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There are numerous causes of pain in the lower right back. Each cause can produce different symptoms that vary in severity. Pain in the lower right back presents itself as discomfort on one side of the lower back, as opposed to pain that encompasses the entire lower back. Common causes are lifting heavy objects, sacroiliac joint issues, sleeping position, osteoarthritis, imbalances in the pelvic area, overuse or injury of specific muscles on the right side of the back, compression fractures, and pinched nerves due to a host of factors. In rare cases this type of pain can indicate kidney problems, obscure spinal conditions, infection, and spinal tumors. Lower right back pain can decrease the mobility of the spine, flexibility, and the ability to perform daily tasks. The main symptom of lower right back pain is pain that is localized on the right side of the lower back. Tight muscles and knots in the lower back can also be indicative of a lower right back problem.

Often times the lower back will be tender to the touch in the area that is experiencing the discomfort. The severity of the pain tends to vary and can either be sharp or a dull ache. In some cases, it radiates and can be felt in the buttocks or groin. Other classic symptoms include stiffness upon waking up, difficulty changing positions in bed, aching when moving from sitting to standing or after driving for extended periods of time, inability to put socks and shoes on without discomfort, and muscles spasms. If an individual experiences symptoms including numbness in the extremities, nausea, vomiting, incontinence, fever, chills, and abdominal pain, they should seek immediate medical attention, as this could be indicative of a serious condition. Treatment of pain in lower right back generally depends on the cause of the pain. However, in most cases, especially when the pain is due to injury, muscle weakness, pelvic imbalance, tightness, or sacroiliac joint problems, certain standard treatments are used. Hot or cold compresses are applied to the area.

The cold reduces inflammation and decreases pain, while heat loosens the muscles. Rest is also essential. Individuals involved in sports or careers that involve the use of the back, will often be advised to take time off. Anti-inflammatory medications are prescribed to reduce swelling. Cortisone injections and ultrasound technology may also be integrated into the treatment plan. Strengthening the core, pelvic area, and back muscles, through physical therapy, has proven effective. Once the pain has subsided, a stretching regimen will typically be prescribed. In severe cases, surgery may be necessary, however most cases respond to medication and physical therapy.

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