Right Side Lower Back Pain: Causes and Prevention Tips - Rehabilitation

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Right flank pain?


Hello, Director Chen! I have been experiencing pain in the lower right back, just above the pelvis, and in the muscles around the right rib cage for the past couple of days.
The pain is so severe that I cannot sit or lie on my right side.
Could this pain be related to sitting and typing? What is the correct way to protect myself? Thank you!

Tim, 30~39 year old female. Ask Date: 2007/07/12

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
Here are my responses to your questions along with some suggestions:
1.
Typing for extended periods or maintaining an incorrect posture can lead to back pain and tension.
Your symptoms are likely due to overuse of the lumbar muscles.

2.
It is advisable to use a cushion for lumbar support while sitting.
The seat should have appropriate firmness, with the hip joints slightly less than 90 degrees and the knee joints close to 90 degrees for optimal sitting posture.

3.
After sitting for about fifteen to twenty minutes, it is important to get up and move around or perform stretches for the back muscles.

Reply Date: 2007/07/12

More Info


Understanding right side lower back pain can be complex, as it may stem from various causes, including muscular strain, poor posture, or underlying medical conditions. Based on your description of pain in the lower back, pelvis, and right side of the rib cage, it is essential to consider several factors that could contribute to your discomfort.


Possible Causes of Right Side Lower Back Pain
1. Muscle Strain: One of the most common causes of lower back pain is muscle strain. This can occur due to overexertion, improper lifting techniques, or prolonged periods of sitting in a poor posture, such as slouching while typing. If you have been sitting for extended periods without proper back support, this could lead to muscle fatigue and pain.

2. Poor Posture: Sitting for long periods, especially in a hunched position, can place undue stress on the muscles and ligaments of the back. This can lead to muscle imbalances and pain, particularly if your workstation is not ergonomically designed.

3. Herniated Disc: While less common, a herniated disc can cause localized pain and may radiate to other areas, depending on the affected nerves. If the pain is severe and accompanied by numbness or tingling, it is crucial to seek medical evaluation.

4. Kidney Issues: Pain in the lower back, especially on one side, can sometimes be related to kidney problems, such as a kidney stone or infection. If you experience additional symptoms like fever, changes in urination, or abdominal pain, you should consult a healthcare provider.

5. Sacroiliac Joint Dysfunction: The sacroiliac joint connects the lower spine to the pelvis. Dysfunction in this joint can lead to pain in the lower back and buttocks, often exacerbated by certain movements or prolonged sitting.


Prevention Tips
1. Ergonomic Workspace: Ensure that your workstation is set up ergonomically. Your chair should support your lower back, and your feet should rest flat on the floor. The computer screen should be at eye level to prevent leaning forward.

2. Regular Breaks: Take regular breaks to stand, stretch, and move around. This helps to relieve muscle tension and improve circulation. Aim for a break every 30 to 60 minutes.

3. Strengthening Exercises: Engage in exercises that strengthen your core and back muscles. A strong core provides better support for your spine and can help prevent injuries.

4. Stretching: Incorporate stretching into your daily routine, focusing on the lower back, hips, and legs. Gentle stretches can help alleviate tension and improve flexibility.

5. Proper Lifting Techniques: When lifting objects, always bend at the knees and keep the object close to your body. Avoid twisting your back while lifting.

6. Sleep Position: Pay attention to your sleep position. If you sleep on your side, placing a pillow between your knees can help maintain spinal alignment. If you sleep on your back, placing a pillow under your knees can relieve pressure on your lower back.


When to Seek Medical Attention
If your pain persists despite self-care measures, or if you experience severe pain, numbness, tingling, or weakness in your legs, it is essential to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include imaging studies, to determine the underlying cause of your pain and recommend appropriate treatment.

In summary, right side lower back pain can be attributed to various factors, including muscle strain and poor posture. By implementing preventive measures and seeking medical advice when necessary, you can effectively manage and alleviate your discomfort.

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