Symptom

Lower back symptoms

Lower back symptoms are very common – an estimated 80% of people experience significant lower back pain at some point in their lives. The symptoms may be local or radiate to the buttock, thigh or lower leg.

The most common causes are muscle pain, disc problems, facet joint irritation or spinal stenosis. Only a small proportion of back symptoms are due to a serious structural cause.

Most back symptoms improve on their own with rest, staying active and, if needed, pain medication. Physiotherapy and active rehabilitation speed up recovery. Severe symptoms (e.g. bladder control problems) require immediate medical assessment.

Frequently asked questions

When does back pain require immediate medical attention?

Seek immediate care if the back pain is associated with loss of bladder or bowel control, numbness in both legs, marked leg weakness or fever. These may indicate severe nerve compression (cauda equina syndrome).

Is rest or exercise better for back pain?

Moderate activity is usually better than complete rest. Bed rest prolongs recovery in most back pain cases. Pain-free movement, such as walking and gentle stretching, maintains muscle strength and speeds healing. However, strenuous activities should be avoided in the early phase of recovery.

What is sciatica and how is it treated?

Sciatica means irritation of the sciatic nerve, which causes pain, numbness or tingling from the buttock down the leg. The most common cause is a herniated disc pressing on a nerve root. In most cases, sciatica improves within 6–12 weeks with conservative treatment (physiotherapy, medication). Surgery is considered if symptoms do not ease or function is severely limited.