🔙Conditions

Lower Back · The lumbar spine bears more compressive load than any other spinal region, making low back pain the single most common musculoskeletal complaint worldwide.

The overwhelming majority of low back pain cases are labeled non-specific, meaning symptoms cannot be reliably traced to one structural finding. A smaller group of conditions have more identifiable features and a somewhat different management course.

Severity and prevalence vary widely across these conditions, from common mechanical strain to comparatively rare but serious presentations that require urgent care.

Relative clinical burden

Non-specific low back pain
90
Lumbar disc herniation
40
Sciatica / lumbar radiculopathy
38
Lumbar spinal stenosis
30
Spondylolisthesis
20
Cauda equina syndrome
3

Common conditions

Mild–moderate

Non-specific low back pain

The most frequent diagnosis, describing pain without a clearly identifiable structural cause, often linked to muscular strain, deconditioning, or movement patterns under load.

Moderate

Lumbar disc herniation

Displacement of disc material that can irritate or compress a nearby nerve root, often producing pain that radiates into the leg along with the back pain itself.

Moderate

Sciatica / lumbar radiculopathy

Nerve root irritation producing pain, numbness, or weakness along the path of the sciatic nerve into the buttock and leg.

Moderate

Lumbar spinal stenosis

Narrowing of the spinal canal, most common in older adults, that can cause leg pain and fatigue with walking that typically eases with sitting or forward bending.

Mild–moderate

Spondylolisthesis

A forward slip of one vertebra over another, which can be an incidental finding or contribute to pain and instability depending on its degree and stability.

Severe (rare)

Cauda equina syndrome

A rare but serious compression of the nerve bundle at the base of the spinal cord, producing saddle numbness and bladder or bowel dysfunction, and requiring emergency care.

While the vast majority of low back pain is self-limiting and mechanical, the rare but serious conditions on this list are why clinicians routinely screen for red-flag symptoms during evaluation.

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