There are many causes of Lower Back Pain (Lumbar Pain). Lower back pain can be a result of poor lifting and bending mechanics, not properly warming up before exercising, being in a motor vehicle accident, having arthritis, scoliosis (abnormal curvature of the spine), stiff/tight psoas muscles, or for no specific reason at all. Lower Back Pain (Lumbar Pain) can be acute (last a short period of time) or chronic (lasts for 3 weeks or longer). Depending on the severity, most lower back pain is treatable with rest, ice packs and heating pads for 20 minutes four times per day interchangeably, daily stretching, massages, NSAIDS (Advil, Aleve, Naproxen, Ibuprofen, etc.), and muscle relaxers, if necessary. To determine the cause of your lower back pain, an X-ray, an MRI, or a CT is needed.
The lumbar spine consists of five vertebrae (L1-5). (See Fig. 2 below). The nerves of the lower back innervate the legs and feet. Numbness, tingling, electrifying, shocking, and burning sensations that radiate from the lower back, down into the glutes, groin, thighs, and feet may be the result of bulging discs, pinched nerves, neural foraminal narrowing, and moderate to severe central canal stenosis. Treatment for this type of pain will require a referral to a pain management specialist for possible epidural steroid injection (ESI) or a referral for a neurosurgeon consult.
References
Adams, J. (2019). Lumbar Spine, Labelled.
Kaulitzki, S. (2019). 3d rendered, medically accurate 3d illustration of the highlighted spine. [Illustration].
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