
Low back pain is one of the commonest reasons for visiting an orthopedic surgeon. It is one of the leading reasons for sickness leaves all over the world. Back pain is so common that almost each one of us will have at least one episode of severe back pain during our lifetime. Here are the top 10 reasons why you get back pain:
1. Faulty Posture
Working from home with improper equipment — such as a dining table chair, sofa or bed — causes excessive stress on the lower back and leads to back pain. Solution: Invest in a good quality office chair and desk with proper lumbar support.
2. Prolonged Sitting
Sitting for 8–10 hours daily increases disc pressure in the lower back, leads to disc degeneration over time, and deconditions the paraspinal muscles that support the spine. Solution: Take a break every 20 minutes, stand and stretch, and consider using a convertible sit-stand desk.
3. Lack of Exercise
A sedentary lifestyle decreases core muscle strength, which is essential for supporting the spine. Solution: Exercise regularly, practice Suryanamaskar (sun salutation), and seek physiotherapy guidance for a tailored spine strengthening program.
4. Improper Diet
Fast food and packaged food deprive the body of essential nutrients needed for bone and disc health. Solution: Follow a balanced diet with low carbohydrates and high protein. Include fresh fruits, vegetables, calcium-rich foods, and anti-inflammatory foods.
5. Vitamin Deficiency
Vitamin D deficiency is extremely common due to sedentary lifestyles and office work. Vitamin D is crucial for calcium absorption and bone health. Solution: Go for early morning walks for vitamin D synthesis from sunlight. Consider nutritional supplements after checking your blood levels.
6. Wear and Tear of Spine Joints
Facet joints — the joints connecting vertebrae at the back of the spine — roughen with age and cause pain during bending or extension. Prevention: Regular exercise, good posture, and a balanced diet can slow down facet joint degeneration.
7. Pinched Nerves in the Spine
As discs harden and ligaments thicken with age, they can narrow the spinal canal and compress nerves — lumbar canal stenosis or sciatica. This causes shooting pain, numbness, and weakness in the legs. Solution: Consult a spine surgeon for appropriate investigation and treatment.
8. Spine Fractures
Osteoporosis (bone weakening) — particularly common in aging women — makes vertebral bones susceptible to spontaneous fractures even with minor activities. Prevention: Regular weight-bearing exercise and a balanced diet rich in calcium and vitamin D from a young age.
9. Spine Instability or Spondylolisthesis
Spinal bones can slip forward on one another (spondylolisthesis), causing chronic low back pain and sciatica. Treatment: Usually managed non-surgically with physiotherapy and core strengthening. Occasionally requires minimally invasive microscopic spine surgery for stabilization.
10. Spine Tumors and Infections
Serious underlying conditions like spine infections or cancerous tumors can cause persistent back pain. Symptoms requiring immediate attention: • Pain lasting more than 6 weeks without improvement • Pain that disturbs your night sleep • Neurological complaints: radiating pain to arms/legs, weakness, loss of bladder or bowel control • Unexplained weight loss with back pain Don't ignore these warning signs — consult a spine specialist promptly.
When to See a Spine Doctor
Most back pain resolves with rest, exercise, and lifestyle changes within 4–6 weeks. However, see a spine specialist if: • Pain is severe and not responding to medications • Pain radiates to your leg (sciatica) • You have weakness or numbness in your legs • You have difficulty controlling your bladder or bowels • The pain is associated with fever, unexplained weight loss, or night sweats

About the Author
Dr. Mayur Kardile
Spine Surgeon, MS Ortho, DNB — Fellowship, Kaiser Permanente, California
Dr. Mayur Kardile is a United States trained spine surgeon and Director of Pune Spine Institute. He is one of the rarest few spine surgeons in India trained to perform anterior spine surgeries. Over 85% of his patients are treated without surgery.