Could Kidney Stones Be the Cause of Your Lower Back Pain? - Urology

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Can kidney stones cause lower back pain?


I sometimes experience pain in my left lower back, and as an athlete, I initially thought it was an exercise-related injury.
My symptoms vary; sometimes it hurts, and sometimes it doesn't.
The pain is located roughly in the area that I can cover with my hand when I place it on my waist.
Using topical patches seems ineffective, especially after exercising, when the pain becomes more pronounced.
Could this possibly be related to kidney stones, or is it more likely due to dehydration and frequent late nights?

demot, 20~29 year old female. Ask Date: 2000/11/14

Dr. Liu Jianting reply Urology


Based on the pain symptoms you described, it seems more likely to be caused by lumbar tendinitis, especially since you are an athlete and sports injuries are inevitable.
However, sometimes the pain from urinary stones can be difficult to differentiate from general lumbar muscle pain.
It is advisable for you to visit a hospital and consult with an orthopedic, rehabilitation, or urology specialist for further evaluation.

Reply Date: 2000/11/14

More Info


Kidney stones can indeed be a potential cause of lower back pain, especially if the pain is located in the area where the kidneys are situated, which is typically in the lower back or flank region. As an athlete, you may be more prone to various types of injuries, but it’s essential to consider that kidney stones can present with symptoms that mimic musculoskeletal pain.

When kidney stones form, they can cause significant discomfort as they move through the urinary tract, particularly when they pass through the ureters, which are the tubes connecting the kidneys to the bladder. This movement can lead to sharp, intense pain known as renal colic, which often radiates from the back to the lower abdomen and groin. The pain can be intermittent, coming and going as the stone shifts position.
In your case, since you experience pain that varies in intensity and is exacerbated after physical activity, it is possible that the pain could be related to kidney stones, especially if you have a history of dehydration or infrequent urination. Dehydration can lead to the formation of kidney stones, as concentrated urine can facilitate the crystallization of minerals. Athletes often have increased fluid needs due to sweating, and if these needs are not met, it can contribute to stone formation.

Additionally, the fact that you mentioned using topical pain relief methods like patches without significant improvement suggests that the pain may not be solely muscular or related to a sports injury. Kidney stone pain typically does not respond well to topical treatments, as it is often visceral pain stemming from internal organs.

If you suspect that kidney stones might be the cause of your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. This may include imaging studies such as an ultrasound or CT scan to visualize the kidneys and urinary tract, as well as a urinalysis to check for the presence of blood or crystals that could indicate stones.

In terms of prevention, staying well-hydrated is crucial. Aim to drink enough fluids to produce at least 2.5 liters of urine daily, which can help dilute substances in the urine that lead to stone formation. Additionally, maintaining a balanced diet low in sodium and oxalate-rich foods (like spinach, nuts, and chocolate) can also help reduce the risk of developing stones.
Lastly, if you have a family history of kidney stones or other risk factors such as metabolic disorders, it may be beneficial to discuss these with your doctor, who may recommend further dietary modifications or preventive medications, such as potassium citrate, which can help prevent stone formation.

In summary, while your lower back pain could be due to various factors, including athletic injuries or lifestyle habits, kidney stones are a plausible cause that should not be overlooked. A medical evaluation will provide clarity and guide you toward appropriate treatment and preventive measures.

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