Back pain is so common that 80% of adults will experience it at some point, making it the number one cause of missed work and the leading reason people visit a doctor. But “back pain” is a symptom, not a diagnosis — and understanding what’s actually causing your pain is the first step toward effective treatment.
The Most Common Culprits
Muscle Strain
The most frequent cause of acute back pain is a muscle or ligament strain from lifting something too heavy, a sudden awkward movement, or prolonged poor posture. These injuries typically resolve within 2-4 weeks with proper management but can become chronic if the underlying weakness or movement pattern isn’t addressed.
Disc Problems
Intervertebral discs can bulge, herniate, or degenerate, potentially pressing on spinal nerves and causing pain that radiates into the leg (sciatica). However, it’s important to know that many disc abnormalities are painless — studies show that up to 60% of people without back pain have disc changes on MRI.
Facet Joint Dysfunction
The small joints on the back of each vertebra (facet joints) can become stiff, arthritic, or inflamed, causing localized back pain that often worsens with extension and rotation movements.
Sacroiliac Joint Dysfunction
The joints where the spine meets the pelvis can become a pain source due to too much or too little movement, pregnancy, or trauma. SI joint pain is often felt on one side of the low back and buttock.
Spinal Stenosis
Narrowing of the spinal canal, typically from degenerative changes, compresses the nerves and causes pain, numbness, and weakness in the legs — especially during standing and walking.
Why Physical Therapy Is the Best Starting Point
A physical therapist can differentiate between these causes through a thorough clinical examination, often without requiring expensive imaging. More importantly, physical therapy treats the underlying dysfunction — not just the symptom — providing lasting relief rather than temporary pain management.
Understanding what’s causing your back pain is half the battle — and a physical therapist is the ideal professional to help you figure that out.
Get Answers and Relief
Call (405) 848-5005 or schedule online.
Disclaimer: This blog post is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider. Results may vary. Affiliate Disclosure
Disclaimer: The information provided in this blog post is for general informational and educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. This content is not intended to serve as legal advice. Reliance on any information provided in this post is solely at your own risk.
Ready to take the next step? Call or text us at (405) 633-0783 or fill out our contact form to schedule your appointment today. We’re here to help you move better and feel better.
