What Causes Lower Back Pain During Menstruation?

In general, women often experience physical and emotional changes during menstruation—impacting mood, work performance, and daily life. Lower back pain is also a common symptom during this time. The lower back is a vital anatomical region and one particularly prone to pain, which can significantly affect mental well-being and restrict mobility. So, what causes lower back pain during menstruation? Below, we address this question.

What Causes Lower Back Pain During Menstruation?

Generally, lower back pain during menstruation may first stem from exposure of the waist and abdomen to cold, leading to impaired abdominal blood circulation, increased menstrual flow, and subsequently, lower back and lumbar discomfort. Additionally, low mood or emotional depression during menstruation may trigger dysmenorrhea and associated lower back pain. Therefore, women are advised to maintain emotional balance during their period—avoiding excessive tension, anxiety, or depressive states. Moreover, pre-existing gynecological conditions—such as pelvic inflammatory disease (PID) or endometritis—can markedly exacerbate lower back pain during menstruation. In such cases, appropriate treatment targeting the underlying condition is essential.

Knowledge Extension: How to Manage Lower Back Pain During Menstruation

1. Bed Rest

If lower back pain occurs during menstruation, prioritize rest in bed and avoid heavy physical labor or lifting children, as these activities may strain the lumbar region and worsen symptoms. Applying local heat therapy or magnetothermal physiotherapy may also help improve blood circulation in the lumbar muscles, reduce tissue adhesion and edema, and promote relaxation of the musculoskeletal system.

2. Dietary Considerations

Dietary management is crucial during menstruation. Avoid raw, cold, or spicy foods—even during hot summer months, refrain from cold beverages or ice cream, as these may aggravate symptoms. Simultaneously, ensure adequate intake of calcium, protein, and vitamins, which play an important role in preventing lower back pain.

3. Lumbar Massage

For more severe lower back pain, gentle lumbar massage performed by a family member may help relax tense muscles and alleviate discomfort. Maintaining a positive mindset and regulating emotions is equally important, as significant emotional fluctuations can exacerbate symptoms. Also, avoid poor ergonomic postures at work and prevent overexertion.

The above outlines the primary causes of lower back pain during menstruation. We hope this information is helpful to you.