Key Pointers:
- Not all back pain comes from “pulled muscles”
- Conditions like slipped discs, spondylosis, or spinal stenosis may be involved
- Doctors use history, physical exam, and imaging to find the cause
- Early assessment can prevent worsening symptoms
- Treatment can range from rest and therapy to surgery in certain cases
When a “Sore Back” Might Be More Than Fatigue
It’s common to brush off lower back pain as a sign of overexertion, poor posture, or a bad night’s sleep. In many cases, this is true, muscles can tighten up after activity or strain. But persistent or severe lower back pain is not always just about tired muscles. Sometimes, the problem lies deeper in the spine.
Muscle Strain vs. Structural Issues
Muscle strains usually improve with rest, stretching, or physiotherapy. However, if your pain doesn’t settle after a week or two, or it comes with symptoms like numbness or weakness in the legs, it may signal something structural.
Some conditions that mimic simple muscle aches include:
- Slipped (herniated) disc – when the cushion between spinal bones bulges and presses on nerves.
- Spondylosis – a form of spinal “wear and tear” that can narrow spaces around nerves.
- Spinal stenosis – narrowing of the spinal canal, often causing leg pain when standing or walking.
Clues Orthopaedic Doctors Look For
Doctors usually start with a conversation about your symptoms:
- How long has the pain lasted
- Whether it spreads to the buttocks or legs
- If you have tingling, weakness, or numbness
They also carry out a physical examination, checking your posture, flexibility, and nerve function. If needed, imaging like X-rays or MRI scans may be ordered. This helps distinguish a muscle injury from conditions that need a different approach.
Why Getting Checked Early Matters
Leaving spinal problems untreated can make them worse. For example, nerve compression from a slipped disc may lead to long-term weakness or numbness. Early diagnosis means treatment can start sooner, whether it’s physiotherapy, medication, injections, or surgery if necessary.
Treatment Isn’t Always Surgery
Not every back condition requires an operation. Depending on the diagnosis, treatment options may include:
- Rest and activity modification – balancing movement and recovery.
- Physiotherapy – to strengthen supporting muscles.
- Medications – for pain and inflammation.
- Spinal injections – sometimes used to reduce pain and aid diagnosis.
- Surgery – considered if symptoms don’t improve or nerve compression is severe.
Everyday Habits That Support a Healthier Back
Even if the pain turns out to be minor, certain daily habits help reduce strain:
- Keep good posture, especially at your desk
- Stretch regularly, especially hamstrings and lower back
- Use proper lifting techniques
- Stay active with low-impact exercise like walking or swimming
Back pain is easy to dismiss, but it’s worth remembering that not all pain is created equal. When discomfort lingers, spreads, or interferes with daily life, it’s important to consider structural causes beyond muscle strain.
Book a Consultation for Lower Back Pain
If you’ve been dealing with lower back pain that isn’t improving, it may be time for a professional assessment. At Mash Spine & Orthopaedics, consultations are available to identify whether the pain is muscular or related to spinal conditions such as slipped discs, spondylosis, or spinal stenosis.
📍 Located at Farrer Park Medical Centre
📞 Call +65 6518 9545 or Book an Appointment Here
