Top 5 Causes of Back Pain in Women

Have you ever wondered why back pain seems to target women more often than men? Many times it’s not just a nagging inconvenience – back pain can often be a sign of an underlying issue. Whether it’s from aging, pregnancy, lifestyle, or something else, understanding the top causes of back pain can help you tackle it head-on. 

Pain management specialist Mike Mizrahi, D.O., and OB/GYN Joseph Bouganim, M.D., explain what’s most likely causing those pesky aches and how women can find relief.

Hormonal Changes

Many women don't realize that hormonal shifts can significantly impact their backs. As women age, particularly around menopause, the drop in estrogen levels can lead to weakened bones. This condition, known as osteoporosis, makes bones more brittle and prone to fractures.

“After menopause, the drop in estrogen weakens bones, increasing the risk of osteoporosis and back pain," Dr. Bouganim explains. "Osteoporosis often results in compression fractures in the spine, where vertebrae can collapse under pressure, causing severe pain."

What You Can Do:

• Get enough calcium & vitamin D: Both are essential for bone health. Make sure you’re getting enough through diet or supplements.
• Have regular bone scans: A DEXA scan can help detect bone density issues early.

Pregnancy

Pregnancy is a beautiful time, but it does cause major changes to your body. As the baby grows, the center of gravity shifts, which can put extra strain on your lower back. Plus, the expanding uterus stretches abdominal muscles that support your back.

“The growing uterus and stretched abdominal muscles can lead to significant back pain during pregnancy,” Dr. Bouganim notes. “Also, the increase in weight and changes in posture can make it challenging to stay comfortable.”

What You Can Do:

• Wear supportive gear: Pregnancy belts can help redistribute the weight and relieve pressure on your back.
• Do pregnancy-safe exercises: Gentle stretches and low-impact exercises can help strengthen your core and alleviate pain. Always consult your doctor before starting any new exercise routine during pregnancy.

Posture and Lifestyle

Sometimes, back pain is more about how you move – or don’t move – throughout your day. Poor posture, prolonged sitting and lifting heavy objects incorrectly can all contribute to aches in your back.

“Maintaining good posture and avoiding heavy lifting can prevent a lot of back pain,” explains Dr. Mizrahi, a pain management specialist. “Exercises to strengthen your core and back muscles are crucial.”

What You Can Do:

• Posture checks: Make sure your workstation is ergonomically set up to support good posture.
• Proper lifting techniques: Bend your knees, not your back, when lifting objects.

Gynecological Conditions

Certain gynecological conditions can also cause back pain. Issues like endometriosis or fibroids can lead to discomfort in the lower back. Endometriosis is when tissue similar to the lining of the uterus grows outside the uterus, and fibroids are non-cancerous growths in the uterus.

“Women with gynecological issues like endometriosis or fibroids may experience back pain as a symptom,” says Dr. Bouganim. “It's essential to address these conditions with your gynecologist for appropriate treatment.”

What You Can Do:

• Get regular check-ups: Keep up with gynecological exams to catch issues early.
• Explore your treatment options: Depending on the condition, treatments may include medication, hormone therapy or surgery.

Chronic Conditions

Chronic back pain can stem from a variety of conditions, including arthritis, disc herniations, scoliosis, sciatica, spinal stenosis, sacroiliac joint or even hip problems. These conditions can lead to persistent pain and discomfort, affecting different parts of the back, and sometimes even radiating into the legs.

“Conditions like arthritis can cause inflammation in the joints of the spine, while issues like disc herniations and spinal stenosis can compress nerves, leading to chronic pain,” Dr. Mizrahi explains. “It’s important to manage these conditions with a comprehensive approach tailored to the individual's needs.”

What You Can Do:

• Physical therapy: Rehabilitation can strengthen muscles, improve flexibility and reduce pressure on affected areas.
• Medications: Anti-inflammatory drugs or pain relievers can provide temporary relief.
• Injections: After a thorough evaluation, treatments such as steroid injections, nerve blocks or ablations may help reduce inflammation and pain.

Take Action Against Back Pain

Back pain is a common issue for many women, but understanding its causes makes a big difference. You don’t have to suffer from an achy back. Whether it’s related to hormonal changes, pregnancy, posture or chronic conditions, there are steps you can take to manage and prevent discomfort.

In general, keep these tips in mind:

1. Stay active: Regular exercise and good posture are key.
2. Consult your doctor: Regular check-ups can help catch and address underlying issues early.
3. Use supportive gear: This is especially helpful during pregnancy or if you spend long hours sitting.

By staying informed and proactive, you can tackle back pain before it becomes a major issue. 

Next Steps & Resources

• Meet our experts: Mike Mizrahi, D.O. and Joseph Bouganim, M.D.
• To make an appointment with a doctor near you, call 800-822-8905 or visit our website.
• Learn more about our pain management and women’s health services.

The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.