The Main Causes of Back Pain in Women: From Hormonal Changes to Physical Strain.

Wednesday, April 09, 2025

Back pain is a common issue among women that can have significant negative effects on the quality of life. This pain can be caused by various factors, some related to the physiology of women's bodies and others linked to daily habits or specific conditions.

The Main Causes of Back Pain in Women: From Hormonal Changes to Physical Strain.

In this article, the causes of back pain in women and preventive measures will be discussed.

  1. Hormonal Changes and Pregnancy One of the main causes of back pain in women is hormonal changes. During pregnancy, women's bodies undergo many changes, which put additional pressure on the spine and joints. This pressure can lead to back pain. Also, the increase in hormones such as relaxin during pregnancy causes ligaments and joints to loosen, making the back muscles and joints more vulnerable to injury.

  2. Biomechanical Factors and Daily Activities Incorrect habits such as sitting, standing, or lifting heavy objects can put extra pressure on the back. Women are often exposed to tasks that require bending or lifting objects. Lack of proper awareness on how to lift objects or sit correctly can lead to chronic back pain over time.

  3. Musculoskeletal Diseases Certain diseases like arthritis, herniated discs, and scoliosis can cause back pain in women. These conditions usually occur due to wear and tear or excessive pressure on the spinal discs and joints, which can result in severe back pain. In women, these problems are often aggravated with age and hormonal changes related to menopause.

  4. Menopause and Decreased Bone Density After menopause, the decrease in estrogen levels can lead to reduced bone density and consequently, weakness in bones and joints. This can increase the risk of osteoporosis and back pain-related problems. Additionally, hormonal changes during this period can lead to increased inflammation in joints, which is another cause of back pain.

  5. Overweight and Obesity Another significant factor in back pain is being overweight. Obesity puts a lot of pressure on joints and bones, especially in the back area. As weight increases, naturally more force is exerted on the back, which can cause or worsen back pain.

  6. Stress and Mental Pressure Stress is another contributing factor to back pain. Many women experience high levels of stress in different aspects of life, including at work or in family life. This stress can cause tension in the back muscles and, over time, lead to chronic pain in the area.

  7. Incorrect Exercise Activities Although exercise can help strengthen the back muscles, improper exercise movements can also harm the back. Lifting heavy weights without proper technique or performing inappropriate stretching exercises can lead to back pain or worsen existing pain.

Preventive Measures for Back Pain in Women To prevent back pain, the following tips are recommended:

  • Strengthening the Back Muscles: Performing appropriate exercises to strengthen the back and abdominal muscles can help reduce pressure on the spine.

  • Using Proper Techniques for Lifting Objects: When lifting heavy objects, it's better to use your legs rather than your back and bend your body properly.

  • Caring for Sitting and Standing Posture: Correct sitting posture with a straight back and regular breaks during the day can prevent back pain.

  • Weight Loss: Reducing excess weight helps reduce the pressure on the back.

  • Stress Management: Using relaxation techniques and stress management methods such as yoga, meditation, and deep breathing can help alleviate back pain.

  • Medical Consultation: If there is severe or chronic pain, consulting a specialist is essential for accurate diagnosis and effective treatment.

  • Back Pain in Women Back pain in women can result from various factors such as hormonal changes, musculoskeletal diseases, biomechanical factors, and psychological conditions. By understanding these causes and following preventive measures, this issue can be largely avoided or its intensity reduced.

  • Psychological Disorders and Back Pain Research indicates that stress and anxiety can significantly affect physical well-being, especially in the back area. Continuous mental pressure causes the back muscles to contract involuntarily, and prolonged tension can lead to pain. Additionally, depression might be another factor contributing to back pain. People suffering from depression often reduce their physical activity, which can weaken back muscles and eventually lead to back pain.

  • The Relationship Between Sleep and Back Pain Another factor that can exacerbate back pain is sleep posture. Many women suffer from sleep disorders that can lead to physical issues, including back pain. Sleeping in improper positions, especially on the stomach or with inadequate back support, can put pressure on the spine and cause pain in the back area. Choosing the right mattress and sleeping in the proper position (especially on the back or side with an appropriate pillow) can significantly reduce back pain.

  • The Role of Nutrition in Back Health Nutrition plays a crucial role in overall body health and especially in the health of bones and joints. Consuming nutrients such as calcium, vitamin D, and magnesium is essential for maintaining bone health and preventing issues like osteoporosis and skeletal pain. Also, consuming adequate protein to strengthen muscles can help prevent back pain. In general, a balanced diet with necessary vitamins and minerals will support back health.

  • Effects of Menopause and Hormonal Changes Menopause, which typically occurs in women between the ages of 45 and 55, is associated with significant hormonal changes that can affect bone and joint health. The decrease in estrogen levels during this time leads to reduced bone density and increases the risk of conditions like osteoporosis. Additionally, these hormonal changes can cause increased inflammation in joints and muscles, leading to back pain.

To cope with these issues, women can use hormone therapy, take calcium and vitamin D supplements, and perform strengthening exercises to enhance bone and back muscle health.

  1. The Role of Exercise in Preventing and Treating Back Pain Regular exercise and physical activity can significantly help in preventing and treating back pain. Strengthening the back and abdominal muscles through specific exercises can reduce pressure on the spine and increase the strength of these areas.

Aerobic exercises such as walking, swimming, or cycling can also help strengthen the entire body and relieve back pain. Additionally, stretching exercises like yoga and Pilates can improve spinal flexibility and prevent muscular pain.

  1. Therapeutic Approaches for Back Pain in Women If back pain becomes severe and chronic, seeing a doctor for specialized treatment is essential. Common treatments for back pain include:

  • Physiotherapy: Physiotherapy can help alleviate pain and restore natural movement to the back by teaching specific exercises and using therapeutic devices like heat, cold, or ultrasound.

  • Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): These medications can help reduce inflammation and pain. However, long-term use should be under medical supervision.

  • Steroid Injections: In some cases, doctors may recommend steroid injections to the joints or discs to reduce inflammation and pain.

  • Surgery: In rare cases, if non-surgical treatments do not work, surgery may be necessary to treat conditions like herniated discs or severe arthritis.

Dr. Mohammadreza Kazemi, a pain management specialist, is a leading figure in the treatment of chronic and interventional pain in Iran. He graduated in 1989 and completed his anesthesia and pain specialization in 2005 at Shiraz University of Medical Sciences. He also completed a fellowship in pain management in 2013 at Tehran University of Medical Sciences and attended several international pain intervention courses in Europe. Dr. Kazemi offers advanced and modern pain treatments and minimally invasive spine surgeries to his patients.