• Published on: Aug 06, 2021
  • 3 minute read
  • By: Orthopedic Surgeon

Causes Of Chronic Lower Back Pain

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Causes of Chronic Lower Back Pain

The causes of lower back pain are incredibly varied. Disc problems, spinal curvature issues, and muscle strain can all cause a person to experience discomfort in their lower spine region. However, sometimes the problem is not where it seems as some injuries that occur elsewhere on your body will still manifest themselves through symptoms such as numbness or tingling down one side of the leg which could be related to an injury experienced at work while bending over or lifting something heavy with an improper technique for example. Sometimes you may even have absolutely no idea what caused your condition but if left untreated it might lead to chronic conditions like arthritis so check yourself often!

Facet joints are small bones that surround the spinal discs. There's one on each side of your spine, and they're responsible for keeping you upright while supporting a lot of weight! Sometimes these little guys can get jammed up with arthritis or inflammation in their ligaments around the joint, which means it'll start hurting to stand upright for long periods of a time.

Sacroiliac joints are a strong and low-motion joint that connects the sacrum at the bottom of your spine to each side of your pelvis. The function is primarily absorption due to its shock-absorbing nature, but it can also become painful if there's too much or not enough motion in this area depending on what causes inflammation (sacroilitis)

When the sacroiliac joint is inflamed, it can become painful. Sacral dysfunction usually occurs when there's too much or too little motion of this strong and low-motion joint that connects our spine to each side of our pelvis. The sacrum absorbs shock and tension between the upper body and lower body while also providing stability for walking upright on two feet - without a sense os balance provided by an active SIJ (sacroiliac joints).

The ills that cause inflammation in your SIJ might be due to overuse, injury or other trauma; lack proper alignment during pregnancy; hormonal fluctuation from menstruation cycles associated with Hormone Replacement Therapy treatments such as birth control pills

Spinal stenosis is when the spinal canal has narrowed, and this causes pain. Pain can be caused by central narrowing of the spine or forminal narrowing in any area of your lower back- as well as at different levels on either side where it occurs multiple times.

Spondylolisthesis is a condition that occurs when one vertebra slips over the adjacent one. It can be caused by a defect or fracture of the pars (between facet joints) or mechanical instability of these facets (degenerative). The pain may come from back and leg pains due to either compression on nerves in your legs, which would cause you to feel discomfort while sitting still for long periods at time as well as spasms during walking, numbness between your buttocks cheeks; paresthesia-tingling sensation where there should not be any feeling such weakness behind knee knees because it's nerve impingement; tight hamstrings restricting movement in lower extremities causing buttock pain.

Spinal osteoarthritis is a condition that results from the wear and tear of your discs which can cause inflammation, instability, and stenosis. The pain associated with this disease may be high or low intensity at any given time. As you age spinal osteoarthritis will slowly progress until it takes over every facet joint in your spine resulting in more intense symptoms like stiffness, numbness, weakness on one side of the body due to nerve compression as well as chronic backache.

Rheumatoid arthritis is one of the most common inflammatory joint diseases and can affect people at any age. It's an autoimmune disease, which means that it causes your body to attack itself instead of a virus or bacteria like other infections do. Symptoms for rheumatoid arthritis include redness in joints, swelling around them, pain when you move certain parts of your body, stiffness in some places where muscles are contracted too tightly against each other (called fixed points), fatigue from low activity levels due to increased discomfort while moving about after long periods without movement - these symptoms come on more gradually than they would with osteoarthritis and typically last longer as well since there isn't much inflammation-relieving rest involved during treatment.

The deformity is something that we all live with in some capacity. Depending on the severity, it could be a blessing or an inconvenience to our everyday life. Lower back pain can result when someone's spine curves out of shape and causes pressure between vertebrae and other structures such as discs, facet joints, sacroiliac joints or stenosis which impairs mobility.

The deformity may seem like a curse but for those living with scoliosis or kyphosis there are ways to manage their deformities without interfering too much into daily affairs; one example would be using braces while sleeping at night so they don't have any more issues during waking hours because often times stiffness will persist after 8-10 hours.

It is not uncommon for people to struggle with painful curvature of the spine. Scoliosis and kyphosis are just two examples that can be associated with back pain, but there may also exist other types of deformity in your spine which you're unaware of until they become symptomatic. In any case, a consultation from an orthopedic surgeon would provide insight into what treatment plan will work best for you!

Curvatures in one's spinal column can lead down various paths- some more serious than others like scoliosis or kyphosis- all depending on how severe it becomes as time progresses. The deformities themselves could potentially cause lower back pain if enough pressure builds up over years where discs break down along facet joints.

Trauma is generally a very serious injury, which can cause extreme pain and other physical complications. The first step to treatment for trauma injuries should always be seeking medical help as soon as possible if you are suffering from back or neck problems that developed after an accident of some kind.

Due to weak bones, compression fractures are common in older people and can sometimes happen suddenly with intense pain.

Read Blog
Fatigue

why fatigue should not be ignored

Feeling tired occasionally is a normal response to physical exertion, lack of sleep or emotional stress. However, when fatigue becomes persistent, overwhelming or unexplained, it should not be dismissed. Fatigue is one of the most common symptoms reported in healthcare, yet it is also one of the most frequently ignored.

Understanding why fatigue should not be ignored is essential because it often acts as an early warning sign of deeper physical or mental health issues.

 

What Is Fatigue?

Fatigue is a state of ongoing physical, mental or emotional exhaustion that:

  • lasts longer than expected
     

  • interferes with daily activities
     

  • does not improve with rest or sleep
     

Unlike ordinary tiredness, fatigue affects motivation, concentration and overall functioning.

 

Why Fatigue Is Commonly Ignored

Fatigue is often dismissed because:

  • busy lifestyles normalise exhaustion
     

  • symptoms develop gradually
     

  • people attribute fatigue to stress or ageing
     

  • rest temporarily masks the issue
     

Ignoring fatigue allows underlying conditions to progress unnoticed.

 

Common Medical Causes of Persistent Fatigue

Nutritional Deficiencies

Deficiencies in:

  • iron
     

  • vitamin B12
     

  • vitamin D
     

  • magnesium
     

can significantly reduce energy levels and cause weakness.

 

Anaemia

Anaemia reduces oxygen delivery to tissues, leading to:

  • constant tiredness
     

  • breathlessness
     

  • dizziness
     

It is one of the most common yet underdiagnosed causes of fatigue.

 

Thyroid Disorders

Both underactive and overactive thyroid conditions affect metabolism.

Symptoms include:

  • fatigue
     

  • weight changes
     

  • cold or heat intolerance
     

Thyroid-related fatigue often persists despite rest.

 

Chronic Infections

Low-grade or unresolved infections keep the immune system activated, causing prolonged fatigue.

 

Hormonal Imbalance

Hormones regulate energy, sleep and metabolism.

Imbalance may lead to:

  • exhaustion
     

  • poor sleep
     

  • low motivation
     

 

Poor Sleep Quality

Even with sufficient sleep duration, poor sleep quality can cause fatigue due to:

  • sleep apnea
     

  • frequent awakenings
     

  • stress-related insomnia
     

 

Mental Health Conditions

Anxiety, depression and chronic stress commonly present with fatigue as a primary symptom.

Mental fatigue is as real and impactful as physical fatigue.

 

Lifestyle Factors That Worsen Fatigue

Certain habits intensify tiredness:

  • irregular meals
     

  • excessive caffeine
     

  • dehydration
     

  • lack of physical activity
     

  • prolonged screen use
     

Lifestyle-related fatigue often coexists with medical causes.

 

How Fatigue Affects Daily Life

Persistent fatigue impacts:

  • work performance
     

  • concentration and memory
     

  • emotional regulation
     

  • physical activity
     

  • social relationships
     

Over time, quality of life declines significantly.

 

Warning Signs That Fatigue Needs Medical Attention

Seek evaluation if fatigue:

  • lasts more than two weeks
     

  • worsens progressively
     

  • occurs with weight loss or fever
     

  • is associated with breathlessness
     

  • interferes with daily tasks
     

These signs suggest an underlying issue.

 

Why Early Evaluation Matters

Early identification of fatigue causes:

  • prevents disease progression
     

  • simplifies treatment
     

  • improves recovery time
     

  • restores normal energy levels
     

Delayed care often leads to chronic complications.

 

Diagnostic Evaluation for Fatigue

Assessment may include:

  • detailed history
     

  • blood tests
     

  • nutritional screening
     

  • hormonal evaluation
     

  • sleep assessment
     

Testing helps identify root causes rather than treating symptoms alone.

 

Can Fatigue Be Prevented?

Some preventive measures include:

  • balanced nutrition
     

  • adequate hydration
     

  • regular physical activity
     

  • consistent sleep routine
     

  • stress management
     

However, prevention does not replace evaluation when fatigue persists.

 

Fatigue and Chronic Disease Risk

Long-term fatigue may be linked to:

  • cardiovascular disease
     

  • metabolic disorders
     

  • immune dysfunction
     

This makes fatigue an important early health signal.

 

When Rest Is Not Enough

If energy does not return after:

  • adequate sleep
     

  • reduced workload
     

  • lifestyle changes
     

medical evaluation is essential.

 

The Cost of Ignoring Fatigue

Ignoring fatigue can lead to:

  • delayed diagnosis
     

  • worsening health conditions
     

  • reduced productivity
     

  • emotional burnout
     

Listening to the body early prevents long-term consequences.

 

Conclusion

Fatigue is not merely a sign of a busy life—it is often the body’s way of signalling imbalance or illness. Persistent tiredness that does not improve with rest should never be ignored. Whether caused by nutritional deficiencies, hormonal changes, chronic stress or underlying disease, fatigue deserves attention. Early evaluation and timely care can restore energy, prevent complications and significantly improve quality of life. Listening to fatigue is an act of self-care and preventive health.

 

References

  • Indian Council of Medical Research (ICMR) – Fatigue and Lifestyle Health Report

  •  World Health Organization (WHO) – Chronic Fatigue and Health Guidelines

  •  National Institute of Nutrition (NIN) – Nutrient Deficiency and Energy Research

  • Lancet – Fatigue as a Marker of Chronic Disease Studie

  •  Indian Journal of Medicine – Persistent Fatigue and Diagnosis

  • Statista – Fatigue, Stress and Health Trend Analysis

See all

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