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Sharp Lower Back Pain: Could It Be Something Serious?

When lower back pain strikes, it is often easy to dismiss it as the result of a long day at work or a little too much physical activity. However, sharp lower back pain that doesn’t improve or seems to get worse over time could be a warning sign of a more serious condition, and recognising the warning signs early is key to receiving the right treatment. In this article, we will help you identify when your pain might be more than just a temporary issue, and guide you through the different approaches available.

Possible Causes of Lower Back Pain

Sharp lower back pain can have various causes, ranging from simple muscle strain to more complex conditions.

  • Muscle Strain

    : Overexertion, lifting heavy objects improperly, or sudden movements can lead to muscle strain in the lower back. This is often the result of overstretching or tearing muscles and ligaments.

  • Poor Posture

    : Sitting or standing with poor posture can place undue stress on the spine, leading to chronic discomfort in the lower back over time.

  • Spinal Degeneration

    : As we age, the discs between the vertebrae in our spine naturally wear down. This degeneration can lead to pain, stiffness, and reduced flexibility in the lower back.

  • Herniated or Bulging Discs

    : When the soft cushion between the vertebrae (disc) ruptures or bulges, it can press on nearby nerves, causing sharp pain, numbness, or tingling sensations.

  • Spinal Stenosis

    : This condition occurs when the spinal canal narrows, putting pressure on the spinal cord and nerves, which can result in pain that radiates into the legs or arms.

  • Spondylolisthesis

    : This condition occurs when one vertebra slips forward over the one below it, often caused by a fracture or degeneration of the vertebrae. Individuals may experience lower back pain, numbness, and even weakness in the legs.

When Is Your Lower Back Pain Serious?

Man's posture causing sharp lower back pain

Below are some key warning signs that your lower back pain may be a cause for concern.

1. Persistent Pain Unresponsive to Treatment

If your sharp lower back pain doesn’t improve with rest, over-the-counter medication, or lifestyle changes, it may be a sign of more serious structural issues. This may include herniated discs, spinal degeneration, or vertebral fractures. Generally, it is advisable to seek professional help from a spine specialist if your pain lasts longer than 1–2 weeks without showing any improvement.

2. Radiating Pain or Neurological Symptoms

Lower back pain that “spreads” or radiates to other parts of the body can be a sign of nerve compression. This often manifests as pain that travels down the legs or arms, along with numbness, tingling, or weakness. These neurological symptoms may indicate nerve impingement, commonly caused by conditions like spinal stenosis that put pressure on the nerves. These neurological signs should not be ignored.

3. Back Pain After Trauma

While back pain is frequently linked to muscle strain or poor posture, it can also result from injury. Sudden and sharp lower back pain following a fall, accident, or lifting a heavy object could suggest an underlying injury, such as fractures or damage to soft tissues. It is crucial to seek immediate medical care, as untreated fractures or soft tissue injuries can lead to long-term complications.

Treatment Options for Lower Back Pain

Doctor identifying sharp lower back pain causes

If your lower back pain is persistent, sharp, and unresponsive to rest or basic treatments, it may be time to take action. Ongoing back pain can be a sign of serious underlying issues, and delaying treatment can lead to further complications and extended recovery periods.

At Achieve Spine And Orthopaedic Clinic, we offer a range of treatments to address your back pain, such as injections, radio frequency ablation or annuloplasty, and minimally invasive spine surgery (MISS). MISS typically uses smaller incisions and endoscopic techniques to minimise disruption to the affected area, which can help reduce post-operative pain and scarring. This approach typically leads to shorter recovery times, allowing patients to return to their daily lives with less downtime.

Common surgeries include endoscopic fusion, which may be used to treat conditions such as degenerative disc disease or spinal instability. Another option is endoscopic lumbar decompression, often used for spinal stenosis treatment, where our surgeons remove bone or tissue that is pressing on the spinal cord or nerves. Ultimately, our spine specialists will evaluate your symptoms, condition, and medical history before tailoring the least invasive option to create an appropriate treatment plan for you.

Conclusion

If you have been experiencing sharp lower back pain that persists or worsens, it’s important not to ignore the signs. While some cases may be due to temporary issues like muscle strain, others could indicate a more serious underlying condition requiring professional care. Pay attention to symptoms like pain that radiates to other areas, neurological changes, or pain following trauma, as these may signal the need for medical intervention.

At Achieve Spine And Orthopaedic Centre, our team can help assess your condition and provide appropriate treatment options tailored to your needs. Specialising in minimally invasive spine pain treatment, we focus on addressing the underlying causes of your pain. Our goal is to support your recovery and help you get back to your daily routine with minimal downtime and discomfort.

Contact us to book an appointment today.

Dr.Hu Pang Hung

Wu Pang Hung

ABOUT AUTHOR

Dr. Wu Pang Hung is an experienced orthopaedic and spine surgeon in Singapore, specialising in both uniportal and biportal endoscopic spine procedures for complex cervical, thoracic, and lumbar spinal conditions. With over 10 years in the field, he is actively involved in numerous spine societies and contributes to several international journals and textbooks. Dr. Wu has also received specialised training in spine surgery across Canada, South Korea, Japan, and Germany.

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