The Lower Back Pain Toolkit

What are the symptoms of simple lower back pain?

Commonly the pain is felt in the centre of the low back area and can radiate out to the tops of the buttocks or thighs. About 70% of people with simple low back pain have pain referred to the buttocks and thighs. It is often described as an dull, aching pain that is poorly localised. Usually the back pain is worse than the leg or buttock pain.

What makes it feel worse?

It is frequently activity dependent which means it worsens as the aggravating activity goes on. It is often a bit better in the mornings (unless sleep postures/bed are aggravating) and after rest – many people complain that it gets worse as the day goes on.

How does it start?

There is no absolute pattern, it can start gradually for no apparent reason, or more suddenly after changes in activity levels or an obvious injury.

How does it behave ?

It is often episodic to start with and comes and goes. It can start with a single episode of pain, often 2-3 days in duration. It often returns and the number of days of pain may increase and the time between the episodes may decrease.Some people with this problem can feel pain most of the time.

More detail about simple lower back pain.

How is it Treated and which Investigations may help?