Summary: Pain in the leg from the hip to the foot (sciatica) most often occurs when the spinal cord root is pinched at the level of the lumbar spine. When symptoms appear in the absence of a traumatic history, an MRI of the lumbar spine is the first step.
Pain in the leg from the hip to the foot, i.e. pain in the leg along its entire length is almost never a consequence of damage to the tissues of the leg itself, unless you count serious injuries. In most cases, leg pain from the hip to the foot is neuropathic pain, i.e. pain caused by compression or pinched nerve.
There is a term called “sciatica,” which refers to pain felt along the sciatic nerve. The sciatic nerve is the largest nerve in our body, originating in the lumbar spine, then branches through the hips and buttocks and down the back of the leg all the way to the foot. Typically, sciatica affects only one side of the body.
Sciatica most often occurs in cases where there is compression of a nerve at the level of the spine due to intervertebral herniation, osteophyte formation, or spinal stenosis. The compression causes inflammation, pain and often numbness in the affected leg.
Although sciatica pain can be severe, in most cases it goes away or is significantly reduced after several weeks of conservative treatment. People with severe pain accompanied by significant leg muscle weakness or loss of urinary and/or bowel control may be considered candidates for surgery.
Pain radiating from the lumbar spine to the hip and leg is the hallmark of sciatica. However, you may experience discomfort in almost any area supplied by the sciatic nerve. The severity of pain can vary greatly: from a mild aching pain to a sharp, burning or even unbearable pain. Sometimes the pain feels like an electric shock. The pain may be aggravated by coughing or sneezing, and prolonged sitting may also increase symptoms. Typically, sciatica affects only one side of the body.
Some people also experience numbness, tingling, and muscle weakness in the affected leg or foot. You may also experience pain in one part of your leg and numbness in another.
Mild sciatica usually goes away with time. Contact your doctor if you cannot manage your symptoms on your own, or if the pain lasts longer than a week, is severe, or gets worse. Seek medical help immediately if:
In the vast majority of cases, pain in the leg from the hip to the foot is caused by an intervertebral hernia. An intervertebral hernia occurs when one of the intervertebral discs located between the vertebrae becomes damaged and puts pressure on the nerves. It is not always entirely clear what causes a herniated disc, although as we age, intervertebral discs become less elastic and more prone to injury.
Less common causes of sciatica include:
Risk factors for pain in the leg from the hip to the foot (sciatica) include:
Age-related changes in the spine, such as spinal osteochondrosis and its complications, are the most common causes of sciatica;
Due to increased stress on the spine, excess weight can contribute to changes in the spine that trigger sciatica;
Jobs that require twisting of the torso, carrying heavy objects, or driving for long periods of time may play a role in the development of sciatica;
People who are forced to sit for long periods of time due to the nature of their work or who lead a sedentary lifestyle are more prone to sciatica than physically active people;
This disease increases the risk of nerve damage.
Although most people experience complete relief from leg pain from hip to foot, sometimes without treatment, sciatica can potentially cause permanent nerve damage. Seek immediate medical attention if you experience any of the following symptoms:
Diagnosis of the causes of pain in the leg from the hip to the foot begins with a consultation with a doctor. First of all, the doctor listens to the patient’s complaints and compiles his medical history. The doctor then conducts a physical examination, during which he tests muscle strength and reflexes. You may be asked, for example, to walk on your heels or toes, rise from a squatting position, or, while lying on your back, lift both legs at the same time. Pain caused by a pinched sciatic nerve is usually aggravated by such movements.
To confirm and clarify the preliminary diagnosis, the doctor may prescribe additional examinations to the patient. Such examinations include:
X-rays of the spine may show the presence of osteophytes, which may put pressure on the nerve;
This procedure uses magnetic radiation and radio waves to create highly detailed, three-dimensional images of the tissues and structures of the spine. Unlike X-rays, MRI reflects the condition of not only bone, but also soft tissues and is the main test for diagnosing intervertebral hernia;
Used as a replacement for MRI in cases where MRI is difficult or impossible;
This test measures electrical impulses produced by nerves and the response of muscles to these impulses. The test can confirm nerve compression caused by a herniated disc or spinal stenosis.
If you are experiencing pain in your leg from the hip to the foot for the first time, and the pain is not very severe, you can try to cope with it yourself. Applying an ice pack for 15-20 minutes several times a day can help relieve pain. After a few days, you can start applying a heating pad to the sore spots in the same way. In addition, you can start taking painkillers and anti-inflammatory drugs from the NSAID category, which are available in pharmacies without a prescription.
If the pain does not improve with home treatment, your doctor may suggest a number of treatments for leg pain from the hip to the foot. These methods include:
Surgical treatment for leg pain from the hip to the foot is considered when nerve compression is causing severe muscle weakness, loss of bowel and/or bladder control, and when pain progresses despite comprehensive and regular treatment. The surgeon may remove the osteophyte or part of the intervertebral disc that is putting pressure on the nerve.
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Osteochondrosis of the spine has made me look significantly younger. And all because from childhood we stop being physically active. Outdoor games, long walks, physical exercise in the morning and throughout the day are replaced by constant sitting at books or a computer. As a result, those muscle groups that would strengthen the spine cannot be formed. If someone who has back pain is sure that there are any miracle pills or ointments, then, to put it mildly, he is mistaken. Osteochondrosis of the spine indicates the need for prompt lifestyle changes. Radical treatment is prescribed only during an exacerbation! The main task of the patient is to stop the progression of the disease , for which it is necessary to change the motor pattern : sit correctly while working at a desk, sleep mainly on the side or on the back, exercise daily, swim, do industrial gymnastics. Only the systematic implementation of these recommendations, and not the search for a radical medication, can bring the patient closer to solving the problem. As for special exercises for the spine, a specialist should familiarize the patient with them. Because with certain types of osteochondrosis, the patient cannot perform certain movements. For example, in one case it is advisable to swim freestyle, and in another - breaststroke, some should not play tennis, and others should not play volleyball, etc.
One of the most common complaints when visiting a neurologist is a headache . Every fourth patient comes with this. A headache can be organic in nature if it is associated with vascular lesions, a tumor, an inflammatory process - meningitis or encephalitis. However, very often it is caused by the rapid pace of life, overload and stress. Experts call this pain a “ tension headache .” This functional change can be overcome only by normalizing the work regime and rest, with the help of physiotherapy, for example, water procedures, sanatorium treatment. Drug treatment in both cases is specific. Here one cannot hope that one can get rid of headaches through the uncontrolled use of analgin, aspirin, and citramone. Firstly, this can harm the stomach, and secondly, this way you can only get rid of a specific symptom, but not a disease that still needs to be identified by a specialist. We must not forget that a headache is a symptom of various diseases !
The questions of everyone who called the editorial office of the Belarusian newspaper “Zvyazda” during another medical “direct line” were answered by the head of the neurological department of the Republican Scientific and Practical Center of Neurology and Neurosurgery, the chief freelance neurologist of the Health Protection Committee of the Minsk City Executive Committee, Candidate of Medical Sciences Anna OSTAPENKO .
— I’m calling from Borisov. My name is Tatyana Alekseevna. The lower back hurts a lot, and there are pains in the legs. With what it can be connected?
— Most likely, the cause of the pain is manifestations of osteochondrosis. To clarify the diagnosis, you must contact the clinic at your place of residence.
— I am often bothered by back pain, but the electrocardiogram does not reveal any abnormalities. I heard that pain in the heart area can occur with osteochondrosis. Is it so? And how dangerous is it?
— At times, pain due to osteochondrosis of the thoracic spine can be localized in the chest. In order to verify this, you need to conduct an X-ray examination and make a cardiogram. And the patient should be examined not only by a therapist, but also by a neurologist.
- I have a question. How justified is heat treatment for spinal pain?
— During the period of exacerbation, thermal procedures are not prescribed for the spine area.
— Tell me, please, is it possible to relieve pain due to osteochondrosis with the help of herbal medicine?
— Traditional treatment for pain associated with osteochondrosis includes medications and physical therapy. The standards of treatment approved by the protocol of the Ministry of Health do not include herbal medicine.
— I have had osteomyelitis of the left hip joint since I was 3.5 years old. He was once healed, and until the age of 25 everything was fine. At the Institute of Traumatology, I was once fitted with an artificial joint, but now I feel that problems are beginning with my spine, it hurts. Where can I go for examination and consultation?
— Taking into account the fact that one of your legs is now slightly shorter as a result of the disease, it is worth keeping in mind that the biomechanics of the spine and joints are disturbed. And this will favor the premature appearance of osteochondrosis and pain. The leg will remain as it is and you need to learn to live with this situation. Every 30-40 minutes of working at a desk, you need to get up and do physical exercises for your joints and limbs. Secondly, the causes of pain can be muscle pain and tendon pain. In this case, again, it is necessary to ensure normal physical activity. Be sure to do daily exercises at work and at home. It is highly advisable to visit the pool regularly - 1-2 times a week. Plus periodic massage courses, and if not contraindicated, then add spa treatment.
— Valentina Alexandrovna. Kopylsky district. Something between my shoulder blades hurts. The right side is already on fire. They gave me diclofenac injections, took diclofenac, prescribed chondrosamine and neurobex.
— Did they take the picture for you?
— Most likely, you have osteochondrosis, but you need to take a picture to make sure. It is necessary to use medications, but there is also physical therapy. There are a lot of procedures. They must be prescribed by a doctor. It is necessary to strengthen the treatment a little, make it comprehensive, and Dicloberl can be changed to another drug. The effect will be stronger.
— Ivanovo district, Tatyana. Mother is 55 years old. She often has back pain, and the picture shows osteochondrosis of the 2nd degree in the thoracic region. In addition, she has coronary heart disease, angina pectoris, atherosclerosis of the aorta and coronary arteries, cholecystitis and colitis. Can the heart compress due to the spine? She does not take any medications for her back. What advice would you give her?
— Your measurements show combined pathology. First, she needs systematic treatment for coronary heart disease, and as for osteochondrosis, recommendations should be given by a neurologist at her place of residence.
— Galina Stepanovna, Glubotsky district. I am 59 years old. My head hurts almost constantly. Something is pulsating in the head, while lightning flashes in the right eye. I took pirocetam, cinnarizine, and now vinpocetine. The regional diagnostic center says that these are age-related changes. And one more thing: lately the lower part of the spine has been hurting, radiating to the right leg. Nimesulide helps for a few hours. I didn’t go to the doctor about this.
— It is necessary to exclude pathology of the cervical and lumbar spine and take an x-ray. It is necessary to monitor blood pressure and also consult an ophthalmologist. Go to a neurologist with the results of the examination.
— Leonid Frantsevich, Cherven. 87 years old. My lower back started to hurt. I can't work. All treatment is indomethacin ointment and tying something warm on the back. Please advise me some effective treatment.
— Lower back pain is a manifestation of spinal osteochondrosis. Active physiotherapy at your age is not advisable, so you are advised to have a limited movement regime, rest more often, do not lift anything heavy - the spine needs to reduce stress. Periodically continue rubbing with different ointments, and perhaps a neurologist at your place of residence will tell you what non-steroidal drugs you can use.
— My name is Tamara Alekseevna. I'm calling from the Chervensky district. My eldest son is 27 years old. Recently he was taken by ambulance to Minsk, to the 5th hospital, because he had a severe attack of back pain. Now he is on medication, but still cannot get out of bed on his own in the morning.
— Your son will be advised by specialists from the Republican Scientific and Practical Center of Neurology and Neurosurgery. He only needs to have in his hands an extract from the medical history, which was given at the 5th hospital.
- Thank you very much, but the second, youngest son also has a problem. He is 17. This year his left leg became seriously ill. The district neurologist prescribed some medications, but they did not help. We were sent to Borovlyany. There they diagnosed me with vertebrogenic lumbodynia on the left with moderate pain. It's been a year now and my leg still hurts.
— Did they take pictures of his spine?
— Please come for a second consultation at the regional hospital for a thorough examination.
- Vera Semyonovna. 76 years old. Stolbtsovsky district. How to get rid of lower back pain that radiates to the leg?
— The first thing you shouldn’t do if you have back pain is sleep on your stomach. Only on the sides or back.
— My legs hurt, I’m twisting. In the summer I feel heat in my legs, in the winter they freeze.
- Possibly something with the veins. Place something under your feet when you lie down. Take medications to improve blood circulation. Use rubs.
— I tried Chondroxide twice.
- You can rub yourself with ointment for 10-12 days. Unload your spine and joints more often - rest.
- Lelchitsky district, Alexander Konstantinovich. I am 68 years old. Diagnosis: atherosclerosis of the vessels of the lower extremities, chronic pancreatitis in remission, chronic cholecystitis in remission, diabetes mellitus type 2, deforming osteoarthritis of the right hip joint of the 3rd degree, the right knee joint of the 2nd degree, secondary vertebrogenic lumbodynia. Prosthetics are recommended. Help, my back and leg hurt a lot.
- You have severe damage to the joints, and hence, of course, the pain. You have a whole bunch of diseases, and many changes have accumulated in the joints of the spine - they are irreversible. I can’t say that any particular type of treatment will particularly help you right now. In fact, it is possible to install a prosthesis, but this issue is decided by orthopedists.
“But they don’t want to deal with diabetes.”
- This means that you need to periodically take medications that reduce pain in the hip joints. And you need to definitely move, even if there is pain. There is no other way out. Select treatment regimens at the regional hospital.
— I’m calling from the Chervensky district. I am 22 years old. I have osteochondrosis of the thoracic spine, as well as Schmorl's hernia. I constantly suffer from back pain. What treatment will help get rid of them?
— Osteochondrosis developed at a very young age. The diagnosis must be confirmed by radiography. You also need to take measures to prevent the disease from progressing. Specialists should show you a complex of physical therapy exercises that must be performed regularly. Periodically, courses of physiotherapeutic treatment should be carried out and it is worth taking chondroprotectors - drugs that improve metabolic processes in cartilage tissue.
— I’m calling from Cherikov. In May, I was treated for neuralgia of the cervical spine. I took a drip, but it didn’t help. Three days later, repeated treatment was prescribed: a drip with vinpocetine, vitamins. But the pain continues. In the cervical region it compresses as if a stake had been driven in. During the massage they told me that I most likely have a commissure on the lower right side of my shoulder. What treatment do you think might help?
— We recommend comprehensive treatment, including non-steroidal anti-inflammatory drugs and comprehensive physical therapy. If there is no effect of treatment, you need to contact a neurologist again.
— Kletsk, Alexandra Vasilievna. I have had neck pain on the left side for a long time. The neurologist prescribed treatment - dikloberl, diclofenac. There is no improvement. Now I’m still treating the musculoskeletal system, my legs and back are a little anesthetized, but in my neck, it seems, an aggravation has even begun, because I can no longer turn my head.
— Did they take pictures of the cervical spine?
-Where did you go?
- To your clinic. Perhaps the doctor decided that my problems were age-related. I'm 68 years old.
- At any age, a person should live normally. You need to take a photo. Contact your neurologist again and have them refer you to an X-ray. I think that physical therapy can be involved. For example, magnetic therapy.
— I have heart problems, and my gallbladder was removed.
— I think we can organize a consultation for you at the Minsk Regional Hospital. Come see a neurologist in Borovlyany.
— Raisa Mikhailovna, Minsk. 55 years. The spine in the neck area began to bother me. The pain subsided a little after using chondroxide ointment. Recommended massage.
— Osteochondrosis appears. Your task is to make sure that he does not progress. You should be shown a set of exercises for the spine that need to be performed daily. Periodically - massage courses. The bed should not be very soft, the pillow should not be high. While working, do small exercises every 30-40 minutes.
— Can resonance therapy help?
— There are many options for physical procedures. You should consult a physiotherapist.
— Alexander Ivanovich, Mogilev. 48 years old. Pressure in the region of the postcranial fossa of the head. A mixed type of cerebral hemodynamic disorder with a pronounced preponderance of vasospasm on both sides. The cardiologist says that it should go away on its own, but it hasn’t gone away for 8 years. Where to go now?
— It is necessary to find out whether you have manifestations of cervical osteochondrosis, which can cause pain in the cervical-occipital region. To do this, contact a neurologist at your place of residence.
— Roman Adamovich. I'm calling from Molodechensky district. I was diagnosed with a 14.5 intervertebral disc herniation. My legs and lower back hurt a lot. I take medications, but nothing helps.
— This hernia is a manifestation of spinal osteochondrosis. And with this disease there are periods of exacerbation and improvement. Therefore, it is important, in addition to receiving drug treatment, to carry out a whole range of measures so that the process does not progress.
— I think I need an operation and would like to get a consultation at your center.
— If you do not exclude the option of surgical treatment, then in fact you can get a consultation. Leave your phone number and they will schedule a consultation and tell you when to arrive.
— Good afternoon, Anna Viktorovna! I'm calling from the Slutsk region. I have signs of spondyloarthrosis deformans, osteochondrosis, diffuse disc protrusion, hemangioma and disc herniation. What treatment can be recommended for this?
— Due to pain in the joints and spine, you should contact a neurologist at your local clinic. The doctor will examine you and determine treatment tactics. If you contacted a specialist in Slutsk and the treatment did not help, then you need to ask for a referral to the Minsk regional clinic.
“I’m worried for this reason.” They took an X-ray and found osteoporosis and a displaced vertebra. There is also osteochondrosis. I feel very strong pain. What should you do in this situation?
— Maintain motor mode. You need to avoid carrying heavy loads. You should try not to carry loads in front of you with bent or outstretched arms, because this often causes aggravation of pain. If you need to get out of bed, you should first turn on your side, lower your legs and use your hands to help yourself get up. In other words, you need to relieve your spine as much as possible. Given the presence of osteoporosis, you need to consult a therapist or endocrinologist regarding taking a group of calcium supplements.
During the period of increased pain, it is worth taking non-steroidal anti-inflammatory drugs: diclofenac, nise. It's good to get physical therapy. If you have no contraindications, then this may be ultrasound or pulsed procedures, however, which one will be decided by your doctor.
Svetlana Borisenko, Olga Shevko. Newspaper “Zvyazda”, 6-7, July 11-12, 2007.
Daily stress over a long period can cause pain in the leg from the hip to the knee, the causes of which are very different.
It is important to know! Doctors are shocked: “An effective and affordable remedy for joint pain exists. " Read more.
The occurrence of pain in the leg from the hip to the knee does not always indicate that the problems and the source of pain lie in the same area. The leg may ache, or the pain in the thigh is nagging, or perhaps sharp, but sensation impulses can come from different points due to the complexity of the structure of the lower extremities, so it is important to understand the possible source of pain, part of the list of which is outlined below:
Neurologist M.M. will tell you about all the causes of pain in the leg, including from the hip to the knee. Shperling (Novosibirsk):
Obviously, there can be many sources of pain, which is why the cause of pain in the knee or hip can only be identified by a specialist, therefore, it is necessary to consult a doctor.
To correctly diagnose the reasons why your leg hurts, it is also necessary to pay attention not only to pain in the hip, but also to various accompanying signs that will help narrow the range of possible sources of pain.
However, it should be borne in mind that this or that set of manifestations may well relate to both one disease and several different ones, so you should refuse self-medication and immediately consult a doctor.
If your leg hurts from the hip to the knee, then this phenomenon may be accompanied by certain symptoms:
Sometimes pain should not be considered a sign of the development of any pathology; in some cases, the body reacts with painful sensations after physical strain as a result of active movement during the day or the next day after playing sports. Therefore, if your leg hurts, you should listen to the sensations - they may go away on their own over the next day. In this case, there is most likely no reason to worry.
Also, many people who are overweight, as well as those who lead a sedentary lifestyle, often experience discomfort and pain in the legs, as well as problems in the functioning of the joints of the knee and pelvis.
Pain in the hip, as well as in the knee, can be of a different nature, but this aspect is of great importance in diagnosis. Acute pain in most cases indicates very serious problems in the functioning of the body as a whole. For example:
Sometimes the leg may ache and the pain may be nagging. Such manifestations of pain are more common than acute pain. Painful sensations are disturbing for a certain period of time, often accompanied by numbness, especially in the front, and can occur with some frequency.
Elena Malysheva also shared information about pain in the hip joints in her program. More details in this video:
There is more than one reason for such pain:
Essentially, if there is pain in the knee or hip, then this is evidence of some disturbances in the functioning of the body, and in the absence of serious diseases, the problems can be solved on their own. This is especially true for those people who lead a sedentary and sedentary lifestyle, as well as those who are overweight. Sometimes the load on the limbs is uneven, so a separate hip or knee joint - left or right - suffers.
Almost every person suffers from lower back pain; such pain is most often aching in nature. There are many reasons for the appearance of pain in this area; the lower back is most heavily loaded by a person, which is why very severe pain occurs in the lower back. To get rid of pain, it is very important to contact a specialist in time, who will correctly diagnose the cause and prescribe effective treatment. What are the common causes of pain in the lower back?
1. Due to osteochondrosis in the spine. At first, the pain is nagging in nature and occurs due to the fact that degeneration and decay occurs in the nuclei between the vertebrae. With fibrous rupture of the nuclear rings, neurological changes may be observed, the pain intensifies when the person begins to bend over. Pain of this nature lasts for many years.
2. Due to wear and tear and pathological processes in the muscles and tissues of the back below. With microtraumas, mechanical impacts and increased physical activity, the muscles are very stretched, which causes aching pain that can go away after the person has rested.
3. Lower back pain occurs due to hormonal imbalance. It disrupts the metabolism in the tissues of cartilage and bone.
4. Pain due to allergic reactions. In allergy sufferers, the musculoskeletal system is disrupted, and the pain is nagging in nature. Therefore, it is very important to pay attention to various factors that may cause discomfort.
5. The occurrence of pain as a result of tuberculosis, because of which the vertebrae of the body are destroyed. The disease may be asymptomatic.
6. As a result of chronic joint diseases, most often in older people, pain appears after a long stay in the same position. After movement, the pain begins to subside.
7. In case of oncological diseases of the spine, the nerve roots become inflamed because it is in the lower back that metastases are localized.
8. Pain in the lower back due to various exacerbations of an infectious nature. It develops due to proctitis, phlebitis, diseases of the ENT organs, allergic reactions, which causes radicular pain.
9. If the pain in the lower back radiates to the right, this indicates that you have a disease of systemic organs, most often the kidneys, inflammatory processes in the prostate gland, pancreas, stomach ulcer, inflammation of the duodenum, or aortic aneurysm.
10. Very often, the cause of pain in the lower back can be pathological processes in the development of the spine due to various injuries.
11. Pain in the lower back is most often characteristic of pregnant women.
12. Pain due to unfavorable heredity.
13. Pain depends on the age category, most often pain occurs from 55 years old. Pain may first appear at the age of 20 and begins to be localized in the lower back or cervical region. In women, such pain can radiate to the shoulder joints.
14. The development of pain is influenced by bad habits and increased physical activity.
15. Lower back pain due to postmenopausal osteoporosis. First the pain occurs in the spine. Most often, this disease is typical for women with irregular menstrual cycles.
The specialist must carefully examine everything so as not to make a mistake with the cause. To begin with, it is very important to pay attention to the following signs:
1. For problems with urination (incontinence or urinary retention).
2. A sharp decrease in body weight.
3. The appearance of malignant neoplasms
During the examination, the doctor pays attention to disturbances in the motor lower extremities, asks the patient whether he has had anesthesia in the area of the femur, whether there is fever, how fully the patient’s lumbar region moves; does the patient have increased sensitivity in the vertebrae; What are the dynamics in neurological manifestations? The patient may be prescribed an additional x-ray.
1. Age over 50 years.
2. After suffering a trauma.
3. In patients with problems in the motor system.
4. Abuse of bad habits - smoking, alcohol.
5. In patients who have problems with others.
1. For osteochondrosis, complex drug treatment will be used; the drugs should help relieve pain from the lower back, improve blood circulation and restore nerve tissue.
2. Using injections, you can relieve muscle spasms, get rid of inflammation and relieve pain. Steroid drugs - dexomethasone, cortisone, analgesics - lidocaine and novocaine help very well.
3. In severe cases, surgical intervention is required if lower back pain is associated with a herniated disc or osteochondrosis, the diagnosis is confirmed by MRI. In cases where conservative treatment does not help, it will be necessary to remove the herniated disc, which is compressing the nerve roots. After the operation the patient feels much better.
1. Physical activity should be moderate and aimed at strengthening the abdominal and back muscles.
2. You cannot use the treadmill.
3. Be sure to undergo a course of special therapeutic massage.
4. If pain appears in the lower back, you should urgently contact a neurologist.
5. If the pain in the lower back radiates to the leg, you should urgently consult an orthopedist.
So, lower back pain constantly causes discomfort; a person cannot fully move. That’s why it’s so important to seek help from a doctor in time so that he can make the correct diagnosis. There is no need to delay treatment. It must be timely so that back pain does not get worse. In addition to the spine, it is very important to check some internal organs that are located in the lower abdomen; they can also radiate to the back. To prevent pain in the lower back, it is very important to follow preventive measures that will protect the spine from a variety of injuries.