Severe lower back pain during menstruation

Low back pain, also known as lumbago, may become particularly severe during menstruation. This could be caused by physiological factors or pathological conditions such as lumbar myofascial inflammation or lumbar disc herniation. Detailed explanations are as follows:

I. Physiological Factors

If excessive consumption of cold or raw foods occurs during menstruation, and personal warmth is not adequately maintained, the uterus may become chilled, leading to significant low back pain. This is considered a normal physiological phenomenon. Symptoms can be relieved by avoiding cold-natured foods and wearing additional clothing for warmth.

II. Pathological Factors

1. Lumbar and Gluteal Myofascial Inflammation
Lumbar and gluteal myofascial inflammation is usually caused by prolonged sitting or lying down, or external stimuli. Muscle damage in the lower back region may occur, resulting in the aforementioned symptoms. Medications such as ibuprofen sustained-release tablets or diclofenac sodium sustained-release tablets may be used as directed by a physician.

2. Lumbar Disc Herniation
Lumbar disc herniation may result from aging or degenerative changes in the intervertebral discs. Compression of spinal nerves in the lumbar region commonly leads to this symptom. Patients should seek treatment at a qualified medical facility, where anterior surgical approaches may be considered.

In addition, severe menstrual low back pain might also be caused by conditions such as scoliosis, osteoporosis, or ankylosing spondylitis. It is recommended that patients avoid engaging in strenuous physical activities during treatment.