Persistent Lower Back Pain After Menstruation: Causes and Solutions

Persistent lower back pain after menstruation?

In mid-December, I experienced lower back pain for the first time during my menstrual period, which I had not experienced before.
After my period ended, the back pain eased, but the pain on the right side of my lower back has persisted.
Occasionally, I experience sharp pain, and in recent days, the pain has worsened, affecting my sleep.
I feel discomfort when sleeping on my side, and sitting still also causes pain.
Previously, I visited a gynecologist and was informed that I have a retroverted uterus.
What should I do?

Miss Lin, 20~29 year old female. Ask Date: 2020/01/06

Dr. Chen Yongxue reply Orthopedics

Hello, the levels of female hormones do indeed affect the function of the musculoskeletal system.
However, based on your description, the pain is located in the right lower back, which is mostly related to muscle inflammation and is often associated with overuse from work or daily activities (or maintaining a single posture for too long).
I believe regular exercise is very important.
If you still have concerns, it is advisable to consult a specialist in an outpatient clinic.
Thank you.

Reply Date: 2020/01/06

More Info

Persistent lower back pain after menstruation can be a concerning issue, especially when it affects your daily activities and sleep. There are several potential causes for this type of pain, and understanding them can help guide you toward effective solutions.

Possible Causes
1. Hormonal Changes: The menstrual cycle involves fluctuations in hormones such as estrogen and progesterone, which can affect the muscles and ligaments in the lower back. Some women may experience increased sensitivity or pain due to these hormonal changes.

2. Muscle Strain: The physical changes during menstruation, including bloating and cramping, can lead to muscle strain in the lower back. If you've been more sedentary or have changed your activity levels during your menstrual cycle, this could contribute to persistent pain.

3. Pelvic Issues: Conditions such as endometriosis or pelvic inflammatory disease can cause pain that radiates to the lower back. If there are underlying issues with the reproductive organs, they can lead to discomfort that persists beyond menstruation.

4. Postural Changes: The discomfort associated with menstruation can lead to changes in posture. If you are compensating for pain or discomfort, this can lead to muscle imbalances and strain in the lower back.

5. Nerve Compression: In some cases, issues such as a herniated disc or spinal stenosis can cause nerve compression, leading to pain that may be exacerbated during menstruation due to increased abdominal pressure or changes in body mechanics.

Solutions and Recommendations
1. Consult a Healthcare Provider: Since your pain is persistent and has worsened, it is essential to consult a healthcare provider, preferably a specialist in women's health or a pain management specialist. They can conduct a thorough evaluation, including imaging studies if necessary, to rule out any serious underlying conditions.

2. Physical Therapy: A physical therapist can help you with exercises to strengthen the muscles around your lower back and improve flexibility. They can also provide guidance on proper posture and body mechanics to reduce strain on your back.

3. Pain Management: Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help manage pain and inflammation. However, it is important to use these medications as directed and consult with your doctor if you find yourself needing them frequently.

4. Heat Therapy: Applying heat to the lower back can help relax tight muscles and alleviate pain. Consider using a heating pad or taking warm baths to soothe discomfort.

5. Lifestyle Modifications: Pay attention to your posture while sitting and sleeping. Using supportive pillows and maintaining a neutral spine position can help reduce strain on your back. Additionally, regular exercise, including low-impact activities like walking or swimming, can improve overall back health.

6. Alternative Therapies: Some individuals find relief through acupuncture, chiropractic care, or massage therapy. These modalities can help address muscle tension and improve circulation in the affected areas.

7. Monitor Your Symptoms: Keep a pain diary to track your symptoms, including when they occur, their intensity, and any activities that seem to exacerbate or relieve the pain. This information can be valuable for your healthcare provider in determining the best course of action.

Conclusion
Persistent lower back pain after menstruation can stem from various factors, including hormonal changes, muscle strain, or underlying pelvic issues. It is crucial to seek medical advice to identify the root cause and develop an appropriate treatment plan. With the right approach, you can manage your symptoms effectively and improve your quality of life.

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