Experiences with
Back painCauses of back pain
Back pain can have many causes. It's not always obvious what causes it, and it often gets better on its own.
A common cause of back pain is an injury like a pulled muscle (strain).
Sometimes, medical conditions like a slipped disc, sciatica (a trapped nerve) or ankylosing spondylitis can cause back pain.
Very rarely, back pain can be a sign of a serious problem such as a broken bone, cancer or an infection.
How to ease back pain yourself
Back pain often improves on its own within a few weeks. There are things you can do to help speed up your recovery.
stay active and try to continue with your daily activities
take anti-inflammatory medicine like ibuprofen – paracetamol on its own is not recommended for back pain but it may be used with another painkiller
use an ice pack (or bag of frozen peas) wrapped in a tea towel to reduce pain and swelling
use a heat pack (or hot water bottle) wrapped in a tea towel to relieve joint stiffness or muscle spasms
try doing some exercises and stretches for back pain
do not stay in bed for long periods of time
- back pain does not improve after treating it at home for a few weeks
- the pain is stopping you doing your day-to-day activities
- the pain is severe or getting worse over time
- you're worried about the pain or you're struggling to cope
What we mean by severe pain
- Severe pain:
-
- always there and so bad it's hard to think or talk
- you cannot sleep
- it's very hard to move, get out of bed, go to the bathroom, wash or dress
- Moderate pain:
-
- always there
- makes it hard to concentrate or sleep
- you can manage to get up, wash or dress
- Mild pain:
-
- comes and goes
- is annoying but does not stop you doing daily activities
You have back pain and:
- a high temperature
- you've lost weight without trying to
- there's a lump or swelling in your back or your back has changed shape
- the pain does not improve after resting or is worse at night
- the pain is made worse when sneezing, coughing or pooing
- the pain is coming from the top of your back (between your shoulders), rather than your lower back
You can call 111 or get help from 111 online .
You have back pain and:
- pain, tingling, weakness or numbness in both legs
- numbness or tingling around your genitals or buttocks
- difficulty peeing
- loss of bladder or bowel control (peeing or pooing yourself)
- chest pain
- it started after a serious accident, such as a car accident
Treatments for back pain
If your back pain is severe or not getting better, a GP may prescribe painkillers or medicines to relax the muscles in your back.
Other treatments may be recommended if your pain does not get better after a few weeks.
These include:
- group exercise sessions and physiotherapy
- manual therapy – where a trained therapist massages and moves the muscles, bones and joints in your back
- cognitive behavioural therapy (CBT) to help you cope with the pain
- a procedure to seal off some of the nerves in your back so they stop sending pain signals (only for long-term lower back pain)
If your back pain is caused by a medical condition like a slipped disc and other treatments have not helped, surgery may be an option.
CausesSelf-careMedical treatmentsBack pain can have many causes, including an injury like a strain. Sometimes conditions like sciatica or a slipped disc can cause back pain.
Things you can do to ease back pain include staying active and continuing with daily activities, taking ibuprofen and doing exercises and stretches.
Treatments for back pain include medicines, group exercise, physiotherapy, massage and sometimes surgery.
Related links
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