Medically Reviewed By Angela M. Bell, MD, FACP
— Written By Lorenzo Lucchetti
Updated on October 28, 2022
This article explores the possible causes of lower left back pain and gives some pain-relieving tips.
Muscle or tissue injury
Strains and sprains of the muscles in your lower back or pelvis can cause significant lower back pain. Sprains are when you tear or stretch a ligament. Strains are when you injure a muscle or tendon. These injuries typically happen when you lift or move something heavy without proper technique.
Endometriosis
Endometriosis is when the cells of the inside of the uterus start growing on the outside of the uterus. This growth can affect surrounding organs and can cause back and pelvic pain.
Other common symptoms of endometriosis
- painful menstrual cramps
- painful urination and bowel movements during your period
- pain during or after sex
- bleeding or spotting between periods
- difficulty getting pregnant
- digestive problems
Arthritis
Arthritis is a common condition that causes inflammation and pain in your joints. One of the areas where arthritis can develop is the back, which can cause lower back pain in the middle, right, or left side of the back. It can also induce stiffness and swelling.
There are many types of arthritis. However,
Treatment typically involves NSAIDs, heat packs, acupuncture, and physical therapy.
Kidney infection
A kidney infection is a serious condition that requires treatment because it can cause permanent damage. This infection can cause pain and discomfort in your lower back on either side. Other symptoms may
- fever
- chills or shivering
- loss of appetite
- diarrhea
- feeling weak and tired
- bloody urine
Kidney infections typically require antibiotics. With prompt treatment, you can usually avoid permanent damage or further complications. Seek medical care right away if you have symptoms of a kidney infection.
Kidney stones
Kidney stones may form if there is a buildup of waste or not enough fluid in your kidneys. Kidney stones can cause sharp pain on one side of your lower back.
Other symptoms of kidney stones may
- fever
- nausea or vomiting
- blood in your urine
- pain while urinating
Small kidney stones may pass, while larger ones may require medical intervention.
Slipped disc
A slipped disc, or herniated disc, occurs when one of the discs that sit between your vertebrae bulges outward into your spinal canal. The slipped disc may push a nerve in your spine and cause burning or stinging pain that radiates down your legs.
Other symptoms may include:
- weakness
- numbness
- tingling
Slipped discs can be painful, but most heal within
Tips for pain relief
Some precautions and medications may relieve lower back pain. Home remedies and treatments for lower back pain resulting from injury or strain may include:
- limiting activities that can cause more pain
- light exercise may help reduce stiffness and discomfort
- alternating ice and hot packs to decrease inflammation
- topical pain-relieving medication
- NSAIDs such as ibuprofen
If you need medical treatment, your medical professional may order imaging to determine the source of your pain. After finding the cause of your pain, your treatment plan may include:
- steroid treatment
- nerve blocks
- antibiotics
- physical therapy
- muscle relaxants
- acupuncture
- massage
- surgery
Seek medical care if your lower back pain does not go away after a couple of days or if you’re experiencing a fever, digestive issues, or feeling weak.
Other frequently asked questions
Here are a few other common questions about lower left back pain. Angela Bell, M.D., FACP, has reviewed the answers.
When should I worry about lower left back pain?
Contact your doctor if you have lower left back pain that worsens, persists for more than a few days, or occurs with other concerning symptoms. This may indicate a serious condition that requires medical treatment.
How can you tell if back pain is muscular or something else?
Back pain that subsides with rest and over-the-counter (OTC) medications may be muscle-related. If the pain does not subside when you lie down or occurs with other symptoms like fever, digestive issues, or tingling, it may indicate that the problem is not muscular.
Summary
Many times, lower back pain occurs with muscle or tissue injury. This usually goes away within a week with rest, applying heat and ice, and taking NSAIDs.
If you experience back pain and other symptoms such as fever, nausea, or feeling ill, you may have a medical condition needing treatment. Contact your medical professional if you are concerned about lower back pain, if it does not resolve with rest or home remedies, or if you’re experiencing other symptoms.