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Major contributing factors to Back Pain

The major contributing factors to back pain include various lifestyle aspects and physical conditions. These factors can significantly impact the development of back pain. According to the sources provided:

Lifestyle Factors to Back Pain

  • Sedentary lifestyle
  • Poor posture
  • Obesity
  • Poor diet
  • Smoking
  • Stress
  • Poor sleeping habits

Physical Conditions and Other Factors

  • Weight gain due to a high-calorie and fat diet combined with inactivity
  • Job-related risk factors like heavy lifting, pushing, pulling, or twisting
  • Stress levels, poor sleep, depression, or anxiety
  • Age, with back pain becoming more common after the age of 45
  • Heredity, as genetics play a role in some disorders causing back pain

These factors encompass a range of lifestyle choices, physical conditions, and genetic predispositions that can contribute to the development of back pain. It is essential to address these factors to reduce the risk of experiencing chronic or long-lasting back pain.

Biological Factors:

Enhancing your cardiovascular fitness and engaging in regular physical activity are crucial for overall well-being. They assist you with both daily chores and recreational activities. This has to do with biology. Reduced muscle strength can exacerbate low back pain and make daily tasks more difficult. However, there are many other reasons that cause back pain like;

  • UTI

Back pain can be a symptom of a urinary tract infection (UTI), particularly if the infection has spread to the kidneys. The exact location of the back pain depends on how far the infection has progressed within the urinary tract.

UTI-related back pain is often described as a dull, persistent ache that can vary in intensity. It may be centered in the lower back and can intensify during certain activities or remain constant regardless of movement. This type of back pain is distinct from the common lower back pain caused by poor posture or muscle strain.

  • GAS

Back pain and gas can be related, with gas pain in the stomach potentially causing discomfort in the upper back and gas pain in the abdomen possibly leading to lower back pain. Excess gas can result in bloating, pain, or distention of the stomach or abdomen, which can radiate to the back.

Common causes of back pain and gas include hormonal changes, pregnancy, back injuries, stress, and dietary factors. While most symptoms are mild and harmless, severe or persistent symptoms should prompt a visit to a healthcare provider for accurate diagnosis and appropriate treatment.


Back pain can be associated with COVID-19, both during the illness and as a lingering symptom known as long COVID. The back pain experienced during COVID-19 can be caused by myalgia, which is common in viral infections like COVID-19. This pain can affect the upper back, especially if there is frequent coughing, or the lower back, which has been linked to the Omicron variant.

Immobility during illness can also contribute to back pain. It’s important to consider other symptoms alongside back pain, as it can be a common symptom with various causes. If back pain persists after a COVID-19 infection, seeking advice from healthcare providers or physiotherapists is recommended. Treatment options include staying active, using over-the-counter painkillers, and physiotherapy.


Back pain after a C-section is a common issue that many women experience. It is often temporary but can be persistent in some cases. Factors contributing to back pain after a C-section include hormonal changes during pregnancy, lifting and carrying the baby, poor posture during breastfeeding, and the impact of anesthesia.

Postpartum back pain can be alleviated by maintaining good posture, avoiding heavy lifting, taking warm baths, getting massages, and engaging in gentle exercises like Pilates or yoga. If the pain persists or is severe, it is important to consult a healthcare provider for appropriate treatment options.


Coughing can cause back pain for several reasons:

Muscle strain: Coughing too much or too often can strain the back muscles, causing pain and discomfort. The strained muscles may become inflamed, causing further pain when coughing.

Muscle spasms: When the muscles in the back contract involuntarily, it can result in intense pain. Coughing can trigger these spasms, exacerbating the discomfort.

Herniated disc: Coughing creates pressure and dynamic overloading on the spinal discs, which can lead to severe nerve compression and pain in the lower back. If you already have a herniated disc, coughing can increase the pressure on the affected area, causing pain and discomfort.

Spinal stenosis: The condition known as spinal stenosis is characterised by the narrowing of the spinal canal, which may cause pressure on the back’s nerves. Back pain may result from additional nerve compression brought on by coughing.Coughing can further induce nerve compression, leading to back pain.

Underlying lung disease: In some cases, back pain when coughing may be a symptom of an underlying lung disease, such as pneumonia, bronchitis, or lung cancer.

To manage back pain caused by coughing, you can take nonsteroidal anti-inflammatory drugs (NSAIDs), hug a pillow when coughing, massage the affected areas, use ice packs, stretch, or take a hot bath or shower. If the cough persists for more than three weeks or if the back pain is severe, it’s crucial to consult a healthcare professional to determine the underlying cause and receive appropriate treatment.


Constipation and back pain are interconnected issues that can affect an individual’s overall well-being. While back pain does not directly cause constipation, there are several connections that can lead to this combination of symptoms.

How Constipation Can Cause Back Pain?

Fecal Impaction: When a large mass of stool gets stuck in the colon, it can cause significant pressure on the surrounding muscles and organs, leading to lower back pain.

Intestinal Swelling: During constipation, the intestines can swell up, putting pressure on the muscles and causing back pain that can spread to the abdomen.

While back pain does not directly cause constipation, there are several connections that can lead to this combination of symptoms. Understanding these connections and addressing the underlying causes can help alleviate both constipation and back pain.


Dehydration can cause back pain due to the impact it has on the spinal discs and vertebrae.

Dehydration can cause back pain by disrupting the normal functioning of the spinal discs and vertebrae. It is essential to recognize the signs of dehydration and take steps to prevent and treat it to avoid back pain and other related health issues.


Acid reflux can indeed cause back pain, although the connection may not be immediately apparent. Here’s how acid reflux and back pain are related:

Acid reflux, sometimes referred to as gastroesophageal reflux disease (GERD), is a burning feeling in the chest and throat caused by stomach acid flowing back into the oesophagus. This reflux can sometimes extend to the back, leading to pain between the shoulder blades or in the upper back. If you are experiencing persistent back pain along with symptoms of acid reflux, it’s important to consult with your healthcare provider to determine the underlying cause and develop an appropriate treatment plan.


Ovarian cysts can sometimes cause lower back pain, especially if they are large in size. Here are the key points about the connection between ovarian cysts and back pain:

  • Around 44.5% of women with ovarian cysts experience lower back pain as a symptom. The back pain often feels dull and achy.
  • Larger ovarian cysts are more likely to cause lower back pain because they can start pressing on the spine and surrounding organs and tissues.
  • The majority of ovarian cysts are asymptomatic and small—less than an inch.
  • Other common symptoms of ovarian cysts include pelvic pain, bloating, painful periods, pain during sex, and frequent urination.
  • If an ovarian cyst ruptures, it can cause sudden, severe lower abdominal or back pain. Seek immediate medical attention if you have severe pain, fever, vomiting, dizziness or rapid breathing along with a ruptured cyst.
  • Most ovarian cysts resolve on their own without treatment. For persistent or severe symptoms, treatment options include pain medication, birth control pills, or surgery to remove the cyst.
  • If you have unexplained lower back pain along with other ovarian cyst symptoms, see your doctor for an evaluation and proper diagnosis.

In summary, while lower back pain can be a symptom of ovarian cysts, especially larger ones, it’s important to see a doctor to determine the cause of your back pain and rule out other potential issues. Most ovarian cysts are harmless and resolve without treatment.


Yes, gastritis can cause back pain, especially between the shoulder blades. When gas accumulates in the digestive tract, it can cause a burning sensation that leads to upper back pain.  Common symptoms of gastritis include abdominal pain, bloating, nausea, vomiting, loss of appetite, and stomach ulcers. Gastritis can be acute with sudden onset, or chronic lasting months or years. Untreated chronic gastritis can lead to complications like anemia, atrophic gastritis, peptic ulcers, and increased cancer risk.

Treatments for gastritis include antacids, alginates, and antibiotics if caused by H. pylori infection. Physiotherapy techniques like breathing exercises, stretching, and low-impact activities can also help relieve gastritis-related back pain by improving circulation and stomach lining regeneration.


Hiatal hernia can sometimes cause back pain, but it is not a common symptom. The most common symptoms of hiatal hernia are heartburn, regurgitation, difficulty swallowing, and chest or abdominal pain.

A very large paraesophageal hernia (a type of hiatal hernia) could potentially cause back pain, but this is uncommon. The pain from a hiatal hernia is usually felt in the chest or upper abdomen, especially during or after eating.

Back pain is more likely to be caused by other factors in people with hiatal hernia, such as obesity, abdominal pain, or heartburn. Obesity is a primary risk factor for hiatal hernia and can contribute to back pain.

If you have persistent back pain along with symptoms of hiatal hernia like heartburn or difficulty swallowing, it’s important to consult a doctor for proper diagnosis and treatment. Treatment options include lifestyle changes, medications, and in some cases surgery to repair the hernia.


1: What are the uses of heating pads for back pain relief?

Here are the key points about using heating pads for back pain relief:

  • Heating pads can help relieve back pain by improving circulation, reducing inflammation, and relaxing muscles. They are convenient, portable, and provide continuous heat.
  • Electric heating pads are most common. Start on the lowest setting and gradually increase heat if needed. Limit use to 15-30 minutes on high or up to 1 hour on low to avoid burns.
  • Microwavable heating pads filled with materials like rice or beads are another option. They retain heat well after being heated up.
  • Air-activated heating pads react with oxygen to generate heat. They are similar to large versions of disposable hand warmers.
  • When using a heating pad, never place it directly on your skin. Always wrap it in a towel first. Don’t fall asleep with it on.
  • Heating pads are safe to use while pregnant, but limit use to 10-15 minutes on the lowest setting to avoid overheating.
  • Look for heating pads with automatic shut-off features. They can be found at pharmacies, retail stores, and online.

In summary, heating pads are an effective, convenient way to apply heat therapy to relieve back pain. Just be sure to use them safely by starting on low heat, limiting duration, and never placing directly on skin.

2: Why is back pain at night a red flag?

Back pain at night is considered a red flag because it can be a sign of an underlying serious condition that requires immediate medical attention. This type of pain can indicate a range of potential issues, including:

  • Kidney Stones or Infections: Kidney stones can cause severe pain that radiates to the back, while kidney infections can also cause back pain at night.
  • Spinal Tumors: Nocturnal back pain can be a symptom of spinal tumors, either primary or metastatic, which can be life-threatening if left untreated.
  • Spinal Bone Infections (Osteomyelitis): Back pain at night can be a sign of spinal bone infections, which require prompt medical intervention to prevent further complications.
  • Ankylosing Spondylitis (AS): This condition can cause the spine to fuse in a fixed, immobile position, leading to nocturnal back pain.
  • Other Serious Conditions: Other red flags include back pain that spreads down one or both legs, weakness, numbness, or tingling in legs, new problems with bowel or bladder control, pain or throbbing in the abdomen, fever, spots warm to the touch, unexplained weight loss, history of cancer, history of a suppressed immune system, or history of trauma.

In summary, back pain at night is a red flag because it can be a symptom of serious conditions that require immediate medical evaluation and treatment to prevent further complications and ensure timely relief.

3: Can stress cause back pain?

Yes, stress can cause back pain. Stress can lead to various physical and emotional symptoms, including back pain, which can be acute or chronic. Here are some ways stress can contribute to back pain:

  • Muscle Tension: Stress causes muscles to tense up, leading to stiffness and pain in the back.
  • Increased Sensitivity to Pain: Stress can make the body more sensitive to pain, which can exacerbate existing back pain.
  • Inflammation: Chronic stress can cause inflammation all over the body, including the back, which can hurt.
  • Poor Posture: Stress can cause poor posture, leading to strain and tension in the middle and upper back.
  • Reduced Blood Flow: Stress can cause blood vessels to constrict, reducing blood flow to the back muscles and causing pain.

Common signs that back pain may be related to stress include:

  • Gradual onset
  • Lack of other symptoms
  • Pain that comes and goes
  • Improvement with stress management techniques

Stress can also be linked to specific types of back pain, such as lower back pain, which can be characterized by dull or sharp aches, stiffness, or muscle spasms, and may radiate to the legs or buttocks.

Managing stress through healthy habits like exercise, deep breathing, and mindfulness can help alleviate stress-induced back pain.

4: What are best back pain creams?

For back pain relief, there are several creams that can be effective. Here are some of the best creams for back pain:

  • Biofreeze Professional Strength Pain Relief Gel: This gel is the best overall muscle pain relief cream due to its fast-acting and long-lasting relief. It contains 5% menthol, which provides immediate relief by interfering with pain signals. Additionally, it includes aloe and vitamin E for added benefits.
  • Rub A535 Muscle and Joint Heat Cream: This cream is the best extra-strength muscle pain relief cream due to its fast relief and high concentration of pain-relieving ingredients. Its ingredients, which include methyl salicylate, camphor, eucalyptus oil, and menthol, instantly relieve tenseness and soreness in the muscles.
  • Icy Hot Pro Cream: This cream is a maximum-strength pain relief option with 16% menthol and 11% camphor. It provides a cooling sensation and is non-greasy, making it a great choice for those who want a powerful relief without residue.
  • Blue Emu Deep Soothing Original Cream: This cream is a splurge-worthy option that combines emu oil with other natural ingredients like aloe vera, methylsulfonylmethane, and glucosamine. It provides fast relief and has anti-inflammatory properties, making it suitable for inflamed joints and wounds.
  • Cymbiotika Ultimate Pain Balm: This balm is the best pain relief cream for sensitive skin due to its all-natural ingredients, including bromelain and ginger. It is effective for pain, soft-tissue swelling, and joint stiffness associated with osteoarthritis.
  • Tiger Balm Ultra Strength Pain Relieving Ointment: This ointment is a budget-friendly option that provides immediate cooling relief and a long-lasting warming sensation. It contains camphor and menthol, which work as counterirritants to distract from pain.

These creams can be effective in providing temporary relief from back pain. However, it is essential to consult a doctor if the pain persists or worsens over time.

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