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Our experienced team offers services for both residential and commercial properties.With over 25 years of experience in the industry, we boast all of the knowledge and expertise in repairing.
Have you ever felt a nagging pain in just one side of your lower back? While lower back pain is common, experiencing discomfort on just the left or right side could mean something specific. It might be due to something as simple as a muscle strain—or something more serious like a kidney problem or nerve issue.
In this blog, we’ll explore the common causes of lower back pain on one side, how to tell when it’s something serious, and what your next steps should be.
One-sided lower back pain (also called unilateral back pain or side-specific back pain) refers to discomfort on only the left or right side of your lower back. It can be:
Depending on the cause, the pain may spread to the hip, buttock, or leg.
Here are the most common reasons why you might feel pain on either the left or right side of your lower back:
A pulled or overused muscle is one of the top causes. It can happen due to:
🩺 This usually improves with rest, ice, and light movement.
The SI joints connect your spine to your pelvis. If one side becomes inflamed or stiff, it can cause sharp pain on one side of your lower back or buttock, especially when standing or climbing stairs.
A disc in your spine may press on a nearby nerve root—usually causing pain on one side, often radiating to the leg (sciatica). It might worsen with bending or sitting.
Pain from a kidney issue can feel like lower back pain on one side. Look out for:
⚠️ These signs need urgent medical attention.
Uneven posture, leg length differences, or curved spine (scoliosis) can lead to muscle imbalance and one-sided pain.
Conditions like ovarian cysts, endometriosis, or fibroids may cause pain on one side of the lower back, depending on where the issue is.
Degeneration of the spine or small joints (called facet joints) can cause one-sided back pain, especially in older adults or those with osteoarthritis.
You should consult a doctor if your pain:
These may signal a serious condition like nerve compression, infection, or organ involvement.
To find out the exact cause of one-sided back pain, a doctor may:
Getting the right diagnosis is key to effective treatment.
Treatment depends on the cause. Options may include:
Always follow your doctor’s advice for proper care.
A: Yes. Sleeping in an awkward position or on an unsupportive mattress can cause one-sided back pain.
A: It could be a muscle issue, kidney problem, or SI joint inflammation. The exact cause depends on your symptoms and medical history.
A: Not always. It’s often caused by minor strains but should be evaluated if it persists, worsens, or has red-flag symptoms.
A: Yes. Stress can lead to muscle tension, which may cause pain that feels more intense on one side.
A: Kidney pain is usually deeper, one-sided, and may be felt in the flank or lower abdomen. It often comes with other symptoms like fever or urinary changes.
Lower back pain on one side may seem strange at first, but it’s often a clue to what’s going wrong underneath. Whether it’s a strained muscle, a nerve issue, or a kidney problem, the key is to listen to your body and get a proper diagnosis.
Early care can prevent chronic pain and help you return to normal life faster.
Still unsure what’s causing your back pain?
Don’t ignore it. Visit us spine specialist or physiotherapist to get the right evaluation and treatment.
Dr. Sunil Saini is a distinguished orthopedic surgeon with expertise in cosmetic limb lengthening, deformity correction, and Ilizarov surgery. With a career spanning over two decades, he has made significant contributions to the field of orthopedics, particularly in advanced limb lengthening techniques.
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