What causes the occasional sharp pain in the lower back and lower ribs?

Sep 26, 2024 Source: Cainiu Health
Disease description:

Recently, there has been occasional sharp pain in the lower back and lower ribs, but it does not affect bending over. May I ask what could be causing this?

Doctor's answer (1)
Dr. Lv Zhiqin

The lower back and lower ribs may occasionally experience sharp pain, which could be caused by various factors. Below are some possible causes:

1. Intercostal neuralgia: When degenerative changes occur in the thoracic intervertebral discs or bone spurs develop in the thoracic vertebrae, the intercostal nerves may become compressed, leading to intercostal neuralgia. This can cause sharp pain in the lower back and lower ribs.

2. Herpes zoster: This is a skin disease caused by the varicella-zoster virus. Before the rash appears, stabbing pain in the lower back and lower ribs may occur. As the condition progresses, clusters of blisters will develop on the skin.

3. Pleurisy: An inflammatory response caused by bacterial or viral invasion of the chest cavity may lead to pleurisy, manifesting as sharp pain in the lower back and lower ribs. This is often accompanied by symptoms such as coughing, chest tightness, and shortness of breath.

4. Lumbar spine and muscle issues: Conditions such as lumbar disc herniation, lumbar spinal stenosis, lumbar muscle strain, or fasciitis may also cause sharp pain in the lower back and lower ribs. This may be due to prolonged bending, incorrect posture, or trauma.

If the pain persists or is accompanied by other symptoms such as fever, blood in the urine, or severe abdominal discomfort, prompt medical attention is recommended.