Condition
Lumbago and sudden back pain without an injury
Sudden lower back pain may begin when bending or standing up, or without an obvious trigger. It is often called lumbago. We take the symptoms seriously and assess whether this is an uncomplicated episode or a problem needing particular treatment.
What the term means
Lumbago describes sudden lower back pain, rather than a clearly defined injury. Movement may be very restricted. Often, no single cause can be identified. Severe pain therefore does not automatically mean a slipped disc. Equally, having had no accident does not rule out a condition that needs treatment.
What matters in the examination
Where is the pain, does it travel into a leg, and is there numbness or weakness? We also ask about fever, existing conditions and medicines. We then assess movement and, where necessary, nerve function. Known osteoporosis or long-term steroid use are important details.
X-rays or MRI are not routinely needed for uncomplicated, recent lower back pain. Imaging should answer a specific question and influence the next decision. Please bring any existing reports and images.
What may help at first
If there are no warning signs or specific limits on activity, staying gently active is usually more helpful than prolonged bed rest. Start with short walks, for example, and change position regularly. You can temporarily reduce heavy lifting. Heat should feel comfortable; take care to avoid burns.
Whether a painkiller is suitable also depends on other conditions and medicines. Discuss the choice with a doctor or pharmacist. Injections or infusions are not an automatic treatment for every episode of lumbago.
When to seek help
New or rapidly worsening marked leg weakness, numbness in the saddle area or new loss of bladder or bowel control requires immediate medical attention.
If symptoms continue to limit you considerably, worsen or fail to improve, arrange a further assessment. “Back pain” and “Back pain treatment” provide an overview of the next steps.
