Lower back and buttock pain is one of the most common musculoskeletal complaints affecting adults across all age groups. Whether it stems from sedentary behavior, poor posture, injuries, or degenerative conditions, it can significantly impair mobility and quality of life.
Key Symptoms
- Dull, aching pain in the lumbar region
- Radiating discomfort into the buttocks or thighs
- Muscle stiffness, especially after prolonged sitting
- Difficulty bending, lifting, or walking
Primary Causes
- Muscle strain or ligament sprain due to lifting or twisting
- Herniated or bulging discs, often compressing spinal nerves
- Sacroiliac joint dysfunction, common in both athletes and pregnant individuals
- Piriformis syndrome, where the piriformis muscle irritates the sciatic nerve
- Degenerative disc disease or spinal stenosis as a result of aging
Diagnosis
Evaluation typically involves a clinical examination, medical history review, and imaging such as X-rays or MRI to identify disc abnormalities or structural issues.
Treatment Options
- Physical therapy to improve posture and strengthen the core
- NSAIDs or muscle relaxants for short-term relief
- Epidural steroid injections in cases involving nerve inflammation
- Radiofrequency ablation or nerve blocks for chronic cases
- Surgical options (e.g., discectomy or spinal fusion) reserved for severe, unresponsive pain
When to See a Specialist
Seek prompt evaluation if the pain is accompanied by numbness, tingling, bowel or bladder dysfunction, or severe weakness—signs of possible nerve compression.
Preventive Measures
- Regular stretching and exercise
- Ergonomic workplace setup
- Proper lifting techniques
- Maintaining a healthy weight
For personalized diagnosis and advanced non-surgical and surgical treatment options, visit The Orthopaedic & Pain Practice’s Lower Back Pain page
Strategies
- Start bone-strengthening habits early in life
- Get screened if you have risk factors, especially postmenopause
- Limit caffeine, alcohol, and highly acidic foods
Learn more about managing osteopenia and osteoporosis with advanced diagnostics and personalized care at The Orthopaedic & Pain Practice’s medical conditions page.
