Can lower abdominal pain affect the lower back?
Hello Doctor: Recently, I have been experiencing intermittent pain in my lower left abdomen, occasionally accompanied by lower back discomfort.
I initially thought it was a urinary or gynecological issue, but after visiting several hospitals, they all confirmed that my kidneys are fine and there are no stones.
However, the pain in my lower left abdomen persists, and the previous lower back discomfort has worsened significantly.
The pain sometimes radiates to my buttocks and thighs, making it difficult to sit or stand; lying down provides slight relief.
In the morning, I feel as if the pain is less, but by the afternoon, it becomes very painful again, especially when bending over.
Applying topical pain relief patches or taking painkillers has not been effective.
Why is this happening? A few years ago, I was in a car accident where I injured my left side, and I wonder if that injury affected my bones and is causing my current symptoms.
I am really struggling to concentrate on work.
Please help me understand, thank you.
Kǎi xī, 30~39 year old female. Ask Date: 2007/10/03
Dr. Wang Shouji reply Orthopedics
Kathy: In addition to the aforementioned issues, you should also be aware of whether your symptoms might be related to sciatica or hip joint problems.
As for old injuries, I personally believe that if there have been no significant changes since the injury, the chances of it being a problem are low.
If medications and physical therapy are not providing much relief, you should also consider whether there are any issues with your daily posture or habits.
I recommend visiting an orthopedic or rehabilitation department for further evaluation and consultation.
Wishing you a speedy recovery.
Reply Date: 2007/10/03
More Info
Lower abdominal pain can indeed have a significant impact on lower back pain, and the relationship between these two areas of discomfort is often complex. In your case, it seems that the left lower abdominal pain and the worsening of your lower back pain may be interconnected, and there are several potential explanations for this.
First, let's consider the anatomy. The lower abdomen and lower back are closely related in terms of muscle and nerve connections. The abdominal muscles, including the obliques and rectus abdominis, play a crucial role in stabilizing the spine. If there is pain or dysfunction in the abdominal region, it can lead to compensatory changes in posture and muscle use, which may strain the lower back. For instance, if you're experiencing pain in your left lower abdomen, you might unconsciously alter your posture to avoid discomfort, which can put additional stress on your lower back muscles and ligaments.
Moreover, conditions affecting the abdominal organs can refer pain to the lower back. For example, issues related to the gastrointestinal tract, such as irritable bowel syndrome (IBS) or diverticulitis, can manifest as abdominal pain that radiates to the back. Similarly, gynecological issues, such as ovarian cysts or endometriosis, can also cause lower abdominal pain that may be felt in the lower back.
Your history of a car accident could also be a contributing factor. Trauma to the lumbar region can lead to chronic pain syndromes, including muscle tightness, ligament strain, or even disc issues. If the injury resulted in any structural changes or chronic muscle tension, it could explain the persistent nature of your lower back pain. Additionally, previous injuries can lead to altered biomechanics, where the body compensates for the injured area, potentially leading to pain in other regions.
It's also important to consider the role of anxiety and stress in your situation. Chronic pain can be exacerbated by psychological factors, including anxiety and stress. When you're anxious, your body may tense up, which can lead to increased muscle tension in both the abdomen and back, further contributing to pain. This cycle can create a feedback loop where pain leads to anxiety, which in turn exacerbates the pain.
Given that you've already consulted multiple healthcare providers and ruled out significant issues such as kidney stones, it may be beneficial to explore other avenues. A thorough evaluation by a specialist in pain management or a physical therapist could provide insights into the underlying causes of your pain. They may recommend imaging studies, such as an MRI, to assess for any structural issues in the spine or abdomen that could be contributing to your symptoms.
In the meantime, consider implementing some self-care strategies. Gentle stretching and strengthening exercises for the core and back can help improve stability and reduce pain. Techniques such as mindfulness, yoga, or physical therapy may also aid in managing both your physical symptoms and any associated anxiety.
In conclusion, lower abdominal pain can indeed affect lower back pain due to anatomical, physiological, and psychological factors. It is essential to continue seeking a comprehensive evaluation and treatment plan that addresses both the physical and emotional aspects of your pain. By doing so, you can work towards alleviating your symptoms and improving your overall quality of life.
Similar Q&A
Understanding Gastrointestinal Issues: Can Abdominal Pain Affect the Lower Back?
1. Long-term pain and discomfort in the lower abdomen, including cramping, sharp pain, and a feeling of pressure in the lower back, raises the question: Can abdominal pain cause discomfort in the lower back? 2. Additionally, I have consulted a gynecologist regarding my lower abd...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If there are disorders of the retroperitoneal organs, it is possible to experience what is known as "referred pain," such as from organs close to the retroperitoneum, including the pancreas, urinary tract stones, and duodenal ulcers, among others. However, most c...[Read More] Understanding Gastrointestinal Issues: Can Abdominal Pain Affect the Lower Back?
Understanding Abdominal Pain and Lower Back Discomfort: Causes and Solutions
Hello, doctor! Recently, I have been experiencing abdominal pain that feels like nerve pain for two consecutive weeks, and my lower back is extremely sore. At first, during the first week, I thought it was a strain from exercising and stretching, so I went to see a doctor. Howeve...
Dr. Xiao Yongxun reply Internal Medicine
Dear Miss Troubles: There are many common causes of lower abdominal pain, including acute appendicitis, ectopic pregnancy, hernia, hip joint diseases, inflammatory bowel disease, ischemic bowel disease, mesenteric lymphadenitis, terminal ileitis, ovarian torsion, diverticulitis,...[Read More] Understanding Abdominal Pain and Lower Back Discomfort: Causes and Solutions
Understanding Stomach Issues: Can Gastric Problems Cause Back Pain?
A few days ago, I experienced discomfort in my stomach, including bloating, pain, and nausea. The next day, I woke up with discomfort in my left lower back, feeling pressure and soreness that has persisted for several days. Can stomach issues cause discomfort in the lower back? A...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Abdominal pain and discomfort cannot be solely determined by location; it is advisable to consult a gastroenterologist for examination. Best wishes, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Health.[Read More] Understanding Stomach Issues: Can Gastric Problems Cause Back Pain?
Understanding Pancreatic Issues: Causes of Abdominal and Back Pain
Chronic lower abdominal pain that gradually extends to the pelvic area, along with left lower back pain, raises the question of whether pancreatic diseases can cause lower abdominal pain. Additionally, pain around the navel and left lower back pain are noted. An abdominal ultraso...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: An abdominal ultrasound typically examines five organs: the liver, gallbladder, pancreas, spleen, and kidneys. However, a retroperitoneal ultrasound, located in the posterior abdominal cavity, is often affected by intestinal gas, making it more challenging to visualize. Ne...[Read More] Understanding Pancreatic Issues: Causes of Abdominal and Back Pain
Related FAQ
(Orthopedics)
Lower Abdominal Pain(Family Medicine)
Lower Abdominal Pain(Internal Medicine)
Lower Abdominal Pain(Gastroenterology and Hepatology)
Lower Abdominal Pain(Obstetrics and Gynecology)
Lower Back Pain(Internal Medicine)
Pelvic Pain(Orthopedics)
Low Back Pain(Urology)
Lower Abdomen(Urology)
Abdominal Pain(Surgery)