What causes chronic low back pain?

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    Last Updated: May 16, 2025

    Chronic low back pain can be nonspecific, which makes it difficult to pinpoint the exact cause, but it can arise from various specific conditions such as irritation of the spinal cord or nerve roots, vertebral fractures, inflammatory disorders, spinal infections, cancerous growths, poor joint mobility, facet osteoarthritis, and degeneration of spinal discs. In many cases, the specific cause of the pain remains unidentified.

    Chronic low back pain can often be nonspecific in nature, making it difficult to identify the root cause.[1] In many people, the specific cause of pain is never identified.[2] However, chronic low back pain has many specific causes as well. The following conditions are known to cause chronic low back pain:

    • Irritation of the spinal cord or nerve roots, commonly from herniated discs or spinal stenosis.
      • Vertebral fractures or trauma to the spine.
    • Inflammatory disorders of the spine, such as axial spondyloarthritis, a type of arthritis that causes pain and swelling in the spine and the joints connecting the spine to the pelvis.
    • Spinal infections.
    • Cancerous growths in or around the spine or nerve roots.
    • Poor joint mobility, particularly in the lower lumbar or hip regions.[3][4]
    • Facet osteoarthritis.
    • Degeneration of the spinal disc.