.com/verywell-editorial-process-4777042) to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 1. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Back pain: Diagnosis, treatment, and steps to take](https://www.niams.nih.gov/health-topics/back-pain/diagnosis-treatment-and-steps-to-take). National Institutes of Health. 2. NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Spinal stenosis](https://www.niams.nih.gov/health-topics/spinal-stenosis). 3. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Ankylosing Spondylitis](https://www.niams.nih.gov/health-topics/ankylosing-spondylitis). National Institutes of Health. 4. Harvard Health Publishing. [Will my herniated disc heal on its own?](https://www.health.harvard.edu/pain/will-my-herniated-disc-heal-on-its-own) 5. National Institute of Arthritis and Musculoskeletal and Skin Diseases. [Scoliosis in Children and Teens: Diagnosis, Treatment, and Steps to Take](https://www.niams.nih.gov/health-topics/scoliosis/diagnosis-treatment-and-steps-to-take). National Institutes of Health. 6. Genev IK, Tobin MK, Zaidi SP, Khan SR, Amirouche FML, Mehta AI. [Spinal compression fracture management](https://doi.org/10.1055%2Fs-0036-1583288). Global Spine J. 2017;7(1):71-82. doi:10.1055/s-0036-1583288 7. National Institute of Diabetes and Digestive and Kidney Diseases. [Kidney stones](https://www.niddk.nih.gov/health-information/urologic-diseases/kidney-stones). National Institutes of Health. 8. National Institute of Diabetes and Digestive and Kidney Diseases. [Treatment for gallstones](https://www.niddk.nih.gov/health-information/digestive-diseases/gallstones/treatment). National Institutes of Health. 9. Malik F, Weisman MH. [Sacroiliitis in inflammatory bowel disease.](https://pubmed.ncbi.nlm.nih.gov/38687285/) Curr Opin Rheumatol. 2024;36(4):274-281. 10. Blake S, Casey C, Diana, H. [S2419 Crohn's induced sacroiliitis and cauda equina syndrome.](https://journals.lww.com/ajg/fulltext/2021/10001/s2419_crohn_s_induced_sacroiliitis_and_cauda.2423.aspx) The American Journal of Gastroenterology. 2021; 116. doi:10.14309/01.ajg.0000783208.54225.53 11. Marcel A, Jovan J, Myrick K. [Abdominal aortic aneurysm presenting to the orthopedic clinic as posterior hip and low back pain.](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10279937/) Clin Case Rep. 2023;11(6):e7443. 12. MedlinePlus. [Low back pain - acute.](https://medlineplus.gov/ency/article/007425.htm) By [Anne Asher, CPT](https://www.verywellhealth.com/anne-asher-296158) Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert. [See Our Editorial Process](https://www.verywellhealth.com/verywell-editorial-process-4777042) [Meet Our Medical Expert Board](https://www.verywellhealth.com/meet-our-medical-expert-board-11762003) Share Feedback Was this page helpful? Thanks for your feedback\! What is your feedback? 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Readable Markdown	### Key Takeaways - Lower right back pain can be caused by muscle or ligament injuries or conditions affecting the spine and joints. - If your back pain is severe or lasts a long time, it is important to see a healthcare provider for an exam. Lower right back pain is often caused by muscle or ligament injuries, structural bone and spinal problems, or inflammatory conditions. From a simple back strain to more serious issues like kidney infections, identifying the source of your pain is crucial to determining the right treatment, from home remedies and drugs to medical procedures and surgery. Stock Photos Art / iStock ## Is Your Lower Right Back Pain Muscular? Most lower right back pain arises from muscle or ligament injuries. These injuries can occur suddenly—like during a car accident or while lifting heavy objects—or gradually from [poor posture](https://www.verywellhealth.com/how-to-improve-posture-8789782). ### Muscle Strain Muscle strains commonly cause [lower back pain](https://www.verywellhealth.com/common-symptoms-of-low-back-pain-2696186) because the lower back plays a role in many movements like bending and twisting. Overuse or sudden injury can lead to pain. Pain from lower back muscle strains typically does not radiate to your legs. Other symptoms can include: - Reduced range of motion - Stiffness and muscle spasm - Difficulty standing or sitting up straight Treatment: Pain from a muscle strain can be relieved with [non-steroidal anti-inflammatory medications](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734) (NSAIDs) and cold packs applied for 15 minutes at a time. Though rest was once recommended, it's now considered important to keep the muscles moving. ### Ligament Injuries A ligament injury in the lower back is called a lower back [sprain](https://www.verywellhealth.com/sprains-and-strains-2548839). Sprains happen when you stretch or tear a ligament, one of the thick bands of tissue that connect bones to other bones, muscles, cartilage, and tendons. People often injure back ligaments during falls, sporting accidents, or car accidents. Poor posture can also damage your ligaments over time. Symptoms of a lower back ligament injury are similar to those of a muscle strain. Treatment: Similar to a muscle strain, NSAIDs and ice can help relieve pain and swelling. Ligament injuries may also benefit from [physical therapy](https://www.verywellhealth.com/physical-therapy-4014670). ## Are Spinal or Joint Issues Causing Your Discomfort? Spinal and joint conditions can also cause lower back pain. These include: ### Spinal Stenosis [Spinal stenosis](https://www.verywellhealth.com/what-is-spinal-stenosis-2552316) occurs when spaces between the spinal vertebrae narrow, putting pressure on the spinal cord and nerve roots. In the lumbar spine, this can cause lower back pain on one or both sides. Pain from spinal stenosis often feels like a burning ache and may radiate to the buttocks and legs. It typically worsens when standing or walking and improves when leaning forward. Symptoms may include numbness, tingling, weakness, or cramping in the feet and legs. Treatment: A surgical procedure called a [laminectomy](https://www.verywellhealth.com/beginning-rehab-after-low-back-surgery-2696215) treats spinal stenosis by removing bony spurs to open the spinal column. ### Sacroiliac Joint Disorders The [sacroiliac (SI) joint](https://www.verywellhealth.com/sacroiliac-joint-pain-189250) links the pelvis to the sacrum, the triangular bone between the lower spine and tailbone. Abnormal movement or trauma to these joints can cause back pain or pain that spreads to other areas. Sacroiliac pain can also result from [ankylosing spondylitis](https://www.verywellhealth.com/ankylosing-spondylitis-7108841), a type of arthritis. This progressive inflammatory condition can fuse parts of the spine, causing stiffness, pain, and immobility. Treatment: While there's no cure for ankylosing spondylitis, options like physical therapy and pain relievers can help manage daily symptoms. ### Herniated Disc A [herniated disc](https://www.verywellhealth.com/what-are-herniated-disc-symptoms-296740) happens when the cushion between two vertebrae bulges or ruptures. Often, the soft, liquid-like substance inside the disc leaks out. Should the substance come into contact with a nerve root, it can "short circuit" electrical signals and trigger symptoms of a type of nerve pain called [radiculopathy](https://www.verywellhealth.com/what-is-radiculopathy-296634) (typically on one side of the body). Symptoms of radiculopathy include pain, weakness, numbness, or a pins-and-needles sensation that runs down one leg. There may also be cramping and discomfort while walking. Treatment: For about 90% of herniated discs, the pain goes away on its own within six months. Physical therapy is often prescribed for disc herniations, and a six-week course of therapy is typical. If conservative strategies aren't effective, surgery may be suggested. ### Scoliosis [Scoliosis](https://www.verywellhealth.com/scoliosis-lateral-curve-of-the-spine-2548780) is an abnormal spine curvature, causing an "S" or "C" shape. This may lead to tight or overstretched muscles in some areas and compression in others. Low back pain is common in adults with scoliosis and is often unilateral (occurring on only one side). Sciatica and [muscle spasms](https://www.verywellhealth.com/back-muscle-spasm-how-to-get-relief-297161) are also common. Treatment: Typically, the severity of the curvature guides the treatment plan. Some instances may simply be observed over time. Using a brace can slow or stop the curvature of the spine. More severe cases may require surgery. ### Spinal Cysts and Tumors Two potentially serious causes of back pain are spinal cysts and tumors. Cysts arise from degenerative spinal changes, while tumors develop from cell changes. A spinal cyst can press on a nerve root that goes to a different area of the body. This pressure can cause radiculopathy. Symptoms include back pain that spreads (known as [referred pain](https://www.verywellhealth.com/causes-of-referred-back-pain-296729)), muscle weakness, difficulty walking, decreased sensitivity to pain, and bowel or bladder incontinence. Treatment: There are several treatment options, including physical therapy, pain-relieving injections, or surgical removal. In cancerous tumors, the cancer may also be treated with surgery, chemotherapy, or radiation. ### Cauda Equina Syndrome [Cauda equina syndrome](https://www.verywellhealth.com/cauda-equina-syndrome-symptoms-and-causes-296590) is a rare but serious condition that occurs when nerve roots in the lumbar spine are compressed, disrupting bladder, bowel, and leg function. It can be caused by spinal trauma, tumors, infection, or spinal birth defects. Symptoms of cauda equina syndrome may include severe low back pain, [sciatica](https://www.verywellhealth.com/sciatic-nerve-pain-7090365), leg numbness, an inability to urinate, bowel incontinence, sexual dysfunction, and the loss of reflexes in the legs. Treatment: Immediate surgery is generally advised. ## Understanding Bone-Related Causes of Lower Back Pain The bones themselves can also cause pain in the lower back. You might be experiencing this kind of pain because of a condition like bone spurs or because of a fracture. ### Bone Spurs [Facet joints](https://www.verywellhealth.com/facet-joint-disorders-7971158) are interconnecting joints along the spine that provide stability by limiting movement. Each spinal level has a right and a left. [Bone spurs](https://www.verywellhealth.com/what-are-osteophytes-bone-spurs-189347) often develop at facet joints. These abnormal bone growths may be triggered by arthritis, previous trauma, or other causes. When spurs develop on a right facet joint, they cause right-sided pain. Other symptoms include leg weakness, numbness, tingling, and electrical sensations that shoot down one leg. Treatment: Bone spurs can be removed surgically if necessary. This relieves pressure on the nerves. ### Spinal Fractures A [spinal fracture](https://www.verywellhealth.com/myelopathy-overview-4797145) can occur from an accident, like a fall or car crash, often requiring emergency medical care. If your lumbar spine is fractured, symptoms may include: - Moderate to severe pain that worsens with movement - Numbness, tingling, and weakness in the limbs - Changes in posture - Walking difficulties - Bowel and bladder issues Treatment: Compression fractures may not require treatment. However, other types of spinal fractures often require surgical intervention. ### Ankylosing Spondylitis A form of arthritis called [ankylosing spondylitis](https://www.verywellhealth.com/ankylosing-spondylitis-7108841) is the main inflammatory condition that directly affects the lower back. This progressive condition can cause parts of the spine to fuse, resulting in spinal stiffness, pain, and immobility. Treatment: Although there is no cure for ankylosing spondylitis, treatment options like physical therapy and pain relievers can help manage symptoms day to day. ## What Other Medical Conditions Can Cause Back Pain? Conditions affecting internal organs, such as the kidneys and appendix, can sometimes cause pain that radiates to the lower back. ### Kidney Issues Lower right back pain can be related to the kidneys. A kidney infection (also known as [pyelonephritis](https://www.verywellhealth.com/kidney-infection-when-to-go-to-the-hospital-7511488)) and kidney stones, can cause pain on either side of the lower back. If a kidney infection is the cause of your lower back pain, you will likely have additional symptoms such as a fever, chills, and pain or frequency with peeing. [Kidney stones](https://www.verywellhealth.com/nephrectomy-5212837) are another common kidney-related cause of non-spine-related back pain. Even a tiny kidney stone can be painful as it passes through the urinary tract. Due to the location of the kidneys, pain from kidney stones may be felt deep within the left or right side of the back, depending on which kidney is involved. The pain will typically be sharp. There may also be lower abdominal pain, pain with urination, and nausea or vomiting. Treatment: A kidney infection requires antibiotics. If you believe you have a kidney infection, seek medical care, as the infection can spread and become serious quickly. Kidney stones are often managed through pain relief and waiting for the stone to pass. If a kidney stone is too large to pass, it can be broken up into smaller fragments using a procedure called shock wave lithotripsy. Surgery may also be an option. ### Gallstones [Gallstones](https://www.verywellhealth.com/what-are-gallstones-1742784) can also cause right-sided back pain due to the location of the gall bladder just under the liver on the right side of the body. In addition, gallstones can cause sudden and intense pain in the upper abdomen, beneath the breastbone, between the shoulder blades, and in the right shoulder. Nausea or vomiting is also common. Treatment: Most gallstones are treated by [removing the gallbladder](https://www.verywellhealth.com/gallbladder-surgery-3157274). Non-surgical management, like medication or an endoscopy procedure, is usually less effective since it needs to be repeated during subsequent episodes. ### Appendicitis Appendicitis can sometimes cause back pain. The pain from an [inflamed appendix](https://www.verywellhealth.com/what-is-appendicitis-7093376) typically begins near the belly button and then moves to the lower right side of the abdomen. It can occasionally also radiate to the right side of the back. Treatment: Surgery to remove the appendix is required to prevent potentially life-threatening complications like infection. ### Irritable Bowel Disease While [irritable bowel disease (IBD)](https://www.verywellhealth.com/inflammatory-bowel-disease-8426339) primarily affects the bowels, one symptom of the condition is lower back pain. Some individuals with IBD develop a condition called sacroiliitis, which is inflammation of the sacroiliac joints. The sacroiliac joints connect the pelvis to the lower spine, and pain can be felt on one or both sides. Treatment: Treatment for [sacroiliitis](https://www.verywellhealth.com/what-is-sacroiliitis-296629) overlaps with therapy for IBD and may include a type of medication known as biologics. In some cases, surgery may be necessary, and joint fusions may help relieve some of the pain. ### Abdominal Aortic Aneurysm Abdominal aortic aneurysms are often asymptomatic. However, one of their symptoms is low back and hip pain. Typically, there are other risk factors, such as [high blood pressure](https://www.verywellhealth.com/why-does-high-blood-pressure-make-you-tired-5203914), heart disease, or being a male 65 years and older. Treatment: [Abdominal aortic aneurysms](https://www.verywellhealth.com/aortic-aneurysm-8358332) require surgical intervention for treatment. If they rupture, they are a medical emergency. ### Pelvic Inflammatory Disease (PID) [Pelvic inflammatory disease](https://www.verywellhealth.com/pelvic-inflammatory-disease-pid-3133135) occurs when the female reproductive organs become infected, usually by a sexually transmitted bacterium, like gonorrhea or chlamydia. PID can cause pain in the lower abdomen that radiates to your lower back, buttocks, and thighs. Treatment: Antibiotics are the most common treatment for PID. ### Endometriosis Endometriosis occurs when the tissue that usually lines the uterus grows outside of the uterus. When it grows near the lower back, it can cause pain. Endometrial tissue in the lower back can compress nerves and cause inflammation. If you have [endometriosis](https://www.verywellhealth.com/endometriosis-biopsy-7111732), you may also experience symptoms such as: - Painful menstruation - Bleeding between periods - Chronic abdominal pain - Painful bowel movements - Pain during and/or after sexual intercourse - Gastrointestinal symptoms such as diarrhea and bloating - Infertility Treatment: Pain-relieving agents like NSAIDs, [hormonal treatments like birth control](https://www.verywellhealth.com/top-causes-of-heavy-menstrual-bleeding-3522223), and sometimes surgery are all used to alleviate pain caused by endometriosis. ### Uterine Fibroids A uterine fibroid is a benign (non-cancerous) growth that occurs on or inside the uterus. Fibroids most often cause pelvic discomfort, but when they press on the muscles and nerves in the lower back, they can also lead to back pain. [Pain from fibroids](https://www.verywellhealth.com/how-fibroid-pain-is-treated-5190953) can be treated with over-the-counter medications. Fibroids that cause other problems like severe pain or heavy menstrual bleeding might require treatment with [uterine fibroid embolization](https://www.verywellhealth.com/how-to-shrink-fibroids-5190410) (UFE), a procedure that cuts off the blood supply to the fibroid, causing it to shrink. Treatment: Myomectomy (the removal of a fibroid) or hysterectomy (the removal of the uterus) are surgical options to treat fibroids. ### Menstrual Disorders Hormone-like substances your body releases during your menstrual cycle can affect the muscles in your lower back. This can lead to lower back pain during menstruation. Menstrual disorders such as [premenstrual syndrome](https://www.verywellhealth.com/do-i-have-pms-3522569) (PMS) and premenstrual dysphoric disorder (PMDD) are also associated with lower back pain in females. Treatment: Painful periods can be treated with over-the-counter medications. Hormonal birth control can also help manage painful periods. ### Ovarian Tumors or Cysts Pain from an [ovarian cyst](https://www.verywellhealth.com/what-are-ovarian-cysts-3520952) or tumor will likely cause abdominal or pelvic pain. However, the pain may also be felt in the lower back. If the tumor or cyst is on the right ovary, the pain may be felt in the lower right back. Treatment: Low back pain caused by an ovarian tumor or cyst depends on the underlying cause. If the pain is due to a cyst, your provider may choose to watch the cyst for some time or remove it. If the pain is due to an [ovarian tumor](https://www.verywellhealth.com/ovarian-cancer-7368536), treatment will depend on several factors and may include surgical removal and cancer therapies such as chemotherapy and radiation. ### Pregnancy Back pain is common during pregnancy. This kind of pain occurs due to certain changes that happen to your body when you're pregnant. For example, hormones can cause your muscles to relax and your ligaments to loosen. As your [pregnancy progresses](https://www.verywellhealth.com/pregnancy-facts-and-statistics-5324188), your center of gravity changes, causing your lower spine to move forward. This can put a strain on your back muscles, especially if you find yourself leaning backward to compensate. Treatment: Back pain from pregnancy usually resolves after delivery. Pain can often be managed with Tylenol (acetaminophen). Discuss safe medication use with your healthcare provider if you are pregnant. ### Testicular Torsion [Testicular torsion](https://www.verywellhealth.com/testicular-torsion-4580081) happens when a testicle twists abnormally, blocking the blood supply. This condition causes sudden, severe pain in the groin that can radiate to the lower back. You may also experience: - Swelling in the scrotum - Nausea and vomiting Treatment: Testicular torsion is an emergency. If you have any of these symptoms, seek medical care right away. Surgery can usually repair testicular torsion if it is caught quickly enough. In severe cases, testicular torsion results in surgical removal of the affected testicle. ## Diagnosis Diagnosing lower right back pain involves a physical exam and a review of your medical history. This may include a [neurological exam](https://www.verywellhealth.com/nih-stroke-scale-evaluation-3146092) to see if your reflexes are normal or to check for weaknesses or sensations that point to a nerve injury. Based on the findings, your doctor may order imaging studies to look for abnormalities throughout your body. This may involve an X-ray of the spine or [a computed tomography (CT)](https://www.verywellhealth.com/what-is-a-cat-scan-189603) scan, in which multiple X-ray images are combined into a 3-D image. [Magnetic resonance imaging (MRI)](https://www.verywellhealth.com/what-is-an-mri-and-what-does-it-do-3157069) is another [test](https://www.verywellhealth.com/blood-tests-for-diagnosing-back-pain-296717) that can better detect soft tissue damage. A [nerve conduction study](https://www.verywellhealth.com/understanding-emg-and-ncs-results-2488642), or electromyography, may also be ordered. This can show your doctor how well electrical signals are traveling through nerves. Depending on your symptoms, additional bloodwork, imaging, or referral to a specialist may be necessary. ## Treatment Right-sided low back pain treatment differs depending on the underlying cause. If the cause is related to a systemic illness, efforts will be focused on resolving the underlying condition first. Options for the treatment of lower back pain itself may include: - [Nonsteroidal anti-inflammatory drugs (NSAIDs)](https://www.verywellhealth.com/best-anti-inflammatory-medication-2548734) - [Prescription opioid drugs](https://www.verywellhealth.com/types-of-opioids-chronic-pain-medications-2564496) - [Physical therapy](https://www.verywellhealth.com/physical-therapy-4014670) - [Chiropractic](https://www.verywellhealth.com/spinal-manipulation-5213994) or [osteopathic manipulation](https://www.verywellhealth.com/do-doctors-vs-md-doctors-whats-the-difference-3157310) - [Epidural steroid injections](https://www.verywellhealth.com/steroid-injections-chronic-back-pain-11687990) - [Surgery](https://www.verywellhealth.com/beginning-rehab-after-low-back-surgery-2696215) ## When to See a Healthcare Provider There are several red flags for lower right back pain, including, but not limited to: - Pain that is sudden and severe - Pain associated with a significant injury (e.g., a fall or motor vehicle accident) - Pain that does not go away - Pain that wakes you up at night or keeps you awake - Difficulty walking or standing - Loss of bladder or bowel control - [Loss of consciousness](https://www.verywellhealth.com/level-of-consciousness-1132154) - Numbness or tingling in your pelvis or down your legs - Fever These signs and symptoms point to the potential for more serious causes that require urgent treatment, such as cauda equina syndrome, appendicitis, or a kidney infection.
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